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HomeMy WebLinkAboutPermit Electrical 2010-2-4 [lS!:RINGFIELD . :,,,~l.il _~, '-~'. ,,;' ^,?,,(~~ ~'A?,6_" ~. ^,i!!i0."'.,,,-,,\. ORE GO N 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). ,~ t,l~.\.O \,,'\.: , ~ \j:?\ 0 ~~~~. V'- ~\ 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