HomeMy WebLinkAboutPermit Electrical 2009-12-21
City Of Springfield
225 Fifth 5t
Springfield, OR ,97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
Cq, 1~1.-0
Residential Electrical Authorization To Begin Work
69600-BEL-09-00301
Approval Code: 044361 12/21/2009 1 :51 pm
E-mailedTo:9md@gmdelectric.com
I Description
,
I Branch cin::uils without service or ,$55,00 $55.00
feeder
I Branch circuits each additional $6.00 $600
circuit without service
, '
Subtotal $61.00
State surcharge.(12% of permit $7,32
total)
I Technology fee (5% of permit total) $3,05
I TOTAL PERMITFEE $71.37
o New Construction
IX] Addition/alteration/replacement
11Zl1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
Ib,i',i;~. ~,::L;," ~.lOEl 'sWE,iNi'Ci>RMAti6N'~Np:tlOi::ATIONIt':;W"
Job Address: 1445 VERA DR
CityfState/ZIP: SPRINGFIELD, OR 97477
Suitelbldg./apt.no. :
Project Name: Thrapp
Cross Street/directions to jO,b site:' Harvest Lane (R) onto Delrose
Tax mapfparcel no.:
170324~201100
Electric Furnace Swap Add HP
Name: Linda Thraoo
Phone: 541-914-7573
Fax:
Email:
Elec lie. no.: 20-537C
162191
CCBlic. no.:
Business Name: GMD ELECTRIC INC
Contact:
Address: PO BOX 72206
City/State/ZIP: EUGENE, OR 974010291
Phone: 5417417369
Fax: 5419881800
Email: gmdelectric@comc8st.net
Metro lie. no.:
City lie. no.:
Supervising Electrician's lie. no.:
48745
Supervising Electrician's Name:
MICHAEL K GOWINS
Number of inspections included in paid services:
Residential Service: 4
Reconnect Oniy' 1
All Other Services: 2
,< ~',
,
"
Upon review and approval by your local jurisdiction, your permit will be e-mailed or falted
within one busine:5s 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 thai an Authorization To Begin Work 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
available fault current exceeds
10,000 Amps at 150 Volt~ or
less to ground exceeds
14,000 Amps fOf all other
D Fire pumps
D Emergency systems
D Addition of a new motor load
of 100'HP or more
D Six or more residential units in
one structure
D Health care facilities
~ry rJ'-
~~~~~
~&
Lan'l-o-D0
nm
D Hazardous locations
D A service or feeder rated at
600 amps or more
o Buildings more than three stor
o Marinas andboal yards
o Floating buildings
o Comm'ercial~use agricultural
buildings
D Installation of a 150 KVA or
larger seperately derived sys
O "A" "E" or "1-2" or "1"3"
. ,
D Recreational Vehicle Parks
D Supply voltage for more than
600 supply valls nominal
_^~.yp~
~ 0....\.0
\\..~
0\ '62-0
Id.-(l-J I O~
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01820
ISSUED: 12/21/2009
APPLIED: 12/21/2009
EXPIRES: 0'6/21/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541- 726-3769 Inspection Une
SITE ADDRESS: 1445 VERA DR
ASSESSOR'S PARCEL NO.: 1703243201100
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Electric furnace swap add HP
Owner:
Address:
THRAPP MICHAEL C & LINDA L
1445 VERA DR
SPRINGFIELD OR 97477
I CONTRAC~OR INFORMA TlON I
Contractor Type
Electrical
Contractor
GMD ELECTRIC INC
License
162191
Expiration Date
11/19/2010
Phone
541-726-8601
BUILDINC INFORMATION I
# of Units:
Primary OC,cupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
EriergyPath:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION ,
REQUIRED PARKINC
Front yard S~tback: ,. Overlay Dist:
Side 1 Setback: ' ;." '''',. , # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks: ' .' NOTICE: LI EXPIRE IF THE WORK
, -,,'~ n~D~nIT c:.HI\ ~ -\";" I" M()T
f~,i6;'~~!~s~~;pet~O; ~ya~hre6ul 't,lmBIlIC IMPROVEMEi;'I!S1:iZED UNDER 1 HA\;:'N'Dr~N~O 'FOR
WM"i~"" e .C,," , _'m\" MMENCED nR IS AS
Street 1I)'p!'lYem'€lnCenter, Those rules are set forth CO Side>l'~"' oype:
In OAR 952.001-0010 throllgh OAR 9520 ANY 180 DAY Ptt'\fO. '
Storm ~v:ei!J A,><ailable: b'" '.' - 01- Downspouts/Drains:
. .... 'P"'I 111"'Y 0 tct:n C0P!85 of the rules by
Speclalln~tnoctlOn,:e c":"':-'I!()f /'1\1",,',.., r', " h '
'''':;:1 L.I '....IlL... \l~.h"! ;1':,:>rt!ler~Hle
number ,tor tilt; Greg'~I" .";;''':''Y:';'i~.tii'; :;~~iO~
Notes: C~'nter is 1 ~80G-v':".:.. .2S44). .
Total:
Handicapped:
Compact:
I VaIuatio.n Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0I820
ISSUED: 12/21/2009 .
APPLIED: 12/21/2009
EXPIRES: 06/21/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fee~Paicl I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amnunt Paid
Date Paid
Receipt Number
$7.32
$3.05
$55.00
$6.00
12/21/09
12/21/09'
12/21/09
12/21109
2200900000000001415
2200900000000001415
2200900000000001415
2200900000000001415
Total Amount Paid
$71.37
I 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 same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Reouirecl Insnections ,
\ -
Rough Electric: Prior to Cover
Final Electric: When all electrical work is cOfl1plete,
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, an'd 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 sirueture 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 nsed 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 frontof the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Page 201'2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1820
COM2009-0 1820
COM2009-0 1820
COM2009-0 1820
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200900000000001415
Desc~iption
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 12/21/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMITCHGS
njm
,. ~'.
:1
",,;
Page 1 of I
ONLINE gmd elect Online
Payment Total:
2:57:02PM
Arnall'ot Due
55,00
6,00
3,05
7,32
$71.37
Amount Paid
$71.37
$71.37
12/2112009