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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