HomeMy WebLinkAboutPermit Electrical 2010-3-26
SPRINGFIELD
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City Of Springfield
225 Fifth 51.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenler@ci.springfield.or.us
TYPEOFWORK', '
".
o New Construction
IKl Addition/alteration/replacement
I "
CATEGORY OF CONSTRUCTION . ":,;
[&]1 or 2 family dwelling
o Multi-family 0 Commercial
o Accessory
o JOB SITE iNFORMATION AND.LOCA TION .
Job Address: 2155 LAURA ST
City/State/ZIP: SPRINGFIELD, OR 97477
Suitelbldg./apt.no.:
Project Name: Vincent
Cross StreetJdirectJons to job site: west on Q St., rt on Laura 51.
Tax map/parcel no.:
1703271101800
. DESCRIPTION OF WORK',' .
new service. 200 amp, one feeder
',,.
SITE CONTACT
Name: Isabelle Vincent
Phone: 541-744-0152
Fax:
Email:
CONTRACTOR
'.
Elee lie. no.: 20-S37C
162191 :.:.~
eCB'lic. no.:
Business Name: GMD ELECTRIC INC
Contact:
Clty/StalelZl ABANDONED FOR
Phon., 54174\1~Jlp'9180 DAY PERIOD.F'" 5419881800
Email: gmdelectric@comcasl.net
Metro lie. no.:
City lie. no.:
Supervising Electrician's lie. no.:
4674S
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 faxed
within one buslnessday,wlth Instructions on howto schedule your In spectlon. "
NOTE: This AuthorizatIon To Begin WorX expires wlth;n 180 days If a permIt Is not.~~!ned._ ~:;_ . ~ -:
The local building department may determine that an Authorization To B~gl,n!WOrk Is null and
void If It does not meet applicable land use laws and local ordinances.
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ClO- ~'1'
Residential Electrical Authorization To Begin Work
69600-BEL-10-00124
Approval Code: 052603 3/26/2010 10:48 am
E-mailedTo:gmd@gmdelectric.com
I' , -. 0 ,- pLAN REVIEW 0'
. -
Please check all that apply: o Hazardous locations
o A service or feeder beginning o A service or feeder rated al
at 400 Amps where the 600 amps or more
available fault current exceeds o Buildings more than three stor
10,000 Amps at 150 Volts or
less to ground exceeds o Marinas and boat yards
14,000 Amps for all other o Floating buildings
o Fire pumps o Commercial-use agricultural
buildings
o Emergency systems o Installation of a 150 KVA or
o Addition of a new motor load larger seperately derived sys
of 100 HP or more o "A", "E", or "1-2" or "1-3"
o Six or more residential units in o Recreational Vehicle Parks
one structure
o Health care facilities o Supply voltage for more than
600 supply volts nominal
, FEE SCHEDULE
Description I Qty. Ea. I Total
Seryh~es.or feeders '.f . .
L
Services 200 amps or less I 1 $81.00 I $81.00
Electrjcal Permit Fees
Subtotal $81.00
State surcharge (12% of permit $9.72
total\
Technology fee (5% of permit total) $4,05
TOTAL PERMIT FEE $94.77
CIO-:5.nCl
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AnENnON: Oregon law requlreo yw ~
follow roles adopted by the Oregon UIiIIi\1
Notification Center. Those RIles 11/'8llG2~
In OAR 952.(101.(1010 through OAR Q&2.(1t)1o
0090. You mal' obtain copIes of tho rubtl RlV
calling the center. (Note: the telephone
number for the Oregon Utility NotIflclatImil
Center Is 1-800-332-2344).
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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: COM201O-00369
ISSUED: 03/26/2010
APPLIED: 03/26/2010
EXPIRES: 09/26/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2155 LAURA ST
ASSESSOR'S PARCEL NO.: 1703271101800
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: New service and one feeder for residence.
~{~:'
Owner: VINCENT DONALD R & ISABELLE
Address: PO BOX 1443
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor License
GMD ELECTRIC INC 162191
BUILDING INFORMATION I
Expiration Date
11/19120 I 0
Phone
541-726-860 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 1st Floor:
Sq Ft 2nd Floor:
Sq Fl Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
't,',
REQUIRED PARKING
Frontyard Setback: "O~erlay'Dist: Total:
Side I seiICE:': #..Street Trees Rqd: Handicapped:
Side 2 Set . P..ERMIT SHAll EXPIRE IF THE WtJR'lQ Drive Rqd: ATTENTION: Oregon fiIW~ie8 you to
Rearyard H~R ZED UNDER THIS PERMIT IfNOyLot Coverage: follow rules adopted by the Oregon Utility
Solar Set' . I OR Noti11catlon Center. Those rules are setfo~
ANY 180 DAY PERIOD. I PUBLIC IMPROVEMENTS ~090. You may obtaIn copies of the rules by
Street Improvements: call!\liI,tJ:l.fl,p~N: (Note:.t.he tel~phcatlone
numoer't6r'lhe ur'egon Utility Notifl on
Storm Sewer Available: Do,(/lapbltt~SJ\-.a1l~332-2344).
Special Instruction:
Notes:
I Valuation Description ~
Description
Type of Construction
$ Per Sq Fl
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
_ '-..'1'
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00369
ISSUED: 03/26/2010
APPLIED: 03/26/2010
EXPIRES: 09/26/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amount Paid
Date Paid
Receipt Number
$9.72
$4.05,,: ;
$81.00
3/26/10
3/26/10
.3/26/10
1201000000000000263
1201000000000000263
1201000000000000263
Total Amount Paid
$94.77'
I Plan Reviews ~
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.
LReouired Inspections ~
Electric Service: Approval required prior to utility company energizing service.
By signature, I state and 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 that any and all work performed sball be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to tbe work described herein, and
that NO OCCUPANCY will be made of any struct~re without permission ?f the Community Services Division, Building Safety.
I furtber certify that only contractors and employees >yho are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspectio_ns are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of ihe 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 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000263
Date: 03/26/2010
II :28:39AM
Job/Journal Number
COM20 I 0-00369
COM20 I 0-00369
COM20 I 0-00369
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
Penn Serv/Fdr 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Authorization
Number How Received
Amount Due
81.00
9.72
4.05
$94.77
Check Number
Rct.~i~'ed'BY ". Batch ('1umber
KR
'q!i:;~f; '1 I~.\ ~.' i..
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Page I of I
Amount Paid
ONLINE GMD Online
ELECTRIC
Payment Total:
$94.77
$94.77
3/26/20 I 0