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
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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