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Home My WebLink AboutPermit Electrical 2009-10-15 City of Springfield Electrical Authorization To Begin Work E-mailed.To:gmd@gmdelectl.ic.com Check on status of permit ,By Phone: 541-726-3753 or Email: pennitcenter@ci.springfield.or.us I D NewConstruction o Addition/alteration/replacement 01 or 2 family dW,elling DMU!t!-familY DCommercial DACCeSSOry Job Address: 235] 11TH ST City/State/ZIP: SPRINGFIELD, OR 97~77 Suite/bldg.lapl,no,: Project Name: Haag Cross Street/directions to job site: Haydep_ Bridge (L) onto IOth(L) onto 11th A:~:;:~_~:::::;;,;l~Q~gJ(1,\~" P~~4l"C<_'A~~' ~k~~~~~.";;,J:lPJ;$CRlt;JI9t~h.oF:,.NVQRKlTm ",.",'" ,',"" ,~;..l~~~*:fJtJ! Heat Pump with Air ~andler Add Recepta~le Name: John Haag Phone: 541-747.5133' Fax: Emllil: Eleclic. no.: 20-S37C CCBlic, no,: 162191 Busint'ss Name: GMD ELECTRIC INC Contact: Address: PO BOX 72206 City/State/ZIP: EUGENE, OR 9740102,9] Phone: 54]-74]-7369 :1 Fax: 54]-988-1800 Email: grnd@gmdele~tri...com Metrolic.no,: Supervising Eleclrici~n's lie. no,: Supervising Electrician's Name: City lic,no,: 4874S MichaelKGowins Number of inspections included in paid s,ervices: ResidentiaiService: 4 ,; Reconnect Only: ] All Other Services: 2 Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one blJsiness day, with instrlJctions on how to schedule your insp'oction, ' ,t PleaSe check all that apply: D,\scivii:eorfeederbeginningat400 Amp> where the availablefalllt currenle~ceeds 10,000 Amps at J50 Volls or less 10 gruund exceeds 14,000 Amps for all Qlher installations I I I I DFirepumps DEmergencysys,ems DAddilionofanewinOlQrloadof 100 HPor mme DSixormoreresidentialunilsinone structure (;,q. Itftf~ 69600- BE L-09-00 194 10/15/2009 12:39 pm Approval Code: 024617 DHazardou>localions DA service or feeder rated at 600 amps or more OBuildings more than lhreeslories DMarinasandboatyards [JFloalingbuildings DCommercia'.useagricultural . buildings Dlns,aJlation ofa 150 KVA or larger seperatelyderivcdsys [J"A", "E",or"I-2" 0,"1.)" DRccrca'ional Vehicle Pa~ks DSUpplyvoltage for more than 600 ~ supply volts nominal o Heallh care facilities $67.001 $8.04 $3.351 $78,39 , ~(}\ ~~rt- ~ Description Branch circuits without service or feeder I Branch circuits each additional circuit withoulservice 1~!e~tricaJ~I>er~Iff~; I Subtotal ISlalCSllrcharge(12%ofpem\itlolal) I Tcclmology fec{5% ofpermil.lollll) I TOTAL PERMIT ti'EE I I I I 1 I I I I /J ,/}VVJ 2dV I ~, 0;<--/4")--. ~~ /O~';'-/()7 NOTE: This Authorization To Begin Work expires within 180 days if a penn it is not obtained, I The local building department may determine that an Authorization To Beg]n Work is null and void if it does not meet applicable land use laws and local ordinances ". This Authorization To Begin Work must be posted at the job site untll replaced by a Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 235111TH ST ASSESSOR'S PARCEL NO;: 1703261105200 PROJECT DESCRIPTION, Heat Pump CITY OF SPRINGt<lELD Building/Combination Permit PERMIT NO:' COM2009-01442 ISSUED: ' 09/2812009 APPLIED: 09/28/2009 EXPIRES: 04/15/2010 VALUE: ' Springfield TYPE OF WORK: Heating System Owner: HAAG JOHN, R & ORA J Address: 2351 N 11 TH ST SPRINGFIELD, OR 97477 TYPE OF USE: New , Residential Phone Number: 541-747-5133 , I CONTRACT~R INFORMATION 1 Contractor Type Electrical Mechanical l ContralCtor , G1\1D ELECTRIC INC COMFORT,FLOW HEATING CO. License 162191 460 Expiration Date 11119/2010 06127/2011 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: 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 DEVELOPMENTlNFORMATION 1 Frontyard Setback: Side 1 Setback: Side 2 Setback:' Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: ,I PUBLIC lMPR~VEMENTS I Street Improvements:, , " ", ,;';lld\l!(J^"/""" , ".,. ." \,...." "' l'~ ' Storm Sewer N\:Mi(Jb1e; 'ILof"lO"':l," ... ~'. '/ .... ,''; .-!;q. .~t,s ','~: f I ' w,......~:.I)O~.., . ., Special Instr~'lllCation lAm' ':" oy lh.. O~f.)-;OIJ ,,~.!it, I/) OAR ~~. ler. fI'.ose rtJ/es ilre 3&1 fc Notes: .:'090. You m~1-(101~ throHgh OA!'Hj5~.{)( call,'""..., Y Obtam cClptf),!; oj tilt? nJ.r.~ ... """ c~r:<<-r (N ' . , l'l4JA1b8riorffll9 Of' O!\9',lhe !~lapll()r"J ,_, . ~?!:n UtIlity NOlificlIt:.... "- ,,,..... ,1",:":~::;'<?FI,t1,,!';. Page 1 of 3 '11 REQUIRE\> PARKING Total: Handicapped: , Compact: Sidewalk Type: Downsponts/Drains: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. CITY OF ~rKll'\ivFIELD Building/Combination Permit Status Issued PERMIT NO: C:OM2009-01442 ISSUED: 09/28/2009 APPLIED: 09/28/2009 EXPIRES: 04/15/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection LI~e I Valuation De~criotion I Descriotion Tvpe of C~nstruction $ Per Sq Ft or multiplier Sqnare Footage or Bid Amount Value Date Calculated .' ,!j Total Value of Project J;'",,<, P<tLllJ Fee Description + 12% State Surcharge ' " +' 5% Technology Fee 1st Appliance :: Air Handling Unit Up to J(l,OOO + 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 $8.D4 $3.35 $55.00 $12.00 9/28/09 9/28/09 9/28/09 9/28/09 10/15/09 10/15/09 10/15/09 10/15/09 Receipt Number 1200900000000001098 1200900000000001098 1200900000000001098 1200900000000001098 3200900000000000711 3200900000000000711 3200900000000000711 3200900000000000711 Total Amount Paid $190.71 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 Slime working day, inspections requested after 7:00 a.m. will be made the following work day. I Rp.n~nr.nppt~ Rough Mechanical: Prior to Cover Filial Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Pa2e 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726,3753 Phone 541-726,3676 Fax 541-726-3769 Inspection Line CITY OF ~rK1j"tJFIELD Building/Crmbination Permit PERMIT NO: €OM2009-01442 ISSUED: 09/28/2009 APPLIED: 09/28/2009 EXPIRES: 04/15/2010 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 be done in accordance with the Ordinance~ ofthe City !If 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 ai the front of the property, and the approved set of plans will remain on the site at all ' .. . ,I times durmg construction. , !: . . Owner or Con~ractors Sign~ture Pace 3 of 3 Date 225 Fifth Street , Springfield, Oregon 97477. 541-726-3759 Phone Job/Journal Number COM2009-01442 COM2009-01442 COM2009-01442 COM2009-01442 Payments: Type of Payment ONLINE CHGS cReceiotl RE~EIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000711 Date: 10/1512009 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12%, State Surcharge Paid By ONLINE PERMIT CHGS " ,,;, Item Total: t:heck Number Authorization Received By Batch Number Number How:,Received NJM ONLINE GMD, Online ELECT Payment Total: Page 1 of 1 1:21:26PM Amount Due '55,00 12.00 3,35 8,04 $78.39 Amount Paid $78,39 $78.39 10115/2009