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HomeMy WebLinkAboutPermit Electrical 2009-8-24 City of Springfield Electrical Authorization To Begin Work E-mailedTo:gmdelectric@comcast.net 69600-BEL-09-00089 8/2412009 2:33 pm Approval Code: 0252] 3 Check on status of permit By Phone: 541-726-3753 or Email: pcrmitcenlcr@ci.springfie1d.oLUS _:~-~...- ."5,.-,::l\)~.::~ -:, ~#.c.,TYPE'OF~WORK;!~~ ~'6.j:'; ."";;f::~~' ' 10 NewConstructi~n 0 Addition/alteration/replacement ~l'~ ~ :'.'"'.. ~;..-:"J'~~\CA TEG-ORy'OF.'--CONSTRUCTION ,,:~~,.-, [)1 or 2 fumily dwelling o Multi-liunily o Comincrcial o Accessory It.~; ,:'" ,,~;,,', 'Rli:~oBsITE1NF.ORMATiON'ANDLOCATi(lN';;'. ,",,', I Job Address: 3833 HA YDE.N BRIDGE RD City/Stale/ZIP: SPRINGFIELD, OR 97477 """"- . '. 'b':'.;"~"" Suile/bldg.lapt.no.: ProjrclName: Sturges' Cross Street/directions 10 job site: Marcola Road ."...10..-", .'i'- Tu map/parcel no,: O\'2..CO l '1 D7..\C\ Ar \ I~hr~i: ;~-tf~;::~~~~~i~[)ESCRU~.Tf6NlOK"WO_RKf;~F/:~.~~}:~::; r~,~~.';;Pr~,,"~~*~'f;11 Service Upgrade .::~'~€T<t~f~~~r";::.}"':i~SITE.cbNTjfcT:t:'7"',::.;,,_ NlIme: John Sturges Pbone: 54].746.5210 Fax: Email: ~ .r Elec lie, no.: 2().537C Busineu Name: GMD ELECTRIC ]NC CCD lie. no.: 162191 Contact: I Address: PO BOX 722_0~ _ _~ _ _ City/Stale/ZIP: EUGsN"E;-ORr~4~li29] Ph.." 541.741,7369 1111~ r'tKIVIII ~IPJi~",~~bO"iC Ir I nc vvun" Email: gmde1ectric@cbMc1Jt.~UKILtUUI\JUl::KIHI~t-.tKIVIII I;) NU I L.UIVIIVltl~L.tU Ud'ityII\l.~!;lI\I~UUI~tU run WI,.); PtKlUU. Metro lie, no.: Supervising Eleclrici~:Nit~ nltl U I Supervising Electrician's Name: MichaelKGowins Number orinspeclion, included in paid services: Residential Service: 4 Reconnect On]y: I All Other Services: 2 " Upon review and approval by your local jurisdiction, your permit will be e-maiied 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 pennlt 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 . ;~'jl .","1 r,-<,: .~--~~,,~.,""'.':--t.;;~'='-""- ,PL:ANREVIEW,.,."". :, ~,--;;'{', ~,~~'-,<: -,'I I I I I I I J>1~as~ ch~ck all that apply' o A service or reeder beginning nt 400 Ampswl1er~theavai]ablefauJl current exceeds IO,OOOAmpsal 150 Vohs or len to groWld exceeds ]4,000 Amps for all other installations DHazardous'ocations DA service or fecdcr rnted at 600 amps or more o Fire pumps o Emergencysyslems o Addition of 8 new motor load of 100 HP or more o Six or more residenlial unils in one structure Dnuildingsmorethalllhreeswrics DMarinas and boat yards Df10atingbuildings DCommen:ia'-uS-t: agricultural bUIldings DlnSlallationofalS0KYAOrlarge, seperately derived sys D"A","E",or"l-z" Of "1-3" DRecrearional Vehicle Parks DSupp!Y\1lltagC for more than 600 supplyvollSnominal o Health care facililics , F'EESCHEDULE' "";' I Q~ I Ea. Total I Description ISer~l.i:;';O!"rce'd;;~\.~'14">~ 1 Services 200 amps or less IElectric8JPe{~ij Fees~'_-,? r . ~",;'""-:-_,,,- I Subtotal 1 SlIne surcharge (12% of penn it total) 1 Technolog)' fee (5% of pennil lotal) I TOTAL PERMIT FEE ."":'"#1:. ." " $81.001 $8].00 , .", ~ S81.00 $9.72 $4.05 S94,77, e,C\ -\A DlI ~\2.. 0/ ~ll Cf4 ATTENTION: Oregon law requires you to follow 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 calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). _C\ ~ 'U'-J ...P '" ~~~"- ~~.~ ttj\T ~ ~ This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Iuspection Line CITY OF ~t'KmuFIELD I Building/Combination Permit PERMIT NO: COM2009-01104 ISSUED: 07/31/2009 APPLIED: 07/31/2009 EXPIRES: 02/24/2010 VALUE: SITE ADDRESS: 3833 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1702194101200 Springfield TYPE OF WORK: Mechanical Only PROJECT DESCRIPTION: Install AlC and electrical service upgrade Owner: STURGES JAMES S & JANET L Address: 3833 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 TYPE OF USE: New Residential Phone Number: 541-746-5210 I. CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor GMD ELECTRIC INC COMFORT FLOW HEATING CO. License 162191 460 Phone 541-726-8601 541-726-0100 Expiration Date 11/19/2010 06/27/2011 BUILDING INFORMATION' # 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: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION' Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I\.,.....,.......~I-r'^..r. r"\~_~...... I,.,.., ..........,,;...,.,... ",..", t,.... Street Improvements:ICE NUl : Stor~ Sewer A~~ih~~lefERMIT SHALL EXPIRE IF THE WORK SpCClal Instruch~'UTHORIZED UNDER THIS PERMIT IS NOT Notes: COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. I PUBLIC IMPROVEMENTS 'f~'1I0;rules adopted by the Oregon Utility , I~otifi,.,~tion r.enter. Those rules are set forth in OA~i!,'1rr~~'bTl:R,e,:0,through OAR 952-001- 0090Dl)wnSpoiit.,;tii'~'lns?pies of the rules by calling the center. (Note: the telephone number for the O'regan Utility Notification . Center is 1-800-332-2344). Pa2e I of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0] ]04 ISSUED: 07/31/2009 APPLIED: 07/31/2009 EXPIRES: 02124120]0 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Iuspection Line I YaluationDescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fee" Paitl , $9.48 $3.95 $79.00 $9.72 $4.05 $81.00 7/31/09 7/31/09 7/31/09 8/24/09 8/24/09 8/24/09 Receipt Number 2200900000000000861 2200900000000000861 2200900000000000861 1200900000000000972 1200900000000000972 1200900000000000972 Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance + 12% State Surcharge + 5% Technology Fee Perm ServlFdr 200 amps or less Amount Paid Date Paid Total Amount Paid $187.20 I Plan Reviews I 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 In',n,e,,'ion, , Rough Mechanical: Prior to Cover Final Mechanical: When 'all mechanical work is complete. Electric Service: Approval required prior to utility company energizing service. Pa2e 2 on Status. Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax. 541-726-3769 Inspectiou Line CITY 'OF SPRINGFIELD Building/Com binationPermit PERMIT NO: COM2009-01104 ISSUED: 07/31/2009 APPLIED: 07/31/2009 EXPIRES: 02/24/2010 VALUE: By signature, I state and agree, that I have carCfully examined the completed applicatiou 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 Spriugfield and the Laws ofthe State of Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will be made of any strncture withont permission of the Commnnity ServiCes Division, Building Safety. 1 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'Siguature Date Page 3 of 3 225 Fifth Street : Springfield, Oregon 97477 541-726-3759 Phone r~:~;4i -".. ... City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #:' 1200900000000000972 Date: 08/24/2009 3:00:39PM Job/Journal Number' COM2009-0 11 04 COM2009-01104 COM2009-0 11 04 Paid By .Item Total: Check Number Authorization Received By Batch Number Number Uow Received Amount Due 81.00 4.05 9,72 $94.77 Description Penn Serv/Fdr 200 amps or less + 5% Technology Fee + 12% State Surcharge Payments: Type of Payment Amount Paid ONLINE CHGS ONLINE PERMIT CHGS KR ONLINE GMD Online ELECTRIC . Payment Total: $94,77 $94.77 cReceintl Page 1 of 1 8/24/2009