HomeMy WebLinkAboutPermit Electrical 2009-11-11
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, , ''; 'c, ~ ,;iGitY Of Springfield
: ~..:-;: 225" Fifth St
~:\ Sprir:tgfield, OR 97477
.~::,';~~'Phone: 541-726:3753
.t.,? E.mail: pe~itce.nter@cLspringfield.or.us
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Residential Electrical Authorization To Begin Work
69600-BEL-09-00242
Approval Code: 051295 11/11/2009 10:50 am
E-mailedTo:gmd@gmdelectric.com
I 0 New Construction " "" .1&] Addition/alteration/replacement
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00' or2familYdw.elilng~;,J2]'J.iulii-familY., 0 CO, mmercial'. 0 Accessory
~JOBtSI,[EjINI;ORMATroiil1~t.[DTIlO:c;\:iiQrii~~~~
I Job Address: 530 CENTEN'NIAL BLVD- ,,'
o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three star
o Marinas and boat yards
o Floating buildings
o Commercial*use agricultural
buildings
D, Installation of a 150 tWA or
larger seperately derived sys
O "A" "E" or "1-2" or "1-3"
, ,
o Recreational Veh!cJe Parks
o Supply voltage for more,than
600 supply volts nominal
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at 150 Volts or
less to ground exceeds
14,000 Amps for all other
,;; Y"
o Fire pumps
o Emergency systems
o Additio_n of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care facilities
CitylStatelZIP: SPRINGFIELD, OR 97477
Suite/bldg.lapt.no:: .
Project Name: Hodgin
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Cross Street/directions t,~jo.b S'it~':'I"'"
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Tax map/parcelno!:.: 1703263401600'
I Description
I Qty.
Heat Pump with Air Handler/ Outside Receptacle
1 Branch circuits without service or
feeder
I Branch circuits each additional
circuit without service
$55,00 I
$12,00 I
','
$55,00
:1'
2
$6,00
I Subtotal
I State surcharge (12% of permit
totall
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
$67,00 I
$8,041
$335 I
$78,39 I
Fax:
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'162'91
I Business Name: GMD ELECTRIC INC .-;.--:4 ~~:~,
I Contact:
Add~ss: PO BOX 72206;~' T ". .
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City/State/ZIP: EUGENE, OR 974010291
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Fax: 5419881800
Phone: 5417417369
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Emall: gmdelectriC@comcast.net
)f ' . ~ l<..,~~ :~ ~ii:;,:\:.~.t:lt~lllc; no.:
Metro lie. no.:
Supervising Electrician's'lic: no.:" 4874S
Supervising Electrtclan's'Name: .. MICHAEL K GOWINS
Number of inspections.lncluded in paid selVic.~~: "
Residential Service: 4' . :
Reconnect Only: 1
All Other Services: 2
ComZrov f -- O/Sd ~
/1//&-/09 /l/YV
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Upon review and approval by your 'local JurlSdlctl~;i:-' your pennit will be e-mailed or faxed
within one business day, with InstrU~tion~~~n how to schedule your inspection.
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NOTE: This Authorization To 8~gln Work expires within 180 days if a pennit is not obtained.
The llocal building department may d~termine that an Authorization To Begin Work is null and
void if it does not meet applicable' land usa la~s 'and local ordinances.
.,
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01522
ISSUED: 10/16/2009
APPLIED: 10/16/2009
EXPIRES: 05/1212010
VALUE:
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Status Iss,':Ie,d,,:,,;.;,. :,;!,;;::~;;ilji;\
225 Fifth Street~(sp~r;ifi;ld:'OR';( :l' :
541-726-3753 Phone . '
541-726-3676 Fa~:) .';;
541-726-3769 In'spediori' Lini(;. oj;"
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SITE ADDRESS: 530 CENTENNIAL BLVD Springfield TYPE OF WORK: Heating System
ASSESSOR'S PARCEL NO.:.,.l7~~'263401600,
--1,:0" ;li!:j,'r/:{'i}!if:!::;\:U,i. . TYPE OF USE: New Residential
PROJECT DES(;RIPTioN:'.. Instali heat pump and air handler in residence
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Owner:
Address:
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R & RPERKINS LLC,
, 530 CENTENNIAL~fri' '::j. "
SPRINGFIELD OR 97477
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Contractor Tt~e~'~~': Contract~r
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Electrical ;~,,', , GMD ELECTRIC INC
, Mechanical' , . '#::'! ;"~";: COMFORT FLOW HEATING co.
I C?NTRACTOR INF?RMATJON I
License
162191
460
Expiration Date
11119/2010
06/27/2011
Phone
541-726-8601
541-72~-0100
, BUILDI.NG ~NFORMATION.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constructio'n Type'
Secondary Construction Type:
~'of Bedrooms: ~~.l~ 1~f:' t';'r., '.,'
"
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# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
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l.nE~ELOP~ENT INFORMATION I
REQUIRED PA~NG
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Frontyard Sethack:, , .'" ; " U;Ci;" ,
SI'de'l Setback'''''; " ;.g-!".',,:, :'" -:" ~
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Side 2 Setback:'{" ';' ...'
, Rearyard Setback: '.
,l;' , \
Solar Setbacks: ,r . 1 Ii . 1 '
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
ATTENTION: Oregon law requires you to
I ,PUBLIC IMPROvAMi~f~l~~~~:r:cTh~~~; ;~I;~ "a~~~~;~~~~
Street Imp'59f~llJs: .', In OAR 952-00131g~tUmC2Flgh,oAR 952-001-
IVu f I';/:: , ,",t', 1 ':' 0090. You may obtain copra's ofthe rules by
Storm SewerIA"8iIA~Jtit S :, ,: .,,;;iiL... . ," calling the ce~n~JI.\UlWIhaillllephon8
Special In.;i~u'~lo'i1:Z'E'_t HAl:lt~~P'RE IF THE WO,RK IIIImber for the Oregon Utility Notilioalion
.~\U I n~_KI,' 0 UNDER THIS PERMIT IS NOT Center is HlOO-332-2344).
Notes: ','?,MMtNCED. OR IS ABANDONED FOR
,,\{ ''9'' ""'\1. n~R'r '
0,_: 1,;a'H"i'I\/'l-l,!jU'''tl! ~'Q, .
Total:
Handicapped:
Compact:
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Fee Description 'Ii ;
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance .' .:;l.~..~:---.._.
Air Haudling Unit Up to 10,000;~ ;1'/
+ 12% State Surcharge . ; '\
, + 5% Techn~lo"gyF~e' .
Add, Alter, Extend Circ
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Add, Alter, Extend Cir:c Ea Add.
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Status 'Isslied" ,:');,:;,7+'! '"
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225 Fifth Street, Springfield, OR c': t' "
541-726-3753 Phone
541 6 3676 F . ,.' !,';' : ..
-72 - ax",. ,i. ,i~-,.;'!::,. '
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541-726~3769 InspectIon Lme,'-J)!",,'~'~;'t.. ,
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Description
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Tvpe of Construction
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Total Amount Paid
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0I522
ISSUED: 10/16/2009
APPLIED: 10/16/2009
EXPIRES: 05/12/2010
VALUE:
I Valuatio,n Descrintion ~
i $ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
',':
-,'j'
':'
Total Value of Project
Fr'~o, P~;i1 .
~. . .........
Date Paid
Receipt Number
$1l.52
$4.80
..J
i':. $79.00
$17.00
$8.04
$3.35
$55.00
$12,00
10/16/09
10/16/09
10/16/09
10/16/09
11112/09
11/12/09
1l/12/09
11112/09
2200900000000001188
2200900000000001188
2200900000000001188
2200900000000001188
3200900000000000749
3200900000000000749
3200900000000000749
3200900000000000749
$190.71,
,~
Plan Reviews .1
To Request a~ in~p~ct~on call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made ,the same wo.rkJngJlay, inspections requested aft~r 7:00a.m. will be made the following
work day.
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Rough Mechanic'al: Prior to Cover
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Final M~chanlcal: When all mechanical work is complete.
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Rough Electric: 'prior'to Co\;er
Final Electric: When all electrical work is complete.
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CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street, Springfield, OR , ;",
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541-726-3753 Phone :', ',' . .-.,,,,:';:,;~t:,,',',_
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541-726-367 Fax:.".::';t~. '," ,......'"':i'~ ,". '
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541-726-3769 In,spec,tioD Line "
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PERMIT NO: COM2009-01522
ISSUED: 10/16/2009
APPLIED: 10/16/2009
EXPIRES: 05/12/2010
VALUE:
Status
Issued '
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By signature, I state and agree; t'la(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 "!ade of any>structure without permission of the Community Services Division, Building Safety.
I further certify th~!o~JY contra,c.!o;i'S and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to e,!~u're' that'all'ieq'uired 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.
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Owner or Contractors'Signature
Date
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Page 3 of 3
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225 Fifth Streett"cr>;:, -":,;r.;:~';;<
Springfield, Oregon ~7477'''' ',"
541-726-3759 Phone
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'3200900000000000749
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Job/Journal Number~:' ~ Description
C0M2009-01522 ,;:;"::, ,'Add, Alter, Extend Circ'
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COM2009-0I522 ':'!""'Add; ~Iter, !'.~tend Circ Ea Add
COM2009:0I522 + 5% Technology Fee:,
COM2009-0 1522 + 12% StateSu~charge
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Payments:
Type of Payment
.~:~aid!.~;~f,~~i ,;,~'-h::;:ii!~{!~ti'~j~',: ~
ONLINE CHGS . .:ONLINE PERMIT CHGS
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City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 11/12/2009
Item Totnl:
L'heck Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE
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Page J of 1
GMD Online
ELECT
Payment Total:
8:30:19AM
Amount Due
55.00
12.00
3.35
8,04
$78.39
Amount Paid
$78.39
$78.39
11/12/2009