HomeMy WebLinkAboutPermit Electrical 2009-4-27
City of Springfield
Electrical Aujhorization To Begin Work
E-mailedTo:gmdclcctric@comcast.net
Receipj # Fr.'i50678 S ~0
4/27/20097:21:16 PM qJ
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Check on shltus of permit
By Phone: (541)726,3753 or Email: permitcenter@ci.springfield.or.us
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! 0 New construction [X] Addition/nltcralionlrcplar.:cmcnt
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I Description ! Qty. I .:a. Totlll I
1 ~~~id~~tilll~SI~E L~,:' ?~" ~'~~t~~fa!)iilf'~",' ,'C"m~g'unil. )~c1udcs '",. "1
,l!ttach~dgarag~,:,,":,'l:.':: ::!,,", ~,,:t'~ . ";'{ ';' .'.'
I I,OOOsq, n,or less [4] I
I Ea. addl 500 sq. fl. or ponion !'
1;~,i~lit.e~'.~!1~rgi~':':'~'~',.1,: _ i~:'~' ,r ~-J
I-Limited energy, residential I
(wilh above Sq. [1.)
I-Limited energy, multifamily' I
residential (with above SQ. f1.)
I-Limited energy, eommen:i,il
(with above Sq. fU
I - Stand-alone limited energy,
residential
I - Stand-alone limited energy,
multi-family
I - Stand-?lone limited energy, I I j
commerClUl
I ~~Jn:ic~i. O,!i!~€~~ts,!~~~~~I,ll ~OE; ',~!i.~r~!io,.~; AN!?i,()~~~~~IR,~:1 t.!,?n ~:~. .': '. .
I 200 amps or less 12] I I
1201 ampSlo 400 amps [21 I I
1401 ampSlo 599 amps 12] I I
1,.~tE,~1PO~~RY(;~~nJrcs'o~ f~~e~'t.~strilla~icin, a,ller~tij~~-,:>.;~, ;:~;':I
!~ND(OI~'!el~c}l~~~~:>-.: .'.,-; "'{"'d'~"'.': ,:' ".;'''~ '.~. .-:, .~;.t,,,t~.,,
1200 amps or less [2] I I I
120 I ampSlo 400 amps [2J I I I
1401 ampSlo 599 amps [2J I I
1,B!.llli,c~'rircujtf~:l\;~~'; ~~te'~~tiiin,~,~~ ~xte_n~~i.lD; peYpan!.1 . . 'I
I A. Fee for branch circuits with I
:;-~ service or feeder fcc, each
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branch circui1.6.TTJ:I\ITI f"'I rd. 'l..-:...,r- 1= .. re~ . .
I B F,do' b~l~dl'iI.'~Jts - .. , ,_,,_r, roo ~~o 0 YC~I-'oo
withoot "rvll1'~bYr"d\l,I~ ad Jpled by the ure~ on IJ rlily
firSI branc~1fUi.hV~l.tIOn Cen~er. Th()~:t, n J1p~ !:It:t, eo.+ <f,:,~~! I
I each addl t!I3"Ei\,~n:uit52'001,1001 0 thr:t uoh ~M9 !'ls:SJ~qQL
I';:~~:;~;::~_ij;~~p,~~:i,~~i!~i~~h~ft~;;~~~~~ b't
I Each m,mUfdCMfed"6i-'fn68UlarIIGI VI t::!::jUl r JtllllY 1\10 ITIcatlon
dwelling, service and/oQtw~er S 1-800-: 32-2344' .
121 '
j Pump or irrigation circle [2J I
Sign or outline lighting [2] I
Signal circuit(s) or limited- I
energy panel, alteration, or
extension r21
1\ ",;;',i <~'EI.ECTRLCAI, P~RMltFEES;l; ,'"~ ~" 'f ',~ ' " I
[ Sobtotall $67,00 I
I State Surcharge (12% of permit fee) I $8.04 I
I Citv OrSpringfh:ld fees'" $3.35 I
I TOT\L PER,\IIT n:E $78.39 I
. City or Springfield fees: 5% Technology Fee
(D~q':5~5n'allm~ t.f !2.8 10'1
Inot olTered online at this jurisdiction
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CATEGORVOF C6NSTRiicTION~'
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10 I or 2 family dwelling D Multi-family D Commercial I Industrial
I" c, ":, "JOB:SJ'r~~IN~ORrlJAT.lON ...!:lO]H)f.6TJ8~.,i;~ "~
IJobllo.: !Jobadd.-ess: 730 EST
ICit)'/StHtcfZIP: SPRINGFIELD, OR 97477-4742
j Suitelbldg./apt.no.:
I Project name:
Cross street/directions to job site:
U Street (l) onto 5th (I.) onto E Street
I Subdi\-i.~ion:
ITllX map/parcel no.: 1703351302300
.t.~j.::~{;v.$e4bl=~9Rf~:f.I.Q.E qF~''dO:~~>:,~.f!:~;.~
(2) Mitsubishi Units and outside receptacle
)1.01 no.:
, ..,;~
! i'l:IUlC: [)J Robinson
I Phone: (541) 746-8903
IEnmil:
I Flll:
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.~ '';:.~r~::::!;~' '~'CciN't~CTOR :1:;:~'~:7'?
ICCBlic.llo.: 162191
I EI. lie. 110.: 20-537C
I Business Nume: GMD ELECTRIC INC
leonlnel: Mike Gowins I Sue Gowins
IAddccss: 957 ~@n!!iEEAVE
1C;IY/Sh"'/ZIP:TI~P~MAR~li~VO'OI: II: T ['0/
-. .-, lit" " "Oml
IPhO~" (541)7~m'i"Hmmm I,'~I':': l'I'ts-~~mY.l0f IG f4;)7
IE""'''' gmdel'f](\I@FII!)J!'!I!'f"<;!l)..nD ,~ ~",^,lnD,.r.., r<=
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I""mlk, "O"MIV 180 DI{Y PERI~8,CitY"k, "0,:
I Supcnisin~ electrician's lic. no.: 48745
!Supcn'ising ...leclririulI's nume: 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 schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 t\ I
days if a permit is not obtained. ~
The local building department may determine that an ~ n~
Authorization To Begin Work is null and void if it does not ~~t~v
meet applicable land use laws and R>cal ordinances. ~Vt.o~
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
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CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00545
ISSUED: 04/23/2009
APPLIED: 04/23/2009
EXPIRES: 10/28/2009
VALUE:
225 Fifth Stree,l, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspectiou Line
SITE ADDRESS: 730 E ST
ASSESSOR'S PARCEL NO,: 1703351302300
Springlield TYPE OF WORK: Mechanical Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Instan ductless system
Owner: ROBINSON DORAL JEAN
Address: 730 E ST
SPRINGFIELD OR 97477
Phone Number: 541.746-8903
I 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
BUILDING INFORMATION 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 Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
DGWnfpduiSJDn(iI;J~i:1on law requires ou to
j~~1~arj~;gi1~70:0/1e01hh~~;~~I~;~~~ieYi~;rh
, I rough OAR 952'001-
0090" You may oblaln copies of the rules b
calling the center, (Note; the telephone y
number for the, Oregon Utility Notification
Center IS 1-800,332,2344),
Storm Sewe'tli~1etl!~:
Speciallnstnl8ibn: .
THIS PERMIT SHALL EXPIRE IF THE WORK
Notes: AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
Paee I of 3
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Status
Issued
225 Fifth Street, Spriugfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description
$ Per Sq Ft
or multiplier
Tvpe of Construction
Square Footage
or Bid Amount
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fcc
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
$8,04
$3,35
$55,00
$12,00
Total Amount Paid
$210,60
I Plan Reviews I
Date Paid
4/23/09
4/23/09
4/23/09
4/23/09
4/23/09
4/28/09
4/28/09
4/28/09
4/28/09
CITY OF SPRll'Il.l'lt<,LD
Building/Combination Permit
PERMIT NO: COM2009-00545
ISSUED: 0412312009
APPLIED: 04/23/2009
EXPIRES: 10/28/2009
VALUE:
Value
Date Calculated
Receipt Number
, 2200900000000000426
2200900000000000426
2200900000000000426
2200900000000000426
2200900000000000426
1200900000000000305
1200900000000000305
1200900000000000305
1200900000000000305
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 worki'ng day, inspecjions requested after 7:00 a,m, will be made the following
work day.
I Reouired Tnsneetion" 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
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00545
ISSUED: 04/23/2009
APPLIED: 04/23/2009
EXPIRES: 10/28/2009
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 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 ensure that all required inspections arc requested lit 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
Paee 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009,00545
COM2009-00545
COM2009,00545
COM2009,00545
Payments:
Type of Payment
ONLINE CHGS
,cReceintl
RECEIPT #:
1200900000000000305
Date: 04/28/2009
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fcc
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE GMD Elect. Online
Payment Total:
Paee I of I
8:37:44AM
Amount Due
55,00
12,00
3,35
8,04
$78.39
Amount Paid
$78,39
$78,39
^
4/28/2009