HomeMy WebLinkAboutPermit Electrical 2010-2-4
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City.of Sprin9field.
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Em.ail' permitcenter@cLspringfield.or,lis
.'
I 0 New Construction
IRl Addition/alteration/replacement
Ii ,~:;CATEGORY;OF;9QN.SJBU1::]ir6Nif~-f"~" ~".;':,,;"::;J
I 00 1 or 2 family dwelling D Multi-family 0 Commercial 0 Accessory
If'e ,., 'JOBS[mNFOJ:lMA'f16N;:A.ND'm6'CATf6N:,'~;\l~{.tr:,in
I Job Address: 1307 M $T
I City/State/ZIP: SPRINGFIELD, OR 97477
I Suitelbldg./apt.no,:
I Project Name: Messenger
I C<oss StreeUd;'ect;ons to job s;te, Mohawk St,eet
I Tax maplparcel no.: 1703253302800
Service Upgrade
I Name: Harriett MessenQer
I Phone: 541-746-3637
Fax:
I Elec lie. no.: 20-537C eCB lie. no,: 162191
I Business Name: GMO ELECTRIC INC
I Contact:
I Address; PO BOX 72206
I CitylStatelZIP: EUGENE, OR 9740102~)~i._...<;..i\:,_ c";. .....,"..,':.;>:~;~:\'"l'.~~~.:~';:,Fi~;:.j,.';-..',.
I Phone,5417417369 NUTllit: ..'.: ~~" 54~ wl)ltK
I EmaU 'mdelec";c@c~l~~~~: U~D~~ THIS PERM1t IS tro~., .
I Met'oHc.no, ('nMMFMr.~n..oR;~;'A9ANDONEDFOR"y
I Supe",;s;n, Elect,;daA'N'Y "1>80 DA~FERIOD. ,"
I Supervising Electrician's Name:
MICHAEL K GOWINS
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
Upon review and approval by your local Jurisdiction, your permit will be e.malled or fued
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 d~termine that an Authorization To Begin Work is null and
void If II does not meet applicable land use laws and local ordin~nces,
Residential Electrical Authorization To Begin Work
69600-BEL-10-00056
Approval Code: 093519 2/4/2010 11:36 am
E-mailedTo:gmd@gmdelectric.com
'J
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
D Fire pumps
D Emergency systems
o Addition of a,new motor load
of 100 HP or more
D Six or more residential units in
one structure
D Health care facilities
:,1
o Hazardous locations
D A service or feeder rated at
600 amps or more
o Buildings more than three stor
D' Marinas and boat yards
o Floating buildings
D Commercial~use agricultural
buildings
o 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 more than
600 supply volts nominal
I Description
Qty.
I Services 200 amps or less
IBr~~rich:~jrcuit5.'
I Branch circuits with service or
feeder each cirCUit
I Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
LO\v{ lO IL\~
Total
~'i:
$81.00
..,'\';;"
$6.00 I
$87,00
$10.44
$4.35
$101.79
~ 2Y(ID
AlTENTlON:Oregon law requhe ,.., fD
toIJow ruin adopted by 1he0000on UtIInr
NotIflcatIon Center. Those ndee ftl8t forfIt
In OAR 952-OOt-CI010through OAR 852-001.
0090. You mayobtaln., I': ; ,,' ofth. ndellIr
ctalllng the ";,, (Note: lilt telep/loM
IlUIIlbIr for the OregOn UtIlity NotlfL"IIlloft
Center II 1.1lll().332'2344).
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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: COM20I0-00148
ISSUED: 02/0412010
APPLIED: 02/04/2010
EXPIRES: 08/0412010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1307 M ST
ASSESSOR'S PARCEL NO.: 1703253302800
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Service npgrade at residence.
Owner: MESSENGER HARRIET A
Address: 1307 M STREET
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
GMD ELECTRIC INC
License
162191
Expiration Date
11/19/2010
Phone
541-726-8601
BUlL!lING I~FORMA TION I
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Gronp:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
# of Stories:
Height of Structnre
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: Overlay Dist: Total:
;:~: ~ ;::~:&TICE: " .. ,,:..~;,".""'~~;:~t ~::e~:::d: ~~~~sN~~~~~~n ~\~8lI~:,
Rea ryard SCJ,,"~PERMIT SHAll EXPIRE IF THE~M'l! t Coverage: Notification Center. Those rules are set foIttI
Solar Setba9!MrHORIZED UNDER THIS PERMIT IS NO , ' In OAR 952.()01-D010 through OAR 952.001-
vUIVIIVltl~"f() 6flI81lBJ!cNS9Ut:S fOF. " , w"u. tuu ilia, w"';', """;....,,; ;;... ...;....;.,.
ANY 180 DAY PERIOD. I PUBLIC IMPROVEMENTS I calling the center. (Note:.the telephone
Street Improvements: . , nu~\lt,fP.rl&hft.QI:!,gon Utility NotIIIoaIIon
, ' Centeil'H.800432-2344).
. l':~,,'7 . Downspouts/Drains:
Storm Sewer Available:
Special Instruction:
,. ~. , .
, .f ~."
Notes:
"
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Sqnare Footage
or Bid Amount
Value
Date Calculated
Page 1 of2
Sta tus
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
"-.~ ,
Total Value of Project
,~~es P~irl.
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
'Perm ServlFdr 200 amps or less
Amount Paid
$10.44
$4.35
$6.00
$81.00'
Total Amount Paid
$101.79
I Plan Reviews I
Date Paid
2/4/10
2/4/1 0
2/4/1 0
2/4/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00148
ISSUED: 02/04/2010
APPLIED: 02/04/2010
EXPIRES: 08/04/2010
VALUE:
Receipt Number
1201000000000000102
1201000000000000102
1201000000000000102
1201000000000000102
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.
I Renuired Insneetinns I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, 1 stateand,agree, that I have carefully examined tbe completed application and do hereby certify that all
information hereon is true and correct, and 1 further certify tbat any and all work performed shall be done in accordance with
the Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any stru'cture 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
.!'if',
\,';
Pa2e 2 of 2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Jour:nal Number
COM20 I 0-00 148
COM20 I 0-00 148
COM2010-00148
COM20l0-00148
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000102
Date: 02/04/2010
Description
Penn Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR ONLINE GMD' Online
ELECTRIC
Payment Total:
Page I of I
11 :46:37 AM
Amount Duc
81.00
,6,00
10.44
4,35
$101.79
Amount Paid
$ I 0 1.79
$101.79
2/4/20 I 0