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Home My WebLink AboutPermit Electrical 2009-8-13 City of Springfield Electrical Authorization To Begin Work .E-mailedTo:gmdelectric@comcast.net Check on status of permit By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us _,Hi.. -_~f~ D NcwConstruction o Addition/alteration/replacement G] or 2 family dwelli~g DMUlli-ramilY DCo~mercial DACCI:SSOry Job Address: 3939 NORTH ST City/Slate/ZIP: SPRINGFIELD, OR 97478 Suitelbldg./apt.no.: Project Name: JohnSlon Cross Street/directions 10 job sile: E on Main 51, rt S 32nd SI, 1ft S 38th St, rt NorthSt Taxmap/pllrceloo.: A Gas furnace - retro, add heat pump or air conditioner to existing. Name: SIeve & Yvonne Johnston Phone: 54]-741-7808 Fax: Email: EJeclic. no.: 20-537C CCR Iic. DO.: ]62191 Business Name: GMD ELECTRIC INC Contact: Address: PO BOX 72206 City/Slllte/ZIP: EUGENE, OR 974010291 Phone: 541-741-7369 Fax: 541-988-1800 Email:gmdciectric@comclIsl.n'el Melrolic.no,: City lie. no.: Supen'ising Electrician's lie. no.: Supervising Electrician's Name: 4874S MichaelKGowins Number o(iospections included in paid services: Residential Service: 4 Reconnect Only: I All Other Services: 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 pennit 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 Please check all that apply: DAserviceorfee~erbeginningat 400 Amps whcre the available fault current exceeds 10,000 Amps at 150 Voh.orJess 10 ground exceeds J4,000 Amps for all other installations o fire pumps o Emergen~'Y sys1ems o Addilionofanewmo1orloadof 100 HP or more DSi",ormoreresidentialuni15inone slructure o Heallhcare facili1ies '. cA/\\1~ 696.00- BE L-09-0007 4 8/13/2009 2:30 pm Approval Code: 063636 []lIaiardouslocatiOns [JA sel'liceor feeder rated at 600 amps or more ~BuiJdingsmorethanthreeslOries DMarinas and boat yards o Floating buildings [JCommercial-useagricullural buildings [Z]lnstnllationofa 150KVAor'!arger "seperatelyderivedsys [2J"A", "E",or "[.2" or "1-3" DRecreationalVehicleparks DSupply vohage ror more than 600 supply vohs nominaJ !DescriPtion I Qty. I Branch circuits withoul servil,;c or feeder It't"jiscelilincous'," ',~ I Blllance of permit fed ISubtolal State surcharge (12% of penn it total) Technology fee (5% of permit total) I TOTAL PERMIT FEE I I 1 I I ~~# \.,~ 0-- :-..\) ~~. 11 . $5~,OO I, ':t:.~,0"~ '-9 ;.-. $55.00 31 $1.00 21'> $3.00 $58.00 $6,96 $2.90 $67,86 ~0 ~.~ ~~ \Y This Authorization T~ Begin Work must be posted at the job site until replaced by a Permi(' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line eIT\:, OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0Il78 ISSUED: 08/13/2009 APPLIED: 08/13/2009 EXPIRES: 02/1312010 VALUE: SITE ADDRESS: 3939 NORTH ST ASSESSOR'S PARCEL NO.: 1802061415800 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Gas furnace - retro, add heat pump or air contitioning to existing I: Owner: JOHNSTON STEPHEN L & YVONNE M Address: 3939 NORTH ST. SPRINGFIELD OR 97478' Residential , Phone Number: 541-741-7808 I CONTRACTOR INFORMATION. Contractor Type Electrical Contractor GMD ELECTRIC INC ,I BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: License 162191 Expiration Date 11/19/2010 Phone 541- 726-860 1 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occup~nt Load: I.DEVELOPMENT INFORMATION' Front yard Sethack: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd:' Paved Drive Rqd: % of Lot Coverage: ATTENTION: O;egb,n .lawl.P,UBL1.C.1i\1P'ROVEMENTS I S I follow rules adooled by the 0" U""t treet mprovements:. ' . I egor. lid y :~u:'I~I~atlon Center. Those n.;les am set forth Storm Sewer Av~~able: 952-001-001 0 through OAR 952-001- Spccial1nstructron?0.. You may obtain copies of the rules by calling the center. (Note: the telephone Notes: number for the Oregon Utility Notification Center is 1-800-332-23441. I Valuation Descriptio,n I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Paee I of 2 REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: NOTICE: . . THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THI~!'~,~~?c~DNOT COMMENL;!:U UK 10 /'IDI"'I'WV"~- . - ANY 180 DAY PERIOD, Value' Date Calculated _4i3i~~~JI~,~~Ie.~~, ~;;, - .^,: ~ Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Minimum/Adjustment Electrical Amount Paid Date Paid $6.96 $2.90 $55.00 $3.00 8/13/09 8/13/09 8/13109 8/13/09 Total Amount Paid $67.86 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01178 ISSUED: 0.8/13/2009 APPLIED: 08/13/2009 EXPIRES: 02/13/2010 VALUE: Receipt Number , 3200900000000000583 3200900000000000583 3200900000000000583 3200900000000000583 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. wiHI'be made the following work day. Refl."ire~ ~~~(r.e~~,io~~ I Rough Electric: Prior, to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information bereon is true and correct, and I further 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 w6rk described herein, and that NO OCCUPANCY will be made of any structure witbout permission of the Community Servi~es Division, Building Safety. I further certify that only contractors and employees wbo 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 a"ddress is readable from the street, that the permit card is located at the front of the property, and tbe approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Paee 2 of 2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-01178 COM2009-0 1178 COM2009-0 1178 COM2009-0 1178 Payments: Type of Payment ONLINE CHGS cReceiotl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000583 Date: 08/13/2009 3:02:37PM Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 55.00 3.00 2.90 6.96 $67.86 Description Add, Alter, Extend Circ Minimum/Adjustment Electrical + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Amount Paid njm ONLINE gmd elect Onljne Payment Total: $67.86 $67.86 Page I of 1 8/13/2009