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HomeMy WebLinkAboutPermit Building 2007-7-17 Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line \(lJ 1\ V,C{/D ,/\ ~~ ~(// ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO:' cOM2007-01051 ISSUED: APPLIED: 07/17/2007 EXPIRES: 01118/2008 VALUE: SITE ADDRESS: 1275 Lome Lp ASSESSOR'S PARCEL NO.: 1703272207648 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Fire Damage Owner: THOMPSON MARIAN C Address: 1275 LORNE LP SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor BEAR MOUNTAIN ELECTRIC LLC License 136298 Expiration Date 08/06/2007 Phone 541-741-8844 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # 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 I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Downspo~ts~r~ins: Storm Sewer Available: SpeciallliJ(i~: Oregon law requires you to follow rules adopted by the Oregon Utility Notes:Notification Center. Those rules are set forth In OAR 952-001-0010 throuph OAR 952-001- 001:10. YOU may ODlaln copfes Of tne .10'::; t)" caffing the center. (Note: the tele hWlluation Descri number for the Oregon Utility Notifl Center iSf1-800-332~2344). $ Per Sq Ft Description Type 0 LonstructIon It' I' or mu Ip Ier NOTICE: 711lC rrnMJT GI1,...ll rnrlr.r IF TWi \~!ORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR Square FO'Ai\N 180 DAY ~IlIpD. Date Calculated or Bid Amount Pal!e 1 of 2 CITY OF SPRINGFIELD' . Building/Combination Permit Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: cOM2007-01051 ISSUED: APPLIED: EXPIRES: VALUE: 07/17/2007 01/18/2008 Total Value of Project Fees Paid' Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Service Reconnect Amount Paid Date Paid Receipt Number $5.50 $2.75 $4.40 $55.00 7/18/07 7/18/07 7/18/07 7/18/07 2200700000000001163 2200700000000001163 2200700000000001163 2200700000000001163 Total Amount Paid $67.65 I Plan Reviews I 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, inspections requested after 7:00 a.m. will be made the following work day. I 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 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 be made of any structure without 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 of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pal!e 2 of 2 . City of Springfield Electrical Authorization To Begin Work E-mailedTo:jhheideman@hotmaiI.com Receipt # EC514200 7/18/20071:37:15 PM Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us o New construction [K] Addition/alteration/replacement Description Qty. Ea. Total I 1,000 sq. ft. or less I Ea. add! 500 sq. ft. or portion I-Limited energy, residential (with above SQ. ft.) I-Limited energy, multifamily residential (with above sg ft.) ; ,S.ervi~esOR>feea'~~ installation, al"t!ll:atipn, AND/QR reloca~on '. , , _ - --- en::.-,- -, _ .;. ';:' '-:coo:,:,,, ""!,,,-,, '^H-^'-- -<I> "0".,...:,.;.Jj"~",!', "" !::::,;,,, :'!~:,:,'::,,'):,,:::,::::::,,::",ii':\::::,:::!:_:: ::::,:::::<.':1;;;:::".:::,';.; ::",; 200 amps or less 1201 amps to 400 amps 1401 amps to 599 amps [K] 1 or 2 family dwelling o Multi-family o Commercial/ Industrial I Job no.: I Job address: 1275 LORNE LP I City/State/ZIP: SPRINGFIELD, OR 97477-1957 I Suitelbldg.lapt.no.: I Project name: Cross street/directions to job site: Harlow to Domoch to Lome Lp I Subdivision: I Tax map/parcel no.: 1703272207648 I Lot no.: 200 amps or less 1201 amps to 400 amps 401 amps to 599 amps Reconnect due to fire A. Fee for branch circuits with above service or feeder fee, each branch circuit. B. Fee for branch circuits without service or feeder fee, first branch circuit; each addl branch circuit I Name: Rory I Phone: !Email: I Fax: I Service reconnect only I Each manufactured or modular dwelling, service and/or feeder I Pump or irrigation circle I Sign or outline lighting Signal circuit(s) or limited- energy panel, alteration, or extension. 11 I $55.00 $55.00 I I I I I EI. lie. no.: 20-448C I CCB lie. no.: 136298 I Business Name: BEAR MOUNTAIN ELECTRIC LLC I Contact: Chad Perkins IAddress: I City/State/ZIP: EUGENE OR 97405 I Phone: (541)7418844 I Fax: (541)7418845 I Email: jhheideman@hotmail.com I Metro lie. no.: 1 City lie, no.: I Supervising electrician's lie. no.: 4640S I Supervising electrician's name: CHAD IRVIN PERKINS I I I I " City Of Springfield $5500 State Surcharge (8% of permit fee) $4.40 I City Of Springfield fees" $8.25 I TOTAL PERMIT FEE $67.65 I 1 0% Local Admin Fee; 5% Local Technology Fee 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. The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. This Authorization To Begin Work must be posted at the job site until replaced by a Permit. 225 Fifth Street Sptingfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01051 COM2007-01051 COM2007-01051 COM2007-01051 Payments: Type of Payment ONLINE CHGS cReceiotl RECEIPT #: Description Service Reconnect + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ONLINE PERMIT CHGS 2200700000000001163 City of Springfield Official Receipt Development Services Department Public Works Department Date: 07/18/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received ddk Page 1 of 1 ONLINE Bear Online Mountain Electric Payment Total: 2:48:53PM Amount Due 55.00 2.75 4.40 5.50 $67.65 Amount Paid $67.65 $67.65 7/18/2007