HomeMy WebLinkAboutPermit Electrical 2008-4-11
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:gmdelectric@comcast.net
1702332401100
"'" t"I:WII::\~IDE~CRlPTldN\dFLVYS!~~' . ,
heat pump and aIr handler
r,,,
Receipt # EC528548
4/1 0/2008 ~3 PM
~- 't\.{)~
~~
"If;, . ! ,'FEE:SCHEOULEf
I DescriptIOn I Qty I Ea I Total
. Residential SINGLE~''bRlmulti-famliy'dwelling umt'lncludes
I laii'ached g~faig~IG0I'1i'l vr~ "'j jj!~t{'i;;'" ~ r, ,'~ ,;Ijtl/+'~:, ~ '''~f? ~ fw> ~
71,1"'1(1 , '''111''<<,11111, ~ 1'1' ,,,1, >> ' I " k') , ~~, ":. '( ,
11,000 sq ft or less
1 Ea add I 500 sq ft or portIOn
Luiilte~. ~n~rgy
- LImIted energy, resIdentIal
(wIth above sq ft)
I-LImIted energy, mull1famIly
resIdentIal (wIth above sq ft)
I-LImIted energy, commerCIal
(wIth above sq ft)
I - Stand-alone lImIted energy,
resIdentIal
I - Stand-alo. ne lImIted energy,
multI-famIly
I - Stand-alone lImIted energy,
commerCIal
I S~rvi~es'OR feeders Insfallation, altenltion';':\ND/OR relocatIOn
, tI!()>>,b ~ 0' , (I , , I
. 'I 1200 amps or less
1201 amps to 400 amps
140] amps to 599 amps
TEMPORARY.serv,' iceslOR feedent'mstiillatJon, alteration, "
~"'f'(( ,<<'H'", j I( 11[1 'r II II k ~ , 1111); "I"
,~~{9R relocatJon<;'\,'^ifv'/I<1V11 ", 11,?(,l \11 I~I "
200 amps or less
1201 amps to 400 amps
401 amps to 599 amps
.1
I
Check on status of permIt
By Phone: (541)726-3753 or Email: permltcenter@cl.springfield.or.us
I
,1;.< I
", I' 4: t'"" , '~, ~ ,,' l'ii'l I y -m ',"
, TYPE.9f\,'!VORKCl.l'!l", '*
I1U AdditIOn/alteratIon/replacement
o New construction
\)\)~)'CATEGbRYtOF CONSTR1:lCTION
, " ~ '>4'0'>"'" ~ <"I ,Mol ~ . , I '10'"y
[i] 1 or 2 famIly dwell 109 0 MultI-famIly 0 CommerCIal /Industnal
I,
'~dB SITE INFORMATION ANO"'LdcATION: '\'::::,:, "
"" , i' ",,"~ ,I III' i' "/ ,-i
I Job no I Job address 5110 E ST
I City/State/ZIP. SPRINGFIELD, OR 97478-6157
I SUlte/bldg /apt.no..
I Project name
Cross street/directIons to Job sIte. Travel east to Spnngfield, turn nght onto MaIO St m
Sprmgfield, turn nght onto 51st St, turn nght onto E Street
1 SubdIVISIon,
I Tax map/parcel no.
I Lot no
,f I ~ ~
,)'<i
SITE CONTACT
" 1< ''',<
->> ;.11(/
" .
I Name: Don & Kathy Houghton
1 Phone.
1 Ematl.
I';
IFax
-" l' \ 1:1:1:,:\:: CONTRACTOR
J j Ii>\< 1'1'" ~ 1,-\\\\\
I CCB hc no
162191
Branch circqlts' -'NE\v;'ldteratJon,.'OR"extension,p~r panel,
t I" I, (I I , , (
A Fee for branch cIrcuIts WIth
service or feeder fee, each
branch circuit
B Fee for branch CIrCUIts
WIthout servIce or feeder fee,
first branch CirCUIt,
I each add I branch CirCUIt
MiscellaneoUS' ,. ,_II
$48 00
$48 00
lEI hc no. 20-537C
I Busmess Name GMD ELECTRIC INC
I Contact' Mike Gowms I Sue Gowms
[Address 957 NORTHRIDGEAVE
1 CIty/State/ZIP SPRINGF]ELD OR 97477
1 Phone, (541 )741 7369
I Emall gmdelectnc@comcast net
I Metro IIc, no..
1 Supervlsmg electriCian's hc no 4874S
1 Supervlsmg electriCian's name' M]CHA.EL K GOWINS
$400
$400
Hl,hl',
1 Fax (541 )9881800
ServIce reconnect only
I Each manufactured or modular
dwellIng, servIce and/or feeder
I Pump or lITIgation CIrcle
I SIgn or outlIne IIghtmg
SIgnal clrcUlt(s) or IImIted-
energy panel, alteratIOn, or
extensIOn
I
I
I
I
I
· CIty Of Spnngfield
not offered onlIne at thIS JUrIsdictIon
I City hc no..
Upon review and approval by your local JUrisdiction, your
permit Will be e-malled or faxed Within one bUSiness day,
With instructions on how to schedule your inspectIOn
101,
ELE'CTRICAL"PERMIT FEES
, ~<I I ,," "
NOTE ThiS AuthOrization To Begin Work expires Within 180
days If a permit IS not obtained.
Subtotal $5200
State Surcharge (12% of permIt fee) $624
CIty Of Sprmgfield fees · $7 80
TOTAL PERMIT FEE $6604
10% Local Admm Fee 5% Local Technology Fee
The local bUilding department may determine that an
Authorization To Begin Work IS null and VOid If It does not
meet apphcable land use laws and local ordmances.
~ tJn&" ;CfJED5 '
COMi/), <{ _' EDS
RCPT#~~nva9 --
ESSED4-/( -O~ "
DATEPROC .', ~:
ThiS AuthOrization To Begin Work must lie posted at the_~1te(ili6.f: . " "" . "a Permit
PROCESSED By~VUr~ ;
..... .--.,.' .
~ { .
\,r eJ-; r0- Di-Ad
r / \\ I ()C6\F/
L{ (b'''
I,.
CITY OF SPRINGFIELD
Building/Combi~ation Permit
PERMIT NO: COM2008-00505
ISSUED: 04/11/2008
APPLIED: 04/11/2008
EXPIRES: 10/11/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5110 E ST
ASSESSOR'S PARCEL NO.: 1702332401100
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Heat Pump & Air Handler
Owner: HOUGHTON DONALD P & K F
Address: 5110 EST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
GMD ELECTRIC INC
License
162191
Expiration Date
11/19/2008
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 tTTENT10N: OregodnblaWthr:6~~g~~~Utliity
How rules adopte Y h
T d~'f~TG'lPeThose rules are set fort
Notl I a. 1 ~o through OAR 952-001-
In OAFb%~AOoug araI8bnles of the rules by
0090. You may 0 m t"
callin the center. (Note: the tel~pho~e
numb2r for the Oregon Utility Notification
Center is 1-800-332-2344).
Street Improvements:
Notes:
Storm Sewer ^~ailable:
Special Instr.r~t~bt~CE:
THIS PERMIT SHALL EXPIRE IF THE WORK
fI,U1 HORIZED UNDER THIS PERMIT IS NOT
('mlifl~cr..I':'r:~ 09 J:, ^~~m.'Qr!E~ F0R
ANY 180 DAY PERIOD. I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!:e 1 of 2
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00505
ISSUED: 04/11/2008
APPLIED: 04/11/2008
EXPIRES: 10/11/2008
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
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$5.20
$6.24
$2.60
$48.00
$4.00
4/11/08
4/11/08
4/11/08
4/11/08
4/11/08
Receipt Number
2200800000000000443
2200800000000000443
2200800000000000443
2200800000000000443
2200800000000000443
Total Amount Paid
$66.04
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 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
Pae:e 2 of 2
225 'Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00505
COM2008-00505
COM2008-00505
COM2008-00505
COM2008-00505
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000443
Date: 04/11/2008
DescriptIOn
Add, Alter, Extend Clrc
Add, Alter, Extend CIrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstratIve Fee
PaId By
ONLINE PERMIT CHGS
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How ReceIved
ONLINE
gmd OnlIne
Payment Total:
nJm
Page 1 of 1
9:00:39AM
Amount Due
4800
400
260
624
520
$66.04
Amount Paid
$66 04
$66.04
4/11/2008