HomeMy WebLinkAboutPermit Electrical 2009-7-2
ATTENTION: Oregon law requires you to
foUow rules adopted by the Oregon Utility
~otlflcatron Center. Those rules are set forth
In OAR 952-001-0010 through 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).
City of Springfield
Electrical Anthorization To Begin Work
E-mailedTo:gmdclectric@comcast.net
Check on stalus of permit
By'Phone: 541-726-3753 or Emai1: permitcenter@ci.springfield.or.us
o New Consrructio~
o Additionlalteration/n:placement
PleasecheckaJltbatapply;
o A service or feeder beginning at
400 Amps \\Ihcre the available fauh
currenlexceeds IO,OOQAmpsal
150 Volts or less to ground
exceed, 14,000 Amps for all olher
installations
/01 ,,If,,milydw,ll',g D'M,'.'wn'IY o Coo"',,,,,,, 0 Aem"",
l~s;;:~:~~.io'i3?SITErINFoRMATION:ANDlfrcfcAT'i6~~~~~:";~:1
I Job Atldress; 1066 LONGRIDGEDR
I City/State/ZIP: SPRINGFIELD, OR 97478
I Suite!bldg.lapt.no.:
11'~oject Name: Dailey
Cross Street/directions to job site: 42nd St, rt on Jasper Rd, 1ft on S 39th, 1ft 011
Long Ridge Dr.
DFir~pumps
DEmergen,ysYSlems
D"ddilionofanewmolorloadof
100 HP or more
DSixormorer~siden'ialunitsinone
structure
DHealth,arefacilities
T",m'P/p"'d""Wf)~~\ D~~
14f$1i~=~~~~f4i~t1;f~~~D{S'CRigTION?5F~WORK~^i:~~~~~~~~~7f.4'
Description
olltdoorand indoor Mitsubishi Unit
Branch circuits without service or
; feeder
Branch circuits each additional
circuit without ser.'ice
Name: Dave & Peatie Dailey
Subtotal
State surcharge (12% of per mil
total)
Technology fee (5% of permit total)
Phone: 541-746-0193
Fax;
[mail:
I Elec lie, no.: 20-537C
I Busineu Name; GMD ELECTRlC INC
I COO,"'' t! ~TIG:;
Add"", PO BOJYf.1ft. ~ . ., ",.
I City/S,"le/ZIP, EX ~~,Gt.JlIMbI9P~~:: t:^t'ltit I~ I Ht WUKK
Il'h"'d4l'741'W~;f;~~~I.':.E:_~ ~1~UI'J;\ 5\nkiI.lli"oliti/VIII I:' NU I
I Emllil: gmde]ectri'tuMJXfJ~sttrJtIJIJCU Un. lu At1AJ\JUUI\JtU tUH
. I\"!/~'f ~'33 VMY ri:n' --
I MetroIJc.no.: ~It.no.:
I Supeniising Electridim's lie. no.: 48745
TOTAL PERJ\lIl' FEE
CCBlic.no.:
]62191
CCj-'t~
Supeniising Electriciari's Name:
Michac]KGowins
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: ]
All Other Ser.'ices: 2
Upon review and approval by your local Jurisdiction, your permit wHl 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 if a
permit is not obtained.
The local building deparbnent 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
69600-BEL-09-000l9
7/2/2009 11 :43 am
lo,ations
service or feeder raled al 600 amps
or more
DBuildings rnore than three stories
DMarill~>1ll1dOOIlIYllrds
DfloatingbWildings
DCommer,;al.u~ agricultwral
buildings
Dlnstallatio~ ofa 150 KVA or larger
seperatel:rderivedsys
[j"A". "E".or"I-2" or "I.)"
[JRecrealionalVehideParks
DSupplyvohageformurethant>oo
suppl:rvoltsnominal
Tota]
$55.00
$6.00
Q lILt m
Status
Issued
CITY OF SPRINGFIELD
. Building/Combination Permit
PERMIT NO: COM2009.00881
ISSUED: 06/17/2009
APPLIED: 06/17/2009
EXPIRES: 0110212010
VALUE:
225 Fifth Street, Springfield, OR
541.726.3753 Phone
541.726.3676 Fax
541.726.3769 Inspection Line
SITE ADDRESS: 1066 LONG RIDGE DR
ASSESSOR'S PARCEL NO.: 1802064107300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Install ductless heating system in residence
Residential
Owner: DAILEY DAVID R & V H
Address: 1066 LONG RIDGE DR
SPRINGFIELD OR 97478
Phoue Number: 541.746.0]93
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
GMD ELECTRIC INC
COMFORT FLOW HEATING CO.
License
162191
460
Expiration Date
11/19/2010
06/27/2011
Phone
541.726.8601
541.726.0100
BUILDING INFORMATION I
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Coustruction 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 sl Floor,
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
REQUIRED PARKING
Front yard Sctback: Overlay Dist: . rotal:. t
Side I Setback: # Street Trees Rqd: ATTENTION: Oregon ifrnhi&'tI:;~\\'yoUUIOt
follow rules adopted ~' me v. eyull tll y
Side 2 Setback: . Paved Drive Rqd: :.offil1act t f th
""'<>T"'E Notification Center. Th se lUi~,,:are se or
Rearyard'lewanK: : THE w-tffikot Coverage: in OAR 952-001.001 0 through OAR 952.001.
Solar SetbaFK~6 PERMIT SHAll EXPIRE IF 0090 Y btain copies of the rules by
_ _ .__<" . .,.~~~ 1'"(, ncNnlT Ie: MnT . au may 0 .
I-\U I nUrllL..l....U VI:.)"'" ... - calling UH::l t;t::lllt:l. \1'lVlO. L.;'CI ......:'"':I'~",.....:....
COMMENCED OR IS ABANDOtllI?IJ~UK: IMPROVEMENTS ~ number for the Oregon Utility NotificatIOn
Street ImP'i'lX~!it}:DAY PERIOD. . Sid~I~1fYi>J:800.332.2344).
I DEVELOPMENT INFORMATION I
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
Notes:
Page I of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
. or multiplier
Square Footage
or Bid Amount
Total Valne of Project
Fees Paid I
I" 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
$17.64
$7.35
$79.00
$51.00
$17.00
$7.32
$3.05
$55.00
$6.00
Total Amount Paid
$243.36
I Plan Reviews I
Date Paid
6/17/09
6/17/09
6/17/09
6/17/09
6/17/09
7/2109
712109
712109
7/2/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00881
ISSUED: 06/17/2009
APPLIED: 06/17/2009
EXPIRES: 01/02/2010
VALUE:
Value
Date Calculated
Receipt Number
1200900000000000699
1200900000000000699
1200900000000000699
1200900000000000699
1200900000000000699
2200900000000000753
2200900000000000753
2200900000000000753
2200900000000000753
To Request an inspection calI 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 ~~'1.~]i,r~~. I~.~!)~~~.ions 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.
Paee 2 of 3
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726c3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00881
ISSUED: 06/17/2009
APPLIED: 06/17/2009
EXPIRES: - 01102/2010
VALUE:
By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all
information hereon is true and correct, and I fnrther 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 strnctnre 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
Paee 3 of 3
Date
~25 Fifth Street
Springfield, Oregon 97477
54J-726-3759 Phone
Job/Journal Number
COM2009-00881
COM2009-0088I
COM2009-0088I
COM2009-0088I
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200900000000000753
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 07/02/2009
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
KR
Page] of]
ONLINE GMD Online
ELECTRlC
Payment Total:
II :53:42AM
Amount Due
55.00
6.00
3.05
7.32
$71.37
Amount Paid
$71.37
$71.37
7/2/2009