HomeMy WebLinkAboutPermit Electrical 2009-7-14
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City of Springfield
Electrical Anthorization To Begin Work
E-mailcdTo:gmdelectric@comcast.net
Check on status of permit
By'Phone: 54] -726-3753' or Email: permitcenter@ci.springficld.or.us
10 NewConstructioll
o Addition/alteration/rep]acement
101" 2 '.nil~ dw<lli", OM''';-''''ilY o CO"""';,, 0 A"",,')'
I-l":- }i~il?f?0~g~:Jo'ErSTrE;INFORMATIONltND~LOi:ATlbN;/~~
I Job Address: 23]5 9TH ST
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City/State/ZIP: SPRINGF]ELD,OR 97477
Suitelbldg.lapt.no.:
froject Name: Brown
Cross Street/directions to job site: 5th St, rtU St, rl 6th SI (Northridgc), ]ft Oll 9th
S,
c;A=r5 ~
Tax map/parcel no.:
Heal Pump tlnd Air H[U1dler, Condensak Pump
Name: Dennis & Dawn Brown
Phone: 54].746-7304
Fax:
Email:
I Elcclic.no.:20.537C CCBlic.no.: ]62]91
'""';0'" N,,",, G",}\'~t't:~!<rI@N: Oregon law regulres Y?~"l?,
I Contact: follow rules aaoplea uy lilt; Vlv~v" '..n..'.}
T' '..- ~"" ...."t f",...th
I Address' PO BOX1m~IT~~a~~~] ~~~ ll~~.~ r.1~1;::::',':~~nA~- Q~?~OOi-
I City/Statc/ZIP; Eu~~~cMJ.7.iq!?i~r.; ~ht~in-r.nnies of the rules by
I Phone: 541-741-736~-~~;i;n."; thA r.'p.nte'p.x: H(-&~g-iI8Qb.e telephone
I Emllil: gmde1ectric@cftUPflhJ€r for the Oregon Utl_llty'_I~~,mtCi:HlUII
I Metro lie. no.: Center ISdty9.~In'~.,?v~-c..V"T-iJ'
I Supervising EleetricillrJ'S lie. no.: 4874S
I SlIpervising Electrician's Name.: Michael K Gowins
NumberofirJSllectionsirJcluded in paid services:
Residential Service: 4
ReconneclOnly: I
AllOlherServices: 2
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,
NOTE: This Authorization To Begin Work expires within 180 days if a
permit is not obtained.
The local building departrllent may determine that an Authorization To
Begin Work is null and void if it does not meet applicable land use laws
and local ordinances
Please check all rhmapply:
o A service or feeder beginning at
400 Amps where the available fault
eurrenlexceeds 10,000 Amps ar
150 Volts or less t" ground
exeeeds 14,000 Amps for all other
installarions
o Fire pumps
o Emergency systems
o Addition ofa new motor load of
100 HP or more
o Six or more residcnrial units in one
slruclure
o Health care facililies
Description
Brarich circoits without service or
feeder
I Branch cirCllils each addilional
circuit without service
SublOlal
Slale sllrcharge (12% of pen nil
total)
ITeehnology fee (5% of permit tOlal)
, TOTAL PERMIT FEE
69600-BEL-09-00034
711~!2009 I :40 pm
App!oval Codc:,058906
[LlHazardouslocations
qA service or feeder rated at 600 amps
or more
l1DBuildingsmorethW1lhreeSlOries
OMarinasandboalyards
DFloalingbuildings
[JCommercial-use agricultural
, buildings
Glnstallation ora 150 KVA or larg~r
seperar~ly derived sys
0" "A" "E" or"[.~"{l['1.3"
, .
[lJRecreationaJ Vehicle Parks
0SuPP!YVOltag~formorethan600
~j supply. volts nominal
Total
$55.00
$55.00
$6,00
$12,00
$67,00
$8,04
$3.35
$78.391
cq-\OJ6 Kt- l\\~\\O~
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01022
ISSUED: 07/1412009
APPLIED: 0:]/13/2009
EXPIRES: 01/14/2010
VALUE:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2315 9TH ST
ASSESSOR'S PARCEL NO.: 1703261204303
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install hip & a/h
Owner: BROWN DENNIS G & DAWN A
Address: 2315 N 9TH ST
SPRINGFIELD OR 97477
Phone Number: 541-746-7304
, I CONTRACTOR INFORMA nON I
Contractor Type
Electrical
Mechanical
Contractor
GMD ELECTRIC INC
COMFORT FLOW HEATING CO.
License
162\9\
460
Expiration Date
11/19/2010
06/27/2011
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 Structu re
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft \ st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPl\-1IC1H ",FORMATION I
REQUIRED PARKING
Frontyard Sethack: TION' Oregon law requires YCO~erlay Dist:. Total:
Side I Setbac~TTEN I . dopted by the Oregon I#lsiteet Trees Rqd: Handicapped:
Side 2 SetbaJR!IOfW rtU escaenter Those rules are SEPtlvt!d1 Drive Rqd: ' Compact:
1\~'1t, 'ca Ion. 95~ ell'"
Rearyard S~m~"tR 952-001-0010 through OAR % of Lot Coven'll:tOTICE:
Solar SetbaJ&90. You may obtai~,~~Ee~h~j :;:1~~~~~ebY THIS PERMIT SHALL EXPIRE IF TH_E ~OR~
nC:~I~~r L;~~ th~'o;~~on ~til~t~l puiii;ICiMPROVEMf~is:.l~NILctEUDUOI~Rul~n A~~~;~~Ev~ 'F~vRIit:.
enter IS 1-BOO-3~2 c._, , - _.....t
Street Improvements: e ANY 180 DJWdP1!p.'IBTh'pe:
Storm Sewer Available:
Special Instruction:
Downspouts/D.rains:
Notes:
Paee \ of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01022
ISSUED: 07/14/2009
APPLIED: 07/13/2009
EXPIRES: 01/14/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or mnltiplier
Square Footage
or Bid Amount
Value
Date Calcnlated
Total Value of Project
Fees Paid I
111.1
Fee Description
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
I st Appliance
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Heat Pump
Amount Paid
Date Paid
Receipt Number
$8.04
$11.52
$3.35
$4.80
$79.00
$55.00
$12.00
$17.00
7/14/09
7/14/09
7/14/09
7/14/09
7/14/09
7/14/09
7/14/09
7/14/09
1200900000000000805
3200900000000000526
1200900000000000805
3200900000000000526
3200900000000000526
1200900000000000805
1200900000000000805
3200900000000000526
Total Amount Paid
$190.71
I - Plan Reviews I
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 Insl1ectio~s'
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
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01022
ISSUED: 07/14/2009
APPLIED: 07/13/2009
EXPIRES: 01/14/2010
VALUE:
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 lie 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 withont permission of the Commnnity Services Division, Building Safety.
I fnrther 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
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Paee 3 of 3
225 Fifth Street
,
Springfield, Oregon 97477
541~726-3759 Phone
~~,";,":"
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Job/Journal Number
COM2009-0 I 022
COM2009-0 1 022
COM2009-0 1 022
COM2009-0 1 022
Payments:
Type of Payment
ONLINE CHGS
cRcceinll
RECEIPT #:
1200900000000000805
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: 07/14/2009
Item Total:
Check Number Authorization
Received By Batcti Number Number How Received
Paid By
ONLINE PERMIT CHGS
KR
Page I of I
ONLINE GMD Online
ELECTRIC
Payment Total:
2:16:14PM
Amount Due
55.00
12,00
3.35
8.04
$78.39
Amount Paid
$78,39
$78.39
7114/2009