HomeMy WebLinkAboutPermit Electrical 2007-7-23 (2)
.
.
LI! Y OF ~rtUrRJr IELD '
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fa.
541-726-3769 Inspection Line
SCANNED
Building/Combination Permit
PERMIT NO: COM2007-0I084
ISSUED: 07/23/2007
APPLIED: 07/23/2007
EXPIRES: 01/23/2008
VALUE:
Status
Issued
SITE ADDRESS: 2435 DORNOCH ST
ASSESSOR'S PARCEL NO,: 1703272207602
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: 200 amp service upgrade,
Owner: DAVIS JOSHUA L
Address: 2435 DORNOCH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
GMD ELECTRIC INC
License
162191
Expiration Date
11/19/2008
Phone
541-726-860 I
BUILDING INFORMATION 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:
Euergy 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
Front yard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm Sewer Available:
Special Instruction:
DownspoutslDrains:
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
NOTIl,;t: llUlnI. JUU Ilia, "''''foGIlI "...,t"llgg ""I lUG 'UI'IIilI1iI u,
THIS PERMIT SHAll EXPIRE IF ~ion Descriotion I oaJIlng the center. (Note: the telephone
Y' I" '-Ul number for the Oregon Utility Notification
AUTHORIZED UNDER THIS PERMI I~" ~ II HKlO "2-2344)
, , """"'NED tp!fr Sq Ft Square Footage -- .
DescnntimnMEN'-"OOq&9\DJIl_ It' I' B'd A t Value Date Calculated
"C;UW'I ~ r mu Ip ler or I moun
ANY 180 DAY PERIOD.
Notes:
Paee I of 2
.
.
CITY OF ~rK11~t,r11!.LD-
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-0I084
ISSUED: 07/23/2007
APPLIED: 07/23/2007
EXPIRES: 01/23/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fa.
541-726-3769 Inspection Line
Total Value of Project
L.F~~s PiWU
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Perm ServlFdr 200 amps or less
Amount Paid.
Date Paid
Receipt Number
$7.00
$3.50
$5.60
$70.00 .
7/23/07
7/23/07
7/23/07
7/23/07
2200700000000001180
2200700000000001180
2200700000000001180
2200700000000001180
Total Amount Paid
,
$86.10
I Plan Reviews I
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 R\flmi"i!Jmr~dions I
Rough Electric: Prior to Cover
Final Electric: When all electrical work 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 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 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
Date
Paee 2 of2
City of Springfield
. .
Electrical Authorization To Begin Work
E-mailedTo:gowins5271@comcast.net
.
~
Receipt # EC514381
7/23/20079:55:26 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
TYPE OF WORK
I 0 New construction
[i] Additionlalterntiorv'replacement
CATEGORY OF CONSTRUCTION'
I (K] 1 or 2 family dwelling 0 Multi-family 0 Commercial J Industrial
JOe SITE INFORMATION AND LOCATION
IJob no.: I Job address: 2435 DORNOCH ST
ICily/StOlelZIP: SPRINGFIELD, OR 97477-1929
I Suitelbldg./apt.no.:
I Projed name:
Cross street/directions (0 job site: Hayden Bridge become Hayden Bridge Way
)ecomes I-Iarlow Rd (L) Domoch
Subdivision:
ITal map/parcel no.:
ILoI no.:
1703272207602
DESCRIPTION OF WORK
200 amp service upgrade
SITE CONTACT
I Name: Josh Davis
I Phone: (541) 543-5238
lEmon:
I
IF..:
CONTRACTOR
lEI, lie, no.: 20-S37C ICCBlic, no.: 162191
I Business Name: GMD ELECTRIC INC
I Contact: Mike Gowins I Sue Gowins
IAdd.....: 957 NORTH RIDGE AVE
I CiI)'/StatelZIP: SPRINGFIELD OR 97477
Iphoo" (541)7268601 IF..: (541)9881800
I [mail: gowins5271@coD1cast.net
[Metro lie. no.: I City lie. no.:
I Supervising electrician's Iic. no.: 4874S
1 Supen'lslng electrician's name: MICHAEL K GOWINS
Upon review and approval by your local Jurisdiction, your
permit will be e-malled or faxad within one business day,
with Instructions on how to schedule your Inspection.
NOTE: This Authorization To Begin Work expires within 180
days If a pennlt Is not obtained.
Tho local building department may determine that an
Authorization To Begin Work Is null and void if It does not
moet applicable land use laws and local ordinances.
I FEE SCHEDULE
D~:riPlion I Qty, J Eo, I Totol
I Res:identlal SINGLE- OR multi-ramily dwelling unit. Includes
attacbed garage
11,000 sq. ft. or less
1 Ea. addl 500 sq. ft. or portion
I-Limited energy. residential
(with above sa. ft.)
I-Limited energy, multifamily
residential (with above sa. ft.)
I Sen'icC'S OR reeders installation, alteration, AND/OR relocallon I
1200 amps or less I $70.00 $70.001
I 20 I ampSlo 400 omps I
1401 amps to 599 amps I
I TEMPORARY sen:ires OR feeders installation, alteration, I
AND/OR relocation
1200 amps or less I
j 20 I amps to 4()() amps I
140 I ompsto 599 omps I
I Brancb circuits - NEW, alteration, OR extension. per panel 1
I A. Fee for branch circuits with
above service or feeder fee.
each branch circuit.
lB. Fee for branch circuits
without service or feeder fee,
first branch circuit:
I each addl branch circuit
I Miscellaneous
I Service reconnect only
I Each manufactured or modular
dwellinR. service andlor feeder
I Pump or irrigation circle
I Sign or outline lighting
I Signal circuit(s) or limited-
energy panel, alteration, or
extension.
I
1
1
I
ELECTRICAL PERMIT FEES I
Subtotal $70.00 I
Stale Surcharf:.e (8% ofoermit fee) $5.60 I
Ci~ OrSerin~field fees. $10.50 I
TOTALPERMrrn:E S86.IO I
10% Local Admin Fee; 5% Local Technology Fee
1
I
i
i
i
. City Of Springfield
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 fift~ Street
Springfield, Oregon 97477
541-726-3759 Phone
.
~.
Ilk
Av of Springfield Official Receipt
~~elopment Services Department
Public Works Department
RECEIPT #:
2200700000000001180
Date: 07/23/2007
10:21:00AM
Job/Journal Number
COM2007-01084
COM2007-0 I 084
COM2007-0 I 084
COM2007-01084
Description
Perm ServlFdr 200 amps or less
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
70.00
3.50
5.60
7.00
$86,10
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
ddk
ONLINE
GMD Online
Payment Total:
. $86,10
$86,10
cReceintl
Page I of I
712312007