HomeMy WebLinkAboutPermit Electrical 2009-5-20
City of Springfield
Electrical Authorization To Bcgin Work
E-mailedTo:gmdelectric@comcast.net
Receipt # EC552032 \J ~ f';(
5/20/20099:52: 17 AM C;~/
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Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@cLspringlield.or.us
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'~t:l~.:;:~."" ~':t~~iYPE~~~iWqR.(:~~-~'~ .o::-~,,~:;'"
I D Nl.:W constructiOIl
lliJ Addition/alteration/replacement
"j~:,:~ATE.GORYO~,(;ONSTRiiSTi()N' ".~ "
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] [K] 1 or 2 family dwelling
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o Multi-family
D Commercial/Industrial
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)O~' SIT~.1NF.ORMAfION ANDf~C~:!WN..
I.Job no.: ]Job address: 1125 58TH ST
I City/Stllll'/ZIP: SPRINGFIELD, OR 97478-6851
I Suite/bldg.lapt.no.: SPC 85
IProjC('1 iuulle:
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Cross slrcl't/dircclions to job .~ill':
bc<.:omcs 58th
(L) onto 52nd Street (R) onto Highbanks Road llnd
I......aml.: AlunWard
I Phone: (541 )747-8549 II~ax:
IEma;':NOTIC~_: ." H ., ' ... '" E WORK'
li:~,'::~::~',,:f.~~~}W.L~;!:E~';~:OT "
Con'ut': Mike'Cll\Vins1~[ D~r'PE?IQ~.
I Add co,,: 957 ~~rHH?! I: A .
ICity/Slnk/ZIP: SPRINGfIELD OR 97477
I Phone: (54] )7417369
! ..:mail: gmdelectrit@comc[lst.net
I J\Mro Ik. no.:
ISupen'isin~ l'Icctrkillll's lie. 110.: 4874S
ISupt'r~'isillg clcctricillll's nllllle: MICHAEL K GOWINS
Subdi,'ision:
ILot no.:
TllX map/parcelno.: ]702342200100
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:ji~ ,:'::e~sc:Ru;if9N'OF Vi'ORK .
EfJAC Swap
",'.\?!'y'..; : ;;!!'TE.qONTACT "'-
I"",,, (541)9881800
leit)' lie. no.:
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.
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.
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In;:';l~' '__~~'_'~. '\f';:: -~j:~'E'SCB.EDULE
I Description I Qty. I Ea. J Totlll
I. ~~e~i~c~!i!l! ~ING ~_~<:~; O'iWI~Uiifll~ll!(d\\'e!ling'~I~it._lnciu~~
~tt~~~e~g~~~ge,,'l" ....;.:,:1;_".' ')1-t." ,_:,.,.':
11,000sq,l\,o,I"'[4], I' I I
I Ea. addl 500 sq. ft. or portion
I,Li~lted,.Energ~ ~I'" ;:'''o;~
I . Limited energy, residenti[ll
(with [lbove SQ. ft.)
I-Limited energy, multifamily
reSidential {with above SQ. fU
I . Limited energy, commercial n?t offered online [It this jurisdiction
(with [lbovc SQ. n,)
I - St[lnd-alone limited energy.
residenti[ll
I - Stand-alone limited energy.
multi-family
I - Stand.~lone limited energy,
commercial
1'~~,n;ici.;sj,pR~t~~?~;~_~~~ull~tio~;~~Jter.~m~II,-,~NDJ.q~"r~12~!i9.i.I;'k -~:tl
I 200 amps 0' less 12] I I I
1201 ampSlo 400 amps [2J I I J
140' amps to 599 amps [2J I I I
IJ'~l\:IPOI~\~Wseri'iceS;Q~fl'ed,ers'!nstallalion;allcru_il.:~n,"<",' ". ;-" .'1
~~\Np!9n,r~I~~t!~ill', ".-- ..,~.'~;" :~, ,'. ,--~--, ~', '. :~.': ~
1200 amps or less [2] I I
1201 ampSlo 400 amps [2J I I
1401 amps to 599 amps [2] . I
I ,~~~llcl~ cii-ctJtt~ ; NE\~i;\\r~~atiolg~R~c~tellsi~~n, per- pa'~"~I;- .
I A. Fee for branch circuits with
service or feeder fec. each .
branch circuit
I B, Fee r~F,bf'\!!Ghtll"l~l ore1on law rIE quir~'S,.D ,u t(155,OO
\\']{houl'Sl:h~a;'o'l- H:&1Jr fee Y' ..
lirs' brfmJh:C'iit,"i,ic~S adopt d by the Oregon Jtllity
I mh I'dd,iilifi&tiOOriCenler. Those ru es are'SE t torm I
1,~~~II~Jji<bu'si;"b~'U,v,tHui.\);mro_llgQl,?Al') ".o~,-uu .'::,", I
I se~iii~it~r1n~'P~I\l~ll~r u;.,;~c ';~I.~VVtJ;t;;-l' u;"tLv I\. :~.... Li .
I ::.;,~iJ:=s; ';~:~i1~?f.; ;1;:';-.
121 ~ontQr ic::. 1 ,R()()- '-
I Pump or irrigation circle [2] .
I Sign or outline lighting [2]
I Signal drcuit(s) or Iimited- 1
energy pmlcl, alteration, or
extensIOn 121
I ."'>;":iX"EL~CTRICJ\L !'.ERMITFE,ES."
I Subtotal
I Minimum fee used instc[ld of Subtotal
I Slate Surcharge (] 2% of permit fee)
I City OfSl?ringlield fees.
I 'I'O'I''\L PERMIT rEE I
. City Of Springfield Ices: 5% Technology Fee
fDefal/lt number olinspec/ions (I/lowed)
e,Q-LJ11 ~ 5)2.0/09
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$55"00
$58.00
$6,96
$2,90
$67,86
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: C0M2009-00697
ISSUED: OS/20/2009
APPLIED: OS/20/2009
EXPIRES: 11';20/2009
VALUE:
",;
225 Fifth Street. Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1125 58TH ST SPACE 85
ASSESSOR'S PARCEL NO.: 1702342200100
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Circnit for electric furnace/air conditioner swap
Residential
Owner: WARD ALAN REAU & MARILYN LEAH
Address: 1125 58TH ST SPACE 085
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
GMD ELECTRIC INC
License
162191
Expiration Date
11119/20 I 0
Phone
541-726-8601
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2rtd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
II/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
NOTICE:
Front yard Setlj 'P ' '~Dist: ' Total:
Side I SetbaW!!:f ERMIT SHALL EXPIRE IF THE~,: Trees Rqd: ATTEN Handicapped:
Side 2 Setbaei.\THORIZED UNDER THIS PERMIT ~ ': I rive Rqd: folio TiON: Oregon law e'.flH~ii'&",oU to
Rearyard s.lt61W:1ENCED OR IS ABANDONED Feflof Lot coverageNotifi~a;~~~:~~trte1h by the Oregon Utility
Solar SetbaQ!il;;Y 180 DAY PERIOD. in OAR 952-001-00'10 t~se rUhles are set forth
MM \" . roug OAR 952-01)1-
_ -,-"', Vv "'''1 UUld'" copies otthe rules b
I PUBLIC IMPROVEMENl:S.~ng the center. (Note: the telephone Y
, IfUIf bercf~rJtw,aljl[~:Utility Notification
enTer IS 1-800-332-2344)
Downspouts/Dra.ins: .
Street Improvements:
Storm Sewer Available:,
Spedallnstroction:
Notes:
I Valuation Descriotion I
Description
Tyt)e of Constructiou
S Per Sq Ft
or ~ultiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I 01'2
_Sl!!RlIJ\lGFI,""J~: '
'1
Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Amonnt Paid
$6.96
$2.90
$58.00
Total Amount Paid
$67.86
Total Value of Project
Fees Paid I
Date Paid
I Plan Reviews I
5120/09
5/20/09
5/20/09
CITV.oF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00697
ISSUED: OS/20/2009
APPLIED: OS/20/2009
EXPIRES: I I120/2009
VALUE:
Receipt Number
1200900000000000505
1200900000000000505
1200900000000000505
,
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.
Reouired Tnsnections I
Rongh Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signatnre, T state and agree, that I have carefully examined the completed application and do hereby certify that all ,
infOl:mation 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 tb.e Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY wiII be made of any structure without permission of the Community Serviees Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 wil1.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 duringconstruction. .'
Owner or Contractors Signature
Paee 2 01'2
Date
22~ Fifth Street
Spr.ingfield, Oregon 97477
541~,726-3759 Phone
Job/Journal Number
COM2009-00697
COM2009-00697
COM2009-00697
Payments:
. Type of Payment
ONLINE CHGS
cReceil111
RECEIPT #:
Description
Add, Alter, Extend Circ
+ 5% Technology Fee
+ 12% State Surcharge'
Paid By
ONLINE PERMIT CHGS
I
-i';
City of Spril)gfield Official Receipt
Development Services Department
Public Works Department
1200900000000000505
Date: OS/2012009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
kr
ONLINE GMD Online
ELECTRIC
Payme~t Total:
Page 1 of I
IO:29,20AM
Amount Due
58,00
2,90
6,96
$67.86
Amount Paid
$67,86
$67.86
5/20/2009