HomeMy WebLinkAboutPermit Electrical 2009-6-29
City of Springfield
~~RI~C!fj!!!~~......~.,;.
Electrical Authorization To Begin Work
E-mailedTo:gmdelcctric@comcast.net
Check on status of permit
By Phone: 541-726~3753 or Email: permitr.:enter@ci.springfield.or.us
I D NewConslIuction
o Addition/nlteratiorrlrepJacernenl
Please check all lhalapply
o Aserviceorfeedefbeginningal
400Amps.....tJcre lheavailablc fault
cumntexceedslO,OOOAmpsal
150Voltso,leSS10I;f<Jund
exceeds 14,OOOAmpsforltllOlhcr
installations
10'OC2f"nIlYdW'II;"g
DMulti-familY
DcommerCial
DACCCSSOl)'
I Job AlIuress: 4gB CASCADEDR
,. Cit)'fState/ZIP: SPRINGFIELD, OR 97478
I Suitc/bldg.lllPt.no.:
I ProjecfName: Lindsay
I Cross Street/directions to job site: south on S 68th PI, left onto Cascade Drive
I T"m,plp","",If)t;)"1..~ a:r\l1
1{::".~i____~S:lisi;i2~,:'-"::;1::]rJ#id:E{D-"~E'" "S....C. .:"R- ~Ip. .T''''IO. N'....'."O"F-';'W... "O"~R-.K==;:."'0."*.';;;~~~,;.~.0::L'~."'+Y'i06~
;j@f"=",,,".~.,-*.c"~;c:,~="'''';:;'~::w< . ..:: ".::., .1f'h.0'%F"'.<r._.__-,-.,_~;,._-v>,".7'.'~'
DFirepumps
DEm~TgenCYSYSlem,
DAddilionofanewm01orloadof
100 HP or more
DSi~ormorer~sidentiulullilsillolle
struclure
DHeallhcarefacilities
Description
ekctrical furnace swapout, add heat pump,Qutside plug
Branch circuits witholll service or
feeder
IBranChcirclIitseaCh additional
cIrcuit without service
69600-BEL-09-00011
6/29/2009 1:21 pm
E]Hazardouslocations
ITlAs~TViceorfeeder ral~dal600amps
or more
E]Buildings more than lhreestories
E]Marinasandboatyards
[JFloatingbuildings
[I]Commerc;al-useagricuhural
,- buildings
Q[]lnstallalion ofa 150 KVA or larger
,- sep~ralely d~riwdsys
r(1"A" ,.,>, "I'" "1 J"
I.1:..J ,IO,or ..01-
[!]R~crealional Vehick Parks
[]SupplyvollageformorelhIlil600
ii supply vohs nominal
't;{~T7::~~:'~ ,I
I Tofal '
$55,00
Name: Nan Liudsay
$6.00
$6.001,
,,~"f I
$61.001
$7.321
"3.051
$71.371
Phone: 54]-9]2-0887
Fax:
ISublotal
IState surcharge (12% ofp<;:rmil
total)
ITedmology fee (5% of permit total)
I TOTAL PERMIT FEE
Emllil:
I Elee lie. no.: 20-S37C CCB lie. no.: ]62191
I Business Name: GMD ELECTRIC INC
I Contact:
r:--c--
I A,"",,, PO Bd.'i H2M l> 1:.
I CHyIS"'''ZIP, EI.il:iEl'J1r~NYW02",H!\LL t!\t"IKt I~ I Ht VVUKt\
I Ph"" 541,,741l7lJ91 HUKILtU UI~Utli."l,t;\t~,f\lDU\IVIII It; NU I
I Em.;l, gmd""InI@I)iM.~~th~IJtU UK I::; Ai:jANUUNI:U ~UK
I :\letrolic.no.: J4..1\JY IOU UAY t-'tMIlJ:k!'olic.no.:
I Supen-'lsing Electrician's lie. no.: 48745
I Supervising Electrician's Name: Michael K. Gowins
Number of inspections included in paid services:
Residentia] Serviee: 4
ReconneclOnly; ]
All Other 5cf\'i<.:es: 2
tq-GtOq
;,~ Lo\2.Q!CA
ATTENTION: 'Oregon law requires you to
follow rules adopted by the Oregon Utility
Nolificalion Center. Those rules are set forth
in OAR 952-001-0010 lhrough OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Nolification
. Center is 1-800-332-2344).
~ .
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.
.~
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NOTE: This Authorization To Begin Work expires within 180 days ifa
penn it 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
This Authorization To Begin Work must be posted at the'job site until replaced by a Permit
Status
Issued
CITX OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00909
ISSUED: 06/24/2009
APPLIED: 06/24/2009
EXPIRES: 12/29/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 488 CASCADE DR
ASSESSOR'S PARCEL NO.: 1702344400714
Springtield TYPE OF WORK: Hea\ing System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install Heat Pump and Air Handler
Owner: LINDSAY NAN V
Address: PO BOX 7611
EUGENE OR 97401
. I CONTRACTOR INFORMATION 1
Contractor Type
Electrical
Mechanical
Contractor
GMD ELECTRIC INC
COMFORT FLOW HEATING CO.
License
162191
460
I
Expiration Date
11/19/2010
06/27/2011
. Phone
541-726-860 I
541-726-0 I 00
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:
Lot Size:
Sq Ft I~t Floor:
Sq Ft 2pd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
,.
n/a
I DEVELOPMENT INFORMATION 1
Frontyard 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:
ATTENTION: Oredon law requires you to
j"II",^, rlll,,~ orl"ntArJ hv thp. Oreaon Utilitv
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
OO,~i~e,'l:aI\<1T1Ype:)tain copies of the rules by
collinn the ~'enter:' INote: the telephone
nu~b"J}SPc?Ni%PmWdbn Utility Notification
Center is 1-800-332-2344).
I~U III..t: 1'p'T'" IC IMPROVEMENTS.
THIS PERMIT SHALL EXPIRE, ~,,~-.':.:'''~ .
Street Impr~YJ'm!!tt',:IZED UNDER THIS PERMIT IS NOT
Storm Sewe8!cX~aiJlflil~ED OR IS ABANDONED FOR
Speciallnst~~IMIlO DAY PERIOD.
Notes:
Page 1 of 3
Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
.541-726-3769 Inspection Line
I Valuation Descrivtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of ProjeCt
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
$11.52
$4.80
$79.00
$17.00
$7.32
$3.05
$55.00
$6.00
Total Amount Paid
$183.69
Date Paid
6/24/09
6/24/09
6/24/09
6/24/09
6/29/09
6/29/09
6/29/09
6/29/09
I Plan Reviews ,
CITY OF SPRINGFIELD
Building/C<~mbination Permit
"
PERMIT NO: COM2009-00909
ISSUED: 06/24/2009
APPLIED: 06/24/2009
EXPIRES: 12/29/2009
VALUE:
Value'
Date Calculated
Receip't Number
3200900000000000483
3200900000000000483
3200900000000000483
3200900000000000483
1200900000000000753
1200900000000000753
1200900000000000753
1200900000000000753
I'll
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 ~e'l"i,~~~, I~~,nec,thJns,,1
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
"
Paee 2 of 3
CITY OF SPRINGFIELD
,
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-00909
ISSUED: 06/24/2009
APPLIED: 06/24/2009
EXPIRES: 12/29/2009
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 \vith
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 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
Date
Page 3'of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00909
COM2009-00909
COM2009-00909
COM2009-00909
Payments:
Type of Payment
ONLINE CHGS
cReceint\
RECEIPT #:
1200900000000000753.
Description
Add, Alter. Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Received By
KR
Page I of I
Check Number
Batch Number
City of Springfield Official Receipt
DevelopmeIlt.services Department
Pu~lic Works Department
Date: 06/2.9/2009
Item Total:
Authorization
Number
ii
How Received
ONLINE GMD Online
ELECTRIC
Payment Total:
I :33:35PM
Amount Due
55,00
6.00
3.05
7.32
$71.37
Amount Paid
$71.37
$71.37
6/29/2009