HomeMy WebLinkAboutPermit Electrical 2009-2-27
City of Springfield
'b~
/1-
CCA
Electrical Anlhorizalion To Begin Work
E-mailedTo:gmdelectric@comcast.net
Receipt # EC54749S.
2/27/20092:49:35 PM
Check on status of pe'rmit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
ID New construction
[X] Addition/alteration/replacement
I [X] ], or 2 family dv....elling
o Mlllli-family
o Commercial I Industrial
IJOb no.: IJob address: 2550 3RD 51'
I City/Stllte/ZIP: SPRINGFIELD, OR 97477-140 I
I Suitr/bldg.lapl.no.:
I Project" Rllrnc:
Cross strct't/dirccliolls to job site: . Hayden Bridge onto 3rd
I Subdivision:
I Tax map/pared no.: 1703233401600
I Lot no.:
Electric Fllrnace and AC Swap
I Name: AI Youngren
I Phone: (541) 747c3288
IEmail:
11'""
I EI. lie. no.: 20-537C IceB lie. no.: 162191
I Business Namc: GMD ELECTRIC INC
IContact: Mike Gowins I Sue Gowins
IAddress: 957 NORTHR1DGE AVE
I City/State/ZIP: SPRINGFIELD OR 974'71,
I Phone: (541 )7417369 I FllX: (541 )9881800
I ~:mail: gmdel~ctric@comcast.net
Il\Ietro lie. no.: I City lie. no.:
I Supelvising electrician's lie. 110.: 4874$
IS.llpen'isillg elecll'ician's,nlulIe:, 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.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may determine that an _oI~
. Authorization To Begin Work is null and void if it does not~ ~ .
meet applicable land usa laws and local ~rdinancas, 'r:i~' {)o/
, ~'ty",
J:
I Description
Qly.
11,000 sq. ft. or less [4]
l~: a~.~~~5~?"0,,"s~" f~~r portion
liLi~i,tcd,,~n~~y{;,,'~~:e
I ~ Limited energy, residential
(with above Sq. ft,)
I - Liiniled energy, mllltifamily
residential (with abovesll. ft.)
I-Limited energy, cominercial
(with above SQ. ft.) .
I - Stand-alone limited energy,
residential
I - Stand-alone limited energy,
multi-family
. Stand-alone limited energy,
commercial
~ir;yIC!t2:Bc~t!€~~f~Jp!f!ql€il?!l;,~li~iK!9];:~i'(~l9i(reiqcjft,b'n'f;?::
notolTered online (I( this jurisdiction
:,'1
I
I
I
1200 amps or less [2]
1 20] amp,s to 400 amps [2]
140 I amps to 599 amps [2]
I>TEMPORAliV.serviCeS:()R(fNderS':iiisilillaiiO"n;,alieration;.-;c',#' '.' 'i -.;j
~;\~l5/9:!i:.reJ~fFtlog~'<~~'f.:~:.:;;" '>;:,,~.FJ. }~.,~ ;~.~~_:,~';~~i~~:',.. ,.;,:
1200 amps or less 12l
120 I amps to 400 amps [2]
140] amps to 599 U1~pS [2]
Im!~ril~~'{i~u.jt:~ri~SY:~f~:f~)io~f.,OB'~~~ntJ?~i7',R~:~ancl,t'i('1.'-7'" -
I A. Fec for branch circuits with
service or feeder fee, each
branch cirCUli
IS, Fce fur branch circuits
'wilhout service or feeder fee,
first branch ClrClIlI f21
I each addl bi-arich,circuit
I
I
I
I
I Service reconnect only [2]
I I Each manufa~tured or modlllar
dwelling, service and/or feeder
I 121
I I"Pump or irriga!ion circle,[2]
I Signor oUlline lighting [2]
I Signal circuit(s) or Iimited-
energy panel, alteration, or
extensionJ2J ..
1;j""t<li'~"""~;ElEcfRicAI!'Pf(RMiTFEEsiJ"l,,",h;c .
0'$%1 ,..}'i'''_'''~'' . ".. ;.-0,.,3'.. _'.","" '.'".-....,. '..'.".....'.,"'_.....,..^".._"- -,f. ". . '! . "'", .jL,,' _
I SUbtotalj
I Minimum fee used instelld of Subtotal
I. State Surcharge (12% of-permit fee) I
1 City Of $prifi.gfield fees *
I TOTAL P"-:R~HT FEE I
* City Of Springfield fees: 5% Technology Fcc
IDefalllT !llImber oj.'inspecTions al/owedl
C!o0bW9 ~ (;;026 V
/V/h- OeJ-pl'/O'l
$55.00
$55001
I
$55,001
$58,00 I
$6,96 I
$2,90 I
$67,86 I
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Sta tus
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2550 3RD ST
ASSESSOR'S PARCEL NO.: 1703233401600
; I~{ 4/)
lA/r;\ u
11, ;('~21
1/ rr. {J
CITY OF SPRINGFIELD
"
Building/Combination Permit
"- .-
PERMI1: NO: COM2(j09~()0284
ISSUED: ,02/27/2009'
APPLIED: 02127/2009
EXPIRES: 08127/2009
V ALUF;:
'<
Springfield TYPE OF WORK: Heati~g System
PROJECT DESCRIPTION: Replace heat pump & air handler
Owner: YOUNGREN ALFRED R
Address: 2550 N 3RD ST '
SPRINGFIELD OR 97477
'Contractor .Type
Electrical
Mechanical
TYPE OF USE: New '
Residential
Phone Number: 541-747~3288
I CONTRACTOR INFORMA TJON ,
Contractor
GMD ELECTRIC INC,
COMFORT FLOW
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Sccondary Construction Type: '
# of Bedrooms:
License
162191
460
Expiration Date
1111912010
06127/2009 '
Phone
541-726-860 I
541,726-0100
BUILDING INFORMATION'
Overlay Dist:
Ii Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
n/a
Lot Size:
Sq Ft 1st FloOl::
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Stories:
Height of Structure
Type of Hellt:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
I DEVELOPMENT INFORMATION ,I
Front yard Setback:
Side I Sethack:
Side 2 Sethack:
Rearyard Sethack:
Solar Setbacks:
Street Improvements:
REQUIRED PARKING
Total:
Handicapped:
,Compact:
I PUBLIC IMPROVEMENTS I _ ~'to
, r'"'....."lre~ \/...,U
r'\ r'\ -r''''\ laVJ t:~~U . "\ t
ATTHITICSidewalli Ty~e: 'c 010g8n Uell,y ,
, ;u\e~ adoptee ~ i 1.( I l,~- afP set forth
talloW , Do"nspoutslDhiins:", R~ aC2 001-
N tltic8tlOn vc"" n 0+\ '"," -
inoOAR 952-001-00;~r;r~~~I~S 01 \\;e rules by
0090, You may ob.e ~lote: tna te\ep!l?~e
calling the center. (on Utility l~ollhcat.on
number for tM o~e~00_332-2344),
Center IS ,-0 ,
Storm Sewer Availahle:
Special Instruction: ' ,
, 'NOTICE:
Notes: ' THIS PERMI "
I T SHALL '
AUTHORIZED U EXPIRE IF THE Wo
C?I'I1MENCEO O~O~R T~IS PERMIT IS N~K
AI,y 180 iJA)' eER;OOABfiNDONED FOR. T
Paee I of 3
Status
Issued
225 Fifth Street; Springfield, OR
541-726-3753 Phone.
541-726-3676 Fax
5,41-726-3769 Inspection Line
.1',
1 V ~Iu~.tion Oescriptiont
Description
Tv De of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
F",,~ ~.1W
Fee Description
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
1st Appliance
Add, Alter, Extend Circ
Ail' Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Electrical
Amount Paid
$6.96
$13.56 ,
$2.90
$5.65
$79.00
$55.00
$17.00
$17.00
$3.00
Total Amount Paid
$200.07
I Plan Reviews I
Date Paid
2127/09
2127/09
212 7/09
2/27/09
2/27/09
2/27/09
2/27/09
2/27109
2127109
CITY OF SPRINGFIELD
. Building/Combination Permit
PERMIT NO: COM2009-00284
ISSUED: 02127/2009
APPLIED: 0212712009
EXPIRES: 08/2712009
VALUE:
Value ,I
Date Calculated
Receipt Number
3200900000000000134
1200900000000000141
3200900000000000134
1200900000000000141
1200900000000000141
3200900000000000134
1200900000000000141
1200900000000000141
3200900000000000134
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 7:0() a.m. will be made the following
work day. "
IR"{II,~
Rough Mechanical: Prior to Cover
Final Mechanical: Wbcn all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Paee 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax,
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00284
ISSUED: 02/27/2009
APPLIED: 02/27/2009
EXPIRES: 08/27/2009
VALUE: '
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 1 further"certify that any and all work performed shall be done in accordance with
the Ordinances of the City ofSpringlield aild the Laws of the State of Oregon pertaining to the wo~k 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 nsed 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 construct~on.
Owner or Contracto'rs Signature
Paee 3 Of 3
Date
~
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00284
COM2009-00284
COM2009-00284
COM2009-00284 '
Payments:
Type of,Payment
ONLINE CHGS
cReceinll
RECEIPT #:
3200900000000000134
Description
Add,. Alter, Extend Circ
Minimum! Adjustment Electrical
+ 5% Technology Fec
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Check Number
Received By . Batch Number
NJM
ONLINE
Page I of I
City of Springfield Official Receipt
Development Serviccs Dcpartmcnt
Public Works Department
Date: 02/27/2009
Item Total:
Authorization
Number How R,eceived
GMD Online
Payment Total:
3:08:3IPM
Amount Due
55,00
3,00
2,90
6,96
$67.86
Amount Paid
$67,86
$67.86
2/27!2009