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Home My WebLink AboutPermit Electrical 2008-12-23 l -;/J, () % \'P r" ;) r o ".'1/ 1/ '"V 'AU \ I"~ , CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-01804 ISSUED: 12/23/2008 APPLIED: 12/23/2008 EXPIRES: 06/23/2009 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1960 5TH ST ASSESSOR'S PARCEL NO.: 1703262403100 Springlield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Service npgrade Owner: BRAUN MARK SCOTT' Address: 1960 5TH ST SPRINGFIELD OR 97477 Phone Nnmber: 541-653-6538 I CONTRACTOR~NFORMATION I Contractor Type Electrical Contractor GMD ELECTRIC INC License 162191 Expiration Date 1111912010 Phone 54 I - 726-860 I BUILDING INFORMATION I \ # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Construction Type Secondary Constrnction Type: # of Bedrooms: # of Stories: Height of Structnre Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Buitding: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla 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: Handicapped: Compact: Street Improvements: I PUBLIC IMPROVEMENTS' ATTENTION: Oregon law req . foIlO\Side'walk;r e: . Ulres you to NotifiCAtion c;~;~:.~~~~ the Oregon Utility in OA!pownspoutslDrams:'l rules are set forth o ~b"-uUl-UOlO through OAR 952.001- NOnCE:' 00,:0.. ~~u may obt21n \;Opies of the rules b THIS PER^ Collin" the COlntCr. (Note: the telephone y AUTHORI7:~ ~~,~;~i ~:~!R~ I.~.Y'!..F IMnov numbe~.f~~t~~e;?;G~;~: ~~~i~:,j:~lt~fication cOrVIMENcED OR IS (. ^ ~ I ';"""1 I'> NUT I ANY 180 DAY P IAV.llri/a1li'onrOes~iDfion ERlOu,1iiiiiilijijioi $ Per Sq Ft Square Footage or mnlliplier or Bid Amount Value Date Calculated Storm Sewer Available: Special Instruction: Notes: Description Type of Construction Pa2e lof2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 I -726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 12% State Surcharge' + 5% Technology Fee Perm ServlFdr 200 amps or less Total Amount Paid Amonnt Paid $14.60 $17.52 $7.30 $146.00 $185.42 Total Valne of Project Fees Paid' Date Paid I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01804 ISSUED: 12/23/2008 APPLIED: 12/23/2008 EXPIRES: 06/23/2009 VALUE: 12123/08 12/23108 12123/08 12123108 Receipt Number 3200800000000000806 3200800000000000806 3200800000000000806 3200800000000000806 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 ReolJired Insnections I Electric Service: Approval reqnired prior to ntility company energizing service. By signature, I state and agree, that I have carefnlly 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 will be made of any structure without permission of the Community Services Division, Building Safety: 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 Page 2 of 2 Date City of Springfield Electrical Authorization To Begin Work E-mailedTo:gmdelectric@comcast.net Receipt # EC544026 12123/2008 10:59:52 AM Q1,"'N'!!!!I,l'J!no~~..-..,., \",c .,-' i -~ ". . ~~,..-v"! " Check on'status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us ID New construction [K] Addition/alteration/replacement '1',D~~~~,~,~~~n, ,'." ,~_.J ,.Q~._" .I~,,~~ '"'" L "T~,t:a~" I~~r; ;;~,~::',~~;f~~ffi~-G9Ry~~:t~@.ifcLN~~~i~~~~~;i~~~~:;g:1.1.~~~~~J:;,,~l't~!;e?it~}:~~~?"~,'~~;I';~:~i~.I.~;i~~.;~~j(f I [K] 1 or 2 family dwelling D Multi-family 0 Commercial/Industrial 111.000 sq. ft. or less I I 1"'1, "iJf't!; ';.<1 ;-:~"...:,h"""""',,~ < ......".,~.,.. ..,'" "."",.,.~,.,...,~.-. . _. "', ',~",,' .c;. .. --.,~" . """','" -,- '~"','.,"%'!27" .. _F..:-." ",'T"'+ ... "'I I Ea. add] 500 sq. ft. or portion I I ;~ .~<~:;,;~~. ':fsI'~".~:~;'f~~P.~~SIT~L:IN~~I3~A.TIO,,-N~~.~P]h.9<!~!J<?~'~~it~_".{:?~:, ~, "\;:_~ IJob no.: .IJob address: 1960 5TH ST ! ICily/Statef.lIP: SPRINGFIELD, OR 97477-2215 I I Suilelbldg./upt.no.: ! I Projecl name: I I Name: Fred Davis IPhone: (541) 653.6538 !Email: lr' _~~t~l":~1~~~fft~!-~Q'NT~-,~'t6~:,t1i::~~~~lz~-:' lEI. lie. no.: 20-537C ICCBlic. no.: 16219] I Business Name: GMD ELECTRIC INC I Contact: Mike Gowins / Sue Gowins !Address: 957 NORTHRIDGEAVE I Cily/Statef LIP:' SPRINGFIELD OR 97477 IPhone: (541)74]7369 I Email: gmdeleclric@comca5l.nel ]MCtrolic.llo.: ISupervising electrician's lie. no.: 4874S 1 Supervising c1ectrician's'name: MICHAEL K GOWINS I Fax: I-Limited energy, residential (with above so. 1'1.) I . Limited energy, multifamily residential (with above Sq. ft,) I-Limited energy, commercia-] (with above SQ. 1'1.) I - Stand-alone limited energy, residential I - Stand.alone limited energy, multi-family I - Stand.alone limited energy, commercial !'!f~~::~!::::~tt~'0;~2aJt!!~t;o,~i1~~L6~;~;;'!~;;:6.~! 140] amps]o 599 amps I I I l~l:'~,~n~ql~,_,-_J~:Y,:S,~~'i,~,'"es _91i, ;r~~e'r;;j,'~~~,a,~~~.ti~~;;,~~I"I:eratii~;t!;',i~~,,',,",.', ,'~~P(OI!'r~loC~!i~I&i:!~':""<i;(~~~:-:,"~,4: 7"!~Jij,'tc. 1200 amps or less 1 1 20 I amps to 400 amps 1 140 I amps to 599 amps I . 1-:~t.~hci~:~![~~~!i:f~\Y;' :!l-~i~tioJf~ji~"~,~f[ri~!~~E::~f~.~a.].~I~;~~gr,;;:?(~" I A Fee for branch circuits with service or feeder fee, each brnnchcircuit. I I B. Fee for branch circuits I without service or feeder fee, first branch circuit I 1 each addl branch circuit 11.}\~I~,~,I!.~!~Q~i~~{#~i~:~ I j Service reconnect only I I Each manufactured or modula'r dwelling. service and/or feeder I 1 Pump or irrigation circle ) Sign or outline lighting I Signal circuit(s} or limited- energy panel, ulteration, or extension. 1~~~,~~,&~'~~~LE9JRj9bLJ~,~'~MJt-i=~g-~:~t~:?Z}1(}J>~"' . ~l I Subtotal I $146,00 I I State Surcharge J 12% of permit fee) '. $] 7.52 1 I City Of Spring field fees * $21.90 t I TO'I~\LPEI~:\IIT FEE I $185,42 I . City Of Springfield fees: 10% Administnition Fee; 5% Technology Fee Uorn WD 8' - 0 I g-OL-f I""). - 23- 65?' rJVV'- I ~..;.~~ '_~:l~, -~+1l~~~-?;?t~ '..~,. Cross street/directions to job'sile: Q Street to 5th I Subdivision: ITux map/parcel no.: I Lot no.: 1703262403] 00 Upgrade I Fax: (54])988]800 1 City lie. DO.: Upon review and approval by your local Jurisdiction, your permit will be e-mailed or faxed within one business day, with Instructions on how to schedule your inspecti~n. 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 doos not meet applicable land use laws and local ordinances. This Authorization To Begin Work must be posted at the job site until replaced by a Permit. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone 'Job/Journal Number COM2008-0 1804 COM2008-0 1804 COM2008-0 1804 COM2008-0 1804 Payments: Type of Payment ONLINE CHGS cReceiotl RECEIPT #: .!'",~""".,~OF.l',~'jI,.'._~' ..,...". 1IiA.'~..."h f -~,',' City of Springfield Official Receipt Development Services Department Public Works Department 3200800000000000806 Date: 12/23/2008 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + t2% State Surcharge + 10% Administrative Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received NJM ONLINE GMD Online Payment Total: Page 1 of I II: II :55AM Amount Due 146.00 7.30 17.52 14.60 $IH5.42 Amount Paid $185.42 $185.42 12123/2008