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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 ~ .\~. . (JIO''6g& Residential Electrical Authorization To Begm Work 69600-BEL-10-00311 Approval Code: 095264 7/8/2010 8:06 am ,L "" IR] Addition/alteration/replacement 0" ,'c.'q~.. CA,EGORY'OF.CONs,Rt.lc,ioN""~ .,. . a~ =.~. ... ....". ". .....', .. "". .. ..,; ,....~.,., .........,.... "... _," j;f",., i_^'. 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 ''''.- 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 :"i- 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: .~. \t;(5'~' irC 0'" ~'N"'RACT'O R-' '.~ '-;'v~ , r.lq:.~, ',' ',~. ;,,~ ;, Elec lie. no.: 20-448C 136298 cce Iic. no.: Business Name: BEAR MOUNTAIN ELECTRIC LLC Contact: Address: 85388 DILLARD ACCESS RD .:') 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. .'1 .! 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 ~\1l-' \\) fl' fr ~'6< ~ 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. . \ /,,,,,- ~ cJ 016'6(P #y#O' ~fi~, 4J'17 '2-01 .... Inspec~icins Phone:.541'726.3769 , ,.," - ,his Authorization '0 Begin Workinust be posted at the job site until replaced by a Permit " , <, ":i' # ..'^~ ~ ~\Y f6~' CITY OF SPRINGFIELD Building/Combination Permit Status Issued ,,'-. 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 ~ .' PROJECT DESCRIPTION: Fire Damage -:'"<'i t,~;.J .. 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: ~"'-l' I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: '.i~':_l'!' :~. 'i',f' l'.} ~."" I 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 ',(:';: ;. J""{' .. ..:' I"~ '"Page 1 of 2 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 , "!.' '~. .,'. Total Value of Project Amount Paid~;:': "":"'.'1";:' $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 r . . i.,'-," ',,:1;',,_' ro..'...,.-. ,'!..-., fi~lJW~l;_ Paee 2 of 2 \ Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~iiE,E,LD.,' '. '. ,', w.' '. . -,- ~"-:. :", '''';::.".' _.- {I . ",_.'. ,'c-".' -: ";""'..".e-FCC",.~,.._J. ""'\ 1, _ '.::-::'~:;':'. 1..,<. ", ' 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 :. \.' ..~j~' Payment Total: $94.77 W.., 'f,. . ", . - :-~ " ....: . .. ~,"l.'..,,!: .- ',' ~" cReceintl Page I of I 7/8/2010