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HomeMy WebLinkAboutPermit Electrical 2007-8-6 '\\ {!" I /\J l'-\ t". 0' \ ~\lP-~ frf " 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 ~t2- en:> ( r 53 { RCPT#' . ot03/bl 7 f(\.,;j Utr I C 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