HomeMy WebLinkAboutPermit Electrical 2010-4-16
SPRINGFIELD~~~
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City Of Springfield
225 Fifth 51.
Springfield. OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
o New Construction
IKl Addition/alleratio~/replacement
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[R] 1 or 2 family dwelling
D Multi-family D Commercial
D Accessory
JoerSITEINFORMATIl:>N ANI)"LOCATION
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Job Address: 797 ASPEN 8T
City/State/ZIP: SPRINGFIELD, OR 97477
SuitelbldgJapt.no.:
Project Name: McKay
Cross Street/directions to job site:
Tax map/parcel no.:
1703342102600
Service change
~ SITE CONTAcF':"0
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Name: Chad Perkins
Phone: 541-741-8844
Fax: 541-741-8845
Email:
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Elee lie. no.: 20-448C
eea lie. no.:
136298
Business Name: BEAR MOUNTAIN ELECTRIC LLC
Contact;
Address: 85388 DILLARD ACCESS RD
City/State/ZIP: EUGENE, OR 97405
Phone: 5417418844
Fax: 5417418845
Metro lie. n
Email:jacki
All ~E~HHE
supe~;';n!JW<jIOORll<E9UNOEa.lHIS
Supe~;';nJ}QMM~NCE
Number of i ti n
Residential Service:
Reconnect Only'
All Other Services:
Upon review and approval by your local Jurisdlcllon, your permit will be e.malled o~ fax~~
within one business day, with instructlons on how to schedule your inspeclion.
NOTE: This Authorization To Begin Work expires within 180 days If a permit Is not obtained.
The local building department may determine that an Authorization To Begin Work is null and
void if It dOes not meet applicable land use laws and local ordinances.
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Residential Electrical Authorization To Begin Work
69600-BEL-10-00175
Approval Code: 039178 4/16/2010 11:05 am
E~mailed To: bearmountainchad@aol.com
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Please check all that apply: 0 Hazardous locations
0 A service or feeder beginning o A service or feeder rated at
at 400 Amps where the 600 amps or more
available fault current exceeds 0 Buildings more than three star
10,000 Amps at150 Volts or
less to ground exceeds 0 Marinas and boat yards
14,000 Amps for all other 0 Floating buildings
0 Fire pumps 0 Commercial-use agricultural
buildings
0 Emergency systems 0 Installation of a 150 KVA or
o Addition of a new motor load larger seperately derived sys
of 100 HP or more 0 "A", "E", or"I-2" or "1-3"
0 Six or more residential units in 0 Recreational Vehicle Parks
one structure
0 Health care facilities 0 Supply voltage for more than
600 supply volts nominal
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Description I Qty. I Ea. Total
SerVices'or;feede;r{'i:;~;;,c(~,", ::t1~'~ ;"'. \" ,: ,. _ ,:," ,.:oc-_' ,~: ~ ".'"
Services 200 amps or less I 1 I $81.00 I $81.00
Electrical Permit.Fees)c .~.~ q"_L'~_;. '-,_ ' ."'
"
Subtotal $81.00
State surcharge (12% of permit $9,72
total)
TeChnology fee (5% of permit total) $4,05
TOTAL PERMIT FEE $94.77
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ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules bf
calling the center. (Note: the telephone
number for the Oregon Utility Notiflcatioll
Center is 1-800-332-2344).
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00471
ISSUED: 04/16/2010
APPLIED: 04/16/2010
EXPIRES: 10/1612010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 797 Aspen ST
ASSESSOR'S PARCEL NO.: 1703342102600
':::::
. Springfield TYPE OF WORK: Electrical Work Only
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TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Service change in residence.
Owner: MCKAY-KJAR TAMERA LIN
Address: 797 ASPEN ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Contractor License
BEAR MOUNTAIN ELECTRIC LLC 136298
BUILDING INFORMATION ~
Expiration Date
08/12/2011
Phone
541-741-8844
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprink.led,B.uilding:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
REQUIRED PARKING
~;::;;;~b~:~~aOcTkl: ceo"'; y'-,:i~;;~:~ ~,~::~ Rqd: ATTENTION: Oregon I\W~~tAy,l,(~.you to
S'd 2 S b l~' F THD.uIORK' R d follow rules adopted @,;ififl f(l;egoh Utility
I e et ac His. PERMIT SHAll EXPIRE I Ii'''- Ive q : Notification Center. Those iUfes'aresetforth
Rearyard Setif,. ED UNDER THIS PERMrT-1&1NGTCoverage: In OAR 952-001-001 0 through OAR 952-001-
Solar Setbackl<UTHORlZ DONED FOR o. You ma obtain copies of the rules by
ERIOD I ~ callng e ce er. 0 e.
ANY 180 DAY P . PUBLIC IMPROVEMENTS I number for the Oregon Utility Notification
Street Improvements: SidGenter~d~800-332-2344).
I DEVELOPMENT INFORMA nON ~
Storm Sewer Available:
Special Instruction:
DownspoutslDrains:
Notes:
DescriPtion
Type of Construction
I Valuation Description I
$ Per sq Ft . Sqnare Footage
or multlpHer-~ (j toT. or Bid Amount
Value
Date Calcnlated
Paee I 01'2
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00471
ISSUED: 04/16/2010
APPLIED: 04/16/2010
EXPIRES: 10/16/2010
VALUE:
Status
Issued
Total Valne of Project
Fees Paid ~
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid~'Vh ..,
~.}. .
Date Paid
Receipt Number
$9.72....."
$4.05-.
$81.00
. I
4/16/10
4/16/10
4/16/10
1201000000000000352
1201000000000000352
1201000000000000352
Total Amount Paid
$94.77
I Plan Reviews ~
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
~Reauired Insoections ~
Electric Service: Approval required prior to utility company energizing service.
By signature, I state and agree, that 1 have carefuIlY:'~xamineil 'ihe completed application and do hereby certify that all
information hereon is true and correct, and I further certit:ythat any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the t.~Ws of the'State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
] further agree to ensure that all required inspections are requested at the proper time, that each address is re~ldable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all.
times during construction.
Owner or Contractors Signature
Date
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Page 2 of 2
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000352
Date: 04/16/2010
1I:20:18AM
Job/Journal Number
COM2010-00471
COM20 10-00471
COM201O-0047 I
Description
Penn Serv/Fdr 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
ONLINE CHGS
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
81.00
9.72
4.05
$94.77
Amount Paid
KR
ONLINE BEAR MTN Online
ELECTRIC
Payment Total:
$94.77
$94.77
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