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HomeMy WebLinkAboutPermit Electrical 2009-4-16 City of Springfield Receipt # EC550254 iA. V 4/16/20093:07:46 PM '^ (A,/ V Electrical Authorization To Begin Work E.,.mailed To: gmdelcctric@comcast.net Check on status of permit By Phone: (541)726,3753 or Email: permitcenter@ci.springfield.or.us o New construction [K:J Addition/alteration/replacement I [:xJ ! or 2 family dwelling D Multi-family . D Commercial/Industrial .:~.'-!PI!'gf~r~F8EM~tr6~~t:~!<'}2C?i\Jr6~:",~'P,? IJob no.: IJob add~ess: 2533 ROSE BLOSSOM DR I City/Slate/ZIP: SPRINGFIELD, OR 97477-1562 I Suitc/bldg./apt.no.: I Project name: Cross street/directiolls to job site: Hayden Bridge Road (R) onto Rose Blossom Dr ISu~di\"ision: I Tax map/pared no.: 1703234402600 'ILot no.: Name: Shannon and Craig Morris I Phune: (541) 844-4770 IEmail: IF,,, 11<:1. lie. 110.: 20-537C I ceB lie. no.: 162191 I Business Name: GMD ELECTRIC ~NC I Contact: Mike Gowins / Su~ Gowins' IAddress: 957 NOR1){fMi5"~~S'~v.E " I City/Slate/ZIP: sl1RIiJ~FP~J~B~r,.~97477 Il'hoo" (541)74Ifl. 69THnp;;~' r tiHAI !F!"i,,(?4J19881800 I I W ..~~fi UN ::.\/ If'ft IF Email: gm~.e1ecrri~cP.~FJIS.I}~t_...DEl?!.If.t.TJ./r: Yv'J- I~I"," I;,. '0.' fiNY tRn [y.u U_R /8 ~'j}~;,\,(..tRMrr,S .,,::" Isopm;,;og ",,";01",., lie, 00'] 14k'1Eifl!On VUUNED J:n,r. VV/ 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 sc~edule your inspection. NOTE: This Authorization To B~., gin Work expires within 180 ""/ days if a permit is not obtained. 'Y.. ,-(A. The local building department may determine that an (\ \"\lV \ Authorization To Begin Work is null and void if it does not 1\: ~ ~/ meet applicable land use laws and local ordinances. V\ 't>~\ ~ I Description l Qty. Ea. Total! liRe.~idC"ntjill:SiNGLE~~()R miiftii'fam,i1y'dl\'~lIingu'llii; InclUde.s~~4:;;~ !~It~"~!ie~Fg:a!~g~c::~~;!;~:';;:,\~",:l;";~~:~~~:;.::o~~~t+};'~-l~~ I I,OOOsq, ft. or Jess [4] I I Ea..addl 500 sq, fl. or portion . I-Limited energy, residential (with above sa, ft.) I-Limited energy, multifamily residential (with above sa. ft.) I-Limited energy, commercia-) not olTered online althis jurisdiction (with above sa. ft.) 1 - Stand-alone limited energy, resIdential I. - Stand-alone liinited energy, multl-familv I - Stand-alone limited energy, commercial I. (~~t;BYf[i!!!!~(je~mrt~'![~!ilit~~!i~!i~n'.:t&,D(9.j.fri~~?f!lEf~1 I 200 amps or less [2] I I i 201 amps to 400 amps [2] I 140 I amps to 599 amps [2] 1 1 I'TE.-, ~.'!~c?~. m.)9';,.~~':V!.f.,.'~-~9.R.' 'E.~.~Jsi}J~r;iJ~!.j,ati~n.~~41f~f~J..~~;:~~~'~t~.~,J;:1 :^~_D!Q~'relo'].llt!~I.I't}~4~0~~'~'~"!fJ>~~~~~.' ~":,:;; ~ \~ir~ 1200 amps or less [2] i 201 amps to 400 amps [2] 1401 amps to 599 amps [2] 1~~r~n~,h:cL~~~i?:~~LE}5i;0~!~r.t,~i~'I~;,i(V~:e~!~siobIp~~(p'ii~.e~~~t~1 A. Fee for br.anCh circuits with I service or feeder fee, each ~',~~~f:C~irif;!;~i,;\s ~'C"" " IQ" ''I' '":'~t~5Ycl~', I;; $55001 with@.ts,r;vlCeTorife,U"rlfde1pte j by the' )regon ( tllity lirsttbranch drcuit,l2rantr.:u" . 'h('\C!o nil. ,e ~ro c::cl fnrth I "'i~.dpl,!u~~b~~<:)'i!,)1,rin1r thrr)l]n~OAR~9E\12 _oo1t12.ool 1[~!!:it'llil's~~~IQu[mav:O:iiI(aifitc.6pjes',1Ji;in~;iYJ(i~;~ya~1 I Smi''''fdoHng,tdnly <i'21nter. I (Note: tt e telephlpne I I Each flal'l.illacturediO(mlliilliu1ref)OIl UlIlH (I\lOUllCe lion I dwelling, serviceel(.dfplereflsr 1-, 100.332-: :344). r21 I Pump or irrigation circle [2] I I I Sign or outline lighting [2J I I I Signal.circuit(S) or li.mited- I I energy panel, alteration, or extension I I I I l TOTAL PERJ\-HT FEE * City or Springfield fees: 5% Technology Fee (Defll/ll1 numbe/' a/inspecfions allo1l'l!df $67001 $8041 $3351 $78,39 I Subtotal State Surcharge (12% of permit fee) City Of Springfield fees * eq- 4ylP K.e 1.\ \ \1\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: COM2009-00496 ISSUED: 04/14/2009 APPLIED: 04/14/2009 EXPIRES:' 10/17/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726,3753 Phone 541-726-3676 Fax . 541-726,3769 Inspsction Line SITE ADDRESS: 2533 ROSE BLOSSOM DR ASSESSOR'S PARCEL NO.: 1703234402600 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install ductless system II. " Owner: MORRIS SHANNON L & CRAIG A . Address: 2533 ROSE BLOSSOM DR SPRINGFIELD OR 97477 Phone Number:' 541,844,4779 I CONTRACTOR INFORMA TlON I Contractor. Type Electrical Mechanical Contractor GMD ELECTRIC INC COMFORT FLOW HEATING CO, License 162191 460 Expiration Date' 11/19/2010 06/27/2009 Phone 541-726-860 I 541,726-0100 BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: . Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement:. Range Type: ATTENT! Sq Ft Garage/Carport Energy Path: fOlloW rUI ON: OrC~lhWIOther: Sprinkled Building;Notificatiuniii~ adoPQ~.cl:lp,'l.lJj{1'JOail~s you t !r (')11...... ~ 1J Ce,nta.. 1" Y the ()t<...._ 0 I DEVELOPMENT INFO~AriiOffaOI-OOI? ;h~~~~~eS,a~e-;e~;~~%. ~~'I/ng th Y Obtam cop' 'REQtBJRFrDcfafRKING nUmber' e Center, (N les of the I' -~, - - Overlay Dist: .01' the Or ote: /liota!! . U es by C . egon U '. '. ,c,.ephn # Street Trees Rqd: enter IS l-aoO, tl/{l;IaQ~18rJ''p'Hf: . Paved Drive Rqd: 332-:Q-,Plp.act?tlon 0/0 of Lot Coverage: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback;?/OTlC Solar Setbacks: T.HI" E: ,") Dr-,... " ;UTHaR;~;~r SHALL Ex. I PUBLIC IMPROVEMENTS I Street Improvein~M~~ENCED OUNDER T.HIPS'1i1:: IF rHr- lA, "vr 780' R IS PER C vvOR Storm Sewer Available: DAV PERla ABANDON MIT IS Na I( Special Instruction: D. ED FOR r Sidewalk Type:' Downspouts/Drains: Notes: Page I of 3 -::' ~~~J'~~fIj!J~~i- '~,~\~,Ti' I, H Status Issued 225 Fifth Street, Springfield, OR . 541,726,3753 Phone 541,726,3676 Fax 541,726,3769 Inspection Line I Valuation DescriDtion I Description Type of Constrnction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project !'ees Pai<l I " V Fee Description + 12% State Surcharge + 5% Technology Fcc Ist Appliance Air Handling Unit Up to 10,000 Heat Pump + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend C;rc Add, Alter,Extend C;rc Ea Add Amount Paid Date Paid $13.56 $5.65 $79.00 $17.00 $17.00 $8.04 $3.35 $55.00 $12.00 4/14/09 4/14/09 4/14/09 4/14/09 4/14/09 4/17/09 4/17/09 4/17/09 4/17/09 Total Amount Paid $210.60 I Plan' Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00496 ISSUED: 04/14/2009 APPLIED: 04/14/2009 EXPIRES: 10/17/2009 VALUE: Value Date Calculated Receipt Number 2200900000000000376 2200900000000000376 . 2200900000000000376 2200900000000000376 2200900000000000376 2200900000000000399 2200900000000000399 2200900000000000399 2200900000000000399 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. Renllired Insnections 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, Paee 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541,726-3753 Phone 541,726,3676 Fax 541,726-3769 Inspection Line CITY OF ~rKINGFIELD . Building/Combination Permit PERMIT NO: COM2009-00496 ISSUED: 04/14/2009 APPLIED: 04/1412009 EXPIRES: .10/1712009 VALUE: By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is trne 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 strncture.without permission of the Commnnity Services Division, Bnilding Safety. I fnrther 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 the permit card is located at 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 Page 3 01'3 Date City of Springfield Official Receipt Development Services Department Publie Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00496 ' COM2009-00496 COM2009-00496 COM2009,00496 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 2200900000000000399 9:04:35AM Date: 04/1712009 Description Add, Alter, Extend Ci\c Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge Amount Due 55.00 12.00 335 8,04 $78.39 Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid $78.39 KR ONLINE ,GMD Online Electric Payment Total: $78.39 Page 1 of I 4/1 7/2009