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Home My WebLink AboutPermit Electrical 2009-12-7 :~R.\."I~~. ,~~..o."- .E( '?1J'~ tfl:: ~ . . OREGON City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us C{I'/7~J Residential Electrical Authorization To Begin Work 69600-BEL-09-00271 Approval Code: 097351 12/7/2009 3:33 pm E-mailedTo:gmd@gmdelectric.com I :. '. " ....' <-" :..t~TYPE~c5F~;wc58:RC.l~;{~ [R] Addition/alteration/replacement I D New Construction 1'..- ,.':,' - CATEGOR't:OF CONSTRUcTlor,jr":.:,,', ..;;"iZt'._.< I 00 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory W '" ..~:... ,JOBSITE;INF'ORMATION,AND LOCATION"" -~. I Job Address: 250 CHAPMAN LN City/State/ZIP: SPRINGFIELD, OR 97478 Suite/bldg.lapt.no.: Project Name: Smith, I Cross StreeUdirectlons to job site' Main Street I Tall. map/parcel no.: 1702333103400 1- '" :C.. -I,-...r .):; i:!!;'{DESCRIPfioN;OFiwORK",.,<c','::i:,;;','_' .c. ~,..--", ).!."\;~..__..,_.,..,.,,._-... .,,-.-,'.' _,",~~--"---,.... -~...\>,\..,.:<" Service Upgrade II"~." . '. ,,-'",' -} .".t.,$' I Name: MontQomerv Smith I Phone: 541-520-8077 I Email; ..SITE'c;ONt Acf~;,;"kj.",,1,;:";':, Fax: . ". ,'CONTRACTOR:;".. .., ,.--.-." ~. ~ ;... J'r~~ ~". ~.;~~.; :: Elec Iic. no.: 20-S37C l Business Name: GMD ELECTRIC INC r Contact: 162191 CCB lie. no,: Address: PO BOX 72206 CityfState/ZIP: EUGENE, OR 974010291 Phone: 5417417369 Fax; 5419881800 Email: gmdelectric@comcast.net Metro lie. no.: City lic, no;; I Supervising Electrician's lic. no.: 4874S I Supervising ElectricIan's Name: MICHAEL K GOWINS I Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 Upon roviaw and approval by your local juriadlction, your pormlt will be o-mallod or faxed within one business day, with instructions on how to schedulo your inlpoction, NOTE: This Authorization To Begin Work ollpires within 180 days if a permit Is not obtained. The local building dopartment may detormino that an Authorization To Begin WOOl is null and void if it docs not moot applicable land use laws and local ordinance~, I~~;L~~;~"'_~~'. ~~lt~~:~gi~"tdpliA-~i.REVI EW~-'. o Hazardous locations o A service or feeder rated at 600 amps or more o Buiidings more than three star o Marinas and boat yards o Floating buildings o Commercial-use agricultural buildings o Installation of a 150 KVA or larger seperately derived sys o "A", "E", or "1-2" or "1-3" o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal .. 'C" "',-,,,,,".', 'F.EE"SC"H'EO'U"l'E'. ","'j,"" ".,.,'.. 'I ';:-:'~_ .c:::,~U;,:U..h,,,",,:', ,. " 't.'i'~:. :-,::;:..,.1:-.;;:" ti,~-,-::".,,1 "-....,..,....'.~.. _'=,:_'/r .,"'.,....._.~...." '. . "._../ '.'_.._.__""'. _""f'.. .",,:$,"~, ..'?>4 Please check all that apply: o A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps al150 Volts or less to ground exceeds 14,000 Amps for all other o Fire pumps o Emergency systems o Addition of a new motor load of 100 HP or more o Six or more, residential units in one structure o Health care facilities ,'~ ":I Description I Qty, J Ea. Is~.~~::::20:0f::~:::;~~.~'-;'tF2;: ;-;: ..~;'~t ~81,OO l;fe~tfical~~errriirFe:'!'s _,._ \"1'": .~..,- f' . ~?,; I Subtotal State surcharge (12% of permit total) Technology fee (5% of permit total) I TOTAL PERMIT FEE 1 .-' "::,,1 $162,00 1 -$1~2:::1 $19.44/ $8,10 I $189.54 I . Total I "'.;:tt&.,'~ ,r "-~~O\{) ~ ~ ~\\ :-\ ~ ,'-9 <]/ ,\ \().; R ~s ~ Com20C11 -Q/7/-f3 /lpl Id/OJ'/O{ Inspections Phone. 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01743 ISSUED: li/08/2009 APPLIED: 12/08/2009 EXPIRES: 06/08/2010 VALUE: 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 250 CHAPMAN LN ASSESSOR'S PARCEL NO.: ]702333103400 Springfield TY~E OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Service Upgrade Owner: SMITH MONTGOMERY D & KATHLYNN Address: 347 S 43RD PL SPRINGFIELD OR 97478 Phone Number: 54]-520-8077 I CONTRACTOR lNFORMATI?N I Contractor Type Electrical Contractor GMD ELECTRIC INC , License 162191 Expiration Date 11/19120]0 Phone 541-726-860 I BUILDING INFORMATION' # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: I'rim:lry Construction Type Secondary Constrnction Type: # of Bedrooms: # of Stories: Height of Structure . Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft ist Floor: Sq Ft 2nd Floor: Sq'Ft Basemenr: Sq Ft Garage/Carport Sq Ft Other: Occnpant Load: n/a I.DE,V.ELOP~~ENT INFORMATlO.N I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setb:lcks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING . Total: Handicapped: Compact: I PU~L1C IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Sewer Avai\!lM'ENTION: Oregon law requires:yo~:t.o.~ Downspouts/Drains: Speciallnstructiofl:)lIowrules adopted by the Orego,n Utility Notification Center. Those rules are set forth , ' Notes:' In OAR 952-001-001 0 through OAR 852-001- NOTICE: THE WORK 0090. You may obtain copies of thr, rld~r, by THIS PERMIT SHALL EXP~R~;~, IT Ie: ~lnT calling toe cemer. \",UI" ,,,- .-' -"",,, -... --'lED UNUtli I nlU , ~..IIL number lor the Oregon ~liv'aIi\9t~li8ih)~sc~i~tio~~'ICED OR Ie: ABANDONED FOR Center is 1-800-3.;,-"" . (I, , '. ~, '.',,1"'-, r!{'V DCD~t.:. $ Per Sq Ft Square Foota'ge .' , Description Type of Construction Value Date Calcnlated or multiplier or Bid Amount Paee 1 01'2 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-01743 ISSUED: 12/08/2009 APPLIED: 12/08/2009 EXPIRES: 06/08/2010 VALUE: 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project Fe,es P3 irl I Fee Description + 12% State Surcharge + 5% Technology Fee Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $19.44 $8.]0 $162.00 12/8/09 , 12/8/09 12/8/09 3200900000000000791 , 3200900000000000791 320090000000000079] Total Amount Paid $]89.54 I Plan Reviews I. To Requcst 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. Renuired I '''Jectin1S M . III ,. ./111..,'" Rough Electric: Prior to Cover Final Electric: When all electrical work is complefe. By signatnre, I state and agree, that I have carefnlly examined the complefed 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 structnre without permission of the Cnmmunity 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 plans will remain on the site at all times during constru~tion. Owner or Contractors Signature Date Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1743 COM2009-0 1743 COM2009-0 1743 Payments: Type of Payment ONLINE CHGS cRcccintl RECEIPT #: 3200900000000000791 Description Penn Serv/Fdr 200 amps or less -I- 5% Technology Fee '; 12% State Surcharge Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works,Department Date: 12/08/2009 Item Total: t.:heck Number Authorization Received By Batch Number Number How Received NJM ONLINE Page I of I GMD Online ELECT Payment Total: 8:28:27AM Amount Due 162,00 8,10 19.44 $189.54 Amount Paid $189,54 $] 89.54 12/8/2009