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Home My WebLink AboutPermit Electrical 2008-5-8 (2) -fiL~ ,~ ,0 '6' 8 1\\0 '(l\r~I}'1/ SCANNED Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 986 QUlNALT ST ASSESSOR'S PARCEL NO.: 1703264206800 ecITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00646 ISSUED: 05/08/2008 APPLIED: 05/08/2008 EXPIRES: 11/08/2008 VALUE: Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Service change. Owner: PHILLIPS JEFFREY & P A Address: 986 QUlNALT ST SPRINGFIELD OR 97477 TYPE OF USE: Alteration Residential I CONTRACTOR INFORMATION' Contractor Type Electrical Contractor BEAR MOUNTAIN ELECTRIC LLC BUILDING INFORMA nON 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: License 136298 Expiration Date 0810612009 Phone 541-741-8844 nla Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GRragelCarport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Set hacks: Overlay Dist: # Slreet Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS' Street Improvements: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Storm Sewer Availahle: DownspoutslDrains: SpecillrllIDrp.:~POregon law requires you to follow rules adopted by the Oregon Utility No01.iiltification Center. Those rules are set forth NOTICE: In OAR 952-001-0010throuah OAR 952-001- THI.C:: 01:1'>" _. uwn.. TOU may ODlaln caples ollne rUlf ~:., ':'u lit:) ..IT "'''f1LL tXPIRE IF T calling the center. (Note: the telephohtValuation Descriotion"IIRIZto UNDER THIS PERM HE WORK number for the Oregon Utility NotificaliulI A^I . lENCto OR IS ABANO IT IS NOT Description CenteH~~~~08~~~~-:c1i'o'!l' $ perl~ql~t sqnBa~~deAF~l)tilRY PERIOOyalue ONto Fcmte Calculated . or roo tip lef or I mount Paee I of2 . .CITY OF SPRINGFIELD - Status Issued Building/Combination Permit PERMIT NO: COM2008-00646 ISSUED: 05/08/2008 APPLIED: 05/08/2008 EXPIRES: 11/08/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project Fees ~ Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Perm ServlFdr 200 amps or less Amount Paid Date Paid $7.00 $8.40 $3.50 $70.00 5/8/08 5/8/08 5/8/08 5/8/08 Receipt Number 2200800000000000622 2200800000000000622 2200800000000000622 2200800000000000622 Total Amount Paid $88.90 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 Relluired '''s\}ertuol1s . ... r II III frll r 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 Pal1e 2 of2 City ,of !ipringfield i1itrical Authorization To Begin Work _iled To: jaCkie@bearmountainelectric.coa Receipt # ,Ec529990 5/8/20087:46:34 AM -.~. ~ ai,' Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us I Subdivision: ITax map/parcel no.: ILol no,: I FEE SCHEDULE Description l Qty. I Ea. Total Residential SINGLE- OR multi-family dwelling unit. Includes altached garage 1,000 sq. ft. or less Ea. addl 500 sq. ft. or portion Limited Energy - Limited energy, residential (with above SQ. ft) - Limited energy, multifamily residential (with above sa. It.) - Limited energy, commerciUl (with above SQ. ft.) - SUU1d-alone limited energy, residential - Stund-alone limited energy, multi-famil" - Stand-alone limited energy, commercial Services OR feeders installation, alteration, AND/OR relocation TYPE OF WORK I D New construction lliJ Addition/alteration/replacement CATEGORY OF CONSTRUCTION I [X] I or 2 family dwelling 0 Multi-family D Commercial/Industrial I JOB SITE INFORMATION AND LOCATION IJob no.: IJob address: 986 QUINALT ST I CitylSlatelZlP: SPRINGFIELD, OR 97477-3156 I Suite/bldgJapt.no.: Project name: Cross streel/direclions to job site: Centennial Blvd to Quinalt to site address 1703264206800 DESCRIPTION OF WORK 200 amps or less 20 I amps to 400 amps 40 I amps to 599 amps TEMPORARY services OR feeders installation, alteration, AND/OR relocDtion S70.00. s70.001 1 I I I I I service change SITE CONTACT 200 amps or less 20 I amps to 400 amps 40 I amps to 599 amps I Name: Rof)' I Phone: IEmail: I I Fax: Branch circuits - NEW, alteration, OR extension, per pllnel A. Fee for branch circuits with service or feeder fee, each branch circuit. S. Fee for branch circuits without service or feeder fee, first branch circuit: each addl branch circuit I Miscellaneous I Service reconnect only I Each manufactured or modular dwelling. service and/or feeder I Pump or irrigation circle I Sign or outline lighting I Signal circuit(s) or limited. energy panel, alteration, or extension. not offered online at this juriSdiction CONTRACTOR I EI.lic, no.: 20-448C ICCR lic, no.: 136298 I Business Name: BEAR MOUNTAIN ELECfRIC LLC I Contact: Chad Perkins I Address: 85388 DILLARD ACCESS RD I CitylSlatelZlP: EUGENE OR 97405 I Phone: (541)7418844 IFax: (541)7418845 ! Email: jackie@bearmountainelectric.com I Metro lie. no.: I City lie. no.: I Supervising electrician's lie. no.: 46405 l Supervising electrician's name: CHAD IRVIN PERKINS 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. I I I I I . City Of Springfield ELECTRICAL PERMIT FEES 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. Sub'otal S70.00 State Surcharge (12% of permit feel $8.40 Cit~ OfS~rin~field fees. SIO.SO TOTAl. PERMIT Ft;E S88.90 10% Local Admin Fee; 5% Local Technology Fee This Authorization To Begin Work must be posted at the job site until replaced by a Permit. 225 Fifth'Street Springfield, Oregon 97477 54i-726-3759 Phone . J:~~~ ~ c_f Springfield Official Receipt ~Iopment Services Department Public Works Department RECEIPT #: 2200800000000000622 Date: 05/08/2008 8:58:30AM Job/Journal Number COM2008-00646 COM2008-00646 COM2008-00646 COM2008-00646 Description Perm ServlFdr 200 amps or less + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By Item Total: (;heck Number Authorization Received By Batch Number Number How Received Amount Due 70.00 3.50 8.40 7.00 $88,90 Amount Paid ONLINE CHGS ONLINE PERMIT CHGS DDK ONLINE BEAR Online MOUNTAI N ELECTRIC Payment Total: $88,90 $88.90 cReceiotl Page I of I 5/812008