HomeMy WebLinkAboutPermit Electrical 2009-4-22
C!ty of Springfield
Electrical Authorization To Begin Work
E-mailedTo:gmdelectric@comcast.net
~
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
r. .~'~.";~. , "_~'~~T;YPE, O~WORK._~~t~--~.F; 1:;~:I~,,.;
I D New construction 0 Addition/alteration/replacement
I ':~ " _ .".: t".i~C~TEGORYOF,c6N~TRuciIqN"--;~"'~'-'../.';"';
I [K] 1 or 2 family dwelling 0 Multi.family 0 Commercial I Industrial
IJt,' .",; ~ ;:CJO!!,SITE tNFCl~MAr!qNAND L6~ATlON:
I Job no.: I Job address; 2244 15TH 5T
ICit)'/Statcr.llp: SPRINGFIELD, OR 97477-2434
I Suite/bldg./apt.no.:
111rojectOllmc:
Cross stn=cl/directions 10 job site:
;treet
19th Street (I.) onto Rambling Dr (R) onto 15th
ISubdh'ision:
ITax map!parccl no.:
I Lot no.:
1703252207800
. ~~~1f.~~)j~S'?RI~iI9~(O~i~6RK?;~~~~Jf:;;""~."
Add Heat Pump to existing and outside receptacle
I Y$i~~_.",i,J;;1Jst-~,'.<,- "-' ",?tSITE r.ONTACT";cttr,\,t,
, . fr1.+-rr-t.ITl'f,\!,'.' r\".,...-r..... T........"..... "..,,~i
IName: Christqphf,r~~~t~'li':~ '~;~r~rl'h~"th'P- n-rp6n~ i I-til-it~
I Phone: (541)t~'1jHi~6Mion Center, ThoS~'I'3Ies are set forth
1':maH: in OAR 952-001.0010 through OAR 952.001-
I' .",'''''. 00.90,. YOU. 'may 0.0'-:- -0-'-- ~,Tlne rutesoy-, _ _
.-.- .. .. .., '. _ ". CONTRAC'fOR.... ..' .."
I E~ lie-. no,: ~~_537~il\Y lil~ ~~lllt:;: '(I~~'c~~;I"ii. ~~~~li2tl'1)'llv ~ -- u
.~, h~~l~ __ 1._.. +1:-_ I")~_~-...I Ll'+.,. " '''....'.f..................
I Business Nllm::....GMD~~~W:ci~q ~~~A~~~;~~~~~;)' .~_.._..
I Contact: Mike Gowins I Sue Gowins
It\ddrcss: 957 NORTH RIDGE AVE
I Cit)'/StatefLIP: SPRINGFIELD OR 97477
II'honc: (54] )74] 7369
I Enmil: gmtlelcctric@l:oml:ast.net
j:\lcfro lie. no.:
I Supervising eleelricilln's lie. no.: 4874S
]Supervising clcctdcian's name: MICHAEL K GOWINS
I Fa" (541)9881800
ICit), lie. no.:
Upon review and approval by your local jurisdiction, your
permit will be e-malled or faxed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained,
.~. ,,- '::'.,1
'-ot_'" '__.
Dt'scription Qly. Ell. Total I
,RcsidclltiafSINGeE::~OR lIIuJti~'(amily d"'cHing uniClncludcs ,~'.~_'-";:
:atiach~~:garngc'__ "'_\~_~: . >-~\<~ ',' .':'." . ~'..:; '. " 1
11,000 sq. ft. or less 14]
I Ea. addl 500 sq. ft. or portion
r,~imitfd[~nerg~".:- ;";~,;,,<o:, ,<,",';":;- - -=~
'. Limited energy, residential
(with above SQ. ft.)
- Limited energy, multifamily
residential (with above SQ" ft.)
I-Limited energy, commercia"1
(with above SQ, n,)
I - Stand-alone limited energy,
residential
I - Stand-alone limited energy,
multi-fami]v
I - Stand-alone limited eriergy,
commercial
1',~f~"!~es;,2t{:fii4,e~~'~~t~II,iiti~n~~~era(!~i~~/~~~!~S,~~ion:;~:~:>~,
1200 amps or less [21
120] amps to 400 amps [2]
140] amps to 599 amps [2]
I~!.". E,~lIJO.~RY:;~_:rv.!~~~SO~:.fee.jjifiI!.}taJta~~?,n: :Ult,c'~L,!~~'.~'-". ,< .
'A,ND!q~lelo~l1t'on - ~~.~ ,.:. :-.'~- "".~;, .-::' ,- ",_ "'.~,. ~C;- ....:~ -.',
1200 amps or less [21
~~<I 120] amps to 400 amps [2]
I 1401 amps to 599 amps f2]
I 1'.H!aJleJl:_dtc~its. -~ NE~V,-nitenit~; _~R "ex~~ii,~on,~,pe~_p~~!,~:" <',
IIA Fecforbmnchdrcuilswith
I service orfeedcr fee, each
~ branch circuit
I B. Fce for branch circuits
I without service or fceder fee,
Nl-,1irs~ptnch circuit f21
;llarf(!~ branch circuit I
Ji ;.tM~~i\1,!iildds,tiI:lA~J.;:'EXPIRI'lrJ;H
r: 1if.lfciJ{~o!nJ.!d'lm:~]TH/S PI;.RMIl Ie:: ~tnT
vt II iE.'lI:~'Or:fq&O~'IlN JONE ,-
,\i !\~p1ty'f)A'n5~If106n<l!f' D lOR
I I Pump or irrigation circle (2]
I I Sign or outline lighting [2]
II Signlll circuit(s) or limIted-
energy panel, alteration, or
extension]2) "_
1~';t~1'~>~~lf~.<.,: .~:"E!tq,I~Ip!\S_~.~RMltt~E~~;':~~T ?'"""-", ~_~.
I Subtotal I $61.00
I Stilte Surcharge (]2% of permit fee) 1 $7.32,
1 City Of Springfield fees "'I $3.05
I TOTALPER1\-lITFEE I $71.37
'" City Of Springfield fees: 5% Tel:hnology Fec
[Default number of inspections allowed)
(Y1-'53Q 'a- L\ \03l0Q
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Receipt # EC550345
4/22/20093:03:05 PM
c, ',":;\--:"~? .FEE'SE8!,OUL~c,
~.
~
-
,-..oj
not offered online at this jurisdiction
$55,00
$55,00
$6,00
$6,00
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 toea I ordinances. ~. r!J';.,
\S1 ~ ro~~
~~\t
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:kelly@comfortflow.com
Receipt # EC550365
4/22/20093:54:39 PM
~
Check on status of permit
By Phone: (541)726.3753 or Emaii: permitcenter@ci.springfield.or.ns
'~_:~J~-~ ~"
..,<~j!i~1'-~,:~",~:~~l1:-'f~IsCHEi?~9"g~_;,-~~
I Description I Qt)'. I Ell.
1~~_l;ttjn~~o~ling:uPJ~liance!!~-~_.- ~. ""
Furnace- up to 100,000 BTU
Furnace. above] 00,000 BTU
",I
I
:1
I IX] I or 2 family dwelling D Multi-family 0 Accessory Building I
I' .... ii'"" J9B'SI!E.lNFq~MATi6N,4NDE(rC~TIDtf"":~~,...i~'~:"7" .:,_.1
I,Job 110,: 844383 IJob llddrcss: 2244 15TH ST I
ICity/Statc/ZlP: SPRINGFIELD, OR 97477-2434 I
ISuite/bItJg.lllpt.no.: 1
I Project name: SMITH I
I D New construction
[XJ Addition/alteration/replacement
Total
1-.-
".
C,!!~GORY DF'(gjN~T~U.cit()N.
.,
,,', ,-.
~
Electric Furnace
Duct alterations and additions
Gas heater units/ in-wall, in-
duct. susocnded. ctcf
Vent, nue. liner for above
Air Conditioner $] 7.00
I
$]7,001
Cross street/directions to job site:
Heat Pump
,.,,"
~;,.,,>~, >'~ITE scji!rACr :
tgC;;
-oJ~-_-.
Air Handler
1;~J~~rfu~!;.~~~~Wg:~pplia:~X~fi-;--' -
IWllterht.'utcr
I Gas fireplace/insert/stove
i Gas log/log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or sp4l heater, kiln
I Wood/pellet slOve/insert
I Wood f1rt.'place
.1,J7himn'Yllm,rmU'lv'nt wlo , J
t111 ,~k;~~~~l~~.!i~Y~(AJID;~tfrR~Url0~s\ys)U.,to' ii~d'
'-'1,. --_'3-&-a~_"""""'""t~ll' VIt:::YUIIIUlIlIIY
NCfl~q<lon'M Th - - .' f .
- ... v ....'v .,)IT;l Villi
.... "-:..:,!~") ,<f\I>~l1r~~f'th,n"g 1 ailA 00 ?-e31-
"~..oo II ~,'j~fl\ftg1t~~~Il\\';~PJPfe; of the n les by
( 9 ~rlMI1 ne center. (Note: I he tel"r~ onA
n~r l,idW,-- ]1/iW<:I:J/illQon UtiI,ty Notific ~tion
1 'F,;eI~JPI.~q~g~"(j~V'~:.l::!:2344J~4:i -ce,"
II u;t;nrs';4~:;;tS(~nte;Qt;,,"I)- [' . '---I
I I each additional outlet I
I "Xt'i!. 'f~,MECHf'_'Nic:At PERNU1:,FEE-S'.: :-j~~.. . ~'iJ:'~;;.:1
I - ". , , . . - v sub~o;~1 ,-",c."""'" . ~$'] 7.~0 I
I City OfSpringfidd First Appliance lee $79.00
Stat..: Surcharge (12% ofpcrmit lee) $11.52
City OfSpringfldd fees * $4.80
I TOTAl.PEH.MIT FEE $1 ]2.32
. City or Springfield tees: 5% Technology' Fee
f~",:\,~-""_~~t,~ {:.,;~"~ - #
I Subdivision:
\Tax map/pureel no.:
I'".':,,~,~:':
ADD AC
Il.ot no.:
]703252207800
;IilESERfPTTOf(OF wo~~.;;~ ,_
,:,....'..
.=i.t~C_:~cONi~C;::TO~:~~dV .
4~'.
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I Nllme: CHRIS SMITH
I Phone: (54]) 744-6926
IEma'l:
I', '/i~. ".,
'IFa"
ICCHlic.no.: 460'1.____
18usiness Name: cb'M~dkfrc'ow HEATING CO
Contact: KELLybAiii PERMIT SHALL EXPIRF IF TI-lF WnRI(
IAdd"'" 1951 D6NI~fJIiURIZED UNDER THIS PFRMIT Ie: ~lnT
!CHrISta],IZ]P: gpk\iWl:15ti!OB090f\']/S3ABANnONFD FOP
1 Phone: (541)726li\Il6Y 180 DAY PERIOil": (541)7264799 .
I Enmil: kelly@comlbrtflow.com
1l\It'tro lie. no.:
ce,
leity 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.
cq -53C)
~ tf 2:;: I} 01
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.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00539
ISSUED: 04/23/2009
APPLIED: 04/22/2009
EXPIRES: 10/23/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2244 15TH ST
ASSESSOR'S PARCEL NO.: 1703252207800
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Adding circuits for heat pump and outside receptacle
Residential
Owner: SMITH CHRISTOPHER E
Address: 2244 15TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
GMD ELECTRIC INC
COMFORT FLOW HEATING CO.
License
162191
460
Expiration Date
11119/2010
06/27/2009
Phone
541-726-860 I
541-726-0100
BUILDING INFORMA nON I
# of Units: ,
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
.' ATTENTION: Oregon law ~~I{W.f.!M~RKING
Froo<yard Setback: Overlay Dist: follow rules adopted by thfJfa~gon Utility
Side 1 Seth~fl..; # Street Trees RqdNotification Center. Those rl-tm"<JltJIl!P~Jprth
Side 2 Setb!iHiT/CE: Paved Drive Rqd: In OAR 952-001-001 0 throu~81~A~i':O I~~O~-
Rearyard So'rlllleRERMIT SHALL EXPIR .'Yo mJ.ot Coverage9090. You may obtain copies 0 e ru y
Solar SetbaWf:H E IF THE WOHK calling the center. (Note: the telephone
v-.' OR/ZED UNDER THIS PERMIT I~ MnT ' number for the Oregon Utility Notification
'VU'VIIVlCIVvCU UK I~ ABANDONJ;lUJHIlIOC IMPROVEMENTS I Genter IS ,-tluu-,j,j<::-<::,j'l'l).
ANY 180 DAY PERIOD. .
Street Improvements: ' Sidewalk Type:
Storm Sewer Available:
Special Instruction:
DownspoutslDrains:
Notes:
Pa2e I 01"3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
Fee Description
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee '
+ 5% Technology Fee
1st Appliance
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Appliance Not Listed
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00539
ISSUED: 04/23/2009
APPLIED: 04/22/2009
EXPIRES: 10/23/2009
VALUE:
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Fees P~id I
Amount Paid
$7.32
$11.52
$3.05
$4.80
$79.00
$55.00
$6.00
$17.00
$183.69
I Plan Reviews ,
Date Paid
4/23/09
4/23/09
4/23/09
4/23/09
4/23/09
4/23/09 ,
4/23/09
4/23/09
Value
Date Calculated
Receipt Number
2200900000000000417
2200900000000000418
2200900000000000417
2200900000000000418
2200900000000000418
2200900000000000417
2200900000000000417
2200900000000000418
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. R.~~I.~ire~ Inspections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Pa!!e 2 of 3
Sta tus
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00539
ISSUED: 04/23/2009
APPLIED: 04/22/2009
EXPIRES: 10/23/2009
VALUE:
225 Fifth Street, Springtield, 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 Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensnre that all reqnired 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 Si,gnature
Date
Page 3 01"3
225 'Fifth Street
Springfield, Oregon 97477
541-726-37.59 Phone
ii~
Job/Journal Number
COM2009-00539
COM2009-00539
COM2009-00539
COM2009-00539
Payments:
Type of Payment
ONLINE CHGS
cRcceiotl
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
. RECEIPT #:
2200900000000000417
Descril}tion
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
KR
ONLINE
Page I of I
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 04/23/2009
8:08:3IAM
Amount Due
55.00
6,00
3,05
7.32
$71.37
Amount Paid
, r:'GMDL., Online
'. Electric J
. "-Payment Total:
$71.3 7
$71.37
4/23/2009
225 Fifth Street
Sprihgfield, Oregon 97477
541-126-3759 Phone
Job/Journal Number
COM2009-00539
COM2009-00539
COM2009-00539
COM2009-00539
Payments:
Type of Payment
ONLINE CHGS
cReceiol1
RECEIPT #:
Description
1st Appliance
Appliance Not Listed
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
a....R'HQ.,~..t4. .
;.~ - .
JIll: .-,.
2200900000000000418
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 04/23/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page 1 of 1
ONLINE 'Comfort '. Online
l Flow'
~H~ating)
Payment Total:
8: II :36AM
Amount Due
79.00
17.00
4.80
11.52
$112.32
Amount P:lid
$112.32
$112.32
4/23/2009