HomeMy WebLinkAboutPermit Electrical 2010-6-10
city Of Springfield
225 Fifth Sl
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
c/o. (P()5
Residential Electrical Authorization To Begin Work
69600-BEL-10-00257
Approval Code: 085904. 6/10/2010 11:13 am
E-mailedTo:jhheideman@hotrnail.com
6'\!I'1iENTION: Oregon law requires you to
f1Dnow rules adopted by the Oregon Utility
I!jofification Center, Th0se rules are set forth
ihlOAR 952-001-0010 through OAR 952-001-
~90. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Job Address: 814 S 68TH PL
Please check all that apply:
o A sel'lice or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at 150 Volts or
less to ground exceeds
14,000 Amps for all other
City/StateJZlP: SPRINGFIELD, OR 97478
D Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
D Health care facilities
SuitelbldgJaplno.:
Project Name:
Cross Street/directions to job site: Main St to S 68th to address
1802031104600
Name: Gerald Rainev
State surcharge (12% of permit
total
Technology fee (5% of pennit total)
Phone: 541-520-5631
Fax:
Email:
TOTAL PERMIT FEE
tID-lt03
EJec lie. no.: 2D-44BC
CCB lic. no.:
136298
l'f\l\/II\lIt
City/StateJZIP: ~~~~~En
"'''
Phone: 5417418844
Business Name: B~~.MOUNTAIN ELECTRIC LLC
Contact ,":"\5 PERMIT SI-II\LL rJ
Addre..: 85388!piL1:AlM',!,
T IS NOT
ONEO FOR
9
00.
Fax: 5417418845
Email: jackie@bearmountaineleclric.com
Metro lic. no.:
Citylic. no_:
Supervising Electrician's lic. no.:
4640S
Supervising Electrician's Name:
CHAD IRVIN PERKINS
Number of inspections included in paid services:
Residential Service: 4
Reconnect Onry: 1
All Other Services: 2
Upon review and approval by your. local jurisdiction, your pennlt will be e-mailed or faxed
within one business day, with instructions on how to schedule your Inspection.
~~ #c~
\) S.\l(;''(
Nl;)TE; This Authorization To Begin Work expires within 180 days If a pennlt Is not obtained.
The local building department may detennlne that an Authorization To Begin Work Is null and
void If It does not meet applicable land use laws and local ordinances.
D Hazardous locations
. D A service or feeder rated at
600 amps or more
o Buildings more than three star
o Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 KVA or
larger seperately derived sys
o "A", "E", or "1-2" or "1-3"
o Recreational Vehide Parks
o Supply voltage for more than
600 supply volts nominal
$9.72
$4.05
$94.77
~
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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 Pennit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00605
ISSUED: 06/08/2010
APPLIED: 05/13/2010
EXPIRES: 12/10/2010
VALUE: $ 13,200.00
225 Fiftb Street, SprinJ:field, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 814 S 68TH PL
ASSESSOR'S PARCEL NO.: . 180203II04600
Springfield TYPE OF WORK: Garage
TYPE OF USE: Repair
PROJECT DESCRIPTION: Repair damage to Garage from falling tree.
Residential
Owner: RAINEY GERALD T & RIKKI J
Address: 814 S 68TH ST
SPRINGFIELD OR 97478
Pbnne Nnmber: 541-520-5631
Contractor Type
General
Electrical
I CONTRACTOR INFORMATION ~
Contractor License
BELFOR USA GROUP INC 146973
BEAR MOUNTAIN ELECTRIC LLC 136298
BUILDING INFORMATION ~
Expiration Date
02/16120II
08/12120 II
Phone
541-726-9905
541-741-8844
# nfUnits:
Primary Occnpancy Gronp:
Secondary Occupancy Grnnp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
U
R3
VB
# nf Stories:
Heigbt of Structure
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Otber:
Occupant Load:
470
No
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
NOTICE:
FronfMlim ~~l'F SHAll EXPIRE IF THE WORl(>verlay Dist:
S~de M~~ffllffZED UNDER THIS PERMIT IS NOf/Street Trees Rqd:
SIde t:~'\~}l~~~' iD OR IS ABANDONED FOR ,Paved Drive Rqd:
Rearr.'J",ij ml \, . ". % of Lot Coverage:
Solatselb alS: .r PERIOD. . " .
. "'~'3~':i<h;:~:i~;>~"
Street Improvements:
Storm Sewer Available:
Special Instruction:
Total:
ATTENTION: Oregon IM.IJ~gicdtlg;'Vou to
follow rules adopted brlllB16fligon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
I PUBLIC IMPROVEMENTS taliing the center. (Note: the telephone
umb~rJ.Rt.lIU';.Q,Ulgon Util~y NolificatlClft
't:l:mfer iSJf~0-332-2344).
. DownspoutslDrains: .
Notes:
Paee I of3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: C0M2010-00605
ISSUED: 06/08/2010
APPLIED: 05/13/2010
EXPIRES: 12/10/2010
VALUE: $ 13,200.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Descriotion
Tvne of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Fee Descrintion
Plan Review Residential
+ 12% State Surcharge
+ 5% Tecbnology Fee
Garage/Carport
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$151.78
$21.00
$8.75
$175.00
$9.72
$4.05
$81.00
5/13/1 0
6/8/10
6/8/1 0
6/8/10
6/10/10
6/10/10
6/10/10
2201000000000000493
1201000000000000629
1201000000000000629
1201000000000000629
2201000000000000675
2201000000000000675
2201000000000000675
Total Amount Paid
$451.30
I Plan Reviews ~
Plannioe: Review
05/13/20 10
Structural Review
05/1312010
05/13/2010
WE KLK
Incomplete submittal, missing info.
to Kip by Tuesday- Contact Mike,
541-501-4762.
Structural Review
OS/24/20 I 0
OS/24/2010
APP CJC
Truss submittal approved for garage
repair- other structural aspects by
inspection. No approval for awnings.
Initial Review
06/01/2010
06/01/2010
APP LLH
Site Plan and bid adjustment
submitted by Belfore
Public Works Review
06/08/20 I 0
06/08/20 I 0
APP LKW
No new surfaces, No new fixtures,
No SDC's
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested hefore 7:00
a.m. will he made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Paee 2 of3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: C0M2010-00605
ISSUED: 06/08/2010
APPLIED: 05/13/2010
EXPIRES: 12/10/2010
VALUE: $ 13,200.00
225 Fifth Street, Sprin~eld, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
~eauire~nsnec~
Framing Inspection: Prior to cover and after all rough in inspections have heen approved.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By sij!;nature, I state and aj!;ree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will he made of any strnctnre witbout permission of the Community SerVices Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front oflhe property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pal!e 3 of3
" -";;._1\';' . :'.:f ::~. '"
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.1~"fJ.~. . ...
WIr.- :.
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000675
Date: 06/10/2010
1:01:14PM
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
Job/Journal Number
COM20 I 0-00605
COM20 I 0-00605
COM20 1 0-00605
Description
Perm Serv/Fdr 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
KR
ONLINE BEAR Online
MOUNT Al
N
ELECTRIC
Payment Total:
$94.77
$94.77
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