HomeMy WebLinkAboutPermit Electrical 2007-8-6
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CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2007-01147
ISSUED: 08/06/2007
APPLIED: 08/03/2007
EXPIRES: 02/06/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 364 69TH PL
ASSESSOR'S PARCEL NO.: 1702353200800
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: Repair
PROJECT DESCRIPTION: Electrical Furnace Swap Out with additional circuit alterations.
Residential
Owner: AHERN WILLIAM P & LINDA K
Address: 364 N 69TH PL
SPRINGFIELD OR 97478
Phone Number: 541-747-4729
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:
Street Improvements:
Storm Sewer Available:
I PUBLIC IMPROVEMENTS I
___. ._, ~idewalk Type:
I .t-.J. 0regon law.requires you'to
P,~"'mP-R~s~rfHgse>regon Utility
, . .,~., v~nter. Those rules are set forth
. (:r 'j j -001 0 through OAR 952-DOt.
.1..' .~ ~ j obtain copies of the rules bj
. "'. .;nter. (Note: the t~l~nA
, . :; Oregon Utility NotifiCatiQIJ
1,;... . ii.; ;s 1-800-332-2344),.
Specii\ltJYr~t:n :
Notes:THIS PERMIT SHALL EXPIRE IF THE WORK
/\UTHORIZED UNDER THIS PfllMlT IS NOT
COMMENCED OR IS ABANDONED r:rJK "l
ANY 180 DAY PERIOD. . Valuation Description
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2007-01147
ISSUED: 08/06/2007
APPLIED: 08/03/2007
EXPIRES: 02/06/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$6.00
$3.00
$4.80
$48.00
$12.00
8/6/07
8/6/07
8/6/07
8/6/07
8/6/07
3200700000000000531
3200700000000000531
3200700000000000531
3200700000000000531
3200700000000000531
Total Amount Paid
$73.80
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 Insnections 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
Pa2e 2 of 2
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:gowins5271@comcast.net
Receipt # EC514983
8/3/20073:14:10 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.spr~ngfield.or.us
D New construction
TYPE OF WORK
[K] Addition/alteration/replacement
II
FEE SCHEDULE
[i] ] or 2 family dwelling
D Multi-family
D Commercial/Industrial
I Description Qty. Ea. Total
Residential SINGLE- OR multi-family dwelling unit. Includes
attached garage
I 1,000 sq. ft. or less
I Ea. addl 500 sq. ft. or portion
I-Limited energy, residential
(with above sq. ft.)
I-Limited energy, multifamily
residential (with above Sq. ft.)
Services OR feeders installation, alteration, AND/OR relocation
200 amps or less
120 I amps to 400 amps
401 amps to 599 amps
TEMPORARY services OR feeders installation, alteration,
AND/OR relocation
200 amps or less
CATEGORY OF CONSTRUCTION
JOB SITE INFORMATION AND LOCATION
I Job no.: I Job address: 364. 69TH PL
I City/State/ZIP: SPRINGFIELD, OR 97478-7250
I Suite/bIdg.lapt.no.:
I Project name:
Cross street/directions to job site: Main Street (L) onto 69th (R) onto B (L) onto 69th
I Subdivision: I Lot no.:
I Tax map/parcel no.: 1702353200800
I DESCRIPTION OF WORK
Electric Furnace Swap and Adding HP
/~-
201 amps to 400 amps
1401 amps to 599 amps
I Branch circuits - NEW, alteration, OR extension, per 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;
I each addl branch circuit
I Miscellaneous.
I Service reconnect only
I Each manufactured or modular
dwell ing, service and/or feeder
I Pump or irrigation circle
I Sign or outline lighting
Signal circuit(s) or limited-
I energy. panel, alteration, or
extensIOn:
II
II
I :
I
· City Of Springfield
. $48.00
$48.00
SITE CONTACT
I Name: Bill Ahem
I Phone: (541)747-4729
I Email:
I
3
$4.00
$12.00
I Fax:
I E1.lic. no.: 20-537C
I Business Name: GMD ELECTRIC INC
I Contact: Mike Gowins / Sue Gowins
IAddress: 957 NORTH RIDGE AVE
I City/State/ZIP: SPRINGFIELD OR 97477
I Phone: (541)7268601
I Email: gowins527I@comcast.net
I Metro li~. no.:
I Supervising electrician's lie. no.: 48q~S
I Supervising electrician's name: MICHAEL K GOWINS
CONTRACTOR
ICCBlic.no.: ]62191
I Fax: (541)9881800
I
Subtotal $60.00 I
State Surcharge (8% of permit fee) $4.80 I
City Of Springfield fees · $9.00 I
TOTAL PERMIT FEE $73.80 I
10% Local Admin Fee; 5% Local Technology Fee
ELECTRICAL PERMIT FEES
I City lie. no.:
".
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.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
COM: ~t)() f - 0 II Y'I
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This Authorization To Begin Work must be posted at the job site u ,til repl ed by a Permit.
DATE PROCESSED~
. J"
PROCESSED BY:
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.
'-.
--.-..-"
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01147
COM2007-01147
COM2007-01147
COM2007-01147
COM2007-01147
Payments:
Type of Payment
ONLINE CHGS
cReceint I
RECEIPT #:
3200700000000000531
Date: 08/06/2007
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm
ONLINE
GMD Online
ELECT,
Payment Total:
Page I of I
7:43:49AM
Amount Due
48.00
12,00
3,00
4,80
6,00
$73.80
Amount Paid
$73,80
$73.80
8/6/2007