HomeMy WebLinkAboutPermit Electrical 2008-5-23
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2008-00724
ISSUED: OS/22/2008
APPLIED: OS/22/2008
EXPIRES: 11/22/2008
VALUE:
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIon Lme
SITE ADDRESS. 5211 D ST
ASSESSOR'S PARCEL NO. 1702332400174
Spnngfield TYPE OF WORK. Electncal Work Only
TYPE OF USE New
ReSidentIal
PROJECT DESCRIPTION Service upgrade
Owner JENNINGS RANDALL E
Address 5211 D ST
SPRINGFIELD OR 97478
Phone Number 541-346-2608
I CONTRACTOR INFORMATION'
Contractor Tvpe
Electncal
Contractor
GMD ELECTRIC INC
License
162191
Expiration Date
11/1912008
Phone
541-726-8601
BUILDING INFORMATION'
# ofUmts
Pnmary Occupancy Group-
Secondary Occupancy Group.
Pnmary ConstructIon Type
Secondary ConstructIon Type
# of Bedrooms.
# of Stones
Height of Structure
Type of Heat.
Water Type
Range Type
Energy Path.
Sprmkled BuIldmg
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'
REQUIRED PARKING
Frontyard Setback
Side 1 Setback
Side 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd'
Paved Dnve Rqd
% of Lot Coverage
Total
Handicapped
Compact.
I PUBLIC IMPROVEMENfStW'HlON 01 po::r i~"1 rP'"YC>C' ''',u 10
\NOI-{l' IUIIUV'ru!€s adODlG-\ tly 'II, \.'f'- ,,-,Ii utility
Street Impro~vef\~ XP\RE \F 1HE i Notification ~Wmt~lkrT-~et Il)les ate set forth
Storm sew1'} ~a~~"P'W'\\i SH~LL t \S PERN\\I \S NO In OAR 952-D?#Rr~Jh~JB~~HsOAR 952-001-
SpeclalInstJ IbPP.R'IED UNDER i\1l\\DONED FOR 0090 You may obtam caples of the rules by
~IJ \ I1V OR \S M3~r'l callmg the center (Note' the telephone
Notes COMMENCED PER\OD. number for the Oregon Utility Notification
p\N'l ~ 80 D~'l Center IS 1-800-332-2344).
I Valuation Description I
DescnptlOn
Tvpe of ConstructIOn
$ Per Sq Ft
or multIplIer
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2008-00724
ISSUED: OS/22/2008
APPLIED: OS/22/2008
EXPIRES: 11/22/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIon Lme
Total Value of ProJect
Fees Paid I
Fee DescnptIon
+ 10% AdmmlstratIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend CIrc Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$7.40
$888
$370
$400
$70 00
5/22/08
5/22/08
5/22/08
5/22/08
5/22/08
3200800000000000348
3200800000000000348
3200800000000000348
3200800000000000348
3200800000000000348
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 Insnections I
Rough Electnc Prior to Cover
Electnc Service Approval required pnor to utIlIty company energIZIng service.
Fmal Electric When all electrical work IS complete.
By signature, I state and agree, that I have carefully exammed the completed applIcatIon and do hereby certify that all
mformatIon hereon IS true and correct, and I further certify that any and all work performed shall be done m accordance With
the Ordmances of the City of Sprmgfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY wIll be made of any structure Without permission of the Commumty Services DIVISion, BUlldmg Safety
I further certIfy that only contractors and employees who are m complIance With ORS 701 005 wIll be used on thiS proJect
I further agree to ensure that all reqUired mspectIons 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 remam on the site at all
tImes durmg constructIon.
Owner or Contractors Signature
Date
Paee 2 of 2
City of Sprmgfield
Electrical AuthorizatIOn To Begm Work
E-maded To gmdelectnc@comcast net
Receipt # EC530762
5/21/2008829 00 PM
Check on status of permit
By Phone (541)726-3753 or Emad permltcenter@cl sprmgfield or us
[ 11'4100>,"""-'1 W,X<<T jp,...."'k0
,,'" ,"D';aEjqf;,:'IIO~J<
o New constructIon lKJ AdditIOn/alteratIOn/replacement
CAfEGO~Y&.OE"..CONSTRlJCTIONI~,,,
M ~ ,#1~'WliIJ.<i V'<~J0 j"0~<\w;,\\,*V'%Mi'
[X] I or 2 family dwellmg D MultI-family 0 Commercial / Industnal
JoeBsITE, INF,ORMA:, liON AN6'i!OCATION
'7P til1,*eMjtillll ~ 0U"'';fl1llilm4410'''^,~
[Job no I Job address 5211 D ST
I CIty/State/ZIP SPRINGFIELD, OR 97478-6043
I Smte/bldg /apt no
[ProJect name
1 Cross street/directIOns to Job site
, ,
Mam Street (L) onto 51st (R) onto D Street
I SubdivIsIOn
[Tax map/parcel no
[,
Service upgrade
I Lot no
1702332400174
I",~ DESCRIPTIc?N~qf:~ORK
l' }#~hIIIHII(I~r X1<P(~SITE CONtACT1\~~fhlll~,III'> 7:
I I <;L*' W ~II ""'" 0/ D",qjh )
I Name Randy Jennmgs
IPhone (54]) 346-2608
I EmaIl
I
lEI hc no 20-537C
I Busmess Name GMD ELECTRIC INC
I Contact Mike Gowms / Sue Gowms
Address 957 NORTHRlDGE AVE
IFax
ICCBhC no ]62191
CIty/State/ZIP SPRINGFIELD OR 97477
!Phone (541)7417369 /Fax (541)9881800
I EmaIl gmdelectnc@comcast net
[ Metro hc no I CIty hc no
I Supervlsmg electrician's hc no 4874S
I Supervlsmg electrician's name MICHAEL K GOWINS
Upon revIew and approval by your local JUrISdIction, your
permIt WIll be e-malled 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
I~,
SCHEDUj;.E~l~~\~"
I Qty I Ea I
multl-Canhl lnelt.\!
Total
I DeSCription
ReSldentIaI1SI&;
Wflttached ga;;g~
'-<ti~il!~o,<~,,<<,"#
I ] ,000 sq ft or less
I Ea addl 500 sq ft or portion
Ig:;w~?;-"-tk
InIDllted~En$~jMIW&l%K.;mr#
I-Limited energy, reSidential
(wIth above Sq ft)
/ - Limited energy, multifamily
reSidential (with above sq ft)
I-Limited energy, commercial
(with above sq ft)
I - Stand-alone hmlted energy,
reSidential
I - Stand-alone hmlted energy,
multi-family
I I - Stand-alone hmlted energy
commercial
II'S~'I", Wo-ffm~'&' ~@wn \ Iltl r ."
~ ,~rylces OR feeders'llll~~}~t12.!l' alteratlon~ A~(9ItrelocatJon,;
,I 200 amps or less $70 00 $7000
1-",,,;1
201 amps to 400 amps
1401 amps to 599 amps
+TEMPOAARY '~ervlces,O
'\{ND/OR relocation
>I I,nNil,J'it I'
I 200 amps or less
[ 20] amps to 400 amps
1401 amps to 599 amps
I ~""I> ~1"lltll+1 ~ ' Ill\J:0Y' & "* '*
Branch clrcnJtslc:V~W, alteration, OR,extens on, per panel"
?l<1)r..1J ~ *,>dS ~" ,h~)IIIiII~ I (
A Fee for branch clrculis With
service or feeder fee each
branch circuit
B Fee for branch circuits
WIthout service or feeder fee,
first branch CirCUit,
I each addl branch circuit
I "Mlscellaneois" 11 I1",A
IJ,,~ I$Il;pl~lil11tll\?@L~ltlili~ J I'"
I Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
I Pump or lITIgation Circle
[ Sign or outline hghtmg
Signal clrcUlt(s) or hmlted-
energy panel, alteratIon, or
extensIOn
erS Instan'atlon"alteratloIi,
'1"'1 0""'I1M !~4t1"h h +0.- 'I
111\11# "7..$ Ir
tlLl1
$400
$400
1+
,,'
not offered onhne at thiS JunsdlctlOn
I
I
I
I
I
* CIty Of Spnngfield
, ,~,L~gl~IC~L.:' PERMit FEES I
Subtotal I $7400 I
State Surcharge (12% ofpenmt fee) I $888 I
City OfSprmgfield fees *1 $11 10 I
TOTAL PERMIT FEE I $93 98 I
10% Local Admin Fee 5% Local Technology Fee
COM ;)()[)C;-' 0072.<-{--
--L %,_-:> 0-
RCPT # ~ 2-0--0 .:> Lj 0
DATE PROCESSED. ( ?f;1d):.L% ·
., ~M'14 ·
ThiS AuthOrization To Begin Work mu )~5i~at SI ~ r€'r-I?~ by a
~ .
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
PermIt
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-00724
COM2008-00724
COM2008-00724
COM2008-00724
COM2008-00724
Payments
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
3200800000000000348
Date: OS/22/2008
DescnptlOn
Perm ServlFdr 200 amps or less
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total
Check Number AuthonzatlOn
Received By Batch Number Number How Received
NJM
ONLINE
GMD OnlIne
Payment Total
Page 1 of 1
85337AM
Amount Due
7000
400
370
888
740
$93 98
Amount Paid
$93 98
$93 98
5/22/2008