The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2009-7-6 City of Springfield &ia:{!~}:;l"'~j ill v : ,., ;.;"-::: ...~...._,;~, Electrical Anthorization To Begin Work E-mailedTo:gmdclectric@comcast.net Check on status of permit By Phone: 541-726~3753 or Email: permitcentcr@ci.springfield.oLus 10 NewConstruction o Additiowalterat;on1rcpLl4:-cmelll Please checkull that apply: o A servicc Qr feeder beginning at 400 Ampswherc the available faul1 CU<Temexceeds 10,000 Ampsal ISO VolLs or less 10 ground exceeds 14,000 Amps for alloll1er installations I 01 ,,21IDnilydw,lli,g o Multi-family Dcommercial o Accessory Job AlIdress: 284 18TH 51' o Fire pumps o Eincrgencysystems o Addilion ofa new molo"r load of 100 HPor more DSixormoreresidentialunilsinone SlrUC!Urc DHeahhc3rcfacililies CityfSfllle/ZIP: SPRINGFIELD, OR 97477 Suilefbldg.hlpt.no.: ProjeetName: Keenan Cross Slreetldireetinns to job site: Centenniill Blvd, rt 16th, In ESt, r(1 8111St. I T" m.p/p.",l 00., \10' 6 ~~J...lJt rW\t) \ I;~'*'i$'" ---;~)iJi.t"'~~"":illf:,<'~;;g'~"C"="=""'"'~~*'*'~'~-""'srt::~'*1q'::'W'lia.f~$ffz""tif>? 2:l:::3F;4->-0~~'Yt:'>::~=..;i;"5\OI:.SCRIF~TION.OF..;WOR~>r0z;,v0')?zr""'~,"", q,.""",:.,,..' '4",,4./<",,';;:' 69600-BEL-09-00021 7/6/2009 12:07 pm .~ Co 0( G~/ reederr~tedar600amps or.more DBuildinllS more than rhreeslories DMarinas and boarya'ds DFloalingbuildings o Commen:ial-use agricultural buildings Dlnstallationofa150KVAorlarger seperaldy derived S}'S O"A". "E",OT "1-2" Of "1-3" ORecr~ationalVehiclc?arkS DSUpply"ohagefoTmor~than600 supply vol!s nornina) I D~~erijltion Qty. .~.{J~ v Install ductless Mitsubishi System B~anch circuits without service or feeder Branch circuits e~ch additional eircuit without scrvice Name: Susanna Keenan Subtotal Slate surcharge (12%ofpennit total) Technulogy fee (5% of penn it tOlal) hOTAL I'ERMIT FEE Phone: 54]-744-4473 Fax: Elnail: Elel: IiI:. nu.: 20-537C CCD lie. no.: (6119/ Business Nalne: GMD ELECTR]C ]NC Contact: Address: PO BOX 72206 City/State/ZIP: EUGENE, OR 9740J029) Phone: 541-741-7369 Fax: 54]-988-1800 Emllil:gmdelectric@comCllst.net J\1etTo lic. no.: City lie. no.: Supervising Elel:tricilln'slic. no.: Supen'ising-Elcclridan's NlIme; 4874S Michael K Gowin~ Number of ins pHI ions induded in Ilaid serVil:es: Residential Service 4 RecounectOnly: ] All Other Services: 2 ~. ~~ 0-:. ~ \\~ . Upon review and approval by your local jurisdiction, your permit wlll 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 pennit is not obtained. ~;lt,,~.#~ $55,00 $55.00 $6.00 $6(JU $61.00 $7.32 $3.05 $71.37 The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances Ch/J1' ?c7?J9 _ 00 9'.YV '7 /~,AJ 9 ///YL, This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status . Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00984 ISSUED: 07/06/2009 APPLIED: 07/06/2009 EXPIRES: 01/0612010 VALUE: SITE ADDRESS: 284 18TH ST ASSESSOR'S PARCEL NO.: 1703362401401 Springfield TYPE: OF WORK: Electrical Work Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Install dnctless system Owner: KEENAN SUSANNA K Address: 284 N 18TH ST SPRINGFIELD OR 97477 Phone Number: 541-744-4473 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor GMD ELECTRIC INC License 162191 Expiration Date 11/19/2010 Phone 541-726-8601 BUILDING INFORMA T10N I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building:, Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport .Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: ".Compact: l,.,tt.............. . 0/0 of Lot Coverage:1\j"T";N: Q"'$c')'I ~'. "J l LH\,ity f~:\~~J n'ti~~ ac.iOpt'~T"'I.:~~~'; ;.~;~"~_~~~e Isat fortl1 .' '. r"",...,.,,{.~...l' lV..JG ... _. _.-.... ,,("vi_ I PUBLIC IMPROVEME'N\iS~,'.OOi -OOi 0 th;~Ui~~ ~[til'e~~~es by 0090 wu may ~btaln , p. '\;Ie telephone \.\. the cGi,,(I!~Va'klTYp'e: N t'l cation ca Ing _ Oreaan Utility 0 I I number Jor trDownspoutslDrains:), Center IS I -"UU-U~- - Street Improvements: Storm Sewer Available: Special Instruction: NOnCE: :~!.s. ,~~R~~T SHALL EXPIRE IF THE WORK -', "VlI1VlllLL.U Ul\lUCn 1.....- ,-"~......",,.. ,~ ""'. COMMENCED OR IS ABIt!,Yalii;tih~rD~~~"ip,tion I ANY 180 DAY PERIOD," ,'" I $ Per Sq Ft Square Footage or multiplier or Bid Amount Notes: Description Type of Construction Value Date Calculated Paee 1 on _~,RIf\lCllilllllitl;!?, fitt{i, . ---- ~tL Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fee. Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid $7.32. $3.05 $55.00 . $6.00 Total Amount Paid $71.37 I Plan Reviews I Date Paid 7/6/09 7/6/09 7/6/09 7/6/09 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: C.OM2009-00984 ISSUED: 07/06/2009 APPLIED: 07/06/2009 EXPIRES: 01106/2010 VALUE: Receipt Number 3200900000000000511 3200900000000000511 32009000000000005 n 3200900000000000511 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 Reouired In~n~~tio~'1 Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signatnre, I state and agree, that I have carefully examined the completed application and do h~reby certify that all information hereon is true and correct, and I further certify that any and all work performed shall he 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. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will bc used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each a'ddress is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remaio on the site at all times during construction. Owner or Contractors Signature Pal!e 2 01'2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00984 COM2009-00984 COM2009-00984 COM2009-00984 Payments: Type of Payment ONLINE CHGS cReceintL RECEIPT #: u:q",;~ Iti:. . City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000511 Date: 07/06/2009 Description Add, Alter, Extend Circ Add, Alter, Extend 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 NJM ONLINE GMD Online ELECT Payment Total: Page 1 of I I:08:14PM Amount Due 55.00 6.00 3.05 7.32 $71.37 Amount Paid $7IJ7 $71.37 7/6/2009