HomeMy WebLinkAboutPermit Electrical 2008-8-18
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CITY OF i'lt'K11~(Jl'1J!.LD
Building/Combination Permit
PERMIT NO' cOM2008-01229
ISSUED 08/1812008
APPLIED. 08/18/2008
EXPIRES: 02/18/2009
VALUE
Status
Issued
225 Filth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lme
SITE ADDRESS 499 BLACKSTONE ST
ASSESSOR'S PARCEL NO 1703233409300
Sprmgfield TYPE OF WORK Electncdl Work Ollly
TYPE OF USE
PROJECT DESCRIPTION Replace meter bae due to faulty connectIOn
New
ReSidential
Owner
Address
ALEXANDER JEFFREY D & JOANN J
87864 HUSTON RD
VENETA OR 97487
Phone Number 541-521-8322
I CONTRACTOR INFORMATION I
Contractor Type
Electncal
Contractor
GMD ELECTRIC INC
License
162191
ExpIratIOn Date
11/19/2008
Phone
541-726-8601
BUILDING INFORMATION I
# of Umts
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
Spnllkled BUlldmg
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
Front yard Setb.lck
SIde I Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Overlay D"t
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
REQUIRED PARKING
Total
Handlcdpped
Compdct
-. ._...,~
,~.' ....--
":Ie" ,,.. t'J
-TEN 11'....)1. ~ L \ l \ II
I PUBLIC IMPROVEMENlIS'1 _ ,\e' ad')(l.-' ,_ {". __ J '
rr"--~"'1l"". . ,t, W \l "pCl,rr II" ,.:~ I....'... ..I ':).2. Jul.
Street Improvements'C, Not\\iCP.\\!;iIlI~w~IJ{-T<'yye [0,,(1. VI .' le^ by
T :!S Pi=RMIT SHALL EXPIRE IF THE WORK In OAR 9:,2-00 -uc'o _ rn~'8v 'J\ .IIC [~o~e
Storm Se\\er Av~!II~~Ie,nED UlmER THIS PERMIT IS NOT 0 '{c!to"',~lXl'iitslDr~J~,s lhe telep
SpecJaI InstructIOn '_"~ r 0 FOR 009 \\i\'\g the center (I 1 Uti\! Y No\lllCdUon
, :)" ,~"luLD OR IS ABANDONE ca b r lor the oregol 332-2344).
Note. I., Y ,8J DAY PERIOD \,\urn e center IS 1-800-
I ValuatIOn Descriohon I
DescflptIon
Type ot ConstructIOn
$ Per Sq Ft
or multlpher
Square Footdge
or BId Amount
Vdlue
Date Calculated
Paee I of2
-_.,_.,~~
~,
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-01229
ISSUED. 08/18/2008
APPLIED' 08/18/2008
EXPIRES. 02/18/2009
VALUE'
225 F,fth Street, Sprlllgtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspechon Lme
Totdl Value of ProJect
Fee.s Pa~,~ I
Fee DescnptlOn
+ 10% Admmlstratlve Fee
+ 12% State SUI chdrge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Pdld
Date Paid
Receipt Number
$730
$876
$365
$73 00
8/18/08
8/18/08
8/18/08
8/18/08
3200800000000000575
3200800000000000575
3200800000000000575
3200800000000000575
Total Amount Patd
$92 71
I Plan RevIews i
To Request an mspectJon call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7 00
a.m wIll be made the same workmg day, mspectIOns requested after 7 00 a m. WIll be made the followmg
work day.
I Relllllred Insneetions I
, ,
Electnc Service Approval reqUIred pnor to utlhty company energIZIng servIce
By SlglldtUl e, I state and agree, that I have carefully exammed the completed apphcatlOn dnd do hereby certtly that dll
mformatlOn hereon IS true and correct, and I further cerhfy that any and all work performed shdll be done m accorddllce with
the Ordmances of the CIty of Sprmgfield and the Laws 01 the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY Will be made ot dny structure wIthout permISSion of the CommuDlty ServIces DIVISIon, BuIldmg S,lfety
I turther cel tlfy tbat ollly contractors and employee> who are m comphance wIth ORS 701 005 WIll be used 011 thIS proJect
1 further agree to ensure that aliI equlred mspectlOns are requested at the proper hme, thdt each address IS reddable 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 Slgndture
Date
Paee 2 of2
City of Springfield
Electrical AuthorizatIOn To Begm Work
E-malled To gmdelectnc@comcast net
ReceIpt # RC536323
8/18/2008 II 08 15 AM
~
By Phone
Check on status of permit
(541)726-3753 or Emall perm.tlenter@clsprIngfieldoru8
TYPE OF WORK
10 New constructIon
W AddItIon/alteratIOn/replacement
CATEGORY OF CONSTRUCTION
I [XJ 1 or2 family d\\el1mg 0 MultI-famIly D CommercIaI/ Industrial
JOB SITE INFORMATION AND LOCATION
Job no I Job .lddres~ 499 BLACKSl ONE ST
Clty/StlltelZIP SPRINGfiELD OR 97477-1416
I ~U1te/bldg Idpt no
I ProJect n lfit
Cross strret/dlft.chons to Job site
Q Street(L) onto 5th end at 499 Blackstone -"treet
)SubdIVI'\lOn
!Tax mapfparccl no
ILot no
1703233409300
DESCRIPTION OF WORK
R-.place roller base due to faulty connectIOn
SITE CONTACT
I N lme Jell AlexandLf
! Phont (541) 52 J -8322
Il<.mall
l'dX
~CONTRACTOR
Iccn he no
I EI he no 20-537C
) BU!olDess Name OMD CLFCTRIC lNC
I Conlact Ml[..e Gowms I Sue GOWinS
IAddms 957 NORTHRIDGEAVE
I Clty/Stdle/ZIP SPRINGFIELD OR 97477
I Phone (541 )7417369
I FOldl1 gll1ddlClrlc@cornc~t net
1 Mt..tro he no
I Supen-Ismg cllctrlll'ln's he no 4874S
I SupervISIng clet..tncl.l.n's n lme M]CHAEL K GOWINS
162]9]
IFdx (541)9881800
IClty lic no
Upon review and approval by your local JUrisdictIOn, your
permit Will be e-malled or faxed Within one busmess 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 bUlldmg department may determine that an
Authonzatlon To Begin Work IS null and VOid If It does not
meet applicable land use laws and local ordinances
ThiS AuthOrization To Begin Work must be posted
~FEE SCHEDULE
DClIlnptlOn l Qty Ea Total
KCMdcntldl SINGLE~-OR multl-fllmd} d",cllmg uRlL Includes
llttachcd~~~0d~e-~~"'~1 '~~~_~l~-:"') LEI?'
II 000 sq ft or less
[a add] 500 sq ft or portIOn
Limited Energy
N LimIted energy re~ldentlal
(\'.Ith dbove SQ tt)
I LUTIltld energy, multifamily
reSIdential (WIth above sq ft)
I LImIted energy commercIa]
(with above sa ft)
I Stand a/olle lImited energy,
reSIdentIal
I - ~tand alone limited energy
multI-famIly
I-Stand alone lUTIlted energy
commerCIal
I Servlce'i" OR feeder<> mst.dldtlOn, alterahon,0AND/OR reloc.l.tJon
1200 amps or less $7300 $73 00
1201 amps to 400 amps
1401 amps to 599 amps
I TEMPORARY lIervlee~ OR feeders mst!llJatIon, alteratIon,
AND/OR reloLatlon
I 200 amps or less
I 1201 amps to 400 amps
I 140] amps to 599 amps
\ ! Branch ClreUltll N NEW, alteratlOll, OR txtenslOn, per pitnel
I I A Fee for branch CirCUits WIth I I
I service or f"eder fee each
branch CirCUit
I B Fee for branch ClrCUlls
J WIthout service or fceder fee
l first branch CIrCUIt
I
each add] branch CIrCUit
I ~h~ellaneous
ServIce reconnect only
- Each manufactured or modular
dwelling, servIce and/or feeder
1 Pump or IrTlgatlOn urcle
1 Sign or outlme llghtmg
I SIgnal clrcult(s) or limIted
energy panel, alteratIOn or
extensIOn
I
I
I
I
I
* City Of Spnngfield fees
E~ECTRICAL PERMIT FEES
Subtotal $7300 I
State Surcharge (12% of permit fee) $8 76 I
City OfSpnngfield fees * $1095 I
rOTALPlRl\1ITFEE $92711
10% Admml~t_r~lLnn-l;oo, !?!L 1",~1,1Iology Fee
IKIlD - Q\~?!1
COM'~" -
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~~ 6'i -
DXI'E PRQCESSE ~ J
IIp\tooIlS ~(~y a t-'ermlt
RCPT#
t
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
a~~!~QF11't1:D li_':...I_,
,
-..- ,
~~
City of Sprmgfield Officl3l ReceIpt
Development ServIces Department
Pubhc Works Department
Job/Journal Number
COM2008-0 1229
COM2008-0 1229
COM2008-0 1229
COM2008-0 1229
Payments
Type of Payment
ONLINE CHGS
cRecemt I
RECEIPT #
3200800000000000575
Date: 08/18/2008
Dc!tcnptron
Penn Serv/Fdr 200 amps or less
+ 5% Technology Fee
" 12% State Surcharge
+ 10% AdmIDlstratlve Fee
PaId By
ONLINE PERMIl CHGS
Item Total
Check Number AuthorizatIon
Received By Batch Number Number How Received
NJM
ONLINE
GMD OnlIne
ELECT
Payment Total
Page 1 of 1
12 47 24PM
Amount Due
7300
365
876
730
$9271
Amount Paid
$9271
$9271
8/18/2008