HomeMy WebLinkAboutPermit Electrical 2009-4-10
City of Springfield
Electrical Authorization To Begin Work
E-m3iled To: gmdclectric@comcast.net
Receipt # EC549902 10
411 0/2009 9:09:21 AM q
Go,/
Check on status of permit
By Phone: (541)726-3753 or Email: permilcenler@ci:springfield.or.us
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not .obtained.
The local building department may determine that an ~8-
Authorization To Begin Work is null ~nd void if it does '0
- """.. ".."'"~. o..,~ ..,",.,- I)<: ~
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
J 0 New construction
(X] Addition/alteration/replacement
lliJ 1 or 2 family dwelling
DMulti-family
o Commercial/Industrial
~.
I.lob no.: IJob address: 670 T!NAMOU LN
I City/Slate/ZIP: SPRINGFIELD, OR 97477-7549
I Suitc/bldgJapt.no.:
I Project name:
Cross street/directions to job site:
R) Partridge Way (L)Tinamoll Lane
Game Fann Road South (L) onto Mallard Avenue
I Subdivision:
ITax map/parcel no.:
ILot no.:
]703221310300
Ht31 Pump \v Air Handkr, Attic Light/Switch, Receptacle
I Name: Matt & Suzy Towne
1 Phone: (541) 255-5397
I Email:
1 F..,
I ceo lie. no.: 162191
Phone; :s J
Email: k I g,
1 Metro lie. no.:
1 Supervising dectrician's lie. no.: 48745
1 Supervising electrician's name: M1CHAELK GOWINS
I City lie. no.:
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.
I Description Qty. Ea. Total I
IbResmeiliiaI'SJNGLE?"6R,nlUIti-fa-mil);'l.h,"~cfiillg~uiiiCIi:icIudesrii~';'~: ~"""I
'.i(tt1fF~:ciJ~~~_':Y~~~~~:) \'t\";,;,,,,;,,: t~, ~ ,'<~'~'~y~~~- .~-~~ '
Il,000sq,ft,orless[4j I 1
I Ea. addl 500 sq. n. or ponion
1:'Liri:iitcd~Energy;t~4,'t
T~,"'-"'_'.< ....' ,,"...~._IC-.:.f
- Limited energy, residential
(withabovesq, fU
. Limited energy, multifamily
residential (with above sq. ft,)
- Liniited energy, comme-rcial not alTered online at this jurisdiction
(with above SQ. ftl
I - Stand-alone limited energy,
resid~ntial
I. - Stand-a,lone limited energy,
multi-falmly
I - Stand-alone limited energy,
commercia]
1(~l);l~~lt~~JJE~~~_~~!!illli~~"!r~Tilio.h~,~tY,pW~;i~c~0I,.~~~1
12UO amps or less [21 I
120 I amps 10 400 amps [2] 1
1401 ampno 599 amps [2J , I
1}:~~:-!rg~~A. ~f's.'~Y!'I.~'.~Q~~f~,e.r~~~:S(iiII~ti~~;'~~.fl?j}.o.n...~'ij;.'~~~~;L<~~.} '+.1
j~NpJ(~R~~e'I~~~ti?I!,~~~~:^.!:::1"~~&::~;j;t._~~.:'~~!-~"Cf,:~;~:~$:~
1200 ''"ps oc less 121 I 1
120 I amps to .400 amps [2] I I
140 I amps to 599 amps [2]
1D}r:!Ii:c.hl~~:c~!~'7j~~A\V!'liJ!ei:~ii~~"'rb~'.h'tc-ns-io"D;'p:e~-~a,ie~:~~~:;Ji'.:. ,:~;
I A Fee for branch circuits with I I
service or feeder fee, each
branch circuit
I I B. Fee foc beanch c;r,";~ 3 I $,S~QD .<55 00 I..
I w;thout seJl;NiiNOOW: Or gon law {reqUires {OU 10'
. first bran~~.~ ~J..~!,:,~ ~_ to.rI h~1 t Po ()rp.':1()11 Utilit~
II each 'd'l\i9\~I'RII'~I\pjh r..f!rJ\A ... Those ules~ ~et fVIt~ .
I 1~\!iii~lt{r~'G~R:952'otl'rt(i00;1Q_Hltqu gQi,Q~R~~?2",~9l1J4
I 1 Secv;ce aooQ):j:t l{lllj:J [lJ]ay at ,tain cop~es onne Ir~les oy
I I Each manu061fFi1[tr1!Mu1lem }r. V'l0f81 Ult:t It:lt: iI IVI I"=' I
dwelling, i1aiT!~iW'f6Fme Oregon U ility Noti ication ~
I 121 - \ . J 1 396-3f ~ M 11)
I I Pump or irrigation cit'e1if!i wi I~ - ,i:. "-,,,. I:;
I I Sign or outline lighting [2] I I
I I Signal circuit(s) or li.mitedc I I
energy panel, altcratlOn, or
extension [2)
I~~~~':;';~\; '~:lri{~~Ef~I~l~!\"[:p)~!iM.!.t.:fggE~~'~Utl;:~4f~~i:::tl
I Subtotal $73.00 I
I State Surcharge (12%ofpermit fee) $8.76 I'
I City Of Springfield fees" $3.65 I
.1 TOTALPERJ\-lITFEE. $85.411
'" City Of Springfield fees: 5% Technology Fee
{Defi/ll/l number ofimpecliullS a/lowed}
QC1- 415 0Q
Lf/IO\OC)
(
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO:. COM2009-00475
ISSUED: 04/09/2009
APPLIED: 04/09/2009
EXPIRES: 10/10/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 670 T1NAMOU LN
ASSESSOR'S PARCEL NO.: 1703221310300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pnmp and air handler
Owner: CALDWELL SUZANNE M
Address: 670 TINAMOU LN
SPRINGFIELD OR 97477
Owner: TOWNE MATTHEW D
Address: 670 TlNAMOU LN
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
Electrical
Mechanical
Contractor
GMD ELECTRIC INC
COMFORT FLOW HEATING CO.
License
162191
460
Expiration Date
11/19/2010
06/27/2009
Phone
541-726-8601
541-726-0100
BUILDING INFORMATION I
# of Units: # of Stories: Lot Size:
Primary Occupancy Group: Height of Structure Sq Ft 1st Floor:
Secondary Occupancy Group: Type of Heat: ATTENTION: or~adil~IJ.l'r';;JaBrres you to
Prlm,p; Construclion Type , Water Type: follow rules ado~,M'b ~ffil'15P~gon Utility
S~dJ'Yli:onstruclion Type: Range Type: Notification Cente~<tJlHd~IlWl<!lifliiU'gli! forth
# if~d1'i<RMIT SHAll EXPIRE IF THE WORK Ene.rgy Palh:.. in OAR 952-001-0~hRfOOrl'OAR 952-001-
AUTHORIZED UNDER THIS PERMIT I~ MOT Sprinkled BUlldlllg 0090: ycJti~nay ot5tlm~8~tEk.'lYfIf'he r~les by
AN~';V~tONDLtu UR IS ABANDONED rUIII DEVELOPMENT INFORMAiiI0iS'r ',~~ th~'O;~g~~uiil'itY N~;;t~';ti;n
AY PERIOD.' (;enter is 1-800-38EQ'JJ:I~lCD PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Page lof 3
~RIN(llPIe;Lt:!
_ .,:;' ....;.w..,...'...<M'"..'.
~
I
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I Valuation Descriotion I.
Description
$ Per Sq Ft
or mtrltiplier
Tvpe of Construction
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
$13.56
$5.65
$79.00
$17,00
$17.00
Total Amount Paid
$132.21
Square Footage
or Bid Amount
Total Value of Project
Fees P~irl I
Date Paid
4/9/09
4/9/09
4/9/09
4/9/09
4/9/09
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00475
ISSUED: 04/09/2009
APPLIED: 04/09/2009
EXPIRES: 10/10/2009
VALUE:
Value
Date Calculated
Receipt Number
2200900000000000357
2200900000000000357
2200900000000000357
2200900000000000357
2200900000000000357
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.
I Reollirerllnsn~ctions 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 complete.
Page 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00475
ISSUED: 04/09/2009
APPLIED: 04/09/2009
EXPIRES: 10/10/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 I 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-5ervices Division, Building Safety.
I further certify lhat 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 the permit card is located al the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
/
Page 3 of 3
225.Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Gi'RIHOJltlSL..I?,
i,
Ifi:
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00475
COM2009-00475
COM2009-00475
COM2009-00475
Payments:
Type of Payment
ONLINE CHGS
cReceinll
RECEIPT #:
2200900000000000359
Date: 04/10/2009
Description
Add, Alter, Extend Circ
Add, Alter, Exlend Circ Ea Add
+ 5% Technology, Fee
+ 12% Slale Surcharge
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
Page I of I
KR
ONLINE
GMD Online
Electric
Payment Total:
9:31:34AM
Amount Dile
55,00
18.00
3,65
8,76
$85.41
Amount Paid
$85.41
$85.41
4/1 012009