HomeMy WebLinkAboutPermit Electrical 2010-8-4
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: COM2010-01048
ISSUED: 08/04/2010
APPLIED: 08/04/2010
EXPIRES: 02/04/2011
VALUE:
Status
Issued
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SITE ADDRESS: 4795 FRANKLIN BLVD SPACE 47 Eugene
ASSESSOR'S PARCEL NO.: 1803022002900
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Service change and circuit for electric range
Residential
Owner: RIVERSIDE MOBILE HOME COURT LLC
Address: 2100 STONE CREST DR
EUGENE OR 97401
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CONTRACTOR INFOR A TlON
Phone
541-741-8844
Contractor Type
Electrical
Contractor Licens
BEAR MOUNTAIN ELECTRIC LLC 136298
BUl ING INFORMAT ON
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
n/a
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
EVE OPMENT NFORM TlON
verlay ist:
Stree rees Rqd:
P Driy~ R,qd:
% of Lot Coverage:
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REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
AT.I1="""m'J
Storm Sewerl~vallar;le:: Oregon I
. fa f"".' ''''e aw require
Spectal In~rucho,!: S adopted by th s you to "
! ormcatlon Center Th e Oregon Utility
In OAR 0-20 'OSe ruleo a ," ,
Notes: 009 vD - 01-0010tl1ro 0 resettcJitfi :'''!''';':
a,, You may obhn . ugh OAR 952-0~k;~ ,,;:, S:,', ,"
,...o",,~ __ " cL (;1 lnlO<" ~l" ,
~ "'~ "'"",er (N t, ,,'c ""~"-"." '" ""
number for Ih-, 0" 0 e, the tel, 'p"~ ';"c; , ' ,
Ce t' t, legol1 Utility Not .ValUatIOn Descn
n er IS 1-80n.3"2 ~3 ' --,,~..
V'v -'" 44)
. ' $ Per Sq Ft Square Footage
Type of ConstructIOn It' I' B'd A
or mu Ip ler or I mount
I PUBLIC IMPROVEMENTS ~
;~OTi~~~walk Type:
THIS PQ~!!i\1ol!~s(,IMl!iiWPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 1 SO DAY PERIOD,
Description
Value
Date Calculated
Pa2e I 01'2
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-01048
ISSUED: 08/04/2010
APPLIED: 08/04/2010
EXPIRES: 02/04/2011
VALUE:
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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""Total Value of Project
LFees Paid ,
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
3201000000000000512
3201000000000000512
3201000000000000512
$19.44
$8.10
$162.00
,8/4/10
8/4/10
, , '8/4/10
Total Amount Paid
$189.54,:'
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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, in~pect,i.9.~s.requested after 7:00 a.m. will be made the following
workday. . :fU., ; ~;,,; ..
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LReo,uired InsDections I
Rough Electric: Prior to Cover
Final Electric: Wben all electrical work is complete.
By signature, I state and agree, 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 St~te ~f Qregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without Rer.m'~sioi1 of the Community Services Divisiou, Building Safety.
I further certify that only contractors and employeenvho 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 th'e 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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Paee 2 of 2
City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenter@ci.springfield.or.us
Residential Electrical Authorization To Begin Work
69600-BEL-10-00363
Approval Code: 02055Z 8/4/2010 8:27 am
E-mailedTo:jackie@bearmountainelectric.com
~ "~~';~:,;>~,/.l~r/PLAi.hREVIEW :.i;
.~: c /:CATEGORY:Q"'CONSJRUCTION~h~~;'
[g] 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Access,ory
_''-^'+f'''''''?-l~6B:SITE:iNRORMATl6N:AND'L.6CA TIOI\r:ili~t. ';;:;;:;~i~:.;:;r
Job Address: 4795 FRANKLIN Bl YD
City/State/ZIP: EUGENE. OR 97403
Suite/bldgJapt.no.: 47
Project Name:
Cross Street/directions to jOb site: Franklin Blvd, under tresse! pasl19th to
address
Tax map/parcel no.:
1803022002900
service change and circuit for electric range
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., . ~SIT'E;C-O--NTACT'
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Name: Vv'illiam Hansen
Phone: 541-603-2174
Fax:
Email:
"CO~TAACTOR;-' .
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Elec lic. no.: 20-448C
CCB lic. no.:
136298
Business Name: BEAR MOUNTAIN ELECTRIC LLC
Contact:
Address: 85388 DILLARD ACCESS RD
City/State/ZIP: EUGENE, OR 97405
Phone: 541-741-8844
Fax: 541-741-8845
Email: jackie@bearmountaineJectric_com
Metro lic. no.:
City Iic. 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 Only: 1
All Other Services: 2
Upon review and approval by your local jurisdiction, your permit will be e-mailed or fa"ed
within one business day, with instructions on how to schedule your inspection." "
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NOTE: This Authorization To Begin Work expires within 180 days if a permit is no(.'?btiiiied'~f.~.,;r_'"_";'
1"he local building department may determine that sn Authorization 1"0 !!:~!!!...~o.r!t "~s...:!!~II_"and
void if it does not meet applicable land use laws and local ordinances.
Please check all that apply:
D A service 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 ether
D Fire pumps
D Emergency systems
D Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care facilities
---
w,.
Services 200 amps or less
~1~dric'a-I'PermitFees'ry",
Subtotal
State 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 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 Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
$162.00
$19.44
$8,10
$189.54
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Comwl{)~ ()/OL-/Y
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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 #:
3201000000000000512'
Date: 08/04/2010
IO:18:33AM
Paid By
ONLINE PERMIT CHGS
Item Total;
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
162,00
19.44
8,10
$189.54
Job/Journal Number
COM2010-01048
COM2010-01048
COM2010-01048
Description . ~ .-. ~ ",
Perm Serv/Fdr 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
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ONLINE BER Online
MOUNTAI
N
$189.54
NJM
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Payment Total:
$189.54
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