HomeMy WebLinkAboutPermit Electrical 2009-9-2
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
69600- B E L-09-00 117
9/2/2009 9:52 am
Approval Code: 674597
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I Technology f*,i-s~.ijr.permiOotdDle Orp. lnn 11 ilih. f.l-=" :;.-' '$9;01)'
I TOTAL PERJ\lIT FEE t,;enter is 1-, in()-.~,: ')_~I"J.A"; .'"'Sflb'.liif
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c.9-ldCj5 \& 91dl~
10 NewConstructicin
[K} Addition/alteration/replacement
DAservic~orfeedcrbeginningat400
Amps where the avaiJablc fault .
currenlcxcecds JO,OOO Amps at
150 Vohsor less 10 ground o;xceeds
14,000 Amps for all other
inSlallations
I G I ,,2 fmnily dwolllng
o Commercial
o Accessory
o Multi-family
DFirepumps
DEmergencysystems
DAddirionofanewmotorloadof
IOOHPormore
Job Address: 652 HAMILTON ST
City/State/ZIP: SPRINGFIELD,OR 97477
I Suilelbldg.lapf.no.:
r ProjectName:Scarci
Cross Slreet/directions to job sill.': Centennial (L) onto Rainbow (L) Hamilton
DSixormoreresidentialunitsinone
struClure
DHei.Jlhcarefacifilies
I Taxmup/pareelno.:
Install meter main due to code violation & upgrade 200 amp panel. Install heat pump! air
handler
Name: PatriciaScarci
Phone:
Fax:
Email:
Elee Ik.no.: 20-537C
Business Name: GMD E!--ECTRIC INC
CCBlic.no.: 162\91
Contact:
Address: PO BOX 72206
City/State/ZIP: EUGENE, OR 9740 I 029\
Phone: 54\-741-7369
Email: gmdeJecq~~@~~~te!
Fax: 541-988-1800
M,rrolk.no., THIS PERMIT SHAI<t">fl~:p"RF IF THF wmli(
Supe",ishlgEle{t,~i~f.rj!!.li.l:~p;:Fn ~~!~$)j:R TI-lI~ DI=Rr./IIT IQ' t\lrlT
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ResIdential Servrcv.'IJ J OU4Un T t'"t:11.1 .
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.
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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 Begin
Work is null and void if it does no.t meet applicable land use laws al)d local
ordinances
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
DHazardousl(}~alion,
DA service l>r feeder raled al600
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DBuildings more lhan three sto'ries
DMarinas and boat yards
DFloalingbuildings
DCommercial.useagricuhural
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Status
Issued
CITY; OF ,SrKINGFIELD
, Building/Combination Permit
PERMIT NO: COM2009-01295
ISSUED: 09/02/2009
APPLIED: 09/02/2009
EXPIRES: 03/02/20]0
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 652 HAMILTON ST
ASSESSOR'S PARCEL NO.: 1703341206500
Springfield TYPE OF WORK: Heat\ng System
TYPE OF USE: New
PROJECT DESCRIPTION: Install heat pump and air handler and upgrading electrical in residence
Residential
Owner:
Address:
SCARCI PATRICIA A
652 HAMILTON ST
SPRINGFIELD OR 97477
Phone'Number: 541-968-7004
I. CONTRACTOR I,NFORMA TlON 1
Contractor Type
Electrical
Mechanical
Contractor
GMD ELECTRIC INC
COMFORT FLOW HEATING CO.
License
162191
460
Expiration Date
11/19/2010
06127/2011
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: Lot Size:
Height of Strv~Jg!NTION; Oregon 'aM-[~J~fJl 8ri 10
Type of Heat:'ot'I' rules adopted by Sq,1<)f.2.n oor:'t
" I Icatlon C' ."'. ~'" , UIIII Y
Water Typein OAR 952- enter. Thos,sqjl\k'll\'tl'!M'\Urth
Range Type1J090 You ~01-001? throSglf!.:~~ri3g~_~~~eort
Energy Path: caliin th ay obtal1l COrsqsItlfQ\l!~rG'esb
Sprinkled BtWeMsir 1 e tChenlti!i (Not(Occupaft1r!i?Me y
or e Orennn I Jtili.... ",1_'-,-", .
I DEVELOPMENT INFom\ifimr<r .-800-332-2344Y:"-~'MI
, . 'REQUIRED PARKlNG
.Total:
Handicapped:
':Compact:
Overlay Dist:
# Street Trees Rqd:
PavedJ>rive Rqd:
% of Lot Coverage:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setback,!oWTICE:
I HI::; I-'tHMIT SHALL EXPIR~ RU1lliK\lfl\.fflrR.OVEMENTS I
AUTHORIZED UNDER THIS PtnlvlIl 10 I~ur . ..
Street Improut,"}~W~NCED OR IS ABANDONED FOR
Storm SewerfAWin.tlIf:DAY PERIOD.
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Paee 1 of 3
Status
Issued
225 Fifth Street; Springfield, OR
, 541-726-3753 Phone'
541-726-3676 Fax
541-726-3769 Inspection Line
Iy aluation Descd~tion.1
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Fee Description
+ 12% State Surcharge
+ 12% State Surcharge,
+ 5% Technology Fee
+ 5% Technology Fee
1st Appliance
Add, Alter, Extend Circ Ea Add
Heat Pump
Perm ServlFdr 200 amps or less
Amount Paid
$11.52
$21.60
$4.80
$9.00
$79.00
$18.00
$17.00
$162.00
Total Amonnt Paid
$322.92
Square Footage
or Bid Amount
Total Value of Project
Fees Paid I
Date Paid
9/2109
9/2/09
9/2/09
912/09
, 9/2109
9/2/09
9/2109
9/2109
Plan Reviews I
L11 f OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2009-01295
ISSUED: 09/02/2009
APPLIED: 09/02/2009
EXPIRES: 03/02/20]0
VALUE:
Value
Date Calculated
Receipt Number
2200900000000Q00992
120Q900000000001019
2200900000000000992
1200900000000001019
2200900000000000992
1200900000000001019
2200900000000000992
1200900000000001019
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 w.orking day, inspections requested after 7:00 a.m. wilFbe made the following
work-day.
Reouired Insn~dions I.
Rongh Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When aU electrical work is complete.
Paee 2 of 3
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01295
'ISSUED: 09/02/2009
APPLIED: 09/02/2009
EXPIRES: 03/02120]0
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 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
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 Servi'ces 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
r
Paee 3 of3
225 Fifth Street
Sp'ringfield, Oregon 97477
54]-726-3759 Phone
Job/Journal Number
COM2009-0 1295
COM2009-0 1295
COM2009-0 1295
COM2009-0 1295
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
]20090000000000]0]9
Description
Penn ServlFdr 200 amps or less
Add, Alter, EX1end,Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
City of Spr.ingfield Official Receipt
DeveIopme.nt Services Department
Public Works Department
Date: 09/02/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How'Received
Paid By
ONLINE PERMIT CHGS
KR
Page I of 1
ONLINE GMD Online
ELECTRIC
Payment Total:
9:59:40AM
Amount Due
162,00
18.00
9,00
21.60
$210.60
Amount Paid
,$210,60 '
$210.60
9/2/2009