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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. .~ ~ ~~ 0.: ,\) ~.~ ~O\ ~t/~ ~~. 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