HomeMy WebLinkAboutPermit Electrical 2009-4-16
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22.<I1fIITHSTIU:I!;'r. SPIlINGfIEJ.D,OR97471 0 P1I:(541)72/l.37~ o YAX:(541)n6-36Il9 ~ SOURCe ):(~......
ELECTRICAL PERMIT APPUCATION dt.' -,
CilyJobNumher "...COft\ "'OD<J.:::_.!XLt/.7~ ~, ,',' ~ate, ~fIo' ,,', '"
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LEGAL DESCRIPTION:, ..., ......,."\
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JOB DjJSC~Jl'TION:
~'~dCo~.',
Ferm.,!. non-t robl. aDd exp~ wor~ Is '
not started within 180 day, orlssu.u.. or ifwnrk Is
Suspended tor 180 day..
2. ::'P9lYi#1(j~~~~i f:i1~t~~g~~<
ElooUical ~ntractor ~/I\.'D ~~~
Addres, CjS7 ~M-h.~~ . Ace-.
"1
City ~d. Phone .'YI-l '7'11 w~1
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SupcrvisorLicenseNUIllber J,i;p7tJ ~
Expiration O,le /o/aOI D
, '
Constr.C.onIC,Number ~Ow5~ 7<:!-.
Expiration Dale
J,
Add....'
city
OWNJ1;k lNSTALLA'I'ION
The in.l8IIationis being mod. on property I own wbleh
is nol intondod Cor sale, I...... or renl
Owners Signature:
cd
-
Inspedlon Reqnest: 72t\-J769 W
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A. ,!'l~wlW<identlnr,:;$jiIl.ie~r. w.uil~f~lii'lyjler,t!_1l'#Ii..
'. '. .,', '.,'. . . .', .'..".. ,.,.;~.". ,', ., ... -. "'. .: . , , ,. ...... ,'.- .. - .. .
8orvl..lncluded
1000 .q. ft. or ,...
Bach additional 500 sq, ft, or
portion thee""C
$106.00
$J9'oo
Elwh Manu!lo:l'd Home or
Modular Dwelling Service or'
Peeder
$50,00
B." ~rvl.~,j,rF~d.fi ';":i~.j;il'a~o~. ~~~.,qt;a;,l~~~:;i';
," """',,., ,'" ,'> 1'('1'('"
200 Amp. or le9$, ---1-- $ftl.OO' ~
201 Amps to 400 Amps $ 75.00
401 Amps 10 600 Amps _~ $125.00
60J Amps to 1000 Amp. $163,00
Over 1000 AmpsIVoll8 $375,00
ReconneClOnly $ 50,00
c',!:~;'Jl;''''rf~ery,~...~t,~~ltr( ,
"
: \~
In,tallulinn, Alt.r.tlon nr Relocation
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amp.
Over 600 Amp' or 1000 VollS ,eo -an above,
n..,'Br.ln~li(;.)reuits,." , , ," '.. :,
.,..::..:,..1"....,....'.'.., ..t'.
New Alteration or E1tensloo P.t Pan.l
On. Circuit
E!ach Additional Circllit or witl>
S"",ice or Feeder Penn!t '
$ 50,00
$ 69,00
$100,00
$ 43,00
$ 3.00
: ': ...., " ..; .' :". " .~.. : -:,':.,. '. . .., , ,., '~:":,'. '. ",~,.". -' .. :"..:
F:. ";M:,lS4;ellli!ieo,Qs(~.rrl~f... ....:aolln.'Q~ed)~.e~;I"~I!oi,.9l!,
. ./'..... ...,." .."" "...."..' ..'. .....:,. .1" ., " .'" ','..H'....',..
Pump or irrigation , _ $ 50,00
SIgn/OUtline Lighting _'_ $ 50.00
Limited EncrgylResidential $ 25,00
Limitod Energy/Commemal $ 45,00
Mlnlm~m Electrl., ,""nnlt In.....lion 'I"" 18 $4..'1.00 + Sure1larges
4.:,$ "ffl~JM,(jfA~,~' ',', , , ,C ~
"f~'J... .. "'" " '" " ,,!
~tale Surcharge -....q 'lb
~1..stI1llive poo
5% Technology Pee LIPS
TOTAL "J'-< !L
She.rcd Drivt:(f:)lDlIildins I?~l::leclrical PQrmit AppllClltion 8-06~
,008l885lvS: 'ON X~~
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-,
GMD Electric Inc, '
We Dd 11 the Beuer Way
957 Northridge Avenue
Springfield. OR 974n
Phone: 541-741"7369
Fax: 541-l18S-1800
Em.lI: 9mdAlectric@!:Q~
CCB: 162191
FAX
TO: Chris
City of Springfield
FROM: Sue
FAX: 726-3676
RE: Per# COM 2009-00475
670 Tinamoul Matt & Suzy Towne
PAGES: 2
DATE: 04/14/09
HjChris:
Thanks for your help on adding onto this pennit. Any questions or need a credit card #
just give us a call at 741-7369,
Sue@
1d Wd~~:~0 600~ v1 '~d~
00818861VS: 'ON X~~
JI~lJ3l3 aW8: wo~~
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
54]"726-3753 Phone
541-726-3676 Fax
54] -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 pump and air handler
Owner: TOWNE MATTHEW D & SUZANNE CALDWELL
Address: 670 T1NAMOU LN
SPRINGFIELD OR 97477
Contractor Type
Electrical
Mechanical
, A liI<1;-Oii/,i:AA" eroR~TN~F~ORMW~~~~,'.~l,ll!po~\,
fa' 1\ .- u '" """. " , .. , Il." I lit h
UYV.I ~...."" ~.........t"~~"h/,.;':';' y, 'ICI~- :;;OrA c::r-H l(l t
" 'f' , t'" ^C -', 'II, Those'IUle<'.are"se1'tOI Ii:
Contractor l'iIot~ IC~ ~o.n? .o~<nlO~O"'"O~lh'h'''u'g'~h,,,glcensP;?ih'i1'j<.xPiration Date
, ~' -"'6'8'852-0" ',,' ro UN'> ~~Z,j~"
GMD ELECTRI ' ,t\1,<;:. Y(1'i~iiifiyj'o, ~i!iih'COPte'5oM>f,\gWi'e'S~o/ 11/19/20 I 0
COMFORT FL :B:I!;1;r;1!~'(i}5q,:'rr. (N'6't'e:tr\:!6/!Jrep'il'6~'L 06/27/2009
I "I" IW]~~~I~G~N'F~~~i:(iioNltTcallon
Phone
541-726-8601
54]-726-0100
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constrnction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
'. _ Sprinkled Building:
MnTU'!:.
" - -..... ~,....... " 'p- .., ,
If IlKWll roP,I\lIISllifln1l!:/KXll'~1ftQ
lui'ii,-'./i ."HI ,__ I 'l ,,,., I
An~H.8~!!~~19l:JfJ~W ^dl1!{,~f:Kiqal
C0MMWf&ffi1~'!s) A13lAtWmlW ~
Jl:liJl(.' ~8'Ws'i'm:f&l~d:
Paved Drive Rqd:
% of Lot Coverage:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basemenl:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
Front yard Setback:
Side 1 Setback:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Tolal:
Handicapped:
, Compact:
.
,,> :'
"
I PUBLIC IMPROVEMENTS I
Street Improvemerits:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/D'rains:
Notes:
fb1?~'D
D SLJ CJf't\w C:<- 7'J t;", I 5 TI Iv' 'F
{[JI.J'V\ . '
EU:oC7 ,oD2.,t,.t\ I
Pace I of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspeclion Line
I V~lua.H?~ D~sc,~,iDti.?~ .1'
Description
Tvpe of Conslruction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
.Fpp~
Fee Description
+ 12% Stale Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ ]2% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Perm Serv/Fdr 200 amps or less
Amonnt Paid
Date Paid
$13.56
$5.65
$79.00
$17.00
$17,00
$8,76
$3.65
$55,00
$]8.00
$9.72
$4.05
$81.00
4/9/09
4/9/09
4/9/09
4/9/09
4/9/09
4110109
4/10/09
4/1 0/09
4/]0/09
, 4/]5/09
4/]5/09
4/]5/09
Total Amount Paid
$312.39
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00475
ISSUED: 04/09/2009
APPLIED: 04/09/2009
EXPIRES: 10/1012009
VALUE:
Valne
Date Calcnlated
Receipl Numher
2200900000000000357
2200900000000000357
2200900000000000357
2200900000000000357
2200900000000000357
2200900000000000359
2200900000000000359
2200900000000000359
2200900000000000359
2200900000000000386
2200900000000000386
2200900000000000386
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.
~n~,np~tion~J
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
Rough Eleclric: Prior 10 Cover
Final Electric: When all electrical work is complete,
Paee 2 01'3
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: COM2009-00475
ISSUED: 04/09/2009
APPLIED: 04/0912009
EXPIRES: 10/10/2009
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 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 Slate of Oregon pertaining to Ihe 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 that only contractors and employees who are in co~pliance with ORS 701.005 will be nsed on this project.
I further agree to ensure that all reqnired inspections are requested at the proper time, that each address is readable from the
slreet, 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
Pa2e 3 of 3
,Date
225 Eifth sfreet
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00475
COM2009-00475
COM2009-00475
Payments:
Type of Payment
CredilCard
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000386
Date: 04/15/2009
Description
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee,
+ 12% State Surcharge
Paid By
SUE GOWINS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
eje' 047457 In Person
Payment Tolal:
Page I of I
8:S3:22AM
Amount Due
81.00
405
9,72
$94.77
Amount Paid,
$94,77
$94,77
4/15/2009