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Home My WebLink AboutPermit Electrical 2009-12-16 S.PRINGFIELD~.. 'ii;';'\t -- "'i~:( ,~ .. ,,;0iJ{tj;~B!i!7', ~EGON City 01 Springlield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Em.ail: permitcenter@ci.springfield.or.us cq 'I~DI Commercial Electrical Authorization To Begin Work 69600-BEL-09-00289 Approval Code: 032611 12/16/2009 5:01 pm E-mailedTo:gmd@gmdelectric.com I D New Construction IX] Addition/allerationlreplacement I 0 1 or 2 family dwelling 0 Multicfamily [Z] Commercial D Accessory 1;:::~T'i?:T;.";';Y;..-' JOB'SITIi;INFORMA'h6N'AND'ifoCA,nON f:!3.19 ~'b~"'~lIl~1 0._,,"-.i&k._ ......,..~ '............... _ ~. . ......... '. . _. ............ fF'.."J~+,,~iiilC!?_ ""' I Job Address: 188 W B ST I City/State/ZIP: SPRINGFIELD, OR 97477 I Suite/bldg.lapt.no.: r Project Name: Jolly Investments I Cross StreeUdir~ctions to job site: Mill Street I Tax map/parcel no.: 1703352312401 I Name: Jollv Investments I Phone: I Email: Fax: I:..~. ~'.., . I Elec lie. no.: 20-S37C I Business Name: GMD ELECTRIC INC I Contact: CCB lie. no.: 162191 Address: PO BOX 72206 CityfState/ZIP: EUGENE, OR 974010291 Phone: 5417417369 Fax: 5419881800 Email: gmdelectric@comcast.net I Metro fie. no.: City lie. no.: Supervising Electrieian's lie. no;: 48745 Supervising Electrician's Name: MICHAEL K GOWlNS Number of inspections ineluded in paid services: Residential Service' 4 Reconnect Only: 1 All Other Services: 2 Upon review and approval by your iocal jurisdiction, your pennit 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 permit 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 ordiminces. Please check all that apply: D A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at150 Volts or less to ground exceeds 14,000 Amps.for all other D Fire pumps D Emergency systems D Addition of a new motor load of 100 HP or more D Six or more residential unitsjn one structure D Health care facilities I Deseription I Branch circuits without service or feeder . I Branch circuits each additional circuit without service I Subtotal I State surcharge (12% of permit total) Technology fee (5% of pern:'it total) TOTAL PERMIT FEE ~~ 0\ \~~~ ~~ D Hazardous locations j D A service or feeder rated at 600 amps or, more D Buildings more than three stor D Marinas:and boat yards D Floaling:buildings D Commercial-use agricultural buildings D Installation of a 150 KVA or larger seperately derived sys D "A", "E" or "1-2" or "1-3" D Recreational Vehicle Parks o Supply voltage for m~re than 600 supply volts nominal Total $55.00 $55.00 $6.00 $6.00 $61.00 $7.32 $3.05 $71.37 / ~~~. \0 \\.\. ()IGO ( (X)m2IiOQ -:~ nfYI {d--!lfldi Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit _6,f!,!!~"'F,lI~~.i t . Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01801 ISSUED: 12/17/2009 APPLIED: 12/17/2009 EXPIRES: 06/17/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 188 W B ST ASSESSOR'S PARCEL NO.: 1703352312401 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: New electric furnace and outlet Owner: JOLLY INVESTMENTS LLC Address: 175 W B ST BLDG L SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION. Contractor Type Electrical Contractor GMD ELECTRIC INC License 162191 Expiration Date 11/19/2010 Phone 541-726-860 I BUILDING 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 I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION' REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped:, Compact:. ; I PUBLIC IMPROVEMENTS I :,-.:,:;I~ Sidewalk Type: Street Improvements: Storm Sewer Available: Downsponts/Drains: to . s yOU Special Instruction: . Oregon law reqUlr,e n Utility N tes' NOTICE: . ~""EN~\~~~doPted by th~\~~e~~ set forth o . THIS PERMIT SHALL EXPIRE IF THE WORK ~o;;~;:tion cent~~.~~~~~~gh OA~ 9:~~~G~~ "u I nU,'ILr:U UI~Utl" 1111" rt~IVII' :: :':'.' '. .,\~.. v . \:!o;:-uY' J btain COpies U' :"\- hone COMMENCED OR IS ABANDONED IFWiltluation .Descriof . You m~~ter. \Note:.t~e ~o~i~calion ANY 180 DAY PERIOD. '. .. ... c i09 th~ the Oregon \Jt~~4). D .. T f C . $ Per Sq Ft Squanuftd1lIll~,~ l' Q'Cll\-S3 - escnphon vpeo onstruc!>on I' I' B'd A ntel... ~Iue Date Calculated or mu tip lef or I mou Pa2e 1 01"2 _Sr-.~RJN...9...I"."~~.' '.' . I........ WIt'==- I ... ",WC_ . r .. '. . ..,. Ii ... -',- .'. . .'.- ._-~;.',. ,-..,- ,--~._> '. ---.- Status . Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01801 ISSUED: 12/1712009 APPLIED: 12/17/2009 EXPIRES: 06/17/2010 VALUE: Total Vatue of Project FeesP~~d I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Aller, Extend eirc Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $7.32 $3.05 $55.00 $6.00 12/17/09 12/17/09 12117/09 12/17/09 Receipt Number 3200900000000000812 3200900000000000812 3200900000000000812 3200900000000000812 Total Amount Paid $71.37 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. Relluired Insl'ections. Rough Electric: Prior to Cover .. .:} '.' Final Electric: .When all electrical work is complete. By signature, I state an'd agree, that I have carefully examined the completed application and do herehy certify that all iuformation 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 plans will remain on the site at all times during construction. Owner or Contractors Signature Date \1 Page 2 01'2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~p~..~~ca'F.'.'.BU>.'.""... ....... Iii:" .... '.' , .' ,-,..' - .--....... "'" City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-0 180 I COM2009-0 180 I COM2009-0 180 I COM2009-0 180 1 Payments: Type of Payment ONLINE CHGS cRcceintl RECEIPT #: 3200900000000000812 Date: 12/17/2009, Description Add, Alter. Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surchargc Paid By ONLINE PERMtT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received NJM ONLINE GMD Online ELECT Payment Total: Page 1 of 1 8:20:18AM Amount Due 55.00 6.00 3.05 7.32 $71.37 Amount Paid $71.37 $71.37 12/17/2009