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Home My WebLink AboutPermit Electrical 2009-6-18 City of Springfield Electrical Anthorization To Begin Work E-mailedTo:gmdelectric@comcast.net Receipt # EC553959 61181200911 :42:01 AM . '(,b (}./~ tV' \ ,. 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