HomeMy WebLinkAboutPermit Electrical 2009-5-26
City of Springfield
Electric~1 Authorization To Begin Work
E-mailedTo:gmdelectric@comcast.net
Receipt # EC552339 i
5/26/20092:01 :2] PM 1 J..
(,V\/
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@)ci.springfield.or.us
I [X] ] or 2 family d~"cl1ing
o Multi-family
D Commercial/Industrial
I 1,000 sq. ft. or less [4]
lEa: addl 500 sq. ft, or portion
J 0 New construction
~ AddjtionJalteralion/repla~emenl
IJob 110.: IJob address: 245] CLEAR VUE-LN
I City/SlatelZlP: SPRINGFIELD, OR 97477-1345
I Suitc/bldg.!ilpt.no.:
f Project name:
Rick Shumay
\ Phone: (541) 744~2597
IF."
I-Limited energy, residential
(with above Sq. ft.)
I-Limited energy, multifamily
residential (with above sq. t't)
I . Limited energy, commercial not offered online allhisjurisdiction
(with above'sq. ff.)
I ~ Stand-alone limited energy,
residentlal
I - Standcalonc limited energy,
mulll-farmlv
I - Stanu-ull?ne limited energy, -
commercial
I~Irri~~~2Irt~g~)n"SiaQgE~1i;~-a,lj~~~_!~q11tA~p(f?jfrf!~~~~~j9ni':>~~:,j
1200 amps or less [2]
1201 amps to 400 amps [2]
1401 amps to 599 amps [2]
I'T~!\I!,.;Q}~~).~.j;Vif~~i.:.O..1i.fit. ~~r:~-iri..l. t~_.II~ji,~~,:alfi~fll~~. :ti\~!;(
r~N!>.~O~:,!!oiahO~nl;;1r'fh :'~~;P'~_'..,.-..7r~/!},f<"..,_,_,~;'S'~~::;i_; "
1200 amps 9r less [ij
120 I amps to 400 amps [2}
140 lamps to 599 amps [2)
I[BX~n,f~~]~~~~~_Wj\~j{~'r~ti~~~q-I!'~~~~If:>~?n;:pe~r;p~h~l:-/i;:'. ~
I A. Fee tor branch circuits with
service or feeder fee, each
branch circuit
B. Fee for branch circuits 1. $.)j..OO t $55.00 I
w;th~".'i'el\l91m:~e~gOl law req\(\res yuU .a
fjrsttr~n~h-IJrcl;lltr21. _'__"'~-j.hytho ().pnnn Ut~llty
ca~~Q~~.tlh~W~~lJl1~~:r."ill;~.c;:.? nll~ are MiQqprth $6,001
1~~1fll~l!sijlP;~~Rtij'fnl'tfffitif\'(icrffni~!1\f!tlZ~,"20}r';;1~J
I I se~)5~i~,oivi'.j.\ qql:ai2bbtail copies gt me rU\e~ oy 1
I I Eac~ man"[ac'j"fflW (;\9?IIi~~ Note: In" le""l-'"vl'" I
dwel,,~~Y,H) 'j"'~/thY"~i.onUtilit\ Notifica~ion
,I 12\ number or e e!1 _ --r ^''<:')
II Pumporirrigatl~~WJ.ti!~21.f 1-( UV~vv~-r....I .. I
I I Sign or outline ligh'iing l2] 1
I I Signal circuit(s) or limitcd- I
energy panel, alteration, or
extension
1
,I
Crossstrectldirections to job site:
Harlow Road (L) onto Clearvue Drive
I Subdivision:
map/parcel no.:
.ILot no.:
1703271202000
Mitsubishi Unit and oUlside receptacle
I EI. lie. no.: 20-537C
I Business Name: GMDELECTRIC INC
I Contact, MN<GH6E~u, Cowi.s
IAdd<<'" 95J'1i!1lrI]B~(tlM1MHALL EXPIRE IF THE WORK
ICHy/St.t,/Z.!IllHffill1fi1t4l} <l'ft\I'fH~Fl THIS PERMIT IS NOT
/Phon" {541nl'1R~fmFN(;Ff) OR IS ABIoil'iD(}tJ129\fi0R
IE,",,", gmdrillNc@ffi111cJ1ltN'PFRIOn,
] MelrQ lie. no.:
I Supervising c1ectdcian's lit.'. no.: 48745
I Supervising electrician's lI11me: MICHAEL K GOWINS
ICCBlic.no.: 162191
I 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.
I SUbtotalj
I State Surcharge (12% ofpcrmit fee)
I City OfSpringfiefd fees'"
I TOTAL PERMIT FEE I
... CIty Of Spnngfield fees 5% Teehnolog) Fee
[Default number aflnspectlOns allowed)
~e.- S)2.JJl09
$61.00 I
$7.32 I
$305 [
$7137
The local building department may determine that an ~ 0'
Authorization To Begin Work is null and VOId if it does not
meet applicable land use la:-s and local ordmances. (\:
. ~\J\QP 'bf'v~Q/
~ \\\C\~'P ~ ~
ThiS Aut~izatlon To Begin Work must be posted at the job site LJnlil replaced by a Permit
tC1-'l'L'6
"Status
Issued
225 Fifth Street, Springfield, OR
54] -726.3753 Phone
54] -726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00728
ISSUED: OS/26/2009
APPLIED: OS/26/2009
EXPIRES: 11/26/2009
VALUE:
SITE ADDRESS: 245] CLEAR VUE LN
,ASSESSOR'S PARCEL NO.: 1703271202000
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCR]PTlON: ' Install ductless system - one indoor and one ontdoors
Residential
Owner:
, Address:
SHUMWAY RICK & SHERYL
2451 CLEAR VUE LN
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical'
Mechanical
Contractor
GMD ELECTRIC INC
COMFORT FLOW HEATING CO.
License
162]91
460
Expiration Date
IlI19/2010
06127/2009
Phone
541-726-8601
541-726-0100
BUILDING INFORMATION I
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Constrnction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Strncture
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
Front yard 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 IMPROVEMENT!:ll,rENTION: Oregon law reqoUlre~X~~i\l~y
,'os adopted by the reg
folloW rlSiilewalk :ryp,e: se rules are set forth
Notification ,-,el""r..,,~ hOAR 952-001-
... ",..<4 (\()"1()fhraUQ
in OAR 9DownspoutsrDralOS: of the rules by
Y ay obtain copies
0090. ou m Note' the telephone
calling the chentoer. ~on Uiillty Notification
number for t e re_ 4)
Center is 1_800-332-234 .
Street Improvements:
Storm Sewer Available:
SpecW6'flc~:ion:
NotesTHIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Page I 01'3
,
Status
Issued'
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description
Type of Construction '
$ Per Sq Ft
or multiplier
Square Footage
J or Bid Amount
Total Value of Project
Fees Paid'
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
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
Date Paid
$7.32
$ 13.56
$3.05'
$5.65
$79.00
$55.00
$6.00
$17.00
$17.00
5/26/09
5/26/09
5/26/09
5/26/09
5/26/09
5/26/09
5/26/09
5/26/09
5/26/09
Total Amount Paid
$203.58
I, Plan Reviews. . ~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00728
ISSUED: OS/26/2009
APPLIED: OS/26/2009
EXPIRES: 11/26/2009
VALUE:
Value
Date Calculated
Receipt Number
1200900000000000539
I i0090000000000053 I
1200900000000000539
1200900000000000531
1200900000000000531
1200900000000000539
1200900000000000539
1200900000000000531
1200900000000000531
To Request an inspection call the 24 hour recording at 726-3769. All inspections requestelj 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. .
R~tl~iretl Insnections 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.
(
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: COM2009-00728
ISSUED: OS/26/2009
APPLIED: OS/26/2009
EXPIRES: 11/26/2009
VALUE:
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, ~nd 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 stru~ture 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
. . Pa2e 3 of 3
Date
225 'Fifth Street
Springfield, Oregon 97477
541" 726"3759 Phone
Job/Journal Number
COM2009'00728
COM2009-00728
COM2009-00728
COM2009-00728
Payments:
Type of Payment
ONLINE CHGS
.."
cReceintl
RECE1P:r #:
1200900000000000539
Description
Add, Alter, Extend Circ .
Add, Alter, Extend Circ Ea Add
. + 5% Technology Fee
+ 12% Sta.te Surcharge
Paid By .
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: OS/26/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page 1 of I
ONLINE GMD Online
. ELECTRIC
Payment Total:
2:35:00PM
Amount Due
55.00
6.00
3.05
7.32
$71.37
Amount .Paid
$7 \J 7
$71.37
5/26/2009