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Home My WebLink AboutPermit Electrical 2009-3-25 (. City of Springfield Electrical Authorization To Begin Work E-mailedTo:gmdelectric@comcast.net Receipt # EC54R947 I}-,o-{? 3/25/20092:45:43 PM ~ I 'j V Check on status of permit By Pbone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us I D New construction [X] Addilion/alteration/n:pl:icement C~!EGO~r;9K~Ci~,STRUCT\C)N~]';,i;, ::; I (K] 1 or 2 family dwellrng D Multi-family D Commen.:ial/lndustrial '-~~~i>~~,;b,-;~i' :{jbB;s"ltE;INF6RMATf6NfA!lrD/LOCATI'oN;gj,*,#~<'f'.~r~ ,,,,,*~ ;.~~~" """"tit'"",,,",.,,','''' _,." _,.,_, _,"_' ""'~'~N'm~~....,.' ~ ,""..... ... .""'=+.~.,_,,__' n- .,. 'if..., ~.'''''''..X'X .. =. '0.. -" I Job no.: I Job address: 414 S 69TH ilL /Cit},jSt1JteIZIP; SPRINGFIELD, OR 97478-73] I I Suitc/bldg./apt.no.: J Project name: Cross street/directions to job site: Main Street to South 69th Place ISubdivision: ITa.\: map/parcel no.: 1702353301500 I Lot no.: Electric Funace/AC Swap I Nllme: Don Fandrem I Phone: (541) 746-5181 IElllllil: If'.., lEI. lic. no.: 20-537C ICCD lie. no.: 162191 I Business Name: GMD ELECTRIC lNC IContllct: MikeGo~n~'ins IAdd"'" 957 NORfl!fiiP'fIft?lb ,.,. , __ I City/Slate/ZIP: sp~~f~!'ffl cli~~ /All E^'f'ffic. Ir I Nt, WUKK IPhOn"(541)7417~'bP.1ME;:C[D:JF; I,,'" _)'rs!;:~g"ll~ NUr I Ema'" gmdekcni"""qQl""'~.l\e\-, AftI-\I~UUNtU /'UH . 111,1 , Otl 'dAY PERI-.r. . I Metro he. no.: recr,.'lIc. no.: I Supervising electrician's lic. no.: 4874$ I Supervising e1ectricilln's ilame: 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 ~\",,...O, Authorization To Begin Work is null and void if it does not l\ \ ('\.V '\ meet applicable land use laws and local ordinances. . i&.\Y ~ ~~ Description Qty. Ea. Total ]~~c~~I~F~~~~!;If~.l!.jJill.~::~a~I~I}:;dw.cni~f~;\~i~;'ln}tlf~c~~.. ~ :}~,t~a~~~d~garag!rt~'f~~'t??~!<+f6ht .. ~:,. '? . ;;h;;<. ~;> -A, ~ s " 1,000sq; Ii. or less [4] I E<l. addl 500 sq, n. or portion ":';"~"..-~."'I..I .~ J f%.,~ I -Limited energy, residential (WIth <lbove sa. ft) I - Linliu:d energy, rnultif<imily residential (with above SQ. ft.) 1 . Limited energy, commercial not offcrc.d online at this jurisdiction (with above SQ. ft.) 1 - Stand.7alone limited energy, residential I. - Stand-alone limited energy, multi-family 1 - Standcalone limited energy, commercial IrsfEiI~~13Ylli!~~2€~Uit~tlTI:~~non~I~"~.AfLo,!I;~~Pjq,!.t'~eto~:f~j,~~~.:s 1200 amps or less [2] I 1201 amps to 400 limps [2] 140 I amps to 599 amps [2] 1200 'mps or less [2] I 1201 amps to 400 amps,[2] I 1401 amps to 599 amps [2J Ilp~~~~:~irc~~~,;-tJK~:!ili,~'fiiiro~'(9jf ~~t.~~f~l~Eire'r,gan~G:r:~-~:rl I A, Fee for branch circuits with I service or feeder fee, each bmnch circuit I 8, Fee for branch circuits 1 $55,00 $55_00 I ,;ilhoul 'A1"I'E~Jlt~,Ore ~on law ~equires I ou to fIrst br;t'n.Clrcllit'r:H- J ,-I!- 'I'] ~- "''1''- 1 cacha ~lii'~~d!u'fr~~ vt-'Jv~hLJY ~ 'rll.hvHvll vUlU1 I :;~~~=;~~~~~:':~:"~~~:~~~:A~~~j i I I Euch m'n~MI!ll'l\q~'~lrte._ (Note: Ithe telep 10nB I dwclhng servu:;!; ana. r t er U '1' N .. . I 121 .humoer or _ e 0 'egon tl/ty ot/f/ ;alion I I Pump nr irrig";nn .l.illll\!jr /s i -tlUU-;';'f<:;''I'I). I I I 1 Sign or outline lighting [2] 1 I I'Signal ClfCllit(s) orli.mitcd- I energy panel, alteration. or eXlension r21 l~if;i'~j:~#~~'f;4etEcTRICAi~PERMIT~F.EES~ "O~:~~:~~y ?l-:'I ""~.,-"~~.~1i'1'!"""'''-"",,".,,-"_,~,.,..., ".. ., ,..,,~.,' ,.....__;.x;-"',c,._~~..~.__...-"'., I Subtotal I $55.00 I I Minimum fee used instead of Subtotal I $58.00 I I State Surcharge (12% orpermit fee) I $6.96 I I City. Of Springfield fees * I $2,90 I I TOTAL PERMIT FEE I $6786 I . City OfSpringfic1d fees: 5% Technology Fee [Dejallfl nUll/bel' of ins peer ions allowed} CC1-(~9~ ~ 3/25/09 This Authorization To Begin Work must be posted at the job site until replaced by a Permit '. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00393 ISSUED: 03/2512009 APPLIED: 03/25/2009 EXPIRES: 09/2512009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726"3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 414 S 69TH PL ASSESSOR'S PARCEL NO.: 1702353301500 Springfield TYPE OF WORK: Heat jug System TYPE OF USE: New Residential PROJECT DESCRIPTION: Electric FurnacelAC Swap Owner: Address: FANDREM DONALD B & ELAINE 4t4 S 69TH PL SPRINGFIELD OR 97478 I CONTRACTOR lNFORMATI?N I Contractor Type Electrical Contractor. GMD ELECTRIC INC License 162191 Expiration Date 11/19/2010 Phone 541-726-860 I I, BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occnpancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Euergy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMA TIO,N I REQUIRED PARKING Front yard Setback: Overlay Dist: Side 1 Setback: # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setback: % of Lot Coverage: Solar Setbacks: t . . ~__ _ ~ .-r-r""IT'nM' n,"nnn law requires you 0 hu 111.l:. . rules adopted by me uregvlI ullmy THIS PERMIT SHALL E . LPU~"'((;: IMPROVEMENTS I follow . . Th ules are set forth XPIRE IF THl', 1'", r.. "Notification Center. ose r 2001 StreetAl'I1'nO'fm.'t:tfUNDER THIS PERMIT IS NOT in Ok~i,ds-.'.':.atk.:j'fwgj 0 through OAR 95 - b- , v " v htain copies of the rules y StormOO\v'e"r1liWIilIiIDIElR IS ABANDONED FOR 0090I!o\9us~ut8DfainSbte' the telephone Speci;J\il.I\StHl{limW PERJOD.' n~a~I~2r t~r f:;~r~~~n Utility Notification Center is 1_800-332-2344). Total: -Handicapped: Compact: Notes: . I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amouut Value Date Calculated Pa2e 1 01'2 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3'769 Inspection Line Fee Description + 12% State Surcharge + 5% Technology Fee_ Add, Alter, Extend Circ. Amount Paid $6.96 $2.90 $58.00 Total Amonnt Paid $67.86 Total Value of Project Fees Pair! I Date Paid 3/25/09 3/25/09 3/25/09 I Plan Reviews ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00393 ISSUED: 03/25/2009 APPLIED: 03/25/2009 EXPIRES: 09/25/2009 VALUE: Receipt Number 2200900000000000295 2200900000000000295 2200900000000000295 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. Reouirer! Insnections I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By siguatnre, 1 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 Ordiuances of the City of Springtield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any stmcture without permission onhe Community Services Division, Buildiug 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 tbe permit card is located at the front of the property, and the approved set of plans will remain ou tbe site at all times during construction. Owner or Coutractors Signature Pa2e 2 01'2 Date . 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00393 COM2009-00393 COM2009-00393 Payments: Type of Payment RECEIPT #: Description Add, Alter, Extend Circ + 5% Technology Fee + 12% State Surcharge ONLINE CHGS' ONLINE PERMIT CHGS Paid By cRcccintl City of Springfield Official Receipt Dev'eIopment Services Department Publie Works Department 2200900000000000295 Date: 03/25/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR ONLINE GMD Online Electric Payment Total: Page I of I 2:56:15PM Amount Due 58.00 2.90 6.96 $67.86 Amount Paid $67.86 $67.86 3/25/2009