HomeMy WebLinkAboutPermit Electrical 2009-6-29
1-
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:gmdelectric@comcast.net
Check on status of permit
By Phone: 541-726-3753 or Erriail: permitccntcr@ci.springfield:or.us
I'
"
I D NewConstruction
o AdditionlilJteration/rcplacemCfll
01 or2 family dwelling
DMUlti-family
DCommercial
DACCeSSOry
I Job Address: 551 6TH ST
J City/State/ZIP: SPRINGFIELD, OR 97477
I Suitelbldg.lapt.no.:
I projeetName:Mann
I Cross Street/directions to job site: East on E SI., right onto 6th 51.
I T"m'plp,,<<'"", \'lP~~~"\ 01y~CV
1~:~~I€~tt;~~~>"i~~+~~::rDESCRiP:fl6'NfoF~WCrRK\~;;:~~
Heat Pump & Air Handler, attic light & switch, new outside plllg,
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I Name: Billie Mann
I Phone: 541-968-6333
I Email:
IC-"1 -'
I Elec lie. no.: 20-537C
I Business NlIme: GMD ELECTRIC INC
j Contact:
I
I
I
I
1
I
I
Fax:
CCBlic. no.:
162191
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Address 1'0 BOX 72!&} I 1:.t\l IIVI'Il. ~'v~v,. . -,- J-1- .\.
t" ~..I__ ~....I""",",+^H h\l tho nrpnrml tllh,
r.....".....,-..;....__.....-~..- 4 - .
C;tyISt",IZIP, EU~f,N,M)~o11~~I,01~bntAr. Those rules are set forth
Ph""" 541-741-73<\'1, OAR 952-001-0("[; ~41,9Ba:!.J~oOAR 952-001-
Email: gmdelectric@}G@GsJ.n~(OU may obtain cople~ aT .l~e r~I~~ _uy
MetTo lie. no.: calling l!,le ~t::Hl~dlylh1.~~.\~;"l,'.L~~ J.~:--~~r~':;::...
Supervising Electrici1Jlslli~!lJJ:l:I_IUI4.8WS. ~~ V';!;:~' ~"'~'~0'1;;\'
Vl;< II l.... I .... . ......- -,-
Supervising Electrician's Name: Michael K, Gowins
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
Upon review and approval by your local jurisdiction, YOllr 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
pemiit 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
Pk~echeckalllhatapply:
o A service or feeder beginning al
400 Amps where the available fallh
currente~ceeds 10.000 Ampsal
150 Vohs or less 10 ground
e~ceedsI4,OOOAmpsforallolher
inslallillions
I
I
I
I
I
o Firepurnp5
o Emerg"m;.vsyslems
o Addition of anew motor load of
100 HParmore
DSi~ormoreresidentiaJlJIiilsinone
S\[UCIUre
Dfleahhcarefacilities
69600-BEL-09-000 10
6/29/2009 II :57 am
DHazardollslocalions
[J]Aserviceor feed"! raled al 600 amps
ormllTe
DBuildingsnlorcthanlhreeslories
DMarinasandboalyards
QFloalingbuildings
DCommercial.useagricultural
,buildings
Dlnstallationofal5or:.:VAorlarger
seperatdyderivedsys
O"A". "E",or"I-2" or "1-3"
[JRecrealional Vchide Parks
DSupplyvoltageformorethan600
. supply vollS nominnl
Qty, Ell. Total
"
$55,00 $55.00
$6,00 $12.00
Sobtotal
$67.00
$8.04
$3.]5
$78.39
K--\2- LQ J2-~ 10<1
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR !S ABANDONED FOR
ANY 180 DAY PERIOD.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit,
I Branch circuils wilhollt service or
feeder
IBrallcbcircuitseachaddilionilJ
ClrClJllwlthoutservice
State surcharge (12% of pen nil
total)
Technology fee (5% ofpcrmit tOlal)
TOTAL PERJ'llIT FEE
CQ-19\
Status
Issued
CIT\:: OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00791
ISSUED: 06/04/2009
APPLIED: . 06/0412009
EXPIRES: 12/2912009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 551 6TH ST
ASSESSOR'S PARCEL NO.: 1703352404800
Springlield TYPE OF WORK: Heating System
TYPE OF USE: New,
Residential
PROJECT DESCRIPTION: Heat pump & air handler
Owner: MANN BILLIE A
Address: 551 6TH ST
SPRINGFIELD OR 97477
Phone Number: 541-968-6333
I CONTRACTOR ~NFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
GMD ELECTRIC INC
COMFORT FLOW HEATING CO.
License
162191
460
Expirati&n Date
11/19/2010
06/27/20 II
Phone
541-726-8601
541-726-0100
BUILDING INFORM~TION 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:
Lot Siz~:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
.' REQUIRED PARKING
Front yard ~'!!'~::-ION: Oregon law requires youO:verlay Dist:
Side I Setb~s.k;w rules adopted by the Oregon Ul#i5,treet Trees Rqd:
Side 2 Setl)acl<'ication>Center, Those rules are set 'P.a\led Drive Rqd:
Rearyard Setback:152-001-001 Othrough OAR 952-%'01' Lot Cover'W\:JTICE'
Solar SethlicKs:, You may obtain copies of the rules by i,'
~~I"~~ 'h~ M~'M "'~to' tho tolonh,-,np THIS PERMIT SHAll r:l!PIRr: II: Tl-lr: IMnRI(
number for the Oregon Utility !\ICPUBUf01IMPROVEMENlFslRIZED UNDER THIS PERMIT IS NOT
Center IS 1-800-332-23.,.'1' VViVIIVICNCW nR \~ARANDONED FOR
Street Improvements: ANY 180 utliwa lYlle:
DA PERI D, :
Storm Sewer Available: Downspouts/Drains:
Special Instruction:
Total:
, Handicapped:
Compact:
Notes:
Pa2e 1 of 3
._~~fl':~~Q~~~J:?;f::~!~,~~~,:':!
~
,~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I, Valuation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Fees Pair! I
. 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
$8.04
$3.35
$55.00
$12,00
Total Amount Paid
$2 I 0.60
Plan Reviews I
Date Paid
6/4/09
6/4/09
6/4/09
6/4/09
6/4/09
6/29/09
6/29/09
6/29/09
6/29/09
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2009-00791
ISSUED: 06/04/2009
APPLIED: 06/04/2009
EXPIRES: 12/29/2009
VALUE:
Value
Date Calculated
Receipt Number
3200900000000000419
3200900000000000419
3200900000000000419
3200900000000000419
3200900000000000419
1200900000000000752
1200900000000000752
1200900000000000752
1200900000000000752
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.
I. R~q.ui.re~ I nsnectio~s 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
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Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0079I
ISSUED: 06/0412009
APPLIED: 06/0412009
EXPIRES: ]2/2912009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
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 structure 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 he 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
Date
Paee 3 00
225 Fifth Street
Sp'ringfield, Oregon 97477
541-726~3759 Phone
Job/Journal Number
COM2009-0079I
COM2009-00791
COM2009-00791
COM2009-00791
Payments:
Type of Payment
, ONLINE CHGS
cReceinll
RECEIPT #:
1200900000000000752
Description
Add, Alter, Extend Circ
Add, Alter, .Extend Circ Ea Add
+ 5% Technol?gy Fee
+ 12% State Surcharge
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 06/29/2009
Item Total:
Check Number Authorization
Received By Batch Number. Number How~Received
Paid By
ONLINE PERMIT CHGS
KR
Page 1 of 1
ONLINE GMD Online
ELECTRIC
Payment Total:
1:17:40PM
Amount Due
55.00
12.00
3.35
8.04
$78.39
Amount Paid
$78.39
$78.39
6/2912009