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Home My WebLink AboutPermit Electrical 2009-10-22 I Check on stalus of permit e' By Phone: 541-726M3753 or Email: pcrmitcenter@ci.springfieJd.or.u~ Electrical Authorization To Begin Work E-mailedTo:gmd@gmdelectric.com D New Construction 0 . Addjtionlalteratio~replllcement ~3"j!!llli,,~~~!E-~9ATEGORYiciF,ic6NSTRU:CT'()N::&!~liJl\f';:~~~~ 010r2familYdweJ'ling . DMulti-familY o Commercial DACCeSSOry Job Address: 247 17fH ST City/State/ZIP: SPRINGFIELD, OR 97477 SuiteJbldg.lapt,no,: Project Name: Slater Cross Street/directions to job site: Main Street -TU'P/P.,,~'n",' \f)O~~1 ,~\ CJ4~ 1~~~.~{jE$RRf~itONI()FZW6B-'{~Sliizt!l'~~,~~4;li Service Upgrade I Name: Tina Slater L Ph.,,, rEffillil: Fax: Elec lie, no.: 20-S37C CCOlic. DO.: 162191 Business Name: GMD ELECTRIC INC Contact: Address: PO BOX 12206 ... City/Stale/ZIP: EUGENE, OR 974010291 Phone: 54]-.741.7369 Fax: 54]-988-1800, Email: gmd@gmdelectric.com Metro Ile. no.: City lie. mi.: Supervisjng Electrician's lie. no.: Supervising Electrician's Name: 48745 MichaelKGowins Number ofinspectiollos included in paid services: Residential Service: 4 Reconnect On]y: I AIIOther5ervices: 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. NOTE: This Authorization To BegIn Work expires wR:hin 18~ days if a pennit 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 Please C~eck a11lhal apply: DAseiviceorfeederbegiimingal400 Amps m,ere rhe llvailable fawl currenlexceeds 10.000 Amps at 150 Vohs or less 10 Ilround exceeds 14,OOOAmpsforallolner inslalJations DFirepumps o Emergency systems DAdditionofsnewmolorloadof 100 HPormore DSix~rmoreresidentialunitsinone structure DHealthcarefacilities 69600-BEL-09-00202 10/2212009 9:42.m Approval Code: 010310 \0~~ (;q- . DllazardousJocations DA service or feeder rated at 600 amps or more DBUildings more than lhree stories DMarinas and boat yards DFloatingbuildings DCo.mmercial-useagricultural buildings DlnstallationOfal50KVAorfarger seperalelydenvedsys D"A","E",Or"I-Z"or"I-J" DRecreationalVehic1eparks DSupplyvohaceformorclhan600 supply volts nominal $243.00 $29,]61 $12, IS ~ .$284.31 ~ \tJ~ 6\ \\)~ ~\}\ ' C;ornzoo9 ~ ()/ 5q~ /7/YJ /o/CJ.'d/o9 This Authorization To' Begin Work must be posted at the job site until replaced by a Permit Description Services 200 amps or less Subtotal IStalesl.Lrcharge(12%ofpennitlDtal) . 1 Technology fee (5% of permit total) I TOTAL PERMIT FEE '0\' \\;\ Status Iss u ed CITY OF ~nHNGFIELD Building/Combination Permit PERMIT NO: COM2009-01548 ISSUED: 10/22/2009 APPLIED: 10/22/2009 EXPIRES: 04/22/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Iuspection Line SITE ADDRESS: 247 17TH ST ASSESSOR'S PARCEL NO,: 1703363102303 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Servi~e Upgrade Owner: Address: SLATER JAMES D & OLETHA P 247 17TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor GMD ELECTRIC INC License 162191 Expiration Date 11119/20 I 0 Phone 541-726-8601 ~UILDlNG INFORMATION I # 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Driye Rqd: % of Lot Coverage: Total: Handicapped: Co'mpact: , ~on law I tf4UH 1:;:0 yuu ~v I PUBLIC IM'P.RO'V)!:..~",ISA""ed by Ihe Oregon Utility Street Improvements: Notification Center, ThCSiileWaIk8fYP'''c~t forth , In OAR 952-001.0010 through OAR 952-001- Stor'." seN.t'J.nv~~~ble: 0090. You may obtain &~1':"'flI?9<<\~J'"iM:y SpecIal IYHi: > calling the center, (Note: the telephone HIS PERMIT SHAll EXPIRE IF T number for the Oregon Utility Notific,Jion Notes: AUTHORIZED UNDER THI' HE WORK Center is 1.800-332.2344), COM,W::w-,C',", ^_ ,_ S PERMIT IS ~'nT ANY 180 0 -- ~,~ 'v' hDf-i!'JUUNEI] rUM , AY PERIOD, I V~luation Descriotion I Description Type of Construction $ Per Sq Ft Square Footage or multiplier or Bid Amount -.." Value Date Calculated Paee 1 of2 Status Iss u ed CITY OF ~t'Kl.NlJl'l]i;LD Building/Combination Permit PERMIT NO: COM2009-01548 ISSUED: 10/22/2009 APPLIED; 10/22/2009 EXPIRES: 04/22/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees P3id I ' Fee Description + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Amount Paid Date Paid $29.16 $12.15 $243.00 10/22/09 10/22/09 \ 0/22/09 Receipt Number 320090000000000072\ ' 3200900000000000721 320090000000000072\ Total Amount Paid $284,31 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 sl!me working day, inspections requested after 7;00 a.m, will be made the following work day. I Recmired Tnsnection,' I Electric Service: Approva\ required prior to utility company energizing service. By signature, T state aud agree, that T 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 he done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining.!o the work descrihed herein, and , that NO OCCUPANCY will be made of any structure without permission of the Community Services Division,.Building Safety, 1 further certify that only contractors and employees who are ill compliance with ORS 701.005 will be used on this project. 1 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 Signature Date Page 2 01'2 225 Fifth Street Springfield, Oregon 97477 ' 541-726-3759 Phone Job/Journal Number COM2009-0 1548 COM2009-0 1548 COM2009-0 1548 Payments: Type of Payment RECEIPT #: City of Springfield Official Receipt, Development Services Department' Public Works Department 3200900000000000721 Date: 10/22/2009 Description Penn Serv/Fdr 200 amps or less + 5% Techn?logy Fee :+ 12% State Surcharge ONLINE CHGS ONLINE PERMIT C,HGS Paid By cReceintl Item Total: Check Number Authorization Received By Batch Number Number How Received NJM ONLINE GMD Online 'ELECT Payment Total: Page I of I 9:48:59AM Amount Due, 243,00, 12,15 29,16 $284,3 ] Amount Paid. $284.31 $284,3 ] 10/22/2009