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HomeMy WebLinkAboutPermit Electrical 2010-8-4 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .-,':, 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 '. - ,'. ' ,~ '-. ''';; 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 ~, 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: , <",~ ..".......,., . ... ." 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 .' l ,'> ~. ,L- , ','.l;- 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 , .',J {i.t "'; I_ \'.. ' . ~n:\:. ;',.: !'\ ~ .,~,~- ....".~..~, _..:l"~..;';L .~ ",~","~,t . l:fr::" ""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,:' , ,. . ~ ''OJ''', 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., ; ~;,,; .. +~"""~'" ,.....~'......, " ......",..... ' ."..... ., .....:_.s':.!. ....d.~.l.~._ 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 .f':l~~}'-.'-'::;.,:~,;. t I i. ' :\ "f..b!1, ..".......,. I- (i. .;.:- ......r"'. " "..'" ',;.,!, _<_ '.....'e;. , )11'~f: ;~'(!;'iL ," 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 .~ ;'J . . ., . ~SIT'E;C-O--NTACT' ".::;,rs,'if. .,,'., __'. _..."",,__...:....>- ,. ,.' Name: Vv'illiam Hansen Phone: 541-603-2174 Fax: Email: "CO~TAACTOR;-' . 'i'l".,t' 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." " 1-.--;t~t ,"?l/'.'.., ' 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 5/<///0 /? rY':-- 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 ,~::;_: n,_ ONLINE BER Online MOUNTAI N $189.54 NJM '.~~~:~::..;::'< :' :'i! Payment Total: $189.54 ,.fl," q: "/},H J ... ::,',.".~ ,~. :u.,\l -" ;, . <.:~ :l!.'-\,,~:' '.. . :~. .' \ ,J , " ~: ' ! . "~;"'" ":'':'~,:,'. '~, ' cReceioll Page I of I 8/4/20 I 0