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Home My WebLink AboutPermit Electrical 2010-2-12 5P~INGFlE ~D...... ;\'~"'."'" ~"''',1 OREGON City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenler@ci.springfield.or.us D New Construction lKJ Addition/alteration/replacement l'lXl1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory IkY;." ,~ i-,;','~d6BSff8IN~6RMAfj6N'A(15)IEOCAfioN I Job Address: 5541 IVY 8T I City/State/ZIP: SPRINGFIELD, OR 97478 I Suite/bldg.lapt.no.: I Project Name: Holden I Cross Street/directions to job site: E on Hwy 126, rt - 5 57th, rt - Glacier Dr, 1ft - S 55th PI, rt* Ivy I Tax map/parcel no.: 1802041101500 200 amp service; 200 amp feeder: 3 branch circuits I Name: Jason Holden I Phone: 541~953-3821 I Email: Fax: HC'O'N T'RA'HCT'O"RH_,V"""'~"'., './,'. "H '''..'c", " """""mm1r'+",,@. "',, ~"'''-~__'''''''_o'~.~ I Elee fie. no.: 20-537C I Business Name: GMD ELECTRIC INC cce lie. no.: 162191 Contact: Address: PO BOX 72206 CityIState'ZI~j~~~R 974010291 I nl :..11 I C;i:: Phoo.' 54174m~ Di:DMIT !:l-Iall FWImr'IF"(HE WORK I Em.'" gmd.,.tY'i'\l!!'(9'I'Pl'lEtJ UNDER' THIS PERMIT IS NOT I M.t," lie. no,' 'Mt,,'lENCED OR IS AM\NJ;)fJ.NED fUR I Supet'llising Ele~rri~il;V~ \~:*o~: t-' t K I U'r{s 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 y~ur local jur1sdlctlon, your permit will be e,malled or fued wllhln one business day, with Instructions on how to schedule your Inspection, NOTE: Tl1ls Aulhorilation To Begin Work expires within 180 days if a permit Is not obtained. The local building departmenl may determine that an Autnorizatlon To Begin Work Is null and void Ifit does not meetappllcab'e rand use raws and,ocar ordlnan ces, , CIO,/qq Please check all tha~ apply: D A service or feeder beginning at400 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 ~otor load of 100 HP or more D Six or more residential units in one structure D Health care facilities o Hazardous locations o A service or feeder rated at 600 amps or more o BUildings more than three stor D Marinas and boat yards o Floating buildings o Commercial-use agricultural buildings o Installation of a 150 KVA or larger seperately derived sys D "A" "E" or "1~2" or "1-3" , , o Recreational Vehicle' Parks o Supply voltage for more than 600 supply volts nominal I Description Total I Services 200 amps or less l~ranct{j:ji~its~:\;t: Branch circuits with service or feeder each circuit I Subtotal I Slate surcharg~ (12% of permit total) I Technology f~e (5% of permit total) I TOTAL PERMIT FEE C-LD-\qq $81,00 3 I $6,00 $18.00 $99,00 $11.88 $4,95 $115.83 I ~ :L 12[LD AnENllON: Oregon law requires you.. follow rules adopted by the Oregon Utility NoUflcatlon Center. Those nlles are set IortIt In OAR 952-001041010 ItIrough OAR 952-001- 0090. You may obtain copies of the nJIee br calling the center. (Note: the telephone IIUlIIber for the Oregon Utility NotllicIdIon Center 18 1~32-2344). ~~~.~.\O (\.\~ ~~O\:~ d' ()~ "\)-Y \ '\..'\. ~ S '\ ." ~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit CITY OF ~"'K1J""l"'lJi.LD Building/Combination Permit Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2010-00199 ISSUED: APPLIED: EXPIRES: VALUE: 02/12/2010 08/12/2010 $ 56,000.00 SITE ADDRESS: 5541 IVY ST ASSESSOR'S PARCEL NO.: 180204] 101500 Springfield -TYPE OF WORK: Single Family Residence TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Addition over garage Owner: HOLDEN KRISTY Address: 554] IVY ST SPRINGF]ELD OR 97478 Phone Nnmber: 541- I CONTRACTOR ]NFORMATlON I Contractor Type Electrical Contractor GMD ELECTRIC INC License ]6219] Expiration Date ] 1/1912010 Phone 541-726-860] BUILDING INFORMATION I VB # of Stories: Height of Structure -Type of Heat: Water Type: Range Type: 'Energy Pa'th: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: # of Units: Primary Occupaucy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Overlay Dist: Total: Side I.Setback: # Street Trees Rqd: ATTENllON: OregOl(l]lImIitli\llr~ yoU.to Side 2 Setback: Paved Drive Rqd: follow rut" adopte~f/1A\:p'regon Utility Rearyard Setback: % of Lot Cover~ge: Notification Center. Those rules are set forth Solar SetHe'NCe" . " ", In OAR 952-001-0010 through OAR 952-001- . nnan VI\I' mav obtal'l coqies of the rules by I n/i) t'tHMIl SHAll EXPIRE IF 1(lilItrb't~PRovEMENTS I ceiling the center. (Note: tile telepnone AUTHORIZED UNDER THIS PER~UI number for the Oregon Utility Notiflcallon Street 1r@)U~ OR IS ABANDONED FOR ' Side~flir().):1-800-332-2344). Storm sANo'{ lSiliIMV:PERIOD. DownspoutslDrains: Speciallnstrnction: Notes: I Valua'tion Descriotion I Description Type of Constrnction $ Per Sq Ft or multiplier Square,Footage or Bid Amonnt Valne Date Calculated Pa2e] of2 _'~,~~~J@,~~~~gJi~4~,I,'ll~,~! ~~, ~l~ Status Pending 225 Fifth Street, Springtield, OR 541..726-3753 Phone 541..726-3676 Fax 541-726-3769 Inspection Line Bid Amount Use Bid Amount $1.00 Total Value of Project 56,000.00 1.'J?ees'P.<iid I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Plan Review Residential Amount Paid $11.88 $4,95 $18,00 $81.00 $321.41 Total Amount Paid $437.24 I Plan Reviews I Date Paid 2/12/10 2112/10 2/12/10 2/12110 2/12/10 CITY OF ~J:'ldNGFIELD Building/Combination Permit PERMIT NO: COM2010-00199 ISSUED: APPLIED: EXPIRES: VALUE: 02/12/2010 08/12/2010 $ 56,000.00 $56,000.00 $56,000.00 02/1212010' Receipt Number 1201000000000000129 1201000000000000129 1201000000000000129 1201000000000000129 2201000000000000136 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. Reo,;,ij-edl~snections I I ~ " . , ,\,"u,: ',:; .~ '. Rough Electric: Prior to Cover Final Electric: When all electrical wor~ is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that auy 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 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 i~H1' .,'If!i\!, "~~: .. .'. .."" .'~: t- 'Page 2 of 2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 I 0-00 199 COM20 I 0-00 199 COM20 I 0-00 199 COM20 I 0-00 199 Payments: Type of Payment ONLINE CHGS CRCCCll111 RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 1201000000000000129 Date: 02/12/2010 Description Penn Serv/Fdr 200 amps or less Add, Aller, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Received By KR "'-,.. ".',. .', '. > '~', , Page I of I Item Total: Check Number Authorization Batch Number Number How Received ONLINE GMD Online ELECTRIC Payment Total: 12:22:03PM Amount Due 81.00 18.00 11.88 4.95 $115.83 Amount Paid $115.83 $115.83 2/12/20 I 0