HomeMy WebLinkAboutPermit Electrical 2009-12-22
SPRINGfiELD
J>':.,,],~
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~'';:70'" OREGON
City Of Springfield
225 Frtth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
I D New Construction
IRJ Addition/alteration/replacement
IlKl1 or 2 family dwelling D Multi-family D Commercial D Accessory
Ici:c;;i'"",:.;.*vl't.'JOS:SITE'INFORMATiON'ANDJilOCATioN5,"j-.f~,,;,~'lf'~~
I Job Address: 1264 KEN RAY LOOP
I City/State/ZIP: SPRINGFIELD, OR 97477
I Suitefbldg.lapt.no.:
Project Name: Hyland
Cross Street/directions to job site: Dornoch
Tax map/parcel no.:
1703272207630
Ductless/outside receptacle
Name: Steve Hvland
I Phone: 541-741~1510
I Email:
Fax:
I Elee lie. no.: 20-537C
I Business Name: GMD ELECTRIC INC
I Contact:
I Address: PO BOX 72206
I City/State/ZIP: EUGENE, OR 974010291
I Phone: 5417417369 Fax: 5419881800 ."'.
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I Ema;l, ,mdeleC"'C~Ef@'all~'1).."T :LJ^'..'.. t:VDIOt: It: nn: WORK
M.t,o I;,. no,' AIITHnRI7FJ) IJNDE:'WI'H~"PERMIT IS NOT
Sup.",;,'n, Er.",~j~'''-~!I.~.~MCED @~41S ABANDONED FOR
I Supervising Electrl~n:~:s Na~fJ: DAYJr'~~bJ.U:,OWINS
CCB lie. no.:
162191
Number of Inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other ServiCes: 2
Upon review and approval by your local Jurisdiction, your permit will be e-malled or fued
within one busIness day, wtth Instructions on how to schedule your Inspection.
NOTE: This Authorization To Begin Work _expires within 180 days if a permjtl~ not obtained.
The local building department may determine that an Authorization To Begin- WOrloi is null and
void If It does not meet applicable land use laws and local ordlna~c~~.
G1, /307
Residential Electrical Authorization To Begin Work
69600-BEL-09-00302
Approval Code: 014092 12/22/2009 12:50 pm
E-mailedTo:gmd@gmdelectric.com
Please check all that apply:
D A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps al150 Volts or
less to ground exceeds
14,000 Amps for all other
o Hazardous locations
o A service or feeder rated at
600 amps or more
o Buildings more than three stor
o Marinas and boat yards
o Floating buildings
o Commercial-use agricultural
buildings
o Installation of a 150 KVA or
larger seperately derived sys
o "A","E",or"I-2"or"I-3"
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
D Fire pumps
D Emergency systems
o Addition of a,newmotor load
of 100 HP or more
D Six or more residential units in
one Slruct~re
D Health care facilities
I Description
jl
Total I
..',I
$55,00 I
$6.00 I
Qty.
Eo.
I Branch circuits without service or
feeder
Branch circuits each additional
circuit without service
$55.00
$6.00
I Subtotal
I State surcharge (12%of permit
total) .
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
$61.00 I
$7.321
$3.05 I
$71.37 I
CCJ -1~Ol
l~~ 1-1[09
.\ct-::
ATTENTION: Oregon law requires yau to
follow rules adopted by the Oregon UtllfIy
Notification Center. Those rules are set forth
in OAR 952-o01-Q010through OAR 952-Q01.
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility NotlfIcaIIon
.C~-800-332-2344).
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
. Building/Combination Permit
PERMIT NO: COM2009-0I807
ISSUED: 12/18/2009
APPLIED: 12/18/2009
EXPIRES: 06/22/2010
VALUE:
SITE ADDRESS: 1264 Kenray Lp
ASSESSOR'S PARCEL NO.: 1703272207630
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Installation of mini split heat pump system in residence.
Owner: HYLAND STEVEN E & BONNIE M
Address: 1264 KENRA Y LOOP
SPRINGFIELD OR 97477
Residential
1 CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
GMD ELECTRIC INC
SUNSET HEATING & AIR INC
I.. ~UlLDING INFORMATION I
# of Units:
Primary Occ~pancy Group:
Secondary Occupancy Croup:
Primary Coustruction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
License
162191
171706
Expiration Date
11/19/2010
08/18/2010
Phone
541-726-8601
541-988-3181
n/a
Lot Size:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
1 DE~ELOPMENT INFORMATION I
Front yard Setback: O,verlay Dist:
Side I Setback: #'Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd: .
Rearyard ~<!iPji!:8E: .."'.'':'::1;''''''-% of Lot Coverage:
Solar SetbpFIf~: PERMIT SHALL EXPIRE IF THE WORK
AU I HUKILtU UNlJl:K I HIt; pI:Kr.;CiJ~JC=l. ~IPROVEMENTS I
COMMENCED OR IS ABANDONt.::~!i
Stree1 Impmye'raetVAY PERIOD.
Storm Sewer Available:
Special Instruction:
Notes:
Paee 1 of 3
'.)'" .'. pi;
REQUIRED PARKING
Total:
HaliC'!lU!.ed'
A1iENTlON: Orege m'jUtfes you.to
follow rules adopteW e' Oregon Utility
Notification Center. Those rules are sat forth .
In n~1\ 952-001-001 0 through OAR 952-001-
0090, You may OOtaln cople'" UI .n.. ,..,gg 1:.,
calling the center. (Note: the telephone
rliill1lDlnlll6f~lIe: Oregon Utility Notification
Center Is 1-800-332-2344).
DownspoutsTDrains:
--,.. ~._.._..._-,
.1 !~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01807
ISSUED: 12/18/2009
APPLIED: 12/18/2009
EXPIRES: 06/22/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
',V~/uatjon Descrip,tion , .
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value.
Date Calculated
Total Value of Project
,~ees Paid I
Fee Description
+ 12'Yo State Surcharge
+ 5% Technology Fee
1st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Exteud Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$9.48
$3.95,
$79.00,
$7.32
$3.05
$55.00
$6.00
12/18/09
12/18/09
12/18/09
12/22/09
12/22/09
12122/09
12/22/09
1200900000000001345
1200900000000001345
1200900000000001345
2200900000000001420
2200900000000001420
2200900000000001420
2200900000000001420
Total Amount Paid
$163.80
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.
I ~e(Jllirerl Insnections I
Rough Mechanical: Prior to Cove.-
~ ..~,
Final Mechanical: When all mechanical work is complete.
I'
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pa2e 2 of 3
Status
Issued
CITY OF SPRI~t..t<1J!,LD
Building/Combination Permit
PERMIT NO: COM2009-01807
ISSUED: ' 12/18/2009
APPLIED: 12/1812009
EXPIRES: 06/22/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 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,
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agrec,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 9f plans will remain 011 the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 3 of 3
225 Fifth Street
Springfield, Oregon 97477
52/1-726-3759 Phone
Job/Journal Number
COM2009-0 1807
COM2009-0 1807
COM2009-0 1807
COM2009-0 1807
Payments:
Type of Payment
ONLINE CHGS
r
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #;
2200900000000001420
Date: 12/22/2009
1:11:47PM
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
Amount Due
55.00
6.00
3,05
7.32
$71.37
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
$71.37
ONLINE
GMD Online
ELECT.
Paymenl Total:
$71.37
KR
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12/22/2009