HomeMy WebLinkAboutPermit Electrical 2009-6-11
City of Springfield
Elcctrical Anthorization To Begin Work
E-maiJed To: gmdelectric@comcast.net
Receipt # EC553561
. 6/11/20098:46:36 PM
r;,,'?
CL\~'\
~
Check on status of permit
By Phone: (541)726-3753 or [mail: permitcenter@ci.springlield.or.us
1'~-7 " :FEE SCHEDUlE I
I Description Qt)'. Ea. Total I
liS~~id(,llthl,I_SI~Gli~~:~9R m~Ui~t~~~i!)' d~~.IIi~g,!Init. Includesl , 1
r... ~a.~t"cb('dgarageO",.f',; _ -~,L .. '7, '.
Il,OOOsq.n.orless[4] I I I
I Ea. addl 500 sq. ft. or po"ion I I I
I:.~.j~itcd E[lt~-r~y;_;"'~'~ -. , '1~',' . J"~ I
I-Limited energy, residential I
(with above SQ. ft.)
I-Limited energy, multifamily I
residential (with above SQ. 1'1.)
~ Limited energy, commercia'[ riot ollercd online lit this jurisdiction I
(with above Sq, fl,)
- Stand-alone limited energy, I
residential
I - Stand-alone limited energy, I
multi.familv
I - Stand~a]ol1e limited energy, I
commercial .
11i~;ices" 6~f~~RjIiis!iilla!lli!l;~illterllii~~~'A~~~OR 'n:!~~a~i~n; :'. ,,~ .1
.,1 1200 omps or less [2] I
1201 amps to 400 amp~ [2] I
1401 amps \0 599 amps [21 I
1"TE;MPORARy",S~n"ii:es O~-rffi:hfts"ins.~u,~!~t!O:D;'lllt~!ati~~;:::..?.: ;'",1
AND/OI{reloc.?tl<!nj' -~- ,";l) . I :._-;;,~.g " .,::!'>:-:~ ",
1200 amps or less [2] I
"" 1201 amps to 400 amps 12] I
1401 omp' \0 599 amps 12/ I. I
1'~Fa~ch-circ~l~~~ :,,~EW, alteratil?~,;"O~ exte~si~n;per panel I
I A. Fee for branch circuits with
service or feeder fcc, each
branch circuit
I B. Fee for branch circuits
without service or feeder fee.
tirst bmnch circuit f21
I each add] branch circuit
1:.~~!s~!laneo~s~:_~._"~: ~~_
I Service reconnect only [2]
I Each manufactured or modular
dwelling, service rwd/or feeder
121
I Pump or irrigation circle [2}
I Sign or outline lighting [2]
Signal cin:uit(s) or limited-
energy panel, alteration, or
extension )21
,\ .~;\dt~LECTR1CAl ~ERMIHEES
Subtotal
~ State SUrclMge (12% of permit fee)
AJ... City OfSpringtield fees *
V" I TOTA L PER!\IIT FEE
,,,,- n..... * City 01 Sprmgtield kcs 5% lechnology Fee
\c.~y &;;;;;;"9a:'d~(J 7;P~
'Y~ 17m ~,/lo/(}9
,,~.
'-'TYPE OF.~W_ORK:
~ Addition/alteration/replacement
I D New construction
CATEGgRY OF CONSTRUCTION";?:'. ,
I [K] I or 2 family dwelling D Multj.family D Commercial I Industrial
I ':~JOBSITE I~FgRMi\!ION~~J) LOCi\TI()!l.':,.,
I.lob no.: I Job llltdress: 415 67TH ST
I Cily/SlatefLlP: SPRINGFIELD, OR 97478-7183
I Suite/bldg.lllpt.no.:
I Project nllme:
Cross street/directions to job site:
(L) onto 68th (L) onto B (R) onto 67th
I Subdivision:
I'lin map/parcel no.: 1702341403740
I :;'i:R!',$CRIP,TION-i5g.WOR15
Mitsubishi Unit/outside receptacle
I Lot no.:
I. '.
';'~~'.
''''''SITE CONTACT
':>-'----- "','" ."-
I Nllme: Larry Decker
II)hone: (541)747-0462
I Enmil:
I"'ax:
$"" '__H __ n.
.::'t'CONTRACJ:9R.--
ICCBHc. no.: 162]9]
I EI. lie. no.: 20-537C
I Business Name: GMD ELECTR]C INC
IContact: Mikt' Gowins / Sue Gowins
IAddress: 957 NORTHRlDGE AVE
I City/Stater!.I),: SPRINGFIELD OR 97477
II'hone: (541)7417369
I Email: gmdc]cctric@comcascnel
I Metro Iic. no.:
I Supervising electrician's lic. no.: 4874S
I Supervising electrician's nllme: MICHAEL K GOWINS
I Fa>' (541 )9881800
ICily 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.
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.
,;'
$55.0C'
$55.00
II
$6.001
$6.001
1
I
~.
$6100
$7321
$3.05
$71.37
~
~~ \\\0-.. ~
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
_~~~~l:lI,g~I~~!i~~!W~lfd, "
l .
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMJ1; NO: COM2009-00793
ISSUED:' 06/04/2009
APPLIED: 06/0412009
EXPIRES: 12/12/2009
VALUE:,
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 415 67TH ST
ASSESSOR'S PARCEL NO.: 1702341403740
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New:
PROJECT DESCRIPTION: Install dnctless system - one heat pnmp and two indoor nnits.
Residential
Owner: DECKER LA WRENCE A & GAYLE I
Address: 415 N 67TH ST
SPRINGFIELD OR 97478
Phone Nnmber: 541-747-0462
I CONTRACTOR INFORMA T10N .
Contractor Type
Electrical
Mechanical
Contractor
GMD ELECTRIC INC
COMFORT FLOW HEATING CO.
License
162191
460
Expiration Date
11/1912010
06/27/2009
Phone
54 I -726-860 I
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 Structnre
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2~d Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft O,ther:
Occnpant Load:
n/a
I DEVELOPMENT II:'FORMATION '.
Fronlyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
: REQUIRED PARKING
. Total:
Handicapped:
. Compact:
Street Improvements:
I PUBLIC IMPROVEMENTS" . you 10
,. .. "'~'\' ~,pnon laW reqUires Ulilily
ATT'S,aewalK Type: d'by l\1e Oregon \1
foliO'^' rules adujJte ~:, ~~e rules are sel lorl
,,.Downsp.onts/Dra,.ns:' \1 OAR 952-001-
NothlC':\llUII -,,,,...~ .
in OAR 952-001-001 ~~~~~i~S 01 l\1e rules by
0090, You may obla , Nole: l\1e lelep\1one
calling 1\1'( cen6;'e(on Ulilily Nolilica\lOn
number lor 1\16.. '8900_332-2344),
Cenler IS ,-
Storm Sewer AvalIable:CE
"\,11' .
Special Instrnction:/S . .
, n PERMIT .
AUTllORIZ SHALL EXPIRE .
COMMENC~g g~DER THIS PE~~~E WORK
ANy 180 DAV PER:gDABANDONEDF6~ NO/{
Notes:
Pa2e I 01'3
_~~IJI'NiGli1l~D,
r
Status
Issued
225 Fifth Street, Springlield, OR
541-726,3753 Phone
541-726-3676 Fax
541"726-3769 Inspection Line
., Valuation Descriotion I
Descriotion
Tvpe of Constrnction
$ Per Sq Ft
or mnltiplier
Sqnare Footage
or Bid Amonnt
Total Valne of Project
Fpp<, P,~ilIJ
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, Extend Circ
Add, Alter, Extend CircEa Add
Amonnt Paid
$15,60
$6,50
$79.00
$34.00
$17.00
$7.32
$3.05
$55,00
$6.00
Total Amount Paid
$223.47
I Plan Reviews I
Date Paid
6/4/09
6/4/09
6/4/09
6/4/09
6/4/09
6/12/09
6/12/09
6/12/09
6/12/09
, CITY OF SPRINGFIELD'
Building/co,mbination Permit
"
,
PERMIT NO: COM2009-00793
ISSUED:' 06/04/2009
APPLIED: 06/04/2009
EXPIRES: 12/1212009
VALUE:,
Valne
Date Calcnlated
Receipt Nnmber
1200900000000000620
1200900000000000620
1200900000000000620
1200900000000000620
120~900000000000620
3200900000000000444
3200900000000000444
3200900000000000444
3200900000000000444
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 l!.m. wilJ"be made the following
work day.
I, ~Pf'"ir!r1 Irf'J'S&tions I .
Rongh 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 of3
'-
Status . Issued
225 Fifth Street, Springfield, OR
541~726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Build!ng/combination Permit
PERMIT NO: COM2009-00793
ISSUED: 06/04/2009
APPLIED: 06/04/2009
EXPIRES: ]2/]2/2009
VALUE:
,
By signatnre, I state and agree, that I have carefnlly 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 perfor)ned shallibe done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining'to tbe work described herein, and
that NO OCCUPANCY will, be made of any strnctnre withont permission of the Commn~ity Servic.es Division, Bnilding Safety.
I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will'he nsed on this project.
, '
I fnrther agree to ensnre that all reqnired inspections are reqnested 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 s,ite at all
times during construction.
Owner or Contractors Signatnre
Date
Pal!e 3 of3
225 Fifth Street
Springficld, Oregon 97477
541-726-3759 Phone
.P~Al~.Q_F!I_~_''''IiI. '
-,
~i
-.:.. ..
City of Springfield Official Receipt
Dev,elopment Services Department
Public Works Department
Job/Journal Number
COM2009-00793
COM2009-00793
. COM2009-00793
COM2009-00793
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:' 3200900000000000444
Date: 06/12/2009
Description
Add, Alter, Extend Circ
Add, Alter, Extcnd 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
GrytD Online
Payment Total:
NJM
Page I of 1
8:03:40AM
Amount Due
55,00
6.00,
3.05
7.32
$71.37
Amount Paid
$71.37
$71.37
6/12/2009