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Home My WebLink AboutPermit Electrical 2010-3-26 SPRINGFIELD ~oil. '.'4' <~";'o,,- f';~, .: .~ , . 1 '. ~......- , , ,- . OREGON 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. 't. ~ . 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 ~ 8!6U\ 10 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). .# _~~~o-:.~ ~ ~~ ~\o 2J(]}l ~'-B<'f'" \So 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' :., ':,.~ !,;.\,. ,'; Pa2e I of 2 ,-,:"-,-' i -'-, . p . "'." I...., ,. T 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 ~.PA~:Q.~:a'iij.. .,. . .' 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.. .i, -... ...-t'. Page I of I Amount Paid ONLINE GMD Online ELECTRIC Payment Total: $94.77 $94.77 3/26/20 I 0