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Home My WebLink AboutPermit Electrical 2009-6-17 ., City of Springfield Electrical Authorization To Begin Work E-mailedTo:gmdelectric@comcast.net 'I Receipt # EC553921 6n712009 4:38:46 PM Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us 10 New construction [i] Addition/alteration/replacement D Multi-family o Commercial/Industrial Job no.: I Job address: 252 7] ST ST City/St;lle/ZIP: SPRINGFIELD, OR 97478-7207 Suite/bldg.lapt.no.: I Project name: Cross street/directions to job site: 69th St (R) onto B Street (R) onto 71 st . I Subdivision: ITaxmapfparcelno,: 1702353101119 ILot no,; Mitsubishi Unit and outside receptacle I IPhon,: IFn,: I i;:~~:.~:~~~:~~~~~;~~;~~~~~~~:~i~~~~..~fuf~~1 IBn'in,,,Nnme: Gf'1~~,\i\';W!\lI3~ nRJS...ARA~ln.QNFn FOR I ICnnln,': MikeGo'1Y~~'(iS~eMl"fi'~v D~Rlnn I IAddress: 957 NORTHRlDGE AVE I Ic;'yIS',",/Z'P: SPRINGFIELD OR 97477 I I Phone: (541 )7417369 I Fnx: (541 )9881800 1 Email: gmdelectfic@comcast.net 1 J 1\letro lie. no.: I City li~. no.: I ISupcn'ising electrician's lie. no,: 4874S 1 1 Supcrvisin~ electrician's name: MICHAEL K GOWINS, I 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. ~~ \g~ ~~- ~ The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use la\fS and local ordinances. ~ <:-'0 I-Limited energy, residential (with above sa. f1.) I-Limited energy, multifamily residential (with abovesq, ft,) I-Limited energy, commercial (with above SQ. f1.) I - Stand-alone limited energy, residential I . Stand-alone limited energy, multi-family I - Stand-alone limited energy, commercial I~S~.;yj~~:~:~e,e,4JtS;!€Si~jl~!i,in:lIfe~ti~'t~b]19~~~J?~~'~~+~:i~ 1200 amps or less 121 ) 20 I amps [0 400 amps [2] 140] amps to 599 amps [2] , l~t[r~:tt~R~i~~b:..tcerOK~~ri':i~S~~IJ~iOn~\~.ue~a.ti~~;~,~;S~'N;ff;fj~ ~R/9cR,'~~I~~!ti,o.Il~~_<:_:-~~$iJt:0>~"::?~::'_:;:';;" /.~~t:~'#';'#"j(f'_'" 1200 amps or less [2J 120111mps to 400 amps [2] 1401 amps to 599 amps [21 Ih~Hl'lic,il}i,r(liit~~~i'{E~V;~jtehfr'i(/lr;YQ~ixtensiO:!l;~Il'erlp:anc-.i,~ '~""'m. i';.", .=""...",''J:.,. "..,,_ ""."""".,,,",,''''.''',^,,.._' .", ._:,.~._ ","""",,-_ I A. Fee for branch circuits \vith ~1 service,orfeederfee, each I branchc,f"t(fuTtENTION: Orp.f nn I::lW rl!mlirpc:: \I HI tn I R Feefl'JiP[~N~"j\"'U~Sadopt!d by the Orcl5(jPP JtiIi~)5001 wltho\l.~Sernlce'or~eeacr,ree 1:;;"1:1:J "cst bHhI:~~~'!,Ti[~T ~efiter., Those rL les are Sit forth ~"h JliliNj""ch;1"e,,,~Ul-UU11!--' tnrou9 I OA1$6~0 ,-001>600 ,~hsc~'tllllil;itiis&lL~}!kltJ~~!;)JP~~~IU,J";~~"lB~~"gTtlne,rr~~}~sgDY::,-'~ ^_",-, '''"''"'---''=._';..:1 !.~1?'='"--:,,,,,0r'i,~.j:7...,'7''''c:~1 ~'I", JijF!':t:, ~""'-d:..,..." .~ ..'F~.'.,.',=".' ".""'-- Service~e(;rin'e'ctonl~"'r2j"" "v, '!i \' '<Vlv., I II:;;" lcn:~~1 VIII:; S~-nl"';~ ...,-:.. I.{,_: ':' f'o.:. 'f""".... r h. r ~,. '-I _I-.t. _ _I-: _._ ~:~~I~:~~~;~:~I~et~Et;J~r1 Bo6~i3'2 2344).:.... ...."., r21 ' I Pump or irrigation circ1e,[2] I Sign or outline lighting [21 I Signal cin.:uit(s) or limited. energy panel, altenlllon, or extension I Description I Qty. I Ea. I Total 1;~ReSidcntlal"SINGLE=:OR,muiii~'fumIIY7dwellill.g 'unit:>lncliides ,i 1-,-', =",..._.-..t_""~',.- ;, ,j~::-;X"'''4':''-='~'''' "':;,4""'" '. - .,': -- '''''.~-' , ;attachcd-gara-ge,~J;;'<~~:z0+A:2FztttJ1i# -~..~. ~ c:-,.. _",-" 'if' ~'.~, ...- o' _""'''''.... . ~~.1.f.:..;*G';1::!'i."" ....'Lm._.. .. '_ '. "~ 11,0"0 sq fl. or less [4] I I addl 500 sq. ft. or portion ~"7f';;~ " ~ot olTered online at this jurisdiction i\9~ '\, G I 1', Subtotal I Strite Surcharge (12% of permit fee) I City Of SpringfidJ fees ~ L TOTAL PERMIT FEE. ... City OrSpringfielJ fees: 5% Technology Fcc [befi1U11 number ofinspeclI'ons allo);:ed] $61.00 I $732 I $3.05 I $11.37 I' t C) - 8LQ9 ::~ ~ll8 tCA This Authorization To Begin Work must be posted at the job site until replaced by a Permit. _~~!;l~~!il~!:,!=!!' ~ ''f ." -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: GOM2009-00869 ISSUED: 06/16/2009 APPLIED: 06/16/2009 EXPIRES: 12/18/2009 VALUE: SITE ADDRESS: 252 71ST ST ASSESSOR'S PARCEL NO.: 1702353101119 , Springfield TYPE OF WORK: Hea!ing System Owner: LOTT RILEY E JR Address: 252 N 71ST ST SPRINGFIELD OR 97478 Residential Phone Numher: 541-746-6110 I CONTRACTOR INFORMATION I Contractor Type .Electrical Mechanical Contractor GMD ELECTRIC INC COMFORT FLOW HEATING CO. License 162191 460 Expira'tion Date II! I ~!20 I 0 06/27/2011 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 Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: " . nla Lot Siz.~: Sq Ft (st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Qther: 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: 0/0 of Lot Coverage: REQUIRED PARKING , Total: Handicapped: . Compact: Street Improvements: Storm sew~QJ}'~~'N1 T SHALL EXPIRE IF THE WORK Speciallnst;rM~'ibli': I UNDER THIS PERMIT IS NOT AUTHORIZED . m FOR Notes: COMMENCED OR IS ABANDON . ANY 180 DAY PERIOD. I PUBLIC IMPROVEMENTS I ATT~;r~ttl:~~on law requires you to follow rules adontec! by the Oregon Utility NotifiI?Jnm~~,,'llfbP'r'H1Jse rules are set forth in OAR 952-001-001Q'ihrough OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Page I of 3 . i' Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I ':'aluatio~ Des~riDtion , Description $ Per Sq Fl or multiplier Type of Construction Square Footage or Bid Amount Total Value of Project Fees Paid' Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Heat Pump + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid $13.56 $5.65 $79.00 $17.00 $17.00 $7 :32 $3.05 $55.00 $6.00 Total Amount Paid $203.58 J Plan Reyiews , Date Paid 6116109 6116109 6116109 6116109 6116109 6118109 6118109 6118109 6118109 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00869 ISSUED: 06/16/2009 APPLIED: 06/16/2009 EXPIRES: '12/18/2009 VALUE: Value Date Calculated Receipt Number 1200900000000000693 1200900000000000693 1200900000000000693 1209900000000000693 1200900000000000693 1200900000000000700 120~900000000000700 1200900000000000700 1200900000000000700. To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested 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. I Reonirerllnsnections' 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. Pa2e 2 of 3 Status Iss u ed 225 Fifth Street, Springfield, OR 541"726-3753 Phone 541-726"3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD i, Building/Combination Permit " PERMIT NO: GOM2009-00869 ISSUED: 06/16/2009 APPLIED: 06/1612009 EXPIRES: 12/1812009 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, and I further certify that any and all work performed shall be done in accordance with tbe Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the w6rk described herein, and that NO OCCUPANCY will be made of any structure without permission, of the Community Servi~es 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, aud the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature L- Page 3 of 3 Date 225'Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00869 COM2009-00869 COM2009-00869 COM2009-00869 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 1200900000000000700 Description Add, Alter, Extend Cire Add, Alter, Extend Cire Ea Add + 5% Technology Fee + 12% State Surcharge City of Springfield Official Receipt Development Services Department Public Works Department Date: 06/18/2009 Item Total: Check Number Authorization Received By Batch Number Number How ~eceived Paid By ONLINE PERMIT CHGS KR Page I of I ONLINE GMD Online ELECTRIC Payment Total: I , 8:18:00AM Amount Due 55.00 6,00 3.05 7.32 $71.37 Amount Paid $71.37 $71.37 6118/2009