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
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Suile/bldg.lapt.no.:
ProjrclName: Sturges'
Cross Street/directions 10 job site: Marcola Road
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Tu map/parcel no,:
O\'2..CO
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Service Upgrade
.::~'~€T<t~f~~~r";::.}"':i~SITE.cbNTjfcT:t:'7"',::.;,,_
NlIme: John Sturges
Pbone: 54].746.5210
Fax:
Email:
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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
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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
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r,-<,: .~--~~,,~.,""'.':--t.;;~'='-""- ,PL:ANREVIEW,.,."". :, ~,--;;'{', ~,~~'-,<:
-,'I
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I
I
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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,
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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).
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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