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Home My WebLink AboutPermit Electrical 2009-9-2 Electrical Authorization To Begin Work ~~mailed To: gmdele'ctric@comcast,net Check on status of permit By Phone: 541-726-3753 or EmaiJ: permitcenter@ci:springfield.or.us 69600-BEL-09-00118 9/2/2009 10:32 am Approval Code: 671544 Please check all thaI npply I 0 New Constructi~n o Addition/alteration/replacement o A service or feeder beginning at 400 Amps where lhe available fault currentcxceedslO,OOOAmpsal J5D VoJJs or Jess to ground exceeds 14,OOOAmpsforallOlher installations 010r2familYdWelling o Accessory DMlilti-familY Dcommercial o Fire pumps o Emergencysyslems o Addition of anew mOl or load of 100 HPor more Job Address: 635 71ST ST City/State/ZIP: SPRINGFIELD, OR 97478 Suite!bldg.lapf~no.: Project Name: Walters Cross Street/directions to job site: Main (L) onto 69th (R) onto D (L) onto ?Ist o Six or more residential unilsinone structure DHealthcarefacililies I Tax map/parcel no.: Desedlltion Service upgrade - add outside outlets Services 200 amps or less circuits with service or feeder Name: Frank Walters I Subtotal I Slate surcharge (12% of penn it total) Technology fee (5% of penn it total) , I TOTAL PERMIT FEE Phone: Fax: Email: Elec lie. no.: 20-537C (;1-la9LP CCD lie. no.: 16219 I Business Name: GMD ELECTRIC INC Contact: Address: PO BOX 72206 -City/State/ZIP: EUGENE!@Rl9-itnJJ0291 Ph.n" 541-741,7369/ HI::; PERMIT SH\Il.U'if!>Xf\/'Pl'E IF THE WORK Emnil,gmd"".k~,l.Jd:;JRIZED UNDER THIS PERMIT IS NOT I M"""'.n..' l,;UIVIMENCED OR:11B4mANDONEn m-R I Snpml,;ng EI,,,,;.f09~'f:",.gO 0 Ai"!" F R Inn I Supervising Electrician's Name: Michael K Gowins Number ofin.specrions included in paid services: Residential Service: 4 Reconnect Only: 1 AlIO/herServices: 2 DHazardouslocalions DA service or feeder raled al 600 ::""psormore OBuildings more than three stories DMarinas and boat yards DFloatingbuildings DCommercial-useagricultural buildings Dlnstallationofa 150 KVAorlarger seperatelyderivedsys D"A"."E".or"J-l"or"I-3" DRecreationalVehiclepark~ DSuPp,y voltage for more than 600 5upplyvohsnominal $93,00 $lLl6 $4.65 SI08.811, 110 C\ 1d.-ID1 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). 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 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 This Authorization To Begin'Work must be posted.at the job site until replaced by a Permit" Status Iss u ed CITYOF SPRINGFIELD Building/Combination Permit PERMIT NO: C0M2009-01296 ISSUED: 09/02/2009 APPLIED: 09/0212009 EXPIRES: 03/02/20]0 VALUE:' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 635 71ST ST ASSESSOR'S PARCEL NO.: 1702352404800 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Service upgrade - add outside outlets Owner: WALTERS FRANKJ & SHIRLEY A Address: PO BOX 31666 SEATTLE WA 98103 I CONTRACTOR INFORMATION 1 Contractor Type Electrical Contractor GMD ELECTRIC INC License 162191 Expiratio'n Date 11/19/2010 Phone 541-726-8601 BUILDING INFORMATION J # 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 1 s, Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft G~rage/Carport Sq Ft Other: Occupant Load: I, n/a REQUIRED PARKING FJ'Ontyard Setback: Overlay Dist: Total: Side 1 Sethack: # Street Trees Rqd: ,Handicapped: Side 2 Seti\~'JIT:ICE: Paved Drive Rqd: c.oml'act' t ATTENTION: Oregon ,laW I ~4u;res you 0 Rearyard~~ma!,I!}RMIT SHALL EXPIRE IF THE vV-ClPlkLot Coverage: follow rules adopted by the Oregon Utility Solar Set!j;<S~~:IORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules a~es_e!f.?;t.h uUIVIIVltl~L,tU UK I~ AtJANLJUN'-t', r,,,,'5i ~~ OAH 8tJ,,-UU I-UU I U UIIUU,I' , V"" ~~- 00. ANY 180 DAY PERIOD. ,~'I'l'JBL C IMPROVE.MEN:S 1090. You may obtain 'copies of the rules by Street Improvements: ' caIlSiM,'vlill<cType: (Note: the telephone number for the Oregiin Utility Notificallon Storm Sewer Available: DO~~f\~\'tt!lqrBijJJ:332-2344). Special Instruction: I DEVELOPMENT INFORMATION I Notes: I Valuation Description I Descrip,tion Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 _A~IJJ1itali:!!ili!;~ , . ~ti .,~ ,,', -'," >",,- 4''';', '~~~ J Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State SUrcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or, less Amount Paid $11.16 $4.65 $12.00 $81.00 Total Amount Paid $108.81 Total Value of Project 'Fees Paid I Plan Reviews I Date Paid 9/2/09 912/09 912/09 9/2/09 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0]296 ISSUED: 09/0212009 APPLIED: 09/02/2009 EXPIRES: 03/02/20]0 VALUE: Receipt Number 2200900000000000996 2200900000000000996 2200900000000000996 2200900000000000996 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. wilLbe made the following work day. " Reouired ,Iosnections 1 Rough Electric: Prior to Cover Final Electric: When all electrical work is' complete. By signature, I state and agree, that I have carefully 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 shall 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 address is readable from the street, that the permit card is located at the front of the property, and the approved set of pia us will remain on the site at all times during'construction. Owner or Contractors Signature . Paee 2 of 2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-01296 COM2009-01296 COM2009-0 1296 COM2009-01296 , Payments: Type of Payment ONLINE CHGS cReceint 1 RECEIPT #: 2200900000000000996 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5'% Technology Fee + 12% State Surcharge " City of Springfield Official Receipt Development Services Department Public Works Department Date: 09/02/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received Paid By ONLINE PERMITCHGS KR Page I of I ONLINE GMD Online ELECTRIC Payment Total: 11 :34: 18AM Amount Due 81.00 12.00 4,65 11.16 $IOH.HI Amount Paid $108.81 $108.81 9/2/2009