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Home My WebLink AboutPermit Electrical 2009-11-16 r ~.. , . City Of Springfield 225 Fifth St . Springfi~ld, OR 97477 Phone: 541-726-3753 . " " . .~.mail; permi~~~e.r@cL5pringfield.or.us ~~~N:;!'-.f....~ _' .~,_ .'" ;c.'. ;:;:::;" Residential Electrical Authorization To Begin Work 69600-BEL-09-00251 Approval Code: 096999 11/16/2009 3:42 pm E-mailedTo:gmd@gmdelectric.com 1".,.....'.,'1""-".""'!;jji}lll,"'.-""~~""~""''''''''.,,--,,.off''''"""""ll Ui)&.,~-e~i{*:J:{}b~~"'vf!,~' ~1$:REAN!REVIEW;;s,~?:f~~~iS4'il~"t: I~ '.. ~'''''W' " ".." .~~.._"""','''=''''-''''.;;''''.._'''. ~fl;~~~*;Z:i.rd~i~,.Jr>mvREEeE.,~WORK~\~,~tB~~i~~';m~ ", 0 New Construction::' .:;. ".'. '. IRJ Addition/alteration/replacement 00 or 2 family dwelling . 0 Multi-fumily.. EJ Commerdal o Accessory' 1.-""'~~BlSIl'EiIt:iF..(rRMAfi(r,NrANDJiJ'O:CATION~~~'"a.~ Job Address: 65 GREENVALE DR < ::r.'. " , I City/StatelZlP: SPRIN53FIEhD,~o"R:. 97477, .:': .'~~ Suite/bldg./aptno.: Project Name::Tull ,.. . I Cmss S"..Od'",c"o;"; tDj~i'-.~~, Hayden ~rid9~(L) onto Gr..nval. Dr I Tax!!lapJpa~el no.: 1703262203100 SerVice Upgrade and Add Heat Pump to ~XiSting, AC Retro Name: Anne Marie Tull Pho~e: 541-741-4735 Fax: Email: I EleC~,lic. no.: 20-537C . . '. CCB lic. no.: 162191 I Business Name: GMD ELECTRIC INC I Con~ct: ::, I Add~S: PO BOX 72206 I Clty/~ta"lZlpNIJJUi~ 974010291 \it '!~= K I Phon.,S4174MW' t'tKIVlrt ;)~,~ ,\UTllOnlZm l::m:m-+f{~-~ I Em.ll, gmd.'.F"i'i%ffi~~ICfn OR I~ ARANnONED FOR I M.tro Ilc.no.'ANY'180 DAY PERIOD~lty lie. no.' I Su~rvising Electrlcl~~'s_11l;~ no:: ..- 4874S~ I su~rvising Electrician's Name: MICHAEL K GOWINS Number of inspections included In paid services: Residential Service: 4 RecOnnect Only: 1 All Other Services: 2 Upon review and approvaJ by your local JurisdictIon, your pennlt will be e.malled or faxed within one bu~ness day, ~th Instructions on how to schedule your Inspection. NOTE:'ThlS A~orlzatlon To Be~.ln W~rk expires within 180 days If II pennit 15 not obtained. The local building department may dete~in'e' t~at an Authorlzatlon To Begin Work Is null and void If It does not meet appllC~ble land use laws and local ortllnances. Please check all that apply: D 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 D Fire pumps o Emergency systems o Addition of a new motor load of 100 HP or more o Six or more residential units in one structure o Health care facilities Gq . l080 D Hazardous locations, D A service or feeder rated at 600 amps or more D Buildings more thal'l three stor o Marinas and boal yards D Floating buildings o Commercial-use agricultural buildings o Installation ~ a 150 KVA or larger seperately derivedsys o "A", "E", or "1.2" or "1-3" o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal I Description Total E.. I Services 200 amps or less $81.00 $81.00 I Branch circuits with service or feeder each circuit 2 I $6.00 $12.00 I $93,00 I $11.161 $4,65 I $108.81 I lLlL \1/ It t 0<1- :-1'......-. ATTENTION: Oregon law requIres you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification . Center 18 1-800-332-2344). ~~~ ~~{' v7~ Inspections Phone: 541-726-3769 Th!s Authoriza~on To Begin Work must be post~d at the job site until replaced by a Permit I Subtotal I Stale surcharge (12% of-permit total) I Technology fee (5% of permit total)' I TOTAL PERMIT FEE C9- \580 ~~o ~'\: --<>~~I"'!i;l;IGIo;D: i Status Issued CITY OF SPRINliJ<lELD Building/Combination Permit PERMIT NO: COM2009-01580 ISSUED: 10/28/2009 APPLIED: 10/27/2009 EXPIRES: . 05/16/2010 VALUE: 1 225,Fifth Street, Springlield, OR 541'726-3753 Phone 541,726-3676 Fax '!I 541;726-3769 Inspection Line SITE ADDRESS: 65 GREENVALE DR ASSESSOR'S PARCEL NO.: 1703262203100 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Repalce heat pump, gas furnace and electrical service upgrade. Residential Owner: Address: ROCCAFORTE ANNMARIE M 65 GREENVALE DR SPRINGFIELD OR 97477 Phone Number: 541-741-4735 I CONTRACTOR INFORMA TW.~ 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 I:'lFORMA TlON I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type' Secondary Construction Type: # of Bedrooms: # of Stories: Height of Strncture 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 F(~~xage/<;:arp~rt . Sq Ft Other: Occupant Load: n/a , .' .:. . . '," )DEYELOPMENT INFO, RMA TJ~'tmON: Oregon law..t\l.q.,uJr~.Y.cw.~" NOTICE. , follow rules adopted8f1tl13~~dit"ClWitfG FrontyarJ~~%eMM" SHAll EXPIRE 1F1!.~lay Dist: Notification Center. Thql6111wles are sel forth Side I seMlJiHO'RiZED UNDER THIS PERM.. ~~eet Trees Rqd: In OAR 952-OO1-o010tIH_,Q~!lS2-OO1. Side 2 Sea,QMMENCED OR IS ABANDONEDflRPaved Drive Rqd: 0090., You may obtaln~Iliy'IIR1 the rules by Rearyan~'yb~60 DAY PERIOD. % of Lot Coverage: calling the center. (fiate,. \tie tel~phone Solar Setbacks' number for the Oregon Utility Notificallon . Center 1I1~0-3a2-2344). I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type, Downspouts/Drains: of,';; ,1\ Notes: Page I of3 . GI;lRlNPp,1lil"Dj< _"','~ 'j'V ., ,"" ,. 'or Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01580 ISSUED: 10/28/2009 APPLIED: 10/27/2009 EXPIRES: 05/16/2010 VALUE: ,~ 22S'Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541,726-3769 Inspectiou Line I Valuation Descriotion 1 Description Type of Constructiou $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fe~s Pai.~ I Fee Description ' + 12% State Surcharge, , + 5~/" Technology Fee 1st Appliance Furnace - up to 100,000 btu + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $11.52 $4.80 $79.00 $17.00 $11.16 $4.65 $12.00 $81.00 10/28/09 10/28/09 10/28109 10/28/09 '11117/09 11117/09 11117/09 11117/09 3200900000000000738 3200900000000000738 3200900000000000738 3200900000000000738 1200900000000001260 1200900000000001260 1200900000000001260 1200900000000001260 " >; Total Amount Paid $221.13 Plan Reviews I To ~equest an inspection call. the 24h,o'~iJe.c~rding at 726-3769. All inspections requested before 7:00 a.m,' will be made the same working-'<i,a'y,)nspections requested after 7:00 a.m. will be. made the following workday. " " . '.' 'i;" , I ,Reouired I n~r.~cti~lIs I Rough Mechanical: PI"jor to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. '. Page 2 of 3 . Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01580 ISSUED: 10/28/2009 APPLIED: 10/2712009 EXPIRES: 05/16/2010 VALUE: By signature, I state and agree, that I have carefully examin'ed 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 strncture without permission of the Community Services Division, Building Safety. I fnrther certify that only ~ontractors 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 curd is lucated 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 Page 3 of3 '. I Date 22~ Fifth Strect Springfield, Oregon 97477 541-726-3759 Phone RECEIPT #: ~[ 1200900000000001260 Job/Journal Number COM2009-0 1580 COM2009-0 1580 COM2009-0 1580 COM2009-01580 Description Pernl Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Payments: Type of Payment . Paid By ONLINE CHGS ONLINE PERMIT CHGS ; cRecciol1 City of Springfield Official Receipt Development Services Departmcnt Public Works Department Date: tl/17/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR Page I of I ONLINE GMD Online ELECTRIC Payment Total: 8:48:15AM Amount Due 81.00 12.00 4.65 11.16 $108.81 Amount Paid $108.81 $108.81 11/17/2009