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Home My WebLink AboutPermit Electrical 2009-12-31 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01852 ISSUED: 12/31/2009 . APPLIED: 1i/31/2009 EXPIRES: 06/3012010 VALUE: 225 Fifth Street, Springfield, OR 5:11.726.3753 Phone 541.726.3676 Fax 541.726.3769 Inspection Line SITE ADDRESS: 1272 MODOC ST ASSESSOR'S PARCEL NO:: 1703264417100 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Service upgrade for residence, Owner: HOLLOWAY ROBERT P JR & PATRICIA L Address: 1272 MODOC ST SPRINGFIELD OR 97477 I CONT~CTORINFORMATlON . Contractor Type Electrical Contractor GMD ELECTRIC INC License 162191 Expiration Date 11/19/2010 Phone 541.726.860 I BUILDING INFORMATION" # 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 Garage/Carport .Sq Ft Other!" Occupani Load: n/a I DEVELOPMENT INFORMATION. , , .. ATTENTION: Orego~~'tWiP,eli~WG . Front yard S~tback: . '",.,:",9verlay Dist: Nfoll,ow r~les adoptecH:lil:fhe Oregon Utility Side I SetbaclDTlCE. # Stre~~ Trees Rqd: ollficatlon Center. ~u/qlp8lle set forth Side 2 Setba~i1S PERMIT SHALL EXPIRE IF THEPMQli\brive Rqd: ~~AR 952-001-001~\l:i6_tOAR 952'001- Rearyard Se,tpuafl'FJRIZED UNDER THIS PERMIT tSltl{lbt Coverage: c~iinYOrh~aYObtaln cop',es of the rules by SolarSetbacks:"MENGED OR IS ABANDONED FOR 'nU,mb9 f tC9hnOter, (Note.,~hetel~~ho~e ,UIVI er or. e re,qon Utllll\( 1\Ip'llf"'~I"'\n :~y 1 /iU UAY r'tKIUU, I PUBLICIMPROVEMENTS .\lemeLIS HlOO-332,2344), ' Street Improvements:,. Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation DescriDtion I Desc~iption Tvpe of Construction $ Per Sq.Ft ' or multiplier Square Footage or Bid Amount Value Date Calculated Page I 01'2 ~~,'",I,e,.."'"',R",~,.I,'"N,',,,,O",nii,.,,',",.,I"a..". Q,,' ",i'., J,...'. . ; ,',' ,>; ... \~r' .,. i~ .'" ., j", i d" ..... . ~....";:. ."'W~.,,,.,r " . .,';: Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01852 ISSUED: 12/31/2009 APPLIED: 12/31/2009 EXPIRES: 06/3012010 VALUE: 225 Fifth Slreel, Springfield, OR 541-726-3753 Phone 541.726.3676 Fax 541.726.3769 Inspeclion Line Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Aller, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount Paid:'!. Date Paid $10.44 $4,35 $6,00 $81.00 12/31/09 12/31/09 12/31/09 12131/09 Receipt Number 1.2009000000000013 72 1200900000000001372 1200900000000001372 1200900000000001372 Total Amount Paid $101.79 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 same working day, inspections requested after 7:00 a,m, wilI..be made the following work day. Re/luired Insnedions I Rough Electric: Prior to Cover Final Electric: "When all electrical work is complete, By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is "true and cnrrect, 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 . '.Ii', Paee 2 of 2 "', ~ .. City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Emai!: permitcenter@cLspringfield.or.us Residential Electrical Authorization To Begin Work 69600-BEL-09-00315 Approval Code: 037770 12/31/2009 11 :25 am E~mailed To: gmd@gmdelec~fic.com S[~~I~,G=~)J .'tit ,W 'll1I . ?:ir'fJ,:)i~ OREGON I 0 New Construction . [R] Addition/alteration/replacement I''''''''''''''-~'~k~~","''''aa';<<-'w",,-,--,~,''-' ",..'. "w"_'_'_ ""'_"""'''''{;Y:''''::''''~;''''"",,,:,j ~,~t?~:*,~"~~;1.'l;}~0~~~J.I;~q.RYi9~tG.QN.~']Rl"-9TI9N~!?i~%fr;'g,'t~,~~1:)'~ 1001 or 2 family dwelling 0 MulU-family 0 Commercial 0 Accessory 1!W~~1i1iTIOBlsiTEliNitoFfMATIOfir.6:NBl'[o"CA,fio~'W.%.~.T~,m,lilli I Job Address: 1272 MODOd~ST I Clty/StatefZIP: SPRINGFIELD, OR 97477 Suitefbldg.lapt.no.: I Project Name: Holloway I Ceo," S'ee.Vdle,,"on, '0 job ",.: Moh'wk BI,d I Tax mapfparcel no.: 1703264417100 1:......."C:''''.'l-''''~..~::::c..''. " ....,..,,_.........., 'm"-"'''i1fF:''''i'''!''''''''''''''-'"~''~' ~~i~~~~r;J,ljd&T2'O,!f~t~~%z'f@b;~PESJ;;~1~~!tQ~j9,t;~WQ~K!t,~f'Z~~~1r'~1Ii@:W~~~~ Service Upgrade I Name: Patricia,Hollowav I Phone: Fax: Email; Elec lie. no.: 20-537C CCB lie. no.: 162191 Business Name: GMD ELECTRIC INC I Contact: I Address: PO BOX 72206 I City/State/ZIP: EUGENE, OR 974010291 I Phone: 5417417369 I Emall: ~mdele~~i:.~o~c:.st.iiet IMUI' I~vllvc. Cltvl' e 0 IC. no.::-: ::: ~::::--:~~~':T J:':f.-~~ E}T!.~~~~ "!"U1? \Mnpl(' I Supo",','ng E!~f\el,'~~'ii.!:;'/~M II ~1rff!~S-YHIS PFRMIT IS NOT I Supervising Elect;!~~~~:f~~~'ED 0 MI~8A~tB)1\~Qyj~~JED FOR Number of inspecti~n~ [(,gu~~J~ 21ciPsJtiiQs: Residential Service 4 Reconnect Only: 1 All Other Services: Z Fax: 5419881800 ~~>~. . Upon review and approval by your local jurisdiction,. your permit will be e.malled or faxed within one business day, with Instructions on howto 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 Authoriiatlon To Begin Work Is null and void If it does not meet applicable land use laws and local ordinances. Please check all that apply: o A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at 150 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 D Health care facilities Description Services 200 amps or less I Bran~h circuits with service or feeder each circuit 1 Subtotal I State surcharge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE cC) - \~6'o D Hazardous locations D A service or feeder rated at 600 amps or more o Buildings more than three stor o Marinas and boat yardS o Floating buildings D Commercial-use agricultural buildings ,0 Installation of a 150 fWA or larger seperatefy derived sys O "A" "E" or "1-2" or ")-3" . . D Recreational Vehicle Parks : 0 Supply voltage for more than 600 supply volts nominal $87.00 $10.44 $4.35 $101.79 ~~- \.o\~l\CC\ ArrENT/ON: Oregon law requIres you to N~:\~~a~~~~:~:"'teThd by the Oregon Utility I er. ose rules are set forth n OAR 952-001-0010 through OAR 952-001- OO9~i' You may obtaIn copies of the rules by c '"g the center. (Note: the telephone number for the Oregon Utility Noti1icatlo Center Is 1-80Q.332-2344). n Inspections Phone: 541.726.3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone 8.~.'~IN'~"~"""""",.~.~.,;-",, .... Mr' 4A , 181 I ~~~. ,. City of Springfield Official Receipt Development Services Department Public Works Department' RECEIPT #: 1200900000000001372 Date: 12/31/2009 1:17:54PM Job/Journal Number COM2009.0 1852 COM2009.0 1852 COM2009.0 1852 COM2009.0 1852 Description Penn Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By Item Total: Check Number Authorization Received.By Batch Number Number How Received Amount Due 81.00 6,00 4.35 10.44 $101.79 Payments: Ty!lC of Payment Amount Paid ONLINE CHGS ' ONLINE PERMiT CHGS KR ONLINE GMD Online ELECTRIC Payment Total: $101.79 $101.79 .", cR~ceil1tl Page 1 of I 12/31/2009