HomeMy WebLinkAboutPermit Electrical 2007-7-23
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01084
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 Fax
541-726-3769 Inspection Line
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
11/1912008
Phone
541-726-8601
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:
Energy 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
Frontyard 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:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
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 ~A_R 95~-001-
NOTICt: ""W. lUU II":&J UUlCUll WtJlt:~ UI lllG IUI"O UJ
THIS PERMIT SHAll EXPIRE IF EWQlRKion Descri tion calling the center. (Note: the telephone
DescriAYTHORIZED UNDER THIS PERMI ~r s.q ~t number for the Oregon Utility Notification
run Square Footage ~8r 18 1-800-332-2344).
ttOWlMENCIeLl'()R q&J#liBPtNfi)@NEO or multiplier or Bid Amount Value Date Calculated
ANY 180 DAY PERIOD.
Notes:
Pal!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01084
ISSUED: 07/23/2007
APPLIED: 07/23/2007
EXPIRES: 01123/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspecti'on Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Perm Serv/Fdr 200 amps or less
Amount Paid. Date Paid Receipt Number
$7.00 7/23/07 2200700000000001180
$3.50 7/23/07 2200700000000001180
$5.60 7/23/07 2200700000000001180
$70.00 . 7/23/07 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.
Reouired Insoections 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 ofthe 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
Pal!e 2 of 2
Electrical Authorization To Begin Work
E-mailedTo:gowins5271@comcast.net
Receipt # EC514381
7/23/20079:55:26 AM
, City of Springfield
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New construction
IXJ Addition/alteration/replacement
II
$70001
I
1
I
I
I
$70.00 I
1
1
'.':JOB'SITE INFORMATlqNANDLocAtioN ..,
1 Job no.: 1 Job address: 2435 DORNOCH ST
I City/State/ZIP: SPRINGFIELD, OR 97477-1929
I Suite/bldg.lapt.no.:
I Project name:
I Cross street/directions to job site: Hayden Bridge become Hayden Bridge Way
becomes Harlow Rd (L) Domoch
1,000 sq_ ft, or less
I Ea add I 500 sq, ft. or portion
I-Limited energy, residential
(with above SQ_ ft)
I-Limited energy, multifamily
residential (with above sq ft) _
~ervicesOR feedel'!lin'stllllation, alteration;ANJ)/m~ relocation
[i] 1 or 2 family dwelling
o Multi-family
o Commercial/Industrial
200 amps or less
1201 amps to 400 amps
1401 amps to 599 amps
r
I
I
I Subdivision:
1 Tax map/parcel no.: 1703272207602
I
I Lot no.:
200 amp service upgrade
1200 amps or less
1 201 amps to 400 amps
1 401 amps to 599 amps I
1'~'r:a~~~'~'ri1~its'1 NE~;alteration'i p~dteiisj~n, p,,;panel
A. Fee for branch circuits with
above service or feeder fee,
each branch circuit
B. Fee for branch circuits
without service or feeder fee,
first branch circuit;
1 each addl branch circuit
1 Phone: (541)543-5238
I Email:
IFax:
I Service reconnect only
I Each manufactured or modular
dwelling, service and/or feeder
1 Pump or irrigation circle
Sign or outline lighting
Signal circuit(s) or Iimited-
energy panel, alteration, or
extension_
I EI. lie. no.: 20-537C I CCB lie. no.: 162191
I Business Name: GMD ELECTR[C lNC
1 Contact: Mike Gowins / Sue Gowins
IAddress: 957 NORTHRlDGE AVE
1 City/State/ZIP: SPRINGFIELD OR 97477
1 Phone: (541)7268601 I Fax: (541)988[800
I Email: gowins5271@comcast.net
I Metro lie. no.: I City lie. no.:
I Supervising electrician's lie. no.: 4874S
1 Supervising electrician's name: MICHAEL K GOWINS _
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
I "'\ ",:,<; :":;'L;::::,;:,-::;~<:,:,:"~:-::-,,,:>\,
--' ,'--
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· City Of Springfield
I
Subtotal $70.00 I
State Surcharge (8% of permit fee) $5,60 I
City Of Springfield fees. $10,50 I
TOTAL PERMIT FEE $86.10 I
10% Loca[ Admin Fee; 5% Local Technology Fee
ELECTRICAL RERMITFEES,
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200700000000001180
Date: 07/23/2007
10:21:00AM
Job/Journal Number
COM2007 -01084
COM2007-01084
COM2007-01084
COM2007-01084
Description
Perm Serv/Fdr 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 1 of 1
7/23/2007