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Home My WebLink AboutPermit Electrical 2009-4-16 City of Springfield Electrical Anthorization To Begin Work E-mailedTo:gmdelectric@comcast.net Receipt # Ef:SS0266 :x ~ ~ 4/16/2009 8:28:26 PM rA./' V Check on status of permit By Phone: (541)726,3753 or Email: permitcenter@cLspringfield.or.us I D New construction [X] Addition/alterationlreplac~ment 10 ] or 2 family dwelling o Multi-family o Commercial J Industrial IJob 110.: IJob address: 801 PRESCOTT LN I City/State/ZIP: SPRINGFIELD, OR 97477-369] I Suite/bldg.lllpl.no.: IIJrojcct nann': Cross street/directions to job site: Piont:er Parkway (R) onlo Centennial (L) onto rrescotl Subdivision: ITax roup/parcel no.:' 1703341409700 ILot no.: I Nllme: Doyle Maloney I Phone: (541) 954-5992 I Emllil: I Jo'ax: lEt lie, no,: 20-537C ICCOlic, no,: 162191 I Business NanH': GMD ELECTRIC INC I Contact: Mike Gowins I S~~ gowins IAdd"'" 957 NORTIIRlr:lGM.HCE~ I Gly/StatelZIP, SPRINGNflltJ c$i>E'Pfl1h- n. I . IphO"" (541)7417369 ;.jU fHORl7io[! [}vtl!-/.4/iNP1fiff! II: T"- I Emaii, gmdelcctcic@colnU~,~2'IHI('~,.., ~,![jtH THIS Pr:-;'~ ''3-t WORK IMelcolk, ow" ;.jIVY tan n1-y/,h:;IYIii\BI4Nno.vc,~/~ Ii) NOT I Supervising electrician's lie. no,: 4874S el1/UD. - r-UH ISuperyising electrician's name: M[CHAEL K GOWINS Upon review and approval by your local jurisdiction, your permit will be e.mailed or faxed within one business day, with instructions on how to schedule your inspection. ~(\~ ti'f<< ~\f- NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. I [,000 sq, ft. or less [4] 1 Ea. addl 500 sq. (1. or portion I-Limited energy, residential (with above sa. fU I' ~ Limited energy, multifamily residential (with above sq. (U I-Limited energy, commercia-I noL offered online allhis jurisdiclion (with above sa, ftl 1 - Sland-alone limited energy, residential I - Sland-alone limited energy, mulli-familv I - Stand-alone limited energy, commercial 1{~~zJ~,,~~qB,~i~eJ:'FJ,[S~~Jti~{~~~~al~rllii?~!iliD!2~~t~iRfa~?i!il'%!#~1 1200 amps or less [2] 1 I 201 amps to 400 amps 12] I 1401 amps to 599 amps [2] I 1200 amps or less [2] I 201 amps to 400 amps [2] I t ~; ~::ifrml..~:lJ;;n. ~~~~l<. "~jio~r-g' 'in'iejrs:ilh;$er'Ran~t:',i:: ~l ,~1t-..1 . 'c t;;i{r.wi9;;e7i\k';';:;~IDy tie T.!:r;:,:;yO(;';o'~"~ ,-,,~ '" ()"'RI~il'!:>~"'iC(~M~"ac1ihose I~ I GregO) Utility I c rbra~cncir~&1{J1-0n1 (\ tl~ 1u es Aro : .~t t _ " 1). fe"\Util1\'}'ltP.irf~i!s ",uu~n OAR s.- "$1'11110 $55001 ,:"UlIl!9oilltJ'tIORctie'illflfWiOPie of ,'2-001_ nUI'llr.-otbc~2~hl\'~Vit'i'11 /M~'2: I, the r,/o: !;; I ,ac"r;<8lh?~,:\')'~)(~'ilj)JO(1..~/(!IJ; ", relee.~ln.!'J.'),j,\\~~1 ~~ ~~~ol I ,'MisccIl1l'n('Qus!,'=ri;~h800~33" 'n~ ,.t4{;~gJltlea~tr'~"0~1J.C.\y~,%;r~~~);f,;c,,:~1 '''''='''''''''''''"'"'"'''"''';''''t!!.-~,,,,<;"~~,,,_,- /_,9,!:)c"y..),f-'M~",,^'n" ,on,"_~0'=00" ;t"" ,,'," ,.-,\ft", I Service reconnect only [2] 1-- q . I 1 1 Each manufactured or modular I dwelling, service and/or feeder I 121 1 I Pump or irrigation circle [2] I 1 Sign or outline lighting [2] I I Signal'clrcuit(s) or limitcd- I energy panel, alteration, or extension (2) ~~~,~::t~:~~~~r~tGA~jfE,~~lt FEESt~{~:;'~i;".J'~.;,~. '~~I I Sob'o..11 161.00.1 I S\ale Surcharge (12% of per mil fee) 1 $7.321 I City Of Springfield fees *' $3:05 I TOTALI'ERMITF"-:E $71.371 * CiLY Of Springfield fees: 5% Technology Fe~ [Default number afinspections alluwed) CDt-l\<2t5 y 1 [ll DC) ILQ. 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: COM2009-00495 ISSUED: 04/14/2009 APPLIED: 04/14/2009 EXPIRES: 10/17/2009 VALUE: , 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541,726-3676 Fax 541,726-3769 Inspection Line SITE ADDRESS: 801 PRESCOTT LN ASSESSOR'S PARCEL NO.: 1703341409700 Springlield TYPE OF WORK: Heating System TYPE OF USE: New Residential P,ROJECT DESCRIPTION: Install heat pnmp and air handler Owner: MALONEY DOYLE D Address: 801 PRESCOTT ST SPRINGFIELD OR 97477 Phone Number: 541,954-5992 .1 CONTRACTOR INFORMATION 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 541-726,8601 541-726,0100 B~ILDING INFORMATION I # of Stories: Lot Size: Height of Structure ArrtNTI . Sq Ft 1st Floor: Type of Heat: falloW TOJ ON: Ore~8 Ft 2nd Floor: Water Type: .NotifiC8.tiones adOPt~lF{lWJ!l9!pJlP~: Range Type: ~n OAR 952_0Center. m1f!j (l;arl!gwg;~.!(io'ttto Energy Path: 090., YoO In o 1-00 1 a>/h'F\E0ffi.e!i:ar On UWity Sprinkled Buildinlalltng th~7lY Obtah988~(jli'llt~,'1;~et fOrth Urnh...._. Cento.. .. .'Jfe<:.' ,..~ l' 2.n()~ 1 DEVELOPMENT INFORMA~~~'~ Oreg~~u:J/ the t;;;mO'~:S by " /S 1'800-33 tlttYRE,Ql,'i!JREf> PARKING 2-2344) "[fan Front yard Setback: N Overlay Dist: TotAl: Side I Setback: OTlCE' # Street Trees Rqd: Handicapped: Side 2 Setback: TH/S PER' Paved Drive Rqd: Compact: Rearyard Sethack: AUTHOR MfT SHAL % of Lot Coverage: Solar Setbacks: COMIVI fZED UND L fJ(PfRr- . r:"n _ r:o ~. c II: "'/1 "'VY 180 DAYpUR fS A8~~futIfMENTS I Street Improvements: 'ERfOD u1vtD FOR '\/J J # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Sidewalk Type: Storm Sewer Available: Spcciallnstrnction: DownspoutslOrains: Notes: Paee 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726,3753 Phone 541,726,3676 Fax 541-726-3769 Inspection Line , Valuation Description I Description Type of Constrnction $ Per Sq Ft or multiplier Sqnare Footage or Bid Amount Total Valne of Project F~e' Paid I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Heat Pump + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid $13.56 $5.65 $79.00 $17.00 $17.00 $7.32 $3.05 $55.00 $6.00 Total Amount Paid $203.58 I Plan Reviews I Date Paid 4/14109 4/14/09 4/14/09 4/14/09 4/14/09 4/17/09 4/17/09 4/17/09 4/17/09 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00495 ISSUED: 04/14/2009 APPLIED: 04/14/2009 EXPIRES: 10/17/2009 VALUE: Value Date Calculated Receipt Number 2200900000000000375 2200900000000000375 2200900000000000375 2200900000000000375 2200900000000000375 2200900000000000398 2200900000000000398 2200900000000000398 2200900000000000398 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, R~9~!i~e1,ln,wel'tion' 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 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00495 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 Inspection Line By signature, I state and agree, that I have carefully examined the completed application and do herehy 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 ofany structure without permission oftbe Community Services Division, Building Safety. I furtber 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 Date Page 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00495 COM2009-00495 COM2009,00495 COM2009-00495 Payments: Type of Payment ONLINE GIGS cReceint I RECEIPT #: 2200900000000000398 Date: 04/17/2009 Description Add, Alter, Extend Clrc Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received ONLINE GMD Online Electric Payment Total: KR Page I of I 9:04:06AM Amount Due 55,00 6,00 ],05 7.32 $71.37 Amount Paid $71,37 $71.37 411 7/2009