HomeMy WebLinkAboutPermit Electrical 2009-6-18
City of Springfield
Electrical Anthorization To Begin Work
E-mailedTo:gmdelectric@comcast.net
Receipt # EC553959
61181200911 :42:01 AM
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Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us.
I D New construction
I Lot n6.:
I-Limited energy, residential
(v,'ith above sa. ru
I-Limited energy, multifamily
residential (with above sq. ft.)
I . Limited energy, commercial
(wIth above sq. ft.)
I - Stand-alone limited energy,
residential
I - Stand-alone limited energy,
multi-famllv
I - Stand-alone limited energy,
commercial
I Description Qty. Ea. Total I
;}~~~i4~~t!ar;~~N2:kE?:P,I{'i~~t~~finii,I}'Z~~'~J)in~'A2it:' l~chj~e}j,~,'~?O ': ~'I
:_~~tach.c~~~~~~~~~~~:~_: ",~',~~~)Z(i:~s ,~ ,- - '~~~ .~:
1,000 sq, ft. or less [4] I
I Ea. add I 500 sq. ft. or portion I
",.ill
I
I
[KJ Addition/alteration/replacement
IlK] 1 or 2 family dwelling
o 'Multi-family
o Commercial/Industrial
I.Job no.: I Job address: 995 S 40TH PL
I City/State/ZIP: SPRINGFIELD, OR 97478~65p5
I Suite/bldg./apl.no.:
I Project name:
Cross street/directions to job site: Jasper Road
I~ot offercd onlIne at this jurisdiction
I ~ubdivisjon:
] Tax map/parcel no.: 1802061407800
,
I'
1200 amps or less [2]
) 20 I amps 10 400 amps [2 J
1401 amps to 599 amps [2J
I'
$81.00
$81.001
I
SeniiceUpgrade and adding circuits ;n garage
J Name: Alana Feldman
IPhone:
IEmail:
I"n"
1200 amps or less [2J
.120] amps to 400 amps [2]
1401 amps to 599 amps [2]
i[~~~rl~hJI~~~J~E\~~~~!!~ii'O.ljf~O~'~x,t~~~OF1tl!er~l!n~I' .~ i"" ~~"'I
I A. Fee for branch circuits with 4 $6.001
service or feeder fee, each
branch circuit _
I B, f'Fit"rI!:PQlJl1ElJt'-!'!t:Orego 1, law req lires you' to
wnhi,,~se.nll'i\ ?I.!<;!,d<'c;r<'ptec (by the Cregan Ut Iity
firstTg.arQhvc]t~U1t'121 i::l U J''- . ..
I ea4NQ}d~rt!~~~~Br~ift~I:!., ~ l.~u~e I ~1~ ~ ~~t:,","~t;;: ~1 ~II
'S;I~til{t\!6'''';J~",VV;.l''\;;!9:'jlk''':ln 1 .v}.;i~rl~~/;;~I..I,,,,,,v...,iJQ i .'''''7''.0+_
~ 8~88:'~Y-S~':F~7f~'~~~~,;i~~ ~~;5~1f~"Jl~i~~ .:YI~;-Ir::f~h~/> ~ ,,::
Servl(:~A1!prQ!l.e~_1;Rnly("'g!Jtpr '~Intp.' thl! tAlpnhnflp.
Each miiilUful.i\!rcd ortmod41~1(e(0' n Utilit\, Notificat on
dweln~"Trn&lbP@eaer ,. 1
121 Center is 1-800-332-2344).
I Pump or irrigation cirele [2]
I Sign or outline lighting [21
I Signal circuit(s) or limited-
alteration, or
$24.00
lEI. lie. no.: 20f53.'i'CI ICCBlie.no.: 162191
IS"lne" Nnme1 hiwD!tI:tOiRIC l:NdALL t)\t-'IKt I~ I nt VVU~-'"
ICon.net: MikldJ,~;WI];PuI,&l,lnlJNUtK I HI~ t-'tKIVII I I;) I~U I
!Addr",: 957 NORiilffi.iDGMV0 OK It; AtjANUUI~tU ~Ut\
I CHyISt"'eIZIP;'\.i~R[NGFfufi/'OR l1ooiOU.
IPhnne: (541)7417369 IFnx: (541)9881800
I Elhail: gmdc1cetric@comeust.net
1 Metro lie. no.: I City lie. no.:
I Supervising electrician's lie. no.: 4874S
J Supervising eleelrician's'name: MICHAEL K GOWINS
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.
~~~\l\..\O
I Subtotal
I Slale Surcharge (]2% of penn it fee)
~ CIty OfSp"ringfield fees"
TOTALPERMITI<'EE
~~ .. City Of Springfield fees; 5% Technology Fce
)..J" {De/ilult /lllmber ofinspectiolU (lIIO)~ed]
'vyW Cq- 0IQB ~ LQ\ IBIOq
~~
$105,00 I
$12,60 I
$5,25 I
$122,851
NOTE: This Authoriz~tiori 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.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
r, qf?,RINGI!'IEl:J;lIiC
'--;-"<;~"~r';M""'~"';;" ,,~,~~'"'"
li' j
Status
Issued
CIT\\ OF SPRINGFIELD'
Building/C~mbination Permit
PERMIT NO: COM2009-00888
ISSUED: 06/18/2009
APPLIED: 06/18/2009
. EXPIRES: 12/18/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726_3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 995 S 40TH PL
ASSESSOR'S PARCEL NO.: 1802061407800
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Service upgrade and adding circuits in garage
Residential
Owner: HUMPHREY ALLENE
Address: 995 S 40TH PL
SPRINGFIELD OR 97478
ICONTRACTOR INFOR~ATlON I
Contractor Type
Electrical
Contractor
GMD ELECTRIC INC
License
162191
Expiration Date
1111912010
Phone
541-726-8601
BUILDING INFO~~A ;ION ~
# 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 l"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 I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
MnTIr.s:" 6.TTCl\ITlf"\I..... r.~____ 1_...
THIS prr:RMIT SHALL rr:XPIRrr: II' i:tfrlllit~~PROVEMENTS I foll.ow rules adopt'i,d byth~-O~~g~~ utility
^11TI-lnRI7~D UNDER THIS PERIJ.. - '. Notlf!catlon Center. Those rules are set forth
Street Improvements: D OR IS ABANDONED FOR in cl)\?e~J'lkJ1iy,PSiJ1:0 through OAR 952-001-
S COMMF,NCblrr: 009~D V~" ~-'1 n"''''- -op'e f th I b
torm SeweryAva'la e:{ PERIOD 'ownspolits/ 'ralOs:- ISO e ru es y
Special In~!~ucli~Ji: UM . calling Ine center.', (Note: the telephone
number for the Oregon Utility Notification
Center is 1j800-332-2344),
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
, Total:
, Handicapped:
, Compact:
Notes:
(
I Va\uation Descriotion I
Description
Type of Cons.troction '
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value'
Date Calculated
Pa2e I of 2
Status
Iss II ed
CITY: OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00888
ISSUED: 06/18/2009
APPLIED: 06/18/2009
EXPIRES: 12/18/2009
VALUE: .
225 fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 fax
541-726-3769 Inspection Line
Total Value of Project
Fees Pai~ I
fee Description
+ 12% State Surcharge
. + 5% Technology fee
Add, Alter, Extend Circ Ea Add
Perm Servlfdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$12.60
$5.25
$24.00
$81.00
6/18109
6/18109
6/18/09
6118/09
1200900000000000708
120~900000000000708
1200900000000000708
1200900000000000708
'.
Total Amount Paid
$122.85
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections rJquested before 7:00 '
a.m. will be made the same working day, inspections requested after 7:00 a.m. wiIFbe made the following
work day.
I Re9uired Insnections I
Rough Electric: Prior to Cover
final Electric: When' all electrical work is complete.
By signature, J 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 shan. 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 a~dress 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 Date
Paee 2 of 2 .,
2!5 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00888
COM2009-00888
COM2009-00888
COM2009-00888
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
1200900000000000708
Date: 06/18/2009
Desc!:"iption
Penn Serv/Fdr 200 amps or less
Add, Alter, Extend Cire Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number. Number How Received
KR
ONLINE GMD Online
ELECTRIC
Payment Total:
"
Page I of I
I :06:25PM
Amount Due
81.00
24.00
5.25
12.60
$122.85
Amount Paid
$122.85
$122.85
6!l 812009