HomeMy WebLinkAboutPermit Easement 2007-8-27
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01266
ISSUED: 08/27/2007
APPLIED: 08/27/2007
EXPIRES: 02/27/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1507 MOHAWK BLVD
ASSESSOR'S PARCEL NO.: 1703253403900
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: 200 Amp Service
Owner: MCKA Y INVESTMENT CO LLC
Address: 2350 OAKMONT WAY STE 204
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
BEAR MOUNTAIN ELECTRIC LLC
License
136298
Expiration Date
08/06/2009
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
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I reauires you to
'-" ._......~l' t"\.onnn a.w . ~'l
I PUBLIC IMPROVE1\1ENTS , i~~ ~dopted by the Ibsrea~~'~~f~rth
r. . 'er Those ru e
N'~, :;. t..\ll ~.'l'T' . hOAR 952-001-
in l);\H ~l,)2 "o~ ,l!e~~ktff~s of the rules by
0090. You m:nbwn1jJJ~~s~r~ffittelephone
calling the cen~r. o~ Utility Notiiication
number for the, r1es900_332-2344).
Center 16 -
Total:
Handicapped:
Compact:
Storm Sewer Available:
Special InsU\?cTf&n E:
THIS PERMIT SHALL EXPIRE IF THE WORK
Notes: AUTHORIZED UNDER THIS PERMIT IS NOT
f'rlr.r.nnJ:J\1.f'\[.D .on In 'l..I;l,.1/J.W' .--
.~." ,.i...~U U t'\IJf\ 1\l~11 1-.....
ANY 180 DAY PERIOD. v~i~~~tion Description'
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pae:e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01266
ISSUED: 08/27/2007
APPLIED: 08/27/2007
EXPIRES: 02/27/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L Fees paidJ
Fee Description
+ 10% Administrative Fee'
+ 5% Technology Fee
+ 8% State Surcharge
Perm Serv/Fdr 200 amps or less
Amount Paid Date Paid Receipt Number
$7.00 8/27/07 3200700000000000571
$3.50 8/27/07 3200700000000000571
$5.60 8/27/07 3200700000000000571
$70.00 8/27/07 3200700000000000571
Total Amount Paid
$86.10
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I Reouired Insoections I
Electric Service: Approval required prior to utility company energizing service.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I
further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pae:e 2 of 2
..
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:jhheideman@hotmail.com
Receipt # EC516005
8/27/20077:23:21 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfieJd.or.us
o New construction
[X] Addition/alteration/replacement
I Description
Qty,
Ea.
Total
11,000 sq, ft. or less
lEa, addl 500 sq, ft. or portion
I . Limited energy, residential
(with above sq, ft.)
I-Limited energy, multifamily
residential (with above sq ft.)
1..Services OR:feeders:l~s~~!.j~~i$~~~lt~r~tion, AND/6~ r~li,ca~i~n
1200 amps or less I' $70001 $70.00
1201 amps to 400 amps I I
140] amps to 599 amps I. I
[X] I or 2 family dwelling
o Multi.family
o Commercial/Industrial
IJob no.: IJOb address: 1507 MOHAWK BLVD
I City/State/ZIP: SPRINGFIELD, OR 97477-3355
I Suite/bldg./apt.no,:
I Project name:
Cross street/directions to job site: 105 east to Mohawk Blvd to Z-Coil in BiMart
,hopping center
I Subdivision:
I Tax map/parcel no,: 1703253403900
I Lot no,:
I
I
1401 amps to 599 amps 1 I
I Branch~iliuits\c NEW,alieaH~nl"OR extension~'perilpaneI1
_,--,-'_---oo'n_n'_'_ __ ,-_ -. '-,'J!;-","~"'!~i,V~!:!i!",,',i,;,,--,,-.r), __0 ~______'" ~<,,,,":':i,!r:li:'i:ii;x:.-''\\'c'-''--'-^-:'- ,_, - '1<: :i"::'I::'<:';(,::,',
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;
1 each addl branch circuit
/200 amps or less
1201 amps to 400 amps
connect and reconnect
Name: Gary
I Phone:
jEmail:
I Fax:
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.
<tCl.N'f~cTeR
...b....... .......
EJ. lie. no.: 20.448C I CCB lie, no,: 136298
I Business Name: BEAR MOUNTAIN ELECTRIC LLC
I Contact: Chad Perkins
IAddress: 85388 DILLARD ACCESS RD
1 City/State/ZIP: EUGENE OR 97405
I Phone: (541 )7418844 I Fax: (541 )7418845
I Email: jhheideman@hotmail.com
I Metro lie. no,: I City lie, no.:
Supervising electrician's lie, no.: 4640S
,Supervising electrician's name: CHAD IRVIN PERKINS
I _
II
II
II
· City Of Springfield
Subtotal $70.00 I
State Surcharge (8% of permit fee) $560 I
City Of Springfield fees · $10.50 I
TOTAL PERMIT FEE $86.10 I
10% 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.
COM' d 0-0 ", 0 I;) (n (tp
RCPT#: '~Z-o-O 1 - 57 /
DATE PROCESSED: r~~7 ....0'
PROCESSED By.r Q.ry10A fY'v
. .... .ll
This Authorization To Begin Work must be posted at the job site until rePla~ed by~~rmit.
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.
2~5Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
CO M2007 -01266
COM2007-01266
COM2007-01266
CO M2007 -01266
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
3200700000000000571
Date: 08/27/2007
Description
Penn Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE BEAR MTN Online
Payment Total:
Page I of I
7:41 :43AM
Amount Due
70.00
3.50
5.60
7.00
$86.10
Amount Paid
$86.10
$86.10
8/27/2007