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Home My WebLink AboutPermit Electrical 2009-3-30 .. <;:ity of Springfield Electrical Authorization To Begin Work E-mailedTo:gmdelectric@comcast.net Receipt # EC549161 3/30/2009 I: 19:36 PM l\ ry\ t()( 'Check on status of permit By Phone: (541)726-3753 or Em.il: permitcenter@ci,springfield.or.us ID Newconsl;uction W Addition/alteration/replacement I Dcsuiplion Qty. I D I or 2 family dwelling D Multi-family [XI Commercial/Industrial 11,000 sq. ft. or less [4J I Ea. add] 500 sq. ft. or portion I Job no.: CiI:rIStllle/ZlI': SPRINGFlELD, OR 97477-] 842 ISuitc/bld~.!apt.no. : Il'rojectnamc: IJob llddress: 3580 MARCOLA RD I Name: Scott (Sky's OfT Road Designs) I Phone: (54l) 736-3743 I Fax: IEmail: k lEI. lie. no.: 20-537CMnTIr:s:. !CCBlic,no.: 16219] I Bnsh.." Nom" G"'fJff'15~~fT ~I-!.w.-EXPIQI= 11= TI..II: WORK Conloc" M;k, Gow;:~(fffl'b'mZED IJ~I~~Q TI-lI~ PI=QMIT I~ NOT IAdd"''' 957 NORT~~MfrJ~QR 12 .~1}0Ml=n mQ 1 Chy/SloterLIP: SI'R~f1r1~~'l!Nrpm!0t'_ !Phone: (541)7417369 -- II<'ax: (541)9881800 1 [mllil: gmdcJecnic@eomcaSl.net I Metro lie. no.: I City lie. no.: ISupervising electrician's lie. no.: 48745 ISupt'rvisin~slectriciOlIl's name: MICHAEL K GOWINS I . Limited energy, residential (with above SQ. fL) I - Limited'energy, multifamily resIdential (with above Sq. n,) I - ~imitedcncrg7' commercia] not offered online at this jurisdiction '(wlth above Sq, tt.) I - Staml-ll]onc limited energy, residential I - Stand-alone limited energy, multi-family I - Stand-alone limited enerb'Y, commercial I~Jr!i'~!{9..Bj~:~gr~:,~~,~~Itati~p1;~F~r,@~!~;~,~:~Pj28I~I?k~(lgll,~~~7~:~;1 1200 amps or less [2J $81.00 $81.00 I 1201 amps to 400 amps 121 I J 401 amps to 599 amps [2] It~[~IQ~J~~[ujt~}~~~f~~!~~~~~S;~~;~:~~~j~~f:a~.:p~,;:,~i~~~3f~ . 1 200 ,!mps or Jess [2] 120] amps to 400 amps [2] 140] amps to 599 amps [2] 1;.!!6UltF"flrsuJ[S'~'N~~vl,~.l~fJ}l~'~;.'9R.,~X,~tn:sRlrir~efp~ln~~,.. A. fee for branch circuilS with J l serVice or feeder fee, each bra~chcircLliA~t"tJTIC;-~J: _rogon la'IJ-re.(1,_,ir,?_ \,nll t';)..... B, ,." rm bt,~~h c'1lco,;\{ I' . ~ ' U 'I't w;lhootse,1lail(;}\!MIW~$, ad,1pted by 'he Oreg n tll Y I "csl b,m,,~tmtjJil1lt1tinn r.p.n' er. Thos I rules ar set lortt II ,,,h "ddl tfIt'@}i\;i'l:@52-001-J01 0 thrCjugh OAF{ 952-001t I 1~'1!ill!!'i~fJ>l)90)if.YOY~l1faY;QJ:l.t~inA90~i5'c~I,!pe!,rui ~,s.,9~ , II ServICe r"on~II&fi\g file eei l~r. \'~ol'J:.,'.lI" '~' ~P"'U'.''' 1 I Each lllanurildt.lltHJiJ~tnMltlla~llt:: VI C':::fUll fillY r'Ov, ,1"""1;4('''''. , dwell;ng, serv;cc and/nOEm1er S 1-800- 32-2344 . 1 121 . I I Pump or irrigation circle [2] 1 I 1 Sign or outline lighting [2] 1 Slgnal C1fCUit(S)or ]imited- I I energy p~nel, alteration, or EtensionJ2J I~~~:E~~;,:,. I I I ;.j Cross slrt'etldireclionsto job sill': On Marcola Road ISubdivision: ITax mllp/pllreclllo.: 1702300000903 I Lot no.: Service Upgrade 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 inspection. , ~ y 'NOTE: Th;s Author;zal;on To Beg;n Work exp;res w;th;n 180 ~.~ days if a permit is not obtained. . f)....-)\ ~ The local building department may determine that an u~~ Authorization To Begin Work is null and'void if it does not ~ ~ meet applicable land use laws and local ordinances. \,r'" ?"I>;'EL~gTFiI9~W~Eji~ltE~,~$ ..~ Subtotal I State Surcharge (12% ofpemlit tee) I City OfSpringilel(\ n.'es.1 I TOTAL PEIUHT FEE . City or Springtield fees: 5%1t:chnology Fee [Defalllt nllmber afinspections allowed) C~- 42...l la $81.00 I $9.72 I $4.05 I $94.77 I 3180l0Q This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line LIt l' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00421 ISSUED: 03/30/2009 APPLIED: 03/30/2009 EXPIRES: 09/3012009 VALUE: SITE ADDRESS: 3580 MARCOLA RD ASSESSOR'S PARCEL NO.: 1702300000903 Springlield . TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Service Upgrade Owner: BROWN GARY & PENELOPE Address: 82864 RATTLESNAKE RD DEXTER OR 97431 TYPE OF USE: New Commercial I CONTRACTO~ INFORMA TI?N I Contractor Type Electrical Contractor GMD ELECTRIC INC License 162191 Expiration Date 11/19/2010 Phone 541-726-8601 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Constructiou Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft 1 st Floor: Sq Ft 2ud Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROV~MENTS I . Street ImproveWU'1'ICE: Storm Sewer A'f':HI@l:>fttRMIT SHALL EXPIRE IF THE WORK Spccial Instrucv,'lJ'fHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PE~IOD. Notes: I Valuation Descriution I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Date Calculated Type of Construction Page 1 01'2 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: . AlI1l8l<li:ljl)f.lJt:flDEp:law requires you to lollow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by \idllIlIY 1I1tl! Lit:lllt:::a. \I'lUlC'. lilt< ll:<lC't-JIIUIIt:l number for the Oregon Utility Notification Center is 1-800-332-2344). Value r. Status Issued 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Surcharge + 5% Technology Fee Perm ServlFdr 200 amps or less Total Amonnt Paid Amount Paid $9.72 $4.05 $81.00 $94.77 Total Value of Project Fees Paid ,I Date Paid I Plan Reviews I 3/30/09 3/30/09 3/30/09 CITY OF SPRINvl'lJ:<..LD . Building/Combination Permit PERMIT NO: COM2009-0042I ISSUED: 03/30/2009 APPLIED: 03/30/2009 EXPIRES: 09/30/2009 VALUE: Receipt Number 1200900000000000224 1200900000000000224 1200900000000000224 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 Reouired Inso~ctions.1 Electric Service: Approval required prior to utility company energizing service. By siguature, 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 1 further certify that any and all work performed shall be done in accordance with the Ordiuancesof the City of Springfield aud the Laws of the State of Oregon pertaining to the work described herein, and that NO occur ANCY will be made or 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 ou this project. ] 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 Pa2e 2 of 2 Date . .. 225 Fifth Street Spri9gfield, Oregon 97477 54]-726-3759 Phone iZ,c. City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: ]200900000000000224 Date: 03/30/2009 I :40:45PM Paid By ONLINE PERMIT CHGS Item Total: t:heck Number Authorization Received By Batch Number Number How Received Amount Due 81.00 4.05 9.72 $94.77 Job/Journill Number COM2009-00421 COM2009-00421 COM2009-00421 Description Perm Serv/Fdr 200 amps or less . + 5% Technology Fee + 12% State Surcharge Payments: Type of Payment ONLINE CHGS Amount Paid KR ONLINE GMD Online Electric Paymen~ Total: $94.77 $94.77 cReceintl Page I of 1 3/30/2009