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