HomeMy WebLinkAboutPermit Electrical 2009-5-12
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City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:gmdelectric@comcast.net
Receipt # EC551591
5/12/2009 1 :47:09 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
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This Autfiorizatlon To Begin Work must be posted at the Job site until replaced
I D New construction
[K] Addition/alteration/replacement
IlliJ I or2 family dwelling D Multi-family 0 Commercial J Industrial
lY~:~:~9~:~(T:~::{N)~Q.~MAtI6N...~.~R;gRilli.9~2::,;ff~c~f:~~;'~,:'f.~:
IJobno.: IJubaddrcss: 738 WNST
I Cily/Stafr/ZIP: SPRINGFIELD, OR 97477-2861
I Suilc/bldg.hlpt.no,:
IIJroject name:
Cross street/directions to job site: Centennial Blvd (R) onto Prescot( Lane (L) onlO
IVesl"N"
I Subdivision:
ITlU: map/parcel no.: 1703274204501
I Lot no,.:
Mitsubishi Units and outside receptacle
INnmo: Roy Hacc;oMOTlr.1=. I
I ~hOOO: (541) 746-1l5AAS PERMIT SH^L~'~Xrln[ Ir 71 {[ \'\IeRK I
I Emn,l, 4lLD:Ino/Zl;O ~mr~ ~~n ~ ,_. ,~ I
1'"'.lLryri<----"">"-n , ,~, -~-JC(lN I' ,-,_r:i:;\fVlI.--iS".J"if'''l_,,",'J'=_
:>:"L>--~-~= r.nMMf:~Je~!:'%:Jrr ='01'-- kf0g-'~-- ~Y<'",,-K~l
1." he. no,' 20-531l1Jy 160 DN! rmld he 0.. M;~,
I Busmess Name: GMD ELEC I RIC INC
I Contact: Mike Gowins / Sue Gowins
IAddi'l'ss: 957 NORTHRJDGE AVE
1 City/State/ZIP: SPRINGFIELD OR 97477
I Phone: (541 )7417369
I EmaiJ: gmdeIectric@col11cast.net
I Mt'lro lie. no.:
ISuper\'ising electrician's lie. no.: 48745
1 Supervising electrici:lIl's name: MICHAEL K GOWINS
1 Fax: (541)9881800
1 City 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.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
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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 Description
Ea,
Total
Qly,
11;000 sq. ft. or less [4J
I Ea. addl 500 sq. ft. or portion
,I
I
.l
I . Limited energy, residential
(with above SQ. ft.)
I - Liniited enl.:'rgy, multifamily
residential (wilh above SQ. It)
I-Limited energy, commerCial
(wah <lbove SQ, ft)
I - Swnd-alonl.: limited energy,
reSIdentIal
- Stand"alone limited energy,
rnulti-familv
- Stand~lllone limited energy,
commercial
Inol alTered online at thisjllrisdiction
1200 amps or less [2]
1201 amps to 400 amps [2]
1401 amps to 599 amps [2]
IST~~IPQ~.~y:'~ery~!t'Q!:f~~~rS~i.nst~I!?li~~;alt~~al!~~"~~~::<~~J~ ~I
~1~~~9B:~~!(j~I~ti~~":~~~r~"~,,~:t;c~{I:~f~~:~)~'i',; P,~7:- ij~-;~ :P~::-;J.
1 200 amps or less [2] I
1201 amps to 400 amps [2]
1401 amps to 599 amps [2] I
IrBrancbfcrrcufis~NE"W,~;\'lteraiiO~;~OR'cxtelisIo-Dtpe'r-,'panel ~'T,~~_ :' : :~:-I
" ,",,-v', " ','-",:1"''- """"""'" ;'~ji.. '"h,,, """_',M''''',,, ' _ ,me,- '_ ' ", _ m,' ,-""-""'," ""'iIJ:_~~'"" .-,," ''L ,~;
I A, Fcc lor br.Mhldirf\m~l>llli: yregon lat' require~ you 10 I
~~;~~~ ;';;~fr?\'Hll~e~ adppted by Ithe Oregpn Utility
B,FCCrOr}ianlll,c;iCUII,,'"v, "",] r, TlrU~~'UI~5's'O~'.'~~I'5~
w;lho,,' ,dl'ieo,~lilca15itt.001- 010 thr ugh OA 952-001
first brancln:!irt.mit I2IY.....,_, """'",y_ ~~::'.!~ ':'':' "'Ijg~ of th ~:":~:2
ea~:~dd~b::'~J!_\:d~:JXl'f;"tP%. {~~),~t~~h~~~'~~1
,M1-,,,,,,II~J!!,~lJmp,er0for;,lIie-:OreGlOni0111ItV:iNo1Ificatioti'
I S"";e,,ecom;eCl ooly(DlJnter is 1-800-: 32-2344:. ;
I Eacllmaiiufactured or nfodular I
dwelling, service and/or feeder
r21 '
1 Pump or irrigation circle [2] 1
I Sign or outline lighting [2] I
Signal eircuit{s} oTlimitcd- I I
energy panel, alteration, or,
extensionJ2)
~1Wt:~:~:"~~~~EtECjRiCAL:;PERMiT'ffE~f:":~'~~;-~t::f~~. "CI
"tt...,.~<'"~""",'iI4'_"P,'T"''--'"'''':_~''' ",:.-!,:" ',',_',"''",,"',,_, __,_.. ~"., ",_..r-< ,'__ ',_, '
I Sll~~l ~7.00
I State Surcharg~ (12% ofpem1it fee) $8.04
I City Of Springfield fees * $3.35
I TOTAL PI:IIMIT FEE $78,39 ,
* City Of Springfield fees: 5% Technology Fee
fDefault nllmber ojinspecfions allowed)
tg - Le~~ ~ 5\lO\cA
by a Permit.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 738 W N ST
ASSESSOR'S PARCEL NO,: 1703274204501
CITY OF SYKll~lj1'IELD
'Building/Combination Permit
PERMIT NO:COM2009-00648
ISSUED: 05/11/2009
APPLIED: 05/11/2009
EXPIRES: ll/12/2009
VALUE:
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Install ductless system'
Owner: HARRINGTON RAYMOND D & G F
Address: 738 W N ST
SPRINGFIELD OR 97477
TYPE OF USE: New
Residential
Phone Number: 541~746-8570
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'
# 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:
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Frontyard Setback: Overlay Dist: Total:
Side 1 Setb~ck:, # Street Trees Rqd: ATTENTION: Oregon lawlMtlgi~9\)'1i to
Side 2 SetWElf:/CE: , , Paved Drive Rqd: ~o~,~w rules adopted by 1I@>B\IV'J5h Utility
Reary~rd11~lsa~~:RMIT SHALL EXPIRE IF THE WO~ROf.Lot Coverage" 0 If/cation Center, Those rules are set forth
Solar Setmlcl{s: U K In OAR 952-001-0010 through OAR 952 001
flU I HORIZED UNnFR THI~ PI=RMIT Ie: WIT 0090, Ynll mo" ~h.^;^ ^"_'__ _.., . - -
COMMENCED OR IS ABANDONl:HPl:iD~IC IMPROVEMENTS-ling the center. (Noie:-t-h~'t~i~p;;;;;euy
. ANY 180 nAY PERIOD. '"ber fO,r the Oregon Utility Notification
St. eet Impl ovemenis, CIii!llt"'\\lklTlYiPS;332-2344).
Storm Sewer Available: Downspouts/Drains:
Special Instruction:
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
I Valuation Descriution I
Description
$ Per Sq Ft
or mnltiplier
Sqnare Footage
or Bid Amonnt
Type of Constrnction
Total Valne of Project
Fe.~;~ Paid I
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pnmp
+ 12% State Snrcharge
+ 5% Technology Fee
Add, Alter, ExtendCirc
Add, Alter, Extend Circ Ea Add
Amonnt Paid
Date Paid
$17.64
$7,35
$79,00
$51.00
$17,00
$8,04
$3,35
$55,00
$12,00
5/11/09
5/11/09
5/11/09
5/11/09
5/11/09
5/12/09
5/12/09
5/12/09
5/12/09
Total Amonnt Paid
$250,38
I Plan Reviews ~
CITY OF SPRINGl'lJ<;LD
Building/Combination Permit
PERMIT NO: COM2009-00648
ISSUED: 05/11/2009
APPLIED: 05/11/2009
EXPIRES: 11/12/2009
VALUE:
Valne
Date Calcnlated
Receipt Nnmber
3200900000000000352
3200900000000000352
3200900000000000352
3200900000000000352
3200900000000000352
1200900000000000422
1200900000000000422
1200900000000000422
1200900000000000422
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 Rellllired Tnsneetions 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.
Pa2e 2 of 3
_~,R~lf>l@FI'lI!L~- ,
I
?
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54] -726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00648
ISSUED: 05/11/2009
APPLIED: 05/11/2009
EXPIRES: 11/12/2009
VALUE:
By signature, I state aud agree, that I have carefully examiued the completed applicatiou 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,
[ 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 of 3
Date
225 Fifth Street
Springfield, Oregon ,97477
54]-'726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2009-00648
COM2009-00648
COM2009-00648 _
C01v12009-00648
Payments:
Type of Payment
ONLINE CHGS
cReccintl
RECEIPT #:
]200900000000000422
Date: 05/]2/2009
Description
Add, Alter, Extend Circ
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
KR
ONLINE GMD Online
ELECTRIC
Payment Total:
Page I of I
2: 16:48PM
Amount Due
55,00
12,00
3,35
8,04
$78,39
Amount Paid
$7839
$78.39
5/1 2/2009