HomeMy WebLinkAboutPermit Electrical 2010-7-8
City Of Springfield
225 Fifth 51 " : .1
Springfield, OR 97477 '''',';_:.
Phone: 541-726-3753 .; <$ r
Email: permitcenter@ci.springfield.or.us ~ .\~.
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Residential Electrical Authorization To Begm Work
69600-BEL-10-00311
Approval Code: 095264 7/8/2010 8:06 am
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IR] Addition/alteration/replacement
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o Multi-family 0 Commercia)
o Accessory
, .: ~:,JOB S'ltE:INFORMA:ri6NIl.NO:L!OCAn6N~~JF.r; ,~" ,--,
Job Address: 4867 C ST \ :
City/State/ZIP: SPRINGFIELD, OR 97478
Suitelbldg./apt.no.:
Project Name:
Cross Street/directions to job site: Main 51 10 49th, l on 49th to C to site
Tax map/parcel no.:
1702324100231
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Please check all that apply:
o A se~iceor feeder beginning
at 400 Amps where the
available fault currenl exceeds
10,000 Amps al150 Volts or
less to ground exceeds
14,000 Amps for all other
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o Fire pumps
o Emergency systems
o Addition of a new motor load
of 1 00 HP or more
o Six or mo"re residential units in
one structure
o Health care facilities
service change due 10 fire
Name: Rorv Alvarez
Phone: 541-953-7348
Fax: 541-741-8845
Email:
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Elec lie. no.: 20-448C
136298
cce Iic. no.:
Business Name: BEAR MOUNTAIN ELECTRIC LLC
Contact:
Address: 85388 DILLARD ACCESS RD
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City/Slate/ZIP: EUGENE, OR 97405
Phone: 541-741-8844
Fax: 541-741-8845
Ema": jackie@bearmountainelectric.com
Metro lic. no.:
City Iic. no.:
Supervising Electrician's lic. no.:"
46408
Supervising Electrician's Name:
CHAD IRVIN PERKINS
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained.
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Description
S'ervices'or.,feoders ',,,, of:,'
Services 200 amps or less
EleCtrical' ~e'rmit:fe'es,: :F<,
Subtotal
Slate surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three stor
o Marina; and boat yards
. 0 Floating buildings
o Commercial-use agricultural
buildings
D Installation of a 150 KVA or
larger seperately derived sys
D "A" "E" or "1-2" or "1-3"
, ,
D Recreational Vehicle Parks
o Supply voflage for more than
600 supply volts nominal
'....1
'1
$81.00
$9.72
$4.05
$94.77
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The local building department'may determine that an Authorization To Begin Work is null and
void if it does n01 meet applicable land use laws and local ordinances. . \
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4J'17 '2-01 .... Inspec~icins Phone:.541'726.3769
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,his Authorization '0 Begin Workinust be posted at the job site until replaced by a Permit
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
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PERMIT NO: COM2010-00886
ISSUED: 07/08/2010
APPLIED: 07/06/2010
EXPIRES: 01108/2011
VALUE:
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,,, '.,
SITE ADDRESS: 4867 C ST
ASSESSOR'S PARCEL NO.: 1702324100231
Springfield TYPE OF WORK: Single Family Residence
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PROJECT DESCRIPTION: Fire Damage
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TYPE OF USE: Repair
Residential
Owner:
Address:
EDWARDS IRVING P & JOYCE M
4867 C ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
BEAR MOUNTAIN ELECTRIC LLC
License
136298
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:
BUILDING INFO'RMATION ~
#" of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
, Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVEio"PMENTINFORMATlON I
,;."""'.d" :1,01):.
'Q,virlay Dist:
Ii Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
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I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
'.i~':_l'!' :~.
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Sidewalk Type:
Dp.1l:PjPPuls/Drains: "
ATTEN I fUN: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-001~ through OAR 952-001-
Notes:
u'
NOTICE' .. D . t' ~
. EXPIRE IF T tlOn escnp IOn
THIS PERMIT SHAll
D '.Jl!JhHORIZfIl~w;I;R I!iIS.PERMIT$IPetJ~J Ft Square Footage
esen COMMENCED OR Ignt~~1\fB'BNED cfiMultiplier or Bid Amount
ANY 180 DAY PERIOD.
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center Is Hloo-332-2344).
Value Date Calculated
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541'726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
Perm ServfFdr 200 amps or less
Total Amount Paid
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Total Value of Project
Amount Paid~;:':
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$9. 72 ~.~,:;l;';;
$4.05- '
$81.001.:: "
$94.77
Fees Paid__
" Date Paid
','"
, 7/8/10
7/8/10
7/8110
I Plan Reviews ,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00886
ISSUED: 07/08/2010
APPLIED: 07/06/2010
EXPIRES: 01108/2011
VALUE:
Receipt Numher
3201000000000000400
3201000000000000400
3201000000000000400
To Request an inspection call the 24 hour recording at 726,-3769. All inspections requested before 7:00
. I 'h,1
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Reouired Insoections I
Electric Service: Approval required prior to utility company energizing service.
By signature, I state and agree, that I have carefully,examined.the completed application and do herehy certify that all
information hereon is true and correct, and I furth'e"f~~rt\fiiK~t'llDyiand all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Law~iofthe, state of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any strudiire without 'permission of the Community Services Division, Building Safety.
I further certify that only contractors and employe~s';':Iio 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 of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
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Paee 2 of 2
\
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
. .
3201000000000000400
Date: 07/08/2010
8:47:06AM
Job/Journal Number
COM2010-00886
COM20 1 0-00886
COM201O-00886
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
. Check Number
Received By 'I;Jatch Number
Item Total:
Authorization
Number How Received
Amount Due
81.00
9.72
4.05
$94.77
Amount Paid
NJM
.' ONLINE BEAR In Person
MOUNTAI
N
$94.77
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Payment Total:
$94.77
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cReceintl
Page I of I
7/8/2010