HomeMy WebLinkAboutPermit Electrical 2009-8-20
City of Springfield
69600-BEL-09-00085
8120/2009 2:45 pm
Approval Code: 013661
Electrical Authorization To Begin Work
E-mailed To: gmdelectric@comcastnct
Check on status of permit
By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us
Wi:~~~~f~f:Z~~~pi!At.f,REViEW;;F3;~;q:rJ;?~L~" :;;.i:;.~?X;'3e.;
Plcasc check all lhal apply: DHazardouslocations
o A ser.'iceor feeder beginning al DA service or feeder rated at 600 amps
400 Amps where the available fault or more
currenlexceeds 10,000 Amps at
150 Vohs or less 10 llround
exce~ds 14,000 Amps fur a1lolher
installations
I D New Cons~ction
o Addition/alteration/replacement
DBuildingsmorethanlhrceslories
DMarinll5andboatyards
DFloatingbuildings
DCommerciaJ"useagriculTural"
buildings .
Dlnstallati\>f1ofa'SOKVAorlarger
seperately derived sys
O"A". "E",or"I.2" or "1-3'
ORecreationalVehicleParks
o Supply vullage for more than 600
supplyvolrsnominal
I Ell or 2 family dwell~ng
DAccessor)"
DMUlti-family
Dcommercia]
o Fire pumps
o EmergencysySlems
o Addirionofanewmo\o{loa.dof
100 !-IPor more
o Six or more residentiaJ unilS in one
structure
o Heahhcarefaciliries
Job Addren: 570 ASPEN ST
I City/State/ZIP: SPRINGFIELD, OR 97477
I Suite/bldg./apt.no.:
I Project Name: Hayes
I Cross Streetldir!'ctions to job site: Centennial (L) onto Aspen
I Tuop/p",,'no,' \')D"b~~~ ~ 1
l~tf4":h:5rJ~~~~~D-EI;cRTp:Ti6NfoFirwoRK~~~~;~~~~~~s+2!if1
(2) Heat pumps w/air hand]ers
I Description
Totlll
$55.00
$55.00
Brunch circuits without service or
leerler
I Branch circuitseacli additional
circuit without service
$6.00
518,00
I Name: Gay Hayes
I Phone: 541-968-196'7
$73.001
58.761
$3.651
S85.411
ISubtota]
I State sUri:har~e {\ 2% of pennlt
IOtal)
I Technology fee (5% ofpermil total)
I TOTAL PERMIT FEE
Fax:
Email:
I Elee lie. no.: 20-537C CCO lie. no.: 162191
I Business Name: GMD ELECTRIC INC
I Co"o" NOTICE:
I Add,,,,, PO B4itil@6PERMIT SHALL EXPIRE IF THF WORK
I C;ly/S'o'<lZ,p'A<l!Pl'l'!{J:ii\I~<[i)l:tJ1NDER THIS PERMIT IS NOT
I Phon" S41-'4\~\IlMFNr,FI) OR 1~~"A-I\lB(SJl>lJED FOR
I Emo", gmdd''\Ii~nj<:!lO'OAY PERIOD_
C.'<1- \ 3.CO ~ SId!) 10'1
,
,
I Metro lic. nQ.:
I Supervising Electrician's lie. no.:
I Supervising Electdcian's Name:
Number of inspections included in plIid services:
Residential Service: 4
Reconnect Qnly: 1
All Other Services: 2
Citylic.no.:
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification 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),
Upon review and a.pproval by your local jurisdiction, your permit will be
a-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 jf a
p0lmit is not obtained.
The local building department may determine that an Authorization To
Begin Work is null and void if it does not meet appricabl~ 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
CITY OF SPRINGFIELD
, Building/Combination Permit
PERMIT NO: COM2009-01200
ISSUED: 08/18/2009
APPLIED: 08/18/2009
EXPIRES: 02120/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection 'Line
SITE ADDRESS: 570 ASPEN ST
ASSESSOR'S PARCEL NO,: 1703342300500
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Replace two heat pumps and two air handlers
Residential
Owner:
Address:
HA YES GAY LEANNE
570 ASPEN ST
SPRINGFIELD OR 97477
Phone Number: 541-968-1967
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 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 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
NOTICE: ATTENTION: Orego~QW~Q,!'t~KtI~G
Frono/.%g ~~M~\<i SHALL EXPIRE IF THE WORKlverlay Dist: foHow rules adopted~!~~t1~~~~?n U~II;i
Side l>Setbac\<':ZED UNDER THIS PERMIT IS N01l Street Trees Rqd: Notification Center, T~Handicappeil: set 0 h
S'd 1'8' 'tbV'k~ P d D' R d' in OAR 952-001-0010 crn'H'il:i"AH 952-001-
R' e !l.Ueil'''IS,,~,Ct~Ij,~r.~D OR IS ABANDONED FOR "avef L rlcve q, 0090 You may obtain cWPeas 6f the rules by
eal1ar e ac~: /00 ot overage: " .
Solar''s~tbJrJU:DAY PERIOD, calling the center. (Note:, the telephone
number for the Oregon Utility Notification
Liemer IS I -OUU-,j"~~O:::;,J'tLf).
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Pa~e I of 3
-~~~~~,~~-~'.!?)
(I "' . ,,-'
,.
~
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone '
541-726-3676 Fax
541-726-37691nspection Line
I, Valuation Descriotion J
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Fees P,.id I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Uuit Up to 10,000
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
, Amount Paid
$15.60
$6,50
$79,00
$17.00
$34,00
$8.76
$3.65
$55,00
$18.00
Total Amount Paid
$237,51
I Plan Reviews I
Date Paid
8/18/09
8/18/09
8/18/09
8/18/09
8/18/09
8/20/09
8/20/09
8/20/09
8/20/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01200
ISSUED: 08/18/2009
APPLIED: 08/18/2009
EXPIRES: 02/20/2010
VALUE:
Value
Date Calculated
Receipt Numher
1200900000000000941
1200900000000000941
1200900000000000941
1200900000000000941
1200900000000000941
3200900000000000597
3200900000000000597
3200900000000000597
3200900000000000597
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 Renuired Insne.-tions I
Rough Mechauical: Prior to Cover
Final Mechauical: Wheu all mechanical work is complete,
Rough Electric: Prior to Cover
Fiual Electric: When all electrical work is complete,
Paee 2 of 3
_~~!!:!QII!I~,~I"!"'.,
'.'ii, ',1' . " '~~h.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRIN(JJ<lJ!,LD
Building/Combination Permit
PERMIT NO: COM~009-0I200
ISSUED: 08/18/2009
APPLIED: '08/18/2009
EXPIRES: 02/20/2010
VALUE:
By signature, 1 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 with,
tbe Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
tbat 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 tbat 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
(
Pa2e 3 of3
Date
225 Fifth Street
Springfield, Oregon 97477
541'726-3759 Phone
a._:PR'~~~"BU> _', ','
~, ~A ~'
,..:-, "
Job/Journal Number
COM2009-0 1200
COM2009-01200
COM2009-0 1200
COM2009-0 1200
Payments:
Type of Payment
ONLINE CHGS
cReceinll
RECEIPT #:
3200900000000000597
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
I
Public Works Department
Date: 08/20/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
KR
Page I of I
ONLINE GMD Online
ELECTRIC
Payment Total:
2:57:53PM
Amount Due
55,00
18,00
3,65
8,76
$85,41
Amount Paid
$85 Al
$85,41
8/20/2009