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Home My WebLink AboutPermit Electrical 2009-8-28 ~, City of Springfield .. Electrical Authorization To Begin Work E-mailcdTo:gmdelectric@comcast.net Check on status of permit By Phone: 541-726-3753 or Email: pcrmitcenter@ci.springfield.oLus I 0 New Construe??n o ,Addition/alteration/replacement G 1 or 2 family dwellin~ o Multi-family Dconunercial o Accessory 5162 DAISYST City/State/ZIP: SPRINGFIELD, OR 97478 I Suite/bJdg.lapt.llo.: I Projttt Name: VanOrdstrand I Cross Street/directions to job site: Mai.n Sl, rt on S 52nd St, rt on Daisy 51 II T.. m'P/~':.='~l'1.rn.'.)~~~~O~==.'=$j"$t'~:"'rll ~~:A:~~:~~tff~L:^>E%tL[)ES9RI~Tlq~I0I7LWO~K~.~p'<f:rkC, ~;!ffti'Jl :'lJ.~~.,' Install heat pump and airhandJer and new outside outlet. Nllme: Jeremy & Heathe VanOrdstnmd Phone: 541-746-5965 l'lll: Email: Elec lie. no.: 20-537C CCBJic.no:: 162191 Business Name: GMD ELECTRlCINC Contact: Address: PO BOX 72206 I City/Stale/ZIP: EUGENE, OR 974010291 Phone: 541-741-7369 I Email: gmdclcctJ~~U,:~;!e~ I ""roli,...., I HIt; r'tKJV/IJ t;HAldJ.vli,'!<.lJ1Kt It- I Ht WUKI\ I SUI><";'i.,EI'Gr,(,j;j,I@.r.qZED.wwDER THIS PERMIT IS NOT I Supeni,in, EI''1'l~H~l~'&'i>!"liin F~IQ.,I~~iiIll no N m FO R Numb".fi.,p'f.l\".J'fiaf"~.1' M'f' !"I:'RIOD. ReSidentIal ServIce: ::j Reconnect Only: 1 All Other Services; 2 Fax: 541-988-1800 Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within C?ne 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 department may determine that an Authorization To 8egin Work Is null and void if it does not meet applicable land use laws and local ordinances I'leaseche<;k all thai apply o A ser;':iceor feeder beginning at 400 Amps where the availablefauh currentex<;eeds 10,OOOAmpsal 150 Vohsor less 10 llround exceeds 14,000 Amps for all other installations o Fire pumps o Emergency systems o Addition ofa new motor load of 100 HPor more o Sixor.moreresidential unilsin une strucTure o Heahh care faciliTies 69600- BE L-09-00 107 8/28/2009 11 :25 am Approval Code: 007525 \5~~lt': OHazardousl()caTions OAserviceorfuderrilledal6oo amps or more DBoildingsmorethllllthreesTories DMarinas lllld boaT yards Dfloatingbuildings DCommercial.useagricullural buildings Dlnslallalion d alSO KV A or larger seperalelyderivedsys D"A","E".or"J-2"or"J-3" DRecreaTionalVehideParks DSupp,y voitai;e for mOre Ihan 600 supply volts nomi,llJI I Qty. I Description circuits withoul serVice or $55.00 $6.00 ~k- S61.001 $7.321 $3.051 $71.371. .6 \ oCD\OC1 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 . ~l"i' 1.80"""'14). ~& 0-.;,-0 ~,~ . ~~ ~~ '<9- circuits each additional circuit service ~~:~~~::;~fr~'6n.it F(es'. IState surcharge (J2% of penn it total) ITedmology fee (5% of pel mil total) I TOTAL PERMIT FEE C0-nw\ This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5162 DAISY ST ASSESSOR'S PARCEL NO.: 1702333403001 CITY OF SPRINGFIELD' Building/Combination Permit , PERMIT NO: COM2009-01261 ISSUED: 08/27/2009 APPLIED: 08/27/2009 EXPIRES: 02/28/2010 VALUE: Springfield TYPEOF WORK: Heating System PROJECT DESCRIPTION: Heat Pump & Air Handler Owner: V ANORDSTRAND JEREMY T Address: 5162 DAISY ST SPRINGFIELD OR 97478' TYPE OF USE: New Public Phone Number: 541-228-0886 I CONTRACTOR tNFORMATlON 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' # 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: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION' Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: NOTICE: Notes: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Pa2e I of 3 ,. REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: 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 rule,s by calling the center. (Note: the telephone. number for the Oregon Utility Notification Center is 1-800-332-2344). _li1iI!IIIJ!1~F.l,~, :~ ': . ,<' 'l" ~~-,S~,,,., ~y Status Issued 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 multiplier Square Footage or Bid Amount Total Value of Project Fees P?irl I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump + 12% State Surcharge + 5% Technology. Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $11.52 $4.80 $79.00 $17.00 $7.32 $3.05 $55.00 $6.00 8/27/09 8/27/09 8/27/09 8/27/09 8/28/09 8/28/09 8/28/09 8/28/09 Total Amount Paid' $183.69 I Plan Reviews , U 1 Y OF SPRIN\JJ:<l~LD Building/Combination Permit PERMIT NO:COM2009-01261 ISSUED: 08/27/2009 APPLIED: 08/27/2009 EXPIRES: 02/28/2010. VALUE: Value Date Calculated Receipt Number 3200900000000000607 3200900000000000607 3200900000000000607 3200900000000000607 120090000000000t008 1200900000000001008 t200900000000001008 1200900000000001008 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. ,Re9'lire~ I'.!~.re~ti,!?~ I Rough Mechanical: Prior to Cover Final Mechanical: Wh~n all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Page 2 of3 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2009-0I261 ISSUED: 08/27/2009 APPLIED: 08/27/2009 EXPIRES: 02/28/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line. By signature, I state and agree, that I have carefully examined the completed .application and do herehy 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 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. 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 Date Paee 3 of 3 22~ Fifth Street Springfield, Oregon 97477 54~-726-3759 Phone ....~...~.T.IIlp>~.../......cc ...c. *...., ,... : ..........~~...c .. City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-01261 COM2009-0 t 261 COM2009-0 t 26\ COM2009-0 t 261 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Date: 08/28/2009 1200900000000001008 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 KR ONLINE GMD Online ELECT. Payment Total: Page I of I 1:23:57PM Amount Due 55.00 6.00 3.05 7.32 $71.37 Amount Paid $7137 $71.37 8/28/2009