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Home My WebLink AboutPermit Electrical 2010-4-21 City Of Springfield 225 Fifth 81. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.u5 "CC CD,'"~ .~. ,,,. r,." TYPE'OF WORK, ,:;,.',,: . ',; , . D New Construction IR1 Addition/alteration/replacement , , :CA TEGORY OF CONSTRUCTION .. D 1 Of 2 family dwelling D Multi-family [Z] Commercial o Accessory ,. JOB SITE INFORMATION AND L;OCATION Job Address: 320 6TH ST City/State/ZIP: SPRINGFIELD, OR 97477 Sulte/bldg.laptno.: Project Name: Andreasons Funeral Home Cross Street/directions to job site: Main Street (R) onlo 6th , Tax map/parcel no.: 1703352415100 1- ", ' ,"\:,., 'DESCRIPTIONOFWORK - - '..' .' Ductless I .. SITE CONTAcT - .. - ' , Name: Jeff Andreason Phone: Fax: Email: , . ',";:'-'; CQNTRACtoR ,. .',', . " Elee lie. no.: 20-537C eea lie. no.: 162191 Business Name: GMD ELECTRIC lNC Contact: Address: PO BOX 72206 City/State/ZIP: EUGENE, OR 974010291 '. Phone: 5417417369 Fax: 5419881800 Emall: gmdelectric@comcast.net Metro lie. no.: City lie. no.: Supervising Electrician's lie. no.: 4874S Supervising Electrician's Name: MICHAEL K GO~NS 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 pennit will bo e-mailed or faxed wllhln one business day, with instructions on how 10 schedule your inspection.. . _j-' NOTE; Thh~ Aulhorizlltton To Begin Work expires within 180 days If a permit is not obtained. The local building departmenl may detennlno that an Authorization To Begin Work is nutl and void if II does nol meol applicable land use laws and local ordinances. c., I () - LjCl If- Commercial Electrical Authorization To Begin Work 69600-BEL-10-00179 Approval Code: 081274 4/21/2010 1:13 pm E-mailedTo:gmd@gmdelectric.com " ' " ' " ,-"PLAN'REVIEW , Please check all that apply: o Hazardous locations o A service or feeder beginning o A service or feeder rated at at 400 Amps where the 600 amps or more available fault current exceeds D Buildings more than three star 10,000 Amps at 150 Volts or less to ground exceeds D Marinas and boat yards 14,000 Amps for all other o Floating buildings D Fire pumps D Commercial-use agricultural buildings D Emergency systems o Installation of a 150 tWA 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 ' , D Recreational Vehicle Parks one structure o Health care facilities o Supply voltage for more than 600 supply volts nominal :"" FEE SCHEDULE - , " '" Description Qty. I Ea. I Total Branch circuits ~ ' '>.. -, " -, Branch circuits without service or 1 $55.00 $55,00 feeder Branch circuits each additional 1 $6.00 $6,00 circuit without service Electrical Permit Fees " . , Subtotal $61,00 State surcharge (12% of permit $7,32 total) Technology fee (5% of permit total) $305 TOTAL PERMIT FEE $71.37 jJP ,,_.~ .\0 ~~\.0 tJ'-~ L1r.1 'L.lO tJ.S\=>~ U--i I, @UJ/tJ 7~d I-/() o0?4r /} /?1..- Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit ,..,.. -'f- . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line "j: CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00494 ISSUED: 04/21/2010 APPLIED: 04/21/2010 EXPIRES: 10/21/2010 VALUE: Status Issued SITE ADDRESS: 320 6TH ST ASSESSOR'S PARCEL NO.: 1703352415100 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Ductless Owner: ANDROSE LLC Address: 320 6TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION ~ Contractor Type Electrical Contractor License GMD ELECTRIC INC 162191 BUILDING INFORMATION ~ Expiration Date 11/19/2010 Phone 541-726-8601 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure i;;pe 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: Occnpant Load: n/a I DEVELOPMENT INFORMATION ~ Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: ,. .,... REQUIRED PARKING Total: Handicapped: ATTENTION: Oregon lavcfllli'b\ilCl~ you,t,o follow rules adopted by the Oregon Utility Notifi~ation Center, Those ru~e~:~e ;;~_~~ 0, You may obtain copies of t e ru es callin t~e center, (Note: the telepho~e numb~i\'8/V1'l1~ ~I!!ltln Utility Notification ..t"'onJPJjs 1..f1nQ-332-2344). uowu~puutS'/Dralns: 1PROVEMEN THIS PERMIT SHALL EXPIRE IF Street Im~mv~!3'~rt'eD UNDER THIS PERMIT IS NOT Storm Sewer',~.~!HI~:9[<tl OR IS ABANDONED FOR Special Instruction:nAY PERIOD. Notes: .....l . ',f I V alu:~:t;on D~scriPtion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project 1::~es:P~id~ . . . .~ " 1, t.. . .J":..fl..,\ ,~r.,: Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid' $7.32 $3.05 $55.00 $6.00 Total Amount Paid $71.37 Plan Reviews ~ Date Paid 4121/10 4/21/10 4/21/10 4/21/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00494 ISSUED: 04/21/2010 APPLIED:. 04/21/2010 EXPIRES: 10/21/2010 VALUE: Receipt Number 3201000000000000160 3201000000000000160 3201000000000000160 3201000000000000160 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. Reouked..I.~s.Dections ~ ...-._' ..~ ~ .~ ,~'''if, 'tr:, :f\r" Rough Electric: Prior to Cover ,::;!f~" ". 'r:~"iI p,li'''' Final Electric: When all electrical work is cOl!'plete. By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield 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 Divisioll, Building Safety, I further certify that only call tractors 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 arc 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 pia liS will remain on the site at all times during construction. j 1:\. Owner or Contractors Signature _.....LA "A.... . ,:::r-; . c ( .f}l .},.", . ..-., :"0' ~.. ;';' I,; ,. '" Paee 2 of 2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . , ~ii City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000160 Date: 04/21/2010 I :33:33PM Job/Journal Number COM20 I 0-00494 COM20 I 0-00494 COM20 I 0-00494 COM20 I 0-00494' Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee I'aymcnts: Type of Payment ONLINE CHGS raid By ONLINE PERMIT CHGS Item Total: Check Number . Authorization Received By Batch Number Number How Received Amount Due 55.00 6.00 7.32 3.05 $71.37 Amount Paid NJM ONLINE GMD Online ELECTRIC Payment Total: $7 I .37 $71.37 . :Otjl '''.h ~I~ .,l\, ,tHi! l,"{j. cRccciotl Page 1 of 1 4/21/20 I 0