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Home My WebLink AboutPermit Electrical 2009-9-1 , City of Springfield . sf'!!~~::':~ Electrical Authorization To Begin Work E-mailed To: gmdelectric@co~cast.nct Check on status of permit By Phon,e: 541-726~3753 or Email: permitcenter@ci.springfield.or.us 69600-BEL-09-00113 9/112009 3:07 pm . Approval Code~ 07\494 D NewConstruction Please check all lhal apply: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth inOAR 952-001-001 0 through OAR 952-001- 0090. You may obtain copies of the rules by calling the centEJr. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). o AdditionJalterationlreplacement OAserviceorf~derbeginninga\400 Amps where the available fault currentcxceeds IO,OQO Amps al 150 Valis or less 10 gmund exceeds 14,OOOAmpsforallolher installations I Dim 2 fmn;ly dwell'", DMulti-family 0Conunercia' DACCeSSOry I Job Address: 790 30TH ST City/State/ZIP: SPRINGFIELD, OR 97478 DFirepunlPS o Emergencysyslems o Addition of anew mOl Or load of 100 HPormore SuiteJbldg.llipt.no.: Project Name: Schulz I Cross Street/directions to job site: Main Street o Si1\:or more residenliaJunilSin onl' structure o Health care facilities 1 Tn.plp",,1 nn, ~ r'} liU> \ -Z:z.. ~ 1~~~~Z~~~Q:f:s'CRiRTrqNloF;WQ~'~;\:~~~~;;r:~1 I Description Tenanllnfill IServiccs 200 amps or It:Ss I Branch circuits with service or feeder eachcireull I Name: Dana & Barbara Schulz Phone: 541-741-0908 . Fax: 541-741-0566 1 Subtotal I State surcharge (12% of pen nil IOlaJ) ITechnology fee (5% ofpermillotaJ) 1 TOTALI'ERMIT FEE Email: I Eleclic. no.: 20-537C I Business Name: GMD ELECTRIC INC I Contact: _ ___ __ I Address: PO Bokl-M~I(,I:: 1 C;tyIS,,,<iZIP, ffiJGEWEJ6li.t<lNMd,<iJ>HALL tXt-'IKt It- I HI: WUKK I Phnnd41-741-ll",1 HUlilLtU UI~UI:>j;jd41l-!>iil-i!i!llKIVIII I::; NU I IEm.H,gmd""tkl;!d.\i1-lli\b~IL;I:U UK I::; AI:JANUUNI:U FOR I M","lk,nn.' AI~Y IIlU UAY t-'tKI\:ll,lll,.nn., tCj-IL~3 CCBlic.no.: ]62]91 1 Supervising Electrician'slk. no.: I Supervising Electrician's Name: 4874S Michae1KGowins Number ofinspections included in paid services: Residential Service: 4 ReeonneetOn]y: 1 AIIOtherServiees: 2 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. ^~~\~ 'b~' (\, ~\J ~ ~ NOTE: This Authorization To Begin Work expires within 180 days if a pennit is not obtained. The local building department may detennine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances .J This Authorization To Begin Work must be posted at the job site until replaced by a Permit. DHaz:irdouslOC31ions DA service or feeder raled al 600 amps or more DBuildings more thanthreeSlories DMarinilSllIldbo3lyan.ls DFlo3lingbuild;ngs DCommercial-useagricu!lural buildings DlnSlaJlalionofal50KVAorlarger seperatdydcrivedsys O"A","E".or"l-ror'I-3" DRecieationalVeh.iclePafks DSupplyvohage for more lhan 600 supply volts nominaJ I Qty, Total $81.00 $54.00 $1]5.001 $16.201 $6_751 $)57.951 k2..- C1 i'~:l DCj ~- t\1-- ~.~.c}\ ,~ctXy ~ Status Issued U 1 l' OF SPRINGFIELD BuildingiCombination Permit PERM]T NO: COM2009-00]43 ,ISSUED: 02/]012009 APPLIED: 01/30/2009 EXPIRES: ] 1/05/2009 VALUE: $8,000.00 225 Fifth Street, Springfield, OR 541-72~-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 790 30TH ST ASSESSOR'S PARCEL NO.: 1702312200500 Springfield TYPE OF WORK: Tenant Infill TYPE OF USE: Alteration Commercial PROJECT DESCRIPTION: OfficelBreakroom space A-5 Owner: SCHULZ DANA R & BARBARA A Address: 95950 N BANK RD GOLD BEACH OR 97444 Contractor Type General Electri~al Mechanical Plumbing I .<.=oNTRACTOR INFO~MA TIO~ . .Contractor License D BAR & COMPANY CONSTRUCTION, INC. GMD ELECTRIC INC. 162191 HOME COMFORT HEATING & AIR 84164 OWNER Expiration Date 11119/2010 06125/2011 Phone 541-247-0279 (d 541-726-8601 541-345-2838 BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: B # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: . n/a Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: 220,414 liB 2 I DEVELOPMENT INFORMATION 1 NOTICE: ' . , Frontyard s~lb'.li:iP:ERMIT SHALL EXPIRE IFTHE&!:\li\K Dist: Side 1 Setb,wtdTHORIZED UNDER THIS PERMIT fI3s~i(iJ; Trees Rqd: Side 2 Setba~lfiMMENCED OR IS ABANDONED F(j}@Ved Dri~e Rqd: Rearyard S'i!,\'JlF~:80 DAY PERIOD. % of Lot Coverage: Solar Setbacks: REQUIRED PARKING Total: Handicapped: ATTENTION: Oregol1lo,mpac~:iires you to follow rules adopteq by the Oregon Utility Notification Center. Those rules are set forth . ..-."...... n.....1"l ^^.. rv'-l"'+h.."',......h f"'\!J.D ac::.':LrH)1~ Street Improvements: Storm Sewer Available: Special Instrnction: I PUBLIC IMPROVEMENTS I:i090:' Y~-u- ~ay obtai!) copies of the rules by . ,., caJJjflQ thA cAnter. (Note: the telephone , nun~t,'!'~"ie'kdf~I?J,:egon Utility Notification Do"rnsp~ilt~;:l>h1iif!-332 -2344). Notes: Paee 1 of3 _."!!':!I~!lI~IlJ~ '\1 .4);'.' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Type of Construction Bid Amount Use Bid Amount Fee Description + 12% State Surcharge + 5,% Technology Fee 1st Appliance Building Permit Fixture Minimum/Adjustmeut Plumbing Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC Sanitary/Storm Admiu + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Total Amount Paid Public Works Review Structural Review CITY OF :-,rKm(JFIELD Building/Combination Permit PERMIT NO: COM2009-00]43 ISSUED: 02/]0/2009 APPLIED: 01/30/2009 EXPIRES: ]1/05/2009 VALUE: $ 8,000.00 I v al~ation Descriotion , $ Per Sq Ft .or multiplier $1.00 Square Footage or Bid Amount 8,000.00 Value Date Calculated $8,000.00 01/30/2009 Total Value of Project $8,000.00 Fees Paid J Amount Paid Date Paid Receipt Number $30.42 $12.68 $79.00 $116.50 $38.00 $20.00 $84.15 $110.66 $9.74 $16.20 $6.75 $54.00 $81.00 2110/09 2110/09 2/1 0/09 2110/09 2/10/09 2/10/09 2/10/09 2/10/09 2/10/09 9/2/09 9/2/09 9/2/09 912/09 2200900000000000161 2200900000000000161 , , 2200900000000000161 220q900000000000161 ' 2200900000000000161 2200900000000000161 2200900000000000161 220q900000000000161 2200900000000000161 2200900000000000993 2200900000000000993 2200900000000000993 2200900000000000993 $659.10 I Plan Reviews I 01/3012009 01/30/2009 01/30/2009 01/30/2009 APP RP APP CJC as submitted To Request an inspection call the 24 honr recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same ~orking day, inspections requested after 7:00 a.m. will be made the, following work day. l~erlJ.ired In.~~cti~ns 1 Rough Plumbing: Prior to cover and including req uired testing. Rough Mechanical: Prior to Cover Rough Electric: Prior to Cover Framing Inspection; Prior to cover and after'all rough in inspections have been approved. Final Plumbing: When all plumbing work is complete. Paee 2 of 3 _~~~Uigl'lll;J;!~~" .." , '~i:, \:~;(. . Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00]43 ISSUED: 02/]0/2009 APPLIED: 01/3012009 EXPIRES: 11/0512009 VALUE: $ 8,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 I~spection Line Final Mechanical: When all mechanical work is complete. Final Electric: When all electrical work is complete. Final Building: ,After all required inspe'ctions have been requested and approved and the building 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 doue 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 withuut 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 readahle from the street, that the permit card is located at the front of the property, and the approved set of plans wiiI remain on the site at all times during'construc,ion. Owner or Contractors Signature Date Paee 30f 3 225,Fifth Str,eet Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Developmt;nt Services Department Public Works Department RECEIPT #: 2200900000000000993 Date: 09/02/2009 8:49:12AM Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Recei~ed By Batch Number Number HO~,Received Amount Due 81.00 54,00 6,75 16.20 $157.95 Job/Journal Number COM2009-00 143 COM2009-00 143 COM2009-00143 COM2009-00 143 Description Penn ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Payments: '.Type of Payment ONLINE CHGS Amount Paid KR ONLINE GMD Online ELECTRIC Payment Total: $157,95 $157.95 cReceintl Page I of 1 9/2/2009