HomeMy WebLinkAboutPermit Electrical 2008-5-27
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00737
ISSUED: OS/27/2008
APPLIED: OS/27/2008
EXPIRES: 11/27/2008
VALUE:
Status
Issued
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lllle
SITE ADDRESS 1373 MODOC ST
ASSESSOR'S PARCEL NO 1703362202000
Sprlllgfield TYPE OF WORK Electncal Work Only
TYPE OF USE Alteration
ReSidential
PROJECT DESCRIPTION Service upgrade
Owner CIEUT A T SUZANNE
Address 1373 MODOC ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electncal
Contractor
GMD ELECTRIC INC
License
162191
Expiration Date
11/1912008
Phone
541-726-8601
BUILDING INFORMA TION-t
# of U llltS
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
Sprlllkled BUlldlllg
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'
Frontyard Setback
Side 1 Setback
Side 2 Setback.
Rearyard Setback'
Solar Setbacks
Overlay Dlst.
# Street Trees Rqd:
Paved Dnve Rqd.
% of Lot Coverage
REQUIRED PARKING
Total
Handicapped'
Compact.
I PUBLIC IMPROVEMENTS I
Street Improvements
Sidewalk Type
Storm Sewer Available. Downspouts/Drallls
Specml Af't~1jrR9N: Oregon law reqUires you to
follow rules adopted by the Oregon Utility
Notes Notrflcatlon Center. Those rules are set forth
In OAR 952-001-0010 throuah OAR 952-001. N OTr C E:
0090. You may obtain copies of the I Ic~ Ly r: ;i~ 'JERMIT SHALL EXPIRE IF THE WORK
calling the center. (Note the telep Maluation Descri tioni 'RIZED UNDER THIS PERMIT IS NOT
number for the. Oregon Utility Notlflca Ion COMMEr~CED OR IS ABANDONED FOR
DescnptlOn Ceqt~bJ~h~Wn~t~tl€i~~44). o~ ~~I~~I~:r ~1~{~~Y PERIODyalue Date Calculated
Pa~e 1 of 2
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00737
ISSUED: OS/27/2008
APPLIED: OS/27/2008
EXPIRES: 11/27/2008
VALUE:
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lllle
Total Value of Project
Fees Paid I
Fee DescnptIon
+ 10% AdmllllstratIve 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
$740
$888
$3.70
$400
$70 00
5/27/08
5/27/08
5/27/08
5/27/08
5/27/08
2200800000000000744
2200800000000000744
2200800000000000744
2200800000000000744
2200800000000000744
Total Amount Paid
$93.98
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Reouired Insoections I
Rough Electnc' Pnor to Cover
Electnc Service Approval reqUired pnor to utilIty company energlzmg service
Fmal Electnc When all electncal work IS complete
By signature, I state and agree, that I have carefully examllled the completed applIcatIOn and do hereby certify that all
mformatIon hereon IS true and correct, and I further certify that any and all work performed shall be done m accordance with
the Ordmances of the City of Sprmgfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY wIll be made of any structure without permiSSIOn of the Commumty Services DIvIsion, BUlldmg Safety
I further certify that only contractors and employees who are m complIance with ORS 701 005 wIll be used on this project
I further agree to ensure that all reqUired mspectIons are requested at the proper time, that each address IS readable from the
street, that the permit card IS located at the front of the property, and the approved set of plans wIll remam on the site at all
times dunng constructIOn
Owner or Contractors Signature
Date
Pal!e 2 of 2
City of Sprmgfield
Electrical Authorization To Begm Work
E-maIled To gmdelectnc@comcast net
Receipt # EC530912
5/23/2008441 28 PM
Check on status of permIt
By Phone (541)726-3753 or EmaIl permItcenter@cl sprmgfield or us
TYPE+OE:'WORk~! w"ii,
,-<0; ~~ 11111111111111:; Giif,,+\ '<!j11 f 7Lm I \ 01 1
~ f
t
D New constructIOn
uu AdditIon/alteratIOn/replacement
I',
, O!m'lla%J~~jl'1I<<1) I 411 I ~ ~ << "", ~I
W+MlcI'+vl,C~:rE5!g'~~fPf CpNSTRUCTION +lIf.!ll%i!~\++lllfflf f~
[X] I or 2 family dwellmg
D Commerclal/lndustnal
D MultI-family
11 I i:,.~(1 fI1111~ttJJ>"" %1 ><W~)~IIIIP'il~"1 (r jY,i",., CfC 'Ii \, I 0/' &<<11111111.1 i'$i:: " I( W(14fr4- 'w
t ",fhl;lt;k~Pf~ SITE INFORMATIPJj,,~f::!B,!;!pCAJI0N il\Y+~~0+\1Nrf f
I Job no 'Job address 1373 MODOC ST
I City/State/ZIP SPRINGFIELD, OR 97477-4124
I SUlte/bldg /apt no
I Project name
Cross street/directions to job site Mohawk Blvd (R) onto Modoc Street
I SubdivIsIOn 'Lot no
I Tax map/parcel no 1703362202000
'>'" ~IIIII,\ 1 ~ ~~~"I ~ III111 '^ PH "'
,,'1 !'I" 'ltij!++'y I, D~SCRIPTIOt'lfQF::II1!VOf~~f I+yffflf 'I ifF I ,l: WfY' ,
Service upgrade
I"
I Name Suzanne Cleutat
I Phone (541) 988-5750
IEma11
I
lEI hc no 20-537C
I Busmess Name GMD ELECTRIC INC
I Contact Mike Gowms / Sue Gowms
IAddress 957 NORTHRIDGE AVE
I City/State/ZIP SPRINGFIELD OR 97477
IPhone (541)7417369
I EmaIl gmdelectnc@comcast net
I Metro hc no
I Supervlsmg electnclan's hc no 4874S
I Supervlsmg electncmn's name MICHAEL K GOWINS
'Fax
4 \Wj!WII:f 1;~,." A ~"' ~
j Ii' Ilil'Y\'llt+~q/,ll,TRACTORIM++ITt(4, '
'CCB hc no 162191
IFax (541)9881800
, City hc no
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
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
I DescnptlOn
~1'1\'1"'1110
,,;:r~ll!'i:;:r,f7EE SCHEDULE f
I Qty I
Ea
Total
OR m"Ulhlfamlf~;dwelhng UUlt ilnclu'des,
Pi"J( I i>>'tr~I~4%r0't/!'1lr;"" j) ~ I~,ll\+
J$t 1Itil!li
l!t~
11,000 sq ft orless
I Ea addl 500 sq ft or portion
11M:': lid)"" ~
...Imlte i,-,nf!g~t{li4iS%ft h "
I-Limited energy, residential
(with above sq ft)
I . Limited energy, multifamIly
residential (with above sq ft)
I-Limited energy, commefCIal
(with above sq ft)
I - Stand-alone hmlted energy,
residential
I - Stand-alone hmlted energy,
multI-family
I - Stand-alone lImited energy,
commercial
'Services OR feeders'llIlstallatlon, alter~tlOtl A:ND/OR reloc~hon ,
) ~*-il'~1lp'f ud " I II! '\ w. n I pill f'f' "%01 I $, \)
1200 amps or less II $70 00 $70 00 I
I 20 I amps to 400 amps I
1401 amps to 599 amps I
TEMPORA.RY~e11Xlces OR feeders installation, alteration,
,t, "'GUdilfujL~IA&~Ii"rtt?'~ "" I \%lj1'0Y$1~ Mf';1
~R/J>R ~~Iocatlon "~4;)trs~~i~I~): :(!~~~ "';@9Ii'l) ,
1200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
I&Branch clrculi~'NEW,lt'alteratlOn, OR extellslonJ'per panel
VI- I~" 1.%iL..,j4:4MI-tiiHnHIMA"fr- 1>1 "~i'iC'",t '" I~ Ii I',
A Fee for branch CircUits 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 MIscellaneous' IIIH'10; tz 1
~~\L61';lJPlli1iP0~~
I Service reconnect only
I Each manufactured or modular
dwellmg service and/or feeder
I Pump or lITIgation Circle
I Sign or outlme IIghtmg
Signal clrcult(s) or Itmlted-
energy panel, alteration, or
extensIOn
1'\'r\~vri;i:;'(~4P\"i:rliIHI9+;\ELECtRICAI!.+PERMlt FE~ES
Ib I <+1hl q~w:;:rfil fr,,;h 0~I1tW''II f~\lIIII~W j ,,>01\11111 "Ihl '" cI -r I"" -'" I ~
I
I
I
I
· City Of SprIngfield
I ~ <'
r ,
$400
$400
>3 'iI,rj
i , i
~ 1 ,(1
not offered onlme at thiS JUrIsdictIOn
Subtotal $7400 I
State Surcharge (12% of permit fee) $888 I
City Of Sprmgfield fees · $11 10 I
TOTA:L PERMIT FEE $9398 I
10% Local Admm 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
Sp~mgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00737
COM2008-00737
COM2008-00737
COM2008-00737
COM2008-00737
Payments
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000744
DescrIptIOn
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
City of Sprmgfield OfficIal Receipt
Development Services Department
Public Works Department
Date: OS/27/2008
Item Total
Check Number AuthorIzatIOn
Received By Batch Number Number How ReceIved
Paid By
ONLINE PERMIT CHGS
ddk
Page I of 1
ONLINE GMD Onlme
ELECTRIC
Payment Total
8 34 50AM
Amount Due
7000
400
370
888
740
$93 98
Amount Paid
$93 98
$93 98
5/27/2008