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Home My WebLink AboutPermit Electrical 2006-11-2 , , eIT'\" OF SPRI~",,' , "P~ ZON (1)0/) INITIALS I 'Ai LA!II ~ DATE ~I ~Ofp -"IIIIJI' SOURCE ~ Date \ U o?-I2.-O-V<,., ,. \' VI'" r LIEL!). OREGON ns FlFfH SfREET . SPRINGFIELD. OR 'n4'77 . PH:(S41)721i-3753 . FAX: (S4t)'n6-J689 ELECTRICAL PERMIT 4el(rEATION City Job Number tlQ I \'h \':) Supervisor License Number <..ff? 7'f~...5 j CJ /7 InstDUation, Alteration or Relocation / _ 200 Amps or less Constr.Contr.Number ~O"'.5~ 7G 201 Amps to 400 Amps OC ~ IW,I "il Ih . 401 Amps to 600 Amps Expiration Date J f'/)ikb Over 600 Amps or 1000 Volts see ''8'' above. Signature of Supervising Electrician D. [ Bran~b (;i;cuits .. " I _ ..Ll.J ./ /'\ New Alteration or Extension Per Ponel I ^ 0-.. cO f/ ~..! J _ One Circuit $ 43,00 ~). / "-I Each Additional Circuit or with :!J cf) ::N~~ to*rf~t L :-:~:=...."."..."::~,;..,;:;. . City ~C\d- Phone \''\1. ilQ 1-1-Pump or irrigation $ 50.00 \ Sign/Outline Lighting $ 50.00 OWNER IN ALLATION Limited EnergylResidential $ 25.00 The installation is being made on ,'"'."." I own which Limited Energy/Commercial $ 45.00 is not intended for sale, lease or rent Mln~um E~ectric Permit Inspection Fee is $45.0~ + Surcharges n( ) tMU.wf~~HAll EXPIRE IFTHE WORK 4.[SUBTOTALOFABOVE . ,,: 4-\ a ~ 1HISPE Mil ---III" I'[PUiT Ie; N01 8%StateS""l~eJl~uic:"OllIClwrequiresvoutOl . AU1HORIZEU UNucn' w, .. 100AdriiiJ;~"'.:i;v'iF..; " 'oil. ~ COMMENCED OR IS ABANDONED FOR 0 .,.,,,,,,,, ru,l% allopted by the Oregot!.!.!4 .: 5l{, Tediilology Yee Th I ar~ ^^' ,.'. Notificalion Center. ose ru es ~-- ~~g~'t~fWt.~'9 TOT~AR 952-001-0010 through OAR 952-0\11).50 , \ \.o~ \C\itP~ 00~~~::':;.7r:;~:;~~='~~ (\ ~&.n ", \ \ \ \ ~ \: (\ Q a \, I (j N' number for the Oregon Utility Notilication '-:.~, V\,I::> ~ \ b\)J Center is 1-800-332-2344). I. ~~\IONhfnr~~[ LEGAL DES~~ON: It).. ~f"")-D ~1.v ADr(A~PS l~)400 It. Permits are non-transfera Ie d expg,olf work is not stDrted within 180 day issuance ,~r If work is Suspended for 180 days. - . -. 2. ;. CONTRACI'OR INSTALLATION ONLY Electrical contractor' Q.f'V\ D z.l e4-i-, c:... Address 9~7 'f)ot+\,..;ldq~, ~ City ~d Phone/,."~,.Ctr&'ho/ Expiration Date 3. ' COMPLETE FEE SCHEDULE BELOW , A. I New Reside.ntial- Sin~le or Multi:FalDily per. d~ellin!\ unit. Service Included 1000 sq. ft.. or less Each additional 500 sq. ft.. or portion thereof Each Manufilct'd Home or Modular Dwelling Service or Feeder $106.00 $19.00 $50.00 - -., B. : Services or Feeders -Installation, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 40 1 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIV olts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 c. I Temporary Sen'ices or Feeders 1. ____._ On' __ _ _ $ 50.00 $ 69.00 $100.00 . .ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01375 ISSUED: 11102/2006 APPLIED: 10/25/2006 EXPIRES: 05/02/2007 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3041 GROUSE ST ASSESSOR'S PARCEL NO,: 1703221317400 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Heat pump and air handler Owner: DOUG MORTENSON Address: 3041 GROUSE ST SPRINGFIELD OR 97477 Phone Number: 541-747-2672 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor GMD ELECTRIC INC COMFORT FLOW License 162191 460 Expiration Date 11119/2008 06/27/2007 Phone 541-726-860 I 541-726-0100 I BUILDING INFORMATION I VB # of Slories: Height of Struclure 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: Occnpant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 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: Storm Sewer Available: Special Instruction: NOTICE: THIS PERMIT SHALL E)(PIRE IF THE WORK AUTHORIZEO UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Sidewalk Type: Dowrisp()utslDrains:.8~'" ,uo, ,.:qUlfeS you 10 follow rules adopted by the Oregon Utilit' Notification Center. Those rules are set 10 It in OAR 952-001-0010 through OAR 952-0C 1 0090. You may obtain copies 01 the rules l) calling the center. (Note: the telephone number for the Oregon Utility Notificatior Center is 1-800-332-2344). Notes: Paee 1 of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Air Handling Unit Up to 10,000 Heat Pump Minimum/Adjustmeut Mechanical + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid .' a:ITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01375 ISSUED: 11102/2006 APPLIED: 10/2512006 EXPIRES: 05/02/2007 VALUE: I Valuation Descrintion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fpp<. PiIilLI Amount Paid Date Paid Receipt Number $10,00 $4,50 $2.25 $3.60 $8.00 $12.00 $25.00 $4.60 $2.30 $3.68 $43.00 $3,00 10/25/06 10/25/06 10/25/06 10/25/06 10/25/06 10/25/06 10/25/06 11/2106 1112106 11/2/06 1112/06 1112106 1200600000000001566 1200600000000001566 1200600000000001566 1200600000000001566 1200600000000001566 1200600000000001566 1200600000000001566 2200600000000001536 2200600000000001536 2200600000000001536 2200600000000001536 2200600000000001536 $121.93 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. ~1r-t~I'I'111.1 Rough Mechanical: Prior to Cover Final Mechanical: When an mechanical work is complete, Rongh Electric: Prior to Cover Final Electric: When an electrical work is complete. Pace 2 of3 Status Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .~ .ITY OF ~rKll~ld'lJ!.LU' Building/Combination Permit PERMIT NO: COM2006-01375 ISSUED: 11/02/2006 APPLIED: 10/25/2006 EXPIRES: 05/02/2007 VALUE: By signature, 1 state and agree, tbat 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 further certify tbat any and all work performed shall be done in accordance with the Ordinances of tbe City of Springfield and the Laws of the State of Oregon pertaining to the work described berein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. 1 further certify tbat only contractors and employees who are in compliance witb ORS 701.005 will be used on tbis project. 1 further agree to ensure that all required i.,spections 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 tbe approved set of plans will remaiu on the site at all times during construction. Owner or Contractors Signature Paee 3 of3 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . ;.;q~~ WIL.". . c.. f Springfield Official Receipt D opment Services Department Public Works Department Job/Journal Number COM2006-01375 COM2006-01375 COM2006-01375 COM2006-01375 COM2006-01375 Payments: Type of Payment Cred itCard cReceintl RECEIPT #: Date: 11/02/2006 2200600000000001536 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10.% Administrative Fee Paid By GMD ELECTRlCQ Item Total: l.:heck Number Authorization Re.ceived By Batch Number Number How Received Ilh 248909 Phone Payment Total: Page I of I 12:29:37PM Amount Due 43.00 3.00 2.30 3.68 . 4.60 $56,58 Amount Paid $56.58 $56,58 11/2/2006