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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