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Home My WebLink AboutPermit Electrical 2009-5-11 City of Springfield Electrical Authorization To Begin Work E~mailed To: gmdelectric@comcast.net Receipt # EC551 543 5/11120095:10:57 PM ~~ V ~/ (j Check on status of permit By Phone: (541)726-3753 or Email: permitccnter@cLspringfield.or.us 10 New constmction [K] Additi6n/alteralionlrcplacemen! I Description , i"\ '''' I [KJ I or 2 family dwelling I':, _~ ;:t; ;-; .;i/~i:~,T~~~:j~~~sLt~~(N~t5f~~tJS~~~A~~'gl~99AT~<?~;FLi~'e~;~ttl;'cr. jyIiJi~,;;.1 IJob no.: IJob address: 4475 DAISY ST I I City/State/ZIP: SPRINGFIELD, OR 97478-6657 I jSuitc/bldg.lapt.no.: SPC 114 I I o Multicfamily DCornrnercial/lndustri<11 '111,000 sq. ft, or less [4] I Ea. addl 500 sq. n. or portion ISubdi\"ision: jTax mllp/parcelno.: I Lot 110.: I-Limited energy, residential (wilhabovc SQ, ft.) I-Limited energy, multifamily residential (with above SQ. ft.) - Limited energy, commercial (with above sq. n.) - Stand-alone limited energy, residential I - Stand-alone limited energy, multi-familY I - Stand"alone limited energy, commercIal 1!.~~-rv:!5€21{::f~~~~fir~~~~ilo1i~~~I~r~ii~,~.[;~~Ei1({~afi~l~,G}'-, -:;~';I 1200 amps or less [2] 1201 amps 10 400 amps [21 140 \ limps 10 599 amps \21 not otTered online atlhisjurisdiction Projl'et nam(': Cross strl'ct/dirccliolls to job site; 42nd Street (L) onto Daisy 1702323406500 Add 1 - 2 1/2 LOn heat pump nnd outside receptacle I," IName: Hank Nicho]s I Phone: (54])514-9417 IEmnil: I FllX: 1200 amps or less [2) 120 I amps to 400 amps [2] 140 I amps to 599 amps [2] for branch circuits with service or feeder fee; each bmnchcirCllit lB. Fee for branch circuits without service or feeder fee, first branch circlIll [21 i each add! branch circuit $55,00 $55001 $6,001 I [I. lie. no.: 20-537C ICCR lie. ~o.: 16219] I Busill('Ss Nalll('; GMD ELECTRIC INC I Contact; Mike Gowins I Sue Gowins \Addnss: 957 NORTHRlDOE AVE ICity/Slate/zIP: SPRINGFrELD OR 97477 [Phone: (541)74]7369 IFax: (54])9881800 I Email: gmdelcctric@comcusl.nel I Metro lie. no.: I City lie, 110.: I Supervising ('j('ctrician's' lie. no,: 4874S I Supervising electrician's name; MICHAEL K GOWINS $6.00 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. #.\f\ 6-~~ ~' I I I I I Signal circuil(s) or li.mited- I I I energy'pane], alteratIOn, or extension r21 l~f'f4j'.f.~ttt~"Ed:CTRTCAi1YPERMi1::FEESl-~,:~~~;;,::~?;,:~~;:/jI .fM,. ,..,Ai:-:t~::.m' .'.~~_'=^~"m",_m'_'.''''''',%,.:;m~''::'':'.::'k,if". .1. ...;>>i. '''"~~''' I Subtotal $61.00 I I StateSurcharge(]2%ofpermitfee) $7.32 1 City OfSprlngfiC\d feo:s * $3,05 1 I TOTALPERI\IITFEE $71.371 .. City Of $pfingtleklfces: 5% Technology Fcc [DeJalllf number oJil/speerions allowed! I Service reconnecton]y [2] I ElH;h manufru.:turcd or modular d\velling, serYlCe and/or feeder f21 [ Pump orirrigation circle[2] I Sign or outline lighting [2] 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. ~~~~\~<\\O This Authorization To Begin Work must be posted at the job site until replaced by a Permit. Cory{~(5\.if - CfJ &4~ 5--12...og () (Y\ ,_~eRlNGreIEL~ 'I! ), CITY OF SPRINLIl'lJ<;LD Building/Combination Permit Status Issued PERMIT NO: COM2009-00649 ISSUED: 05/12/2009 APPLIED: 05/11/2009 EXPIRES: 11/12/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4475 DAISY ST SPACE 114 ASSESSOR'S PARCEL NO.: 1702323406500 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump Owner: NICHOLS HANK THOMAS Address: 4475 DAISY ST SPACE 114 SPRINGFIELD OR 97478 I CONTRACTOR INFO~MATION 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 Bcdrooms: # 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 Flnor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: ' Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: ............-t.ITlnt\\. nrp.dOll law requires y?~:;;~. I PUBLIC IMPROVEME>~'mS1 rules ado~te~h~~~I~:II~~va~~'~e-t forth NOllllvatlon Cente, '___'] hOAR 952-001- , OAR 952SJgewalklT~pe: 9 j h ules by In . ~O\l obtain copies 0 t e r 0090" You Downs~out~~~r!!iI!S:3 tele~\lOne calling the cen~1. \ n U\;'ity No\iflcallon number for the r1e~gO_332-2344), Center IS - Storm Sewer A~ailablr:E' RK Special IlIstructf,',b',1 Iv . 'IT SHAll EXPIRE IF THE WOOT THIS PERI'vI THIS PERMIT IS N Notes; AUTHORIZED UNDER ABANDONED FOR COMMENCED OR IS ANY i80 DAY PERIOD. .:' Page I 0/'3 Status Issued 225 Fifth Street, Springfield, OR 541- 726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Oesc~iDtio~ I Description Tv"e of Construction $ Per S'I Ft or multiplier S'Iuare Footage or Bid Amount Total Value of Project J;'pp<, P.irI , Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $11.52 $4.80 $79,00 $17,00 $7.3'2 $3.05 $55.00 $6,00 5/11109 5/11!09 5/11/09 5111109 5/12109 5112109 5/12109 5112109 Total Amount Paid $183,69 I Plan Reviews , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00649 ISSUED: 05/1212009 APPLIED: 05/11/2009 EXPIRES: 1l!1212009 VALUE: Value Date Calculated Receipt Number 3200900000000000353 3200900000000000353 3200900000000000353 3200900000000000353 3200900000000000354 3200900000000000354 3200900000000000354 3200900000000000354 To Request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00 a.m, will be mllde the same working day, inspections requested after 7:00 a,m. will be made the following work day. I RrrvirprIJnsnections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete, Rongh Electric: Prior to Cover Final Electric: When all electrical work is complete, Paee 2 of 3 ) Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMITNO: COM2009-00649 ISSUED: 05/12/2009 APPLIED: 05/1112009 EXPIRES: 11112/2009 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 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 Paee3 01'3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00649 COM2009-00649 COM2009-00649 COM2009-00649 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 3200900000000000354 Date: 05/12/2009 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 ONLINE GMD Online ELECT Payment Total: NJM Page I of] 7:14:54AM Amount Due 55,00 6,00 3.05 7,32 $71.37 Amount Paid $7 \.37 $71.37 5/12/2009