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Home My WebLink AboutPermit Electrical 2009-5-21 ~G'r ~~/ City of Springfield Electrical Authorization To Begin Work E-mailedTo:gmdelectric@comcast.net Receipt # EC552123 5/21/2009 9:55: 13 AM Check on status of permit By Pholle: (541 )726,3753 or Email;permitcenter@ci.springfield.ol..us ] 0 New constmction lliJ Addition/alterationJreplacemenl I Description Qty, E" Total I Subtotal I ~ I MmJmum fee used Instead of Subtotal I JA I Stute Surcharge (12% of perml\ fee) I 1\ .V _' I Clt). or SpTlngfield fees .1 ~fb Ii ~ 1~~IlY QfSpnngfield fees ~~ I~C~1:0~~~1~~'cFI:E "J'f: 'tg~1W-'-tt: 10 I or 2 family dwelling 0 Multi-family 1~::':~:tU;~~::T;~i~,~}":iJJ6B1S1TEifN~,ORMAiION~ANbr[OCATioN~~,~J~'di:~~~f~J ::;;";~rt ~:..::;"" ~-,,~ .., ~~f~:~ ad;;~:~~'~-3:'" 5;';~'-;~~~~' ~_.~. -0. ., ~'''.,~ H.~'#.i~c~,,~,~_. ,- " ICity/State/ZIP: SPRINGFIELD, OR 97478-6823 1 Suite/bldg./apt.no.: !I>rojcct name: Cross street/directions tojob site: 58th (L) onto E Street (R) onto 57th Street ISUbdi\'ision: Tax map/parcel no.: 1702331 ]0]000 !Lot no.: Mitsubishiunit I Name: Rene llnd Carolyn Ortega Illhone: (54]) 746-71 15 Email: IF", EI. lie. no.: 20-537CNnTr("~. ICCUlie.no.: ]62191 I:~:,;::::: N~:::G~~h~i. t^t"IHt In HE WORK IAdd"''' 957 NORT~~fr'.\t~,~ i^.P ~'~Dt:t1 I Nl::i ,.,tHMIT IS NOT IClly/St'I,/ZIP: sP,!\~~\~itl~~t~711,t1I" AtlANUUNED FOR IPhon" (541)7417369' ,3 uA) Ft:t1/WJ..(541)9881800 II<:mail: gmdelectric@comcast.net I Metro lie. no.: I City lie. no.: I Supervising electrician's lie. no.: 4874S I Supervising electrician's name: MICHAEL K GOW]NS 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. 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. /',ODDsq,ftorJess/4J lEa, llddl 500 sq f1. or p~rtion I - Limikd energy. residential (with above sa, ft,) I-Limited energy, multifarilily residential (with above sq. n.) I - Limited'eriergy, commercial not onered online i1tthisjurisdietion (wlIh above Sq. Ct.) I - Stand-<llone limited energy, residential . I - Stllnd-alone limited energy. multi-family . I - Stand-alone limited energy, commerci1Jl , i~;;::~:;~;Tl\:rr~~[~IT11ii'~ilirn1~);jRi~$~'o;{~!l2jRJ~t1 1201 "mps to 400 amps [2] 1401 amps to 599 amps [2] 1200 amps or less [2] 120 I amps to 400 amps [2] 140] amps to 599 amps [2] I A. Fee for branch circuits with If' I ~::~~ ~i'Ait'1'l:\'m~: Or~gon law. equires "o~.t,o I B, Fcc fc1rltiian~1'1 Cti:tUitSl ClUUJ.. tt::u uy lIlI:: VI $Ss\Jb Ulll$~,OO ':itho",Jl;~{\Git9!lf!,-<!G'4Sentel, Those I Jles are! et lorth t"st b'~/~_~v~~'~ti~~ ~ 10 throw rJ:l-GAP. ']'~ ']'}.:t- <~~,~~~td~~bl;~;l ~t~,~h1. ?~I~.ot < ~,i2~2'::'r:iJ;;~ ~'11,ttR. J~}I.f'~ ~)'~, 'M.."""n""~ll""-. ':- Jlhl'-""'t'''''''iJ-'("'''I'' "'lh-'"t'.\'''''Ii'"''' --",ill I ~_Y~"''''''.,I:rl, If'i.Utll'le",cen er;"jl 1'-l(1FL" . e!. een ,one;.').;;,", I S,,,i,, ''I'IQ11~~lJeplfdFnhe'\C regon Ut lity l'Jotii-l~ation I I E"h m"m,","""d elJ'A11!!F'Is 1-800'33 ~-2344). I dwelling, service and/or feeder I 121 .. -'---'I--!.fumP or irrigatiun circle [2J 1 I I Signor, outline lighting [2} I I I Signal ClTcuit(s) or Iimited- energy pane]. alteration,' or extension $55.00 I $58.00 $6.96 I $2.90 I $67.86 I s/0110g ~~fIQ'~,,& ~ ~~~ This Authorization To Begin Work must be posted at the job site until replaced by a Permit. " Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Pholle 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 838 57TH ST ASSESSOR'S PARCEL NO.: 1702331101000 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00702 ISSUED: ' 05120/2009 APPLIED: 05/2012009 , EXPIRES: 11121/2009 VALUE: Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Installing ductless system - I olltdoor unit and I illdoor unit Residelltial Owner: ORTEGA RENE J & CAROLYN E Address: 838 NORTH 57TH ST SPRINGFIELD OR 97478 Phone Number: 541-746-7115 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechallical Contractor GMD ELECTRIC INC COMFORT FLOW HEATING CO. License 162191 460 Expiration Date 11/19/2010 06/2712009 Phone 541-726-8601 541-726-0 I 00 BUILDING INFORMATION' # of Units: Primary Occupallcy Group: Secondary Occullallcy Group: Primary Constructioll Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a , Lot Size: Sq Ft 1st Floor: , Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DH'ELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive, Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Imerovements: S NOIIl,;E:A '1 bl t ~l er val a e: sp1l11IIThRM/i'b.$.HALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT NJUMVIMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. -- Ra2e 1 01'3 Sidewalk Type: DownspputslDrains: ' ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notilication Center. Those rules are set lorth in OAR 952-001-0010through OAR 952-001- 0090. You may obtain copies 01 the rules by calling the qenter. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone ' 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation DescrilJtion I Description Tvpe of Construction $ Per Sq Ft or mllltilllier Square Footage or,Bid Amount Total Value of Project ~ees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handlillg Ullit Up to 10,000 Heat Pump + 12% State Surcharge + 5% Technology Fee Add, Alter, Extelld Circ Amount Paid $13.56 $5.65 $79.00 $17.00 $17.00 $6.96 $2.90 $58.00 Total Amount Paid $200.07 I Plan Reviews ~ Date Paid 5/20/09 5/20/09 5/20/09 5/20/09 5/20/09 5/21109 5/21/09 5/21/09 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00702 ISSUED: 05/20/2009 APPLIED: 0512012009 EXPIRES: 11/2112009 VALUE: Value Date Calculated Receipt Number 1200900000000000511 1200900000000000511 1200900000000000511 1200900000000000511 . 1200900000000000511 1200900000000000514 1200900000000000514 1200900000000000514 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. ~eollired Jnsnections I Rough Mechallical: 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 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ( CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00702 ISSUED: 05/20/2009 APPLIED: 0512012009 EXPIRES: 11121/2009 VALUE: , By sigllature, 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 s~all be don~ 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 structllre without permission of the Commullity Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used 011 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 tbe front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Paee 3 of 3 Date 225 Fifth Street' Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00702 COM2009-00702 COM2009-00702 Paymellts: Type of Payment ONLINE CHGS cRcceinl1 RECEIPT #: Description Add, Alter, Extend Circ + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS " City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000000514 Date: 0512112009 Item Total:' Check Number Authorization Received By Batch Number Number How Received KR ONLINE GMD Olllille Electric Payment Total: Page I of I II :26:53AM Amount Due 58,00 2,90 6,96 $67.86 Amount Paid $67,86 $67.86 5/21/2009