HomeMy WebLinkAboutPermit Electrical 2007-04-10c
Building/Combination Permit
PERMIT NO: COM2007-00533ISSUED: 0411012007APPLIED| 04/10t2007
EXPIRES: 10/1012007
VALUE:
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
SITE ADDRESS: 4080 E ITTH AVE
ASSESSOR'SPARCELNO.: 1703344305700
PROJECT DESCRIPTION: New Service.
Eugene TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration Residential
Owner:
Address:
Contractor Type
Electrical
BANCHERO ANTHONY WILLIAM
1721 CONCORD AVE
EUGENE OR 97403
Contractor
GMD ELECTRIC INC
License
t62t9l
Expiration Date
tut9t2008
CONTRACTOR INF(
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARKING
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Description Type of Construction
Page I of2
Value Date Calculated
p
Phone
541-726-8601
l, U lllrll\ rJ 11\ f (rI(1YlA r rtrl\ |
Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
RIN
Building/C ombination Permit
PERMIT NO: COM2007-00533ISSUED: 0411012007
APPLIEDz 0411012007EXPIRES: 10/1012007
VALUE:
Fee Description
+ l0Y" Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Perm Serv/Fdr 200 amps or less
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid
4n0t07
4n0t07
4n0t07
4n0t07
Receipt Number
3200700000000000208
3200700000000000208
3200700000000000208
3200700000000000208
$6.30
$3.15
$5.04
$63.00
$77.49
Plan Reviews
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.
Rough Electric: Priot to Cover
Final Electric: When all electrical work is complete.
Reouired Insnect
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 witl be made of any structure without permission of the Community Services Division, Building Safefy.
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
Pase2 of2
Date
:
F ees raro I
City of SPringlield
Upon revlew and approval by your localiurisdiction' your
permit wlll be e-mailed or faxed within one buslness day'
with instructions on how to schedule your inspectlon.
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'
Erectrical Authorization To Begin Work
E-mailed To: gowinsS2@comcast'net
Check on status of Permit
By phone:(541)126-3753orEmail:permitcenter@ci'springfield'or'us
Receipt # EC510201
4lfin}O7 3:01:10 PM
Local Adm Fee,Fee
l-l Commercial / Industrial
$ t or z familY dwelling
Lot no.:
1703344305700
Name: Virgil Courtright
Fax:
[i] Addition/alteration/replacemenl
CCB lic.no.: l62l9l
l-l New consruction
I-l tvtuttl-famitY
Franklin Blvd to Concord to l Tth Avenue East.
097403-24OREUCENE,City/State/ZIP:
Subdivision:
Tax maP/Parcel no':
Phone:
Email:
City/StateZlP: SPRINGFIELD OR 97477
El. lic. no.: 20-531C
Business Name: GMD ELECTRIC INC
957 NORTHRIDGE AVE
Job rddress: 4080 E ITTH AVE
Job no.
Cross stree,directions to job site:
Suite/bldg./aPt.no':
Project name:
Contact: Mike Gowins
Fax:5419881800Phone: 541 7268601
Email:
City lic no.Metro lic no.:
Supervising electrician's lic. no.: 48745
Supervising electrician's name:MICHAEL K GOWINS
TotalEa.
1,000 sq. ft. or less
DescriPtion
Ea. addl 500 sq. ft or Portion
ilv
residential (with above sq' ft')
"
energy,
s63 00$63.00I
200 amPs or less
201 amps to 400 amPs
em installati(
I
I
401 amps to 599 amps
200 amps or less
201 amps to 400 amPs
I!l
I
r,0R extens:
401 amps to 599 amPs
above seryice or feeder fee,
branch
for
without service or feeder fee'
branch
i-r-i-----------
t-
I
I
each addl branch circuit
Service reconnect onlY
or
feederservice
Pump or irrigation circle
Sign or outline lighting
not offered online at this jurisdiction
energy panel, alteration, or
or
$63 00Subtotal
$5.04ofState
$9.4sfees *of
$77 49FEE
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
attsched garage
unit IncludesdwellingOR multi-familYResidentialSINGLE-
relocationAND/ORalteration'lnstallrtion'feedersORSeilices
tlteration,services OR
AND/OR relocation
perNEWcircuitsBranch
Miscellaneous
ELECTRIGAL PERMIT FEES
T(
TYPE OF WORK
SITE CONTACT
CONSTRUCTIONOFCATEGORY
LOCATIONANDINFORMATIONJOBSITE
DESCRIPTION OF WORK
CONTRACTOR
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
(in' of Springfield Official ReceiPt
D loPment Services DePartment
Public Works DePartment
Date: 0411012007 3:12:05PM
Job/Journal Number
coM2007-00533
coM2007-00533
coM2007-00533
coM2007-00533
RECEIPT #:
Description
Perm Serv/Fdr 200 amPs or less
+ 5%o TechnologY Fee
+ 8% State Surcharge
+ lOoh Administrative Fee
3200700000000000208
Amount Due
63.00
3.15
5.04
6.30
Item Total:s77 .49
Type of PaYment
ONLINE CHGS
Paid By
ONLINE
Received BY
ddk ONLINE
Amount Paid
s77.49Online
Payment Total:
Batch Number Number How Received
PENVIT CHGS GMD
Electric
$7 7.49
ntl Page I of I 4110/2007