HomeMy WebLinkAboutPermit Electrical 2009-10-21
"
. City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:gmd@gmdelectric.com
Check on status of permit
By Phone: 541-726-3753 orE.mail: permitcenter@ci.springfield.or.us
D New ConstnJctio~ 0 Addition/alteration/replacement
~q;]f;. ~~~ci;:tEGoRYi.Q~CdNsTt'iiTc'Doj\i~jtf~ll!~
o I or 2 family dwellin~
DMUlti-family. ,Dcommercial
DACCCSSOry
Job Address: 1555 YOLANDA AVE
City/Stale/ZIP: SPRIN~FIE"'D, OR 97477
SuiteJbldgJapt.no.:
Project Name: Clingan
Cross Street/directions to job site: 19th Street
I Tn'p/p"''''',' l'1.()~.~~'O~ o;J~"~
1~)[~;r~~I,;'~~~DEScR1i'JIQNrOr;;,woill.<~~~
Heat Pump w/Air Handler/outside receptacle
Name: George Clingan
Phone: 541-746-01]7
Fax:
Email:
Elce lic. no.: 20-S37C
CCBULDn.: 162191
Business Name: GMD ELECTRIC lNC
Contact:
Address: PO BOX 72206
City/State/ZIP: EUGENE, OR '974010291
Phone: 541-741-7369
Fax: 541-988-1800
Email: gmd@gmdelectflc.com
Metrolic.no.:
Citylic.no.:
Supervising Electrician's lie. no.:
Supervising Electrician's Name:
48745
Michael K Gowins
Number of inspections induded in paid services:
Residential Service: 4
Reconnect Only: I
AllOther5ervices: 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 permit is
not obtained,
The local building department may determine that an Authoriiation To Begin
. WOR Is null and void If it does not meet applicable land use laws and local
ordinances
Please check all that apply:
o A service or feeder beginning at 400
Amps where the availablefauh
current exceeds 10.000 Amps lit
ISO Volts or less 10 ground exceeds
14,000Ampsforallolhcr r
installations
o Fire pumps
o Emergency systems
o Addilion ofa new motor load of
100 HPor more
o Six or more residential units in one
Slructure
o Health care facilities
69600-BEL-09-00 199
10/21/2009 12:09 pm
App'roval Code: 023663
\1--70
v~.
DHazardouslocations
DA service or feeder rnled at600
, amps or more
OBuildings more than Ihree slcries
[TIMarinas and boat yards
QFloatingbuildings .
DCol11l1lercial-useagricultural
: buildings
DlnstaJlationofa,sOKVAor'arger
seperalelydenvedsys
O"A". "E", or "1-2".or "I-l'
DRecreati~lIaJVehicleParks
OSupplyvoltage for more than 600
supply volls nomillal
Total
-$55.00
$55.00
Description
Branch eircuitswithout serVice or .
feeder
Branch circuits ellch lldditional circuit
wilhoutservice
$6,00
$12.00
$67.00
$8.04
$3.35
$78.39
I~'cf\
, \\Yl,V.ov
: ~ '6'<-
0'
(J/,d3o
/7 /Y2
This Authorization To Begin Work must be posted at the job site until replaced by a Permit~
Subtotal
State sllrcharge (12% ofpemiit total)
Tel;:hrlOlogy fee (5% of penn it tOlal)
TOTAL PERMIT HE
_.91~
o/~~
/7._-,
UU/YlhYD 7 r-
/O/d//01
-.sH,~!l.mr'!ll_'I.~;,,\i~IJl
h 1 !r'~;- _ -. ,,' , :
:: ';
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01230
ISSUED: 09/04/2009
APPLIED: 08/21/2009
EXPIRES: 04/21/20]0
VALUE: $:46,478.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1555 YOLANDA AVE
ASSESSOR'S PARCEL NO,: 1703243400113
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Addition
Residential.
PROJECT DESCRIPTION: Addition to Single Family Residence
Owner: CLINGAN GEORGE L & RHODA
Address: 1555 YOLANDA
SPRINGFIELD OR 97477
Phone Number: 541-746-0II7
I CONTRACTOR INFORMATION'
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor
JERRY TABOR
GMD ELECTRIC 1NC
COMFORT FLOW HEATING CO.
SHAD CHASAN SURRETT
License
18222
162191
460
158295
Expirati?n Date
08/05120II
11119/2010
06/27/2011
02/14/2010
Phone
746-0179
541-726-8601
541-726-0100
541-741-3553
BUILDING INFORMATION'
# of Units: .
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
1
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq FtBasement:
Sq Ft qarage/Carport
Sq Ft Other:
I'
Occupant Load:
13,939
480
R-3
/
"
No
I DE~ELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
9,00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
Urban Fringe.,.
, ,
REQUIRED PARKING
Toial: .
, Handi'capped:
~. Compact:
_ .-, ';' .t~&.C!I vf)u to
I PUBLIC 1MPROVF~N: oreguci'by'the Oregon UtJ\Ity
, ' T.jr,:; - ;Js actopte rules are set lorth
Street 1mP'im'l'rt\!- Notilication cerSilIeJ~fRSfJ~:OAR 952-001-
T" I " R952_001-0010thrO .9" It~ rules by
Storm sewer,~l\i1!!lJ,WlITaHAll t In OA ma ~'m';j,\'pOu!Sfl}ril,nse hone
Special1nsfmQtionRIZED to,J;Q1,.lV ~/a~ilfiJM~xW~ystem 0090., YOUth Janter (Note: the telePl. ation
I' "VI I~UtN R1s PERMIT IS NOT calling e 'e on U!ility,NotIIC
Notes: ,'?MMENCED OR /S ABANDONED FOR numberlor theO;_~OO'33Z 2344).
,\.N 180 DAY PER/DO. center IS
89.00
0.00
14.60
Page 1 of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
. Description
Estimate
SFIDuplex
Tvpe of Construction
Estimate
R-3 VB 1&2 Familv
Fee Description
Plan Review Residential
+ 12% State Surcharge
+ 5% Technology Fee
Ist Appliance
Building Permit
Fire SF Fee - Residential
Fixture
Plan Review Minor - Planning .
Plan Review Residential
SDC Sanitary/Storm Admin
Storm Drainage Impervious Area
Vent Fan
+ 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
CITY OF SPRINGFIELD
'.
Building/C?mbination Permit
PERMIT NO: COM2009-0I230
ISSUED: 09/04/2009
APPLIED: 08/21/2009
EXPIRES: 04/21/2010
VALUE: ~ 46,478.00
I V ~Iuation Descriotion I
$ Per Sq Ft
or multiplier
$1,00
$96,83
Square Footage
or Bid Amount
37,000.00
480.00
Total Value of Project
F'P~~\ ~
Amount Paid
Date Paid
$240,56
$75,15
$37.26
$79,00
$443.29
$24.00
$95.00
$119.00
$47.84
$1 1.59
$231.80
$9,00
$11.52
$4,80
$79.00
$17.00
$8.04
$3.35
$55.00
$12.00
8/21/09
9/4/09
. 9/4/09
9/4/09
9/4/09
9/4109
9/4/09
9/4/09
9/4/09
9/4/09
9/4/09
9/4/09
9/14/09
9/14/09.
9/14/09
9/14/09
10/21/09
10/21/09
10/21/09
10/21/09
Total Amount Paid $1,604,20
I Plan Reviews I
Structural Review 08/26/2009
Initial Review 08/26/2009 08/26/2009 APP NJM
Public Works Review 08/26/2009 09/02/2009 APP LKW
Structural Review 09/0212009 09/0212009 10 KLK
Structural Review 09/03/2009 09/03/2009 WI KLK
Plannine Review 08/26/2009 09/04/2009 APP DDK
Paee 2 of4
Value
Date Calculated
$37,000.00
$46,478.40
$83,478.40
".
09/03/2009
09/03/2009
I.
Receipt Number
2209900000000000948
2200900000000001008
2200900000000001008
2200900000000001008
2209900000000001008
2200900000000001008
2200900000000001008
2200900000000001008
2200900000000001008
2200900000000001008
2200900000000001008
2200900000000001008
3200900000000000647
3200900000000000647
3200900000000000647
3200900000000000647
3200900000000000717
3200900000000000717
3200900000000000717
3200900000000000717
Addition"to tie into existing storm
drains '
Starting 'review,
Approveil as shown on plans.
CITY OF SPRINGFIELD
I
Building/Combination Permit
,
Status
. Issued
PERMIT NO: GOM2009-01230
ISSUED: 09/04/2009
APPLIED: 0'8/21/2009
EXPIRES: 04/21/2010
VALUE: $ 46,478.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Structural Review
09/04/2009
09/04/2009
APP KLK
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.
RtP~~rtiorH .
Footing: After trenches are excavated,
Foundation: After forms are erected but prior to concrete placement.
Post and Beam: Prior to floor insulation,or decking.
Floor Insulation: Prior to decking,
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
\
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Roof Sheathing
Roof SheathinglNailing: Before covering sheathing with finish material.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underfloor Plumbing: Prior to insulation or decking,
Underfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testiug.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to. Cover
Final Mechanical: When all mechanical work is complete,
Underfloor Mechanical. Prior to insulation or decking and including required testing,
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
Pal!:e 3 of 4
sp-RINGI"I~~,
- '-";""\'"tr;!f!"'tli:'L",",'''''~'''''f ~!!f"i!St>;\;C"
t ' .'
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
CITY OF~rJ:Ul,,(JJ:<fELD.
Building/Combination Permit
PERMIT NO: COM2009-01230
ISSUED: 09/04/2009
APPLIED: 08/21/2009
EXPIRES: 04/21/2010
VALUE: $ 46,478.00
By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is ~rueand 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,
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project,
1 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. I
Owner or Contractors Signature
Paee 4 of 4
Date
225 Fifth Street '
Springfield, Oregon 97477
541-726-3759 Phone
TAr.-~:~!!f...""". "'. '. ..'..
1Ir!ll
~~:~. '~, ":" "/
.'"'-<<~-"....' ...--,,' -.-..... --
City of Springfield Official Receipt
Development Services Department
"
Public Works Department
RECEIPT. #:
3200900000000000717
Date: 10/21/2009
t:35:28PM
Paid By .
Item Total:
<"':heck Number Authorization
Received By Batch Number Number How Received
Amount Due
55.00
12.00
3.35
8.04
$78.39
Job/Journal Number
COM2009-01230
COM2009-01230
COM2009-0 1230
COM2009-0 1230
Description
. Add, Alter, Extend Circ
.Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State. Surcharge
Payments:
Type of Payment
Amount Paid
ONLINE CHGS .ONLINE PERMIT CHGS
NJM
ONLINE
GMD Online
Payment Total:
$78.39
$78.39
cReceiotl
Page I of I
10/21/2009