HomeMy WebLinkAboutPermit Electrical 2009-2-27
J-\V~
Ot/
~
City of Springfield
Electrical Anthorization To Begin Work
[-'mailed To:gmdelectric@comcast.net
Receipt # EC5474RI
2/27/2009 12:20:37 PM
Check on status of perm~t
By Phone: (541)726-3753 01' Email: permitcenter@cLspringlield.or.us
10 New construcli~n
o Addition!alt.erationJreplacement
I [Xl 1 or 2 family dwelling
D Multi-family
D Commercial I InduSlrilll
IJob no.: IJOb address: 1255 7TH'ST
I City/St;lte/ZW: SPRINGFIELD, OR 97477-3110
I Suite/bldg./apt.no.;
I Project name
Cross streelldirections to job site:
7th. Street
Mohawk Blvd (R) onto Centennial Blvd (R) onto
I Subdivision:
I'T,llx mup/parcel no.: 1703264301140]
I tot no.:
Elect Furn Swap - AC Swap
I Name: Millon Anderson
I Phone: (541) 746-9825
jEmail:
I Fa"
I [I. lie. no.: 20-537C leeR lie. no.: ]62191
I BlIsincssNllmc: GMD ELECTRIC INC
IContact: Mike Gowins/Sue Gowins
IAddress: '957 NORTHRIDGE AVE
I City/Stllte/ZIP: SP]{~INGFlELD O~ 97477
I Phone: (541 )7417369 I Fax: (54] }9881800
I Email: gl.ndelectric@comcasl.net
I Metro lie. 110:: j City lie. no.:
I Supervising deetrirhm's lie. no.: 4874S
I Supervising electrician's name: 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
Authorization To Begin Work is null and VOi,d if it does not\~rf\..
meet appiicable land use laws and local ordinances, ~'J "
~ '<tt
~
1~~~~~:~'::~~~~~'~XEE,~~BE'~Ut'E~,,~~~~~\Pl~:~~'\:;~t'':I
I Description I Qty, I Ea. I Total I
1;:,RCSidC[liI~i'S"ING, 'l~t,"A',O,'I{,';',m'llit, i~faniil)- d", "',;eliing:ullji.~lnchidtts',~ ~ '\,~i~:;l,
;':t't~~Ii,~~I,"ga"4~e,~f~::f~f~~;,~~';":j'f.t[O.''':~~~,ti':'~~~;'./':>~ ~',~':rJf~ ~~,
jl,OOOsq:fl.orlesS[4] I
I Ea. addl 500 sq, n. or portion
I ,-Limited energy, residential
(wllhabove SQ, ]1.)
I-Limited energy, multifamily
residential (with above sa. ft:)
I - Lirilited energy, cOlllmercial not oiTered unlin\? at thisjurisdictioll
(wlIh above SQ, ft:)
I . Stand-alone limited energy,
residential
I - Stand-alone limited energy.
multi-famllv
i - Stllnd,,~alone limited energy,
commercial
Il~.mL~C~!Q~:fe:€~1fiJ~~'~11!!cl!!!~!j~t:~jJ,~'?~~~~!9~,;~~IQ~il!!2:n:'~~&:~~1
1200 amps or less [2)
120] amps to 400 amps [2]
140] amps to 599 amps [2]
1200 amps or less [2J
120 I amps to 400 amps [2]
140] amps to 599 amps [2]
[~!~~~:~lfu~ll~1i~~,~~'L~_I~r~,~it~,':q~;~x.t~~sJo'~i,p"e'~~e~'~t~~~~~~
A. Fee for branch circuits with
service or feeder fee, each
branch cin:uit
I H. Fee for bnmch circuits
without service or feeder fee,
first branch cirCllit [21
I each addl branch circuit
$55,00
$55001
I
Service reconnect only [2]
ElH:hmanuractured or modular
dwelling', service ang/or feeder
i21
I Pump o~ irrigation \:irc!e'l2j
I Sign or outline lighting [2J
I Signal circuit(s) or Iimited-
energy panel, allt'ratiun, or
extcnsionJ2l
1';lf;i~~:1i~}:~Z.;{:;" i';EtecTRfcAFpE'RMIT;'FEES \i'1:!tt-.fj}t~~;'~~:i'1
'~'\X'<"',,',,", ~'rl!,,_ "0",,,,",A,~'_"'.. ," '" '__"" """~"_"""'"'''' ''''.., ',,,",,' ''''m_' '. ,",'" ,.'.","'" 'i ",,' ~"'" b-",,, '00
I Subtotal I $55.00 I
I Minimum fee lised instead ufSubtota] I $58.00 I
I State Surcharge(12% of permit fee) I $6.96 I
I City or Springfield fees *1 $2.90 I
I TOTAL PER1\11T 1,'[[ $67.86 I
* City or Springfield fees: 5% Technology Fce
[Defaull number o[inspicfions allowed}
{;Om2dV j' ,- tJOcJJ; y/
d}J//Oc; JJ~
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
L-Dr.2---
? h"Jdi
~ l-p9l~
'~fV\
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00264
ISSUED: 02/25/2009
APPLIED: 02/25/2009
EXPIRES: 08/2712009
VALUE:
Status
Issued
225 Fifth StI'eet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1255 7TH ST
ASSESSOR'S PARCEL NO.: 1703264308401
Springlield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace heat pump & air handler
Owner: ANDERSON MILTON GTE
Address: 1255 N 7TH ST
SPRINGFIELD OR 97477
Phone Number: 541-746-9825
I CONTRACTOR INFOR~,~~I?N I
Contractor Type
Electrical
Mechanical
Contractor
GMD ELECTRIC INC
COMFORT FLOW
License
162191
460
Expiration Date
11/19/2010
06/27/2009
Phone
541-726-8601
541-726-0100
.. BUILDING INFORMATION I
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Constructio." Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: 1
Height of Structure
Type of Heat:
Watcr Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Notes:
; I PUBLIC IMPROVEMENTS I
ATTr-~ITION: Oregon law reqL,,:-~O J ~- -- .
Street Improvements:, d' d by \1'6 Oregon Utility
, follow ru es a op\e ' '
Storm Sewer~Ayailable: Center. Tllose rules are set forth
Special InstructiiJii:952-001-001 0 through OAR 952-001-
0090, You may obtain copies of the rules by
caHing the center. (Note: the telephone
number for the Oregon Utility Notlflcallon
Center Is 1-600-332-2344). '
Sidewalk Type:
Downspoutsmrains:
NOTICE:
THIS PERMITSH' ,
AUTHORIZED UN~LL EXPIRE IF THE WORK
COMMENCED ER THIS PERMIT IS
AN\'18G D"\fpO~R IS ABANDONED roRNOT
Ii ,tRIOD. r,
Paee 1 of 3
Status
Issued '
225 Fifth Strcct, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
1 Valuation Descr.i9tion 1
Descrintion
Tvpe of Construction
$ Per SqFt
or multiplier
Square Footage
or Bid Amount
Total Value of ProJect
~
Fee Description
+ 12% State Surcharge
+ 5'}'0 Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Minimnm/Adjustment Electrical
Amount Paid
Date Paid
$13.56
$5.65
$79.00
$17,00
517.00
$6.96
$2.90
$55.00
$3.00
2/25/09
2/25109
2/25/09
2/25/09
2/25/09
212 7/09
2/27/09
2/27/09
,2/27/09
Total Amount Paid
$200.07
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00264
ISSUED: 02/25/2009
APPLIED: 02/25/2009
EXPIRES: ,08/27/2009
VALUE:
Value
Date Calculated
Receipt Number
3200900000000000122
3200900000000000122
3200900000000000122
3200900000000000122
3200900000000000122
3200900000000000133
3200900000000000133
3200900000000000133
3200900000000000133
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.
Rpt\Mirprl In"',nection'\ I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is completc.
Paee 2 of 3
,
M':",
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
fERMIT NO: COM2009-00264
ISSUED: 02/25/2009
APPLIED: 02/25/2009
EXPIRES: 08/27/2009
VALUE:
By signature, I state and agree, that [have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and [ 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 tbat only contractors and eniployees who are in compliance with ORS 701.005 will be used on this project.
[ 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 tbe site at all
times during construction.
Owner or Contractors Signature ,
Paee 3 of 3
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/JournaJ Number
COM2009-00264'
COM2009-00264
COM2009-00264
COM2009-00264
Payments:
Type of Payment
ONLINE CHGS
cRecciotl
, I~ECEIPT #:
3200900000000000133
Date: 02/27/2009
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE GMD Online
" ELECTRIC
Payment Total:
Page I of I
12:37:44PM
Amount Due
55,00
3,00
2,90
6,96
$67.86
Amount Paid
$67,86
$67,86
2/27/2009