HomeMy WebLinkAboutPermit Electrical 2008-3-27
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00417
ISSUED: 03/27/2008
APPLIED: 03/27/2008
EXPIRES: 09/27/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2435 DORNOCH ST
ASSESSOR'S PARCEL NO.: 1703272207602
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Install sub panel for shed
Owner: DA VIS JOSHUA L
Address: 2435 DORNOCH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
GMD ELECTRIC INC
License
162191
Expiration Date
11/1912008
Phone
541-726-8601
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:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
,- "
I PUBLIC IMPROVEMENTS'
Street Improvements:
Sidewalk Type:
Storm Sewer Available: Downspouts/Drains:
Special IA:~u~~rON: Oregon law requires you ~o
follow ru1es adopted by the Oregon UtilIty NOTICE
Notes: N ff'cation Center. Those rules are set forth :
II,02~~ C(Q ~f\" _M1 ~ thrr\lJ,ah Of~~~9:~~~O;: THIS PERMIT SHALL EXPIRE IF THE WORK
090 You may obtam CO pIGS Q. ,Lc ,~,"- .. 'j UTHORIZED UNDER THIS PERMIT IS NOT
o caliing the center. (Note, th8 t6:( PVM(fation Descri OMMENCED OR IS ABANDONED FOR
. number for the. O~~2~~_~~~~~~;~~<-;:~"'~~ Ft Square Jab\~gb80 DAY PERIOD.
DescnptlOn ~uF-COm'1rU~fIOn It' I' B'd A Value Date Calculated
or mu Ip ler or I mount
Pal!:e 1 of 2
CITY OF SPRINGFIELD -
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-00417
ISSUED: 03/27/2008
APPLIED: 03/27/2008
EXPIRES: 09/27/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm ServIFdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$7.40
$8.88
$3.70
$4.00
$70.00
3/27/08
3/27/08
3/27/08
3/27/08
3/27/08
2200800000000000364
2200800000000000364
2200800000000000364
2200800000000000364
2200800000000000364
Total Amount Paid
$93.98
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.
Reouired Insoections I
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When 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 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
Page 2 of2
City of Springfield
<'
Electrical Authorization To Begin Work
E-mailedTo:gmdelectric@comcast.net
Receipt # EC527818
3/27/200811:33:37 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
OF WORk '("'"
~" "" I,~ f:
<"ll
D New constructIOn
lliJ AddItIOn/alteratIOn/replacement
CA TE'GOR'('(:>F;CQNSTRUCTION
! \ II' I' ,'I',,,, ~
, 0 ~
[XJ 1 or 2 famIly dwelling
D CommercIal/IndustrIal
D MultI-famIly
JOBSI'TE1N'FORMATION AND LOCATION"
PI ~ < II' I" '<< II' I
I Job no.: I Job address: 2435 DORNOCH ST
I City/State/ZIP. SPRINGFIELD, OR 97477-1929
I SUlte/bldg.!apt.no,
I Project name.
, ,
<\ 1,
Cross street/directions to Job site: Travel toward Springfield on Hwy 105, take Spfld
::::Ity Ctr eXIt, turn left onto Q St, turn nght onto PIOneer Pkwy E, enter roundabout onto
li-IaYden Bndge Way (whIch becomes Harlow Rd), turn left onto Dornoch St
I SubdivIsIOn: I Lot no.:
I Tax map/parcel no.: 1703272207602
I ' DESCRIPTION Of )NO,.~K'
Install sub panel for shed
III ''';:1'' t
SITE q!=>I'::ITACT :."
I Name: Josh DaVIS
I Phone: (541) 543-5238
I Emall:
I
lEI IIc. no.: 20-537C
I Busmess Name: GMD ELECTRIC INC
I Contact: MIke GOWinS / Sue GOWinS
IAddress. 957 NORTHRIDGE AVE
I City/State/ZIP: SPRINGFIELD OR 97477
I Phone' (541)7417369
I Emall: gmdelectnc@comcast net
I Metro IIc. no.:
I Supervlsmg electriCian's IIc. no.: 4874S
I Supervlsmg electriCian's name: MICHAEL K GOWINS
IFax:
, II! I, f
'" CONTRACTOR ,
, ']Ii I I, I",
I CCB IIc no.: 162191
A
I Fax (541)9881800
I City IIc. no .
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.
II, "" ;i,\,. ,.~:,:~FEESCHEDULE' '.',
DeScriptIOn I Qty I Ea I Total
Resld,hitilll'SINGU7 9,~~ultl-family dwelling uni~: ~~c~udes
"lI'ttitched garage ,,' T . ' , \.1, ,
"" ." <I '"'''' '" .
11,000 sq ft or less
,. I Ea addl 500 sq ft or portIon
I iXill;t~dJElfergy ';'1\
I-LImIted energy, residentIal
(wIth above sq ft)
I-LImIted energy, multIfamIly
resIdentIal (wIth above sq ft)
I-LImIted energy, commercIal
(wIth above sq ft)
I - Stand-alone limited energy,
resIdential
I - Stand-alone limIted energy,
multI-famIly
I - Stand-alone limIted energy,
commercial
I Servlces'OR feedersin~tal1.a~ion, lI'ii~ratlOli,AND/OR ~elocation I
"'1'" 1200 amps or less I $70 00 $70 00 I
1201 amps to 400 amps I
1401 amps to 599 amps I
TEMPORARY ser,vlces OR feeders lusialhitlOll, alteratiOn,
AND/OR relocahon < <<I<'I<I<~<} '~<:'~ \i,Y(IPSI/':tu >:. ~ t < I
, ~, "" ' I <<i>
1200 amps or less
1201 amps to 400 amps
140 I amps to 599 amps
I I Brauch circuits - NEW, alteratIOn, O~ ~xtenSiOn, per pan'~I'
I A Fee for branch CIrCUIts With $4 00 $4 00
""1 servIce or feeder fee, each
branch circuit
I B Fee for branch CIrCUIts
I Without servIce or feeder fee,
first branch CIrCUIt,
I I each addl branch CirCUIt
I I Miscellalieolls" .,., I " I
, , '
I I Service reconnect only
I I Each manufactured or modular
dwelling, servIce and/or feeder
I I Pump or Irngatlon CIrcle
I I SIgn or outline lighting
I Signal clrcUlt(s) or IImlted- not offered online at thiS JunsdlctlOn
I energy panel, alteratIOn, or
extensIOn
, '
I
I
I
I
* CIty Of Spnngfield
1
Subtotal $7400 I
State Surcharge (12% of permIt fee) $888 I
CIty Of Spnngfield fees * $11 10 I
TOTAL PERMIT FEE I $93 98 I
10% Local AdmIn Fee, 5% Local Technology Fee
ELE~TRI~AL PERMIT FEES
ThiS AuthOrization To Begin Work must be posted at the Job site until replaced by a Permit
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00417
COM2008-00417
COM2008-00417
COM2008-00417
COM2008-00417
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000364
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdminIstrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 03/27/2008
Item Total:
Check Number AuthorizatIOn
ReceIved By Batch Number Number How ReceIVed
PaId By
ONLINE PERMIT CHGS
DDK
Page I of I
ONLINE GMD OnlIne
ELECTRIC
INC
Payment Total:
12:38:47PM
Amount Due
7000
400
370
888
740
$93.98
Amount Paid
$93 98
$93.98
3/27/2008