HomeMy WebLinkAboutPermit Electrical 2008-8-29
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-0I306
ISSUED: 08/29/2008
APPLIED: 08/29/2008
EXPIRES; 03/0112009
VALUE:
225 Fifth Street, SpringlieJd, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 lnspectioo Line
SITE ADDRESS: 821 26TH ST
ASSESSOR'S PARCEL NO.: 1703361109200
Sprioglield TYPE OF WORK: Electrical Work Ooly
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Add HIP aod ootside receptacle.
Owoer: DANlKEN JOEL H & JILL L
Address: 821 26TH ST
SPRINGFIELD OR 97477
Phooe Number: 541-736-3177
,I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
GMD ELECTRIC 1NC
License
,162191
Expiration Date
11/19/2008
Phone
541-726-8601
BUILDING lNFORMATlO.N',
# of Uoits:
Primary Occupancy Group:
Secondary Occupaocy Group:
Primary Coostroction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Stroctnre
Type of Heat:"
Water Type:
Range Type:
Eoergy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 20d Floor:
Sq Ft Basemeot:
Sq Ft Garage/Carport
Sq Ft Other:
Occupaot Load:
, o/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:
Haodicapped:
Compact:
1 PUBLIC IMPROVEMENTS I
Street Improv'e~ents:
. Sidewalk Type:
Storm Sewer Available:
Speciallostrucl4ifn:ENTION: Oregon law requires you to
follow rules adopted by the Gr')(JL'n Utility
Notification Center. Those rul':s are set forth NOTICE'
in OAR 952-001-0010 through ON:: 952-001- , .
""",,"/1 .............fIT -II."' -
vu~u. JUU Illay UUlctl11 I.A,;!J'~~' ,.. ",.... ,,,,...... ":' . '<IV, .....,1 IIVII vi f"\LL CArine Ir I Mt VVUKK
calling the center, (Note:ttI6v~n\'~tH)n Descriotio~L'-HORIZED UNDER THIS PERMIT IS NOT
number for theOregon Utrlit\ ;__.c_,_ ' vVi\~MENCED OR IS ABANDONED FOR
Center IS 1-80,O-332'29'P,"" S Ft S ua' 'F,oo"oeDAY .
Type ofCoostruction "q , q ,Fl;. ,'tJ~, PERIG,Q'ue ' Date Calculated
or multIplIer or Bid Amount
."..........,:
.. ,'. DownspoutslOrains:
Notes:
Description
""-. ,- ':";~"' .':. .~j-, }.
,- .' d" ,^",.',"""""~_'M
Page 1 of2
Status
Issued
CITY OF SPRINGFIELD
~uilding/Combination Permit
PERMIT NO: COM2008-01306
ISSUED: 08/29/2008
APPLIED: 08/29/2008
EXPIRES: 03/0112009
VALUE:
225 Fifth Street, Spriogfield, OR
541-726-3753 Phooe
541-726-3676 Fax
541-726-37691nspection Line
Total Valoe of Project
f~~~ Paid"
Fee Description
+ 10% Administrative Fee
+ 12% State Snrcharge
+ 5%, Technology Fee
Add, Alter, Extend Circ .
Add,Alter, Exteod Circ Ea Add
Amount Paid
Date Paid
$5.50
$6,60
$2.75
$50.00
$5.00
8/29/08
8/29/08
8/29/08
8/29/08
8/29/08
Receipt Number
2200800000000001308
2200800000000001308
2200800000000001308
2200800000000001308
2200800000000001308
Total Amouot Paid
$69.85
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.
I ,Rell!,J!red Tn~nections ,
Rough Electric: Prior to Cover
Fiual Electric: Wheo all electrical work is complete,
By signature,J state aod agree, that 1 have carefully examioed the completed application and do hereby certify that all
informatio'o hereon is true and correct, and I further certify that any aod all work performed shall bedooe io accordance with
the Ordinaoces of the City of Springfield and the Laws of the State of Oregon pertaining to the work described hereiu, and
that NO OCCUPANCY wiH,be made of any structure without permissioo of the Community Services Division, Buildiog Safety,
I further certify that only coo tractors and employees who are io compliance with ORS 701.005 will be used on this project.
1 further 'agree to ensure that all required iospections are reqoested at the proper time, that each address is readable from the
street, that the pcrmit card is located at the front of the property, and the approved set of plaos will remain on the site at all
times during construction.
Owner or Contractors, Signature
Date
Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726c3759 Phone
Job/Journal Number
COM2008-0 1306
COM2008-0 1306
COM2008-0 1306
COM2008-0 1306
, COM2008-01306
Paymeots:
Type of Payment
ONLINE CHGS
cReceiotJ
RECEIPT #:
Description
Add, Alter, Extend Circ
Add, Alter, Exteod Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid ily
ONLINE PERMIT CHGS
City of Springfield Official Receipt,
Development Services Department
Public Works Department
2200800000000001308
Date: 08/29/2008
Item Total:
t:heck Number Authorization
Received By Batch Number NUl1,lber How Received
ONLINE In Person
PayriJeot Total:
,\
Page I of I
1:47:25PM
Amount Due
50,00
,5,00
2,75
6,60
5,50
$69.85
Amount Paid
$69,85
$69,85
8/29/2008
City of Springfield
Electrical Authorization To Begin Work
E-mailed To: gmdelectric@comcast.ne;t
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
Receipt # RC537068
8/29/2008 1: 12:50 PM
10 New construction
IKJ Addition/alteration/replacement
I Description
Qty,
Ea.
Total
I [X] I or 2 family dwelling
o Mulli-family
D Commercial J Industrial
I 'J ,000 sq. ft, or less
-I Ea. addl 500 sq. ft. or portion
IJob no.: IJob address: 821 26TH ST
I City/State/ZIP: SPRINGFIELD, OR 97477-4427
I Suite/bldg.lapt.no.:
I Project name:
I Subdivision:
map/parcel no.: 170336] 109200
I Lot no.:'
I . Limited energy, residential
(with ahovesq. ft,)
I-Limited energy, multifamily
residentiafCwith'above sq. ft.)
I .- Limited"energy, commercial
(with above Sq, ft.)
I - Stand-aloneliniited energy,
residential ,
I - Stand-alone limited energy,
multi-family
I - Stand-alone limit~d energy,
.commercial
ILS~~i~PRf~d1r:s:r~Ft1illi};iint'!!\ei~'~}~PIO.I~orati~;~4
: ~~~ ::~: : :~; amps I I I
1401 amps to 599 amps 1
Cross street/directions to job site:
28th Street (R) onto G (R) onto 26th
AddHP and outside receptacle
I Nllmc: JI1I & Joel Daniken
! Phone: (54\) 736-3177
Email:
IF."
1200 amp~ or less
1 20 I amps .to 400 amps
1401 amps t!J 599 amps
liBla1[l,(CJttuits"i~E}t,~~j'ttil~t.io~.:9.R.~i~~lo9;pe~p.~.~e! ~:~%~~
I A, Fee for" br,ariCh circuits \\'ith I
serviceorfeeder fce, each
branch circUlI.
I I B. Fee for branch circuits
I without service QT'feeder fec,
first branch circuit:
I I each addl branch circuit
I
I
I
I
I
I
I
I
I
1E1.lic,no.:,20-537C ICCBlic.no.: 162191
1 Business Name: GMD ELECTRIC INC
1 Contact: Mike Gowins / Sue Gowins
IAddress: 957 NORTHRlDGEAVE
[CitY/State/ZIP: .SPRINGF1ELD OR 97477
IPhon" (541)7417369 IF." (541)9851800
I Email: gmdelectric@comcast.net
I ~retro Iic. no.: I City lie. no.:
I Supervising electrician's Iic. no.: 4874$
ISupervising electrician's name: MICHAEL K GOWINS
Upon review and approval by your local jurisdiction, your
p~rmit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
$50~001
I Service reconnect only
I Each manufactured oTmodular
dwelling. service and/or feeder
I Pump or ,~rrigation circle
I Sign or outline lighting
I. Signal circuit(s) or limited-
. energy panel, alteration,or
extension,
I
I.
I
I
I
NOTE: This Authorization To Beg,in 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 Subtotal I $55,00
I Stale Surcharge (12% of permit fee) I $6.60~
I City Of Springfield fees'" I $8,25
I TOTAL PERMIT FEE $69.85
... City Of Springfield fees: 10% Administration Fee; 5% Technology Fee
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Th" A th "t' T B' 'W k' 't b DATRlflpCESrfF.:"/ 2091. r;/' -.,' ,
IS U onzalon 10 egln or mus epos-eo-~'1,~oosrte i:;.'CfJ,a""uty",'c,rllt
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