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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