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Home My WebLink AboutPermit Electrical 2009-12-23 BPAI.......lILD ZON \o..-f. ~ AA f' 4ii'" ; INITIALS - N~ ~ DATEI~H;2::>1Cf1 IIiU' . SOURCE(n.(2:~.~ Datel d J ';1:d.J)!OOJ ,- . . , ' ,',' :'CITY 'OF SPRINGFIELD, OREGON- d 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-J753 . FAX: (541)726-3689 ELECTRlCALtf'RRMIT M'PUCATION City Job Number l'4 /'O/'j?''A 1. rWCAnONOFINSTAiLATloN;-- f::::;~6 (o~1O'~n \'Lt . LEGAL DESCRIPTION: h03d~ 24-0\(000 JOB DESCRIPTION: ~J/...('(l'5 ..Q ~ L..J Permits are non~traDsf~ra~ and expire if work is Dot started within] 80 days of issuance or if work is Suspended for 180 days. 2. lfo~riv~IN~!;;!.:T.4i:!O~ ?N.L_~- Electrical Contractor GMD Electric Inc. Address 957 Northridge Ave City Spfld Phone 726 8661 SuperVisor-license 'Num"ber 4874S' --<,El)piration:Date: 10/2007 Canstr. Contr. Number 162191 I -Expiration Date 1 1 / 2 0 0 8 Signa~re of Supervising Electrician f/Jf! ~ / . " owne~ Name( ) (v:n ~:xkJ' ~ Address ~'<3 n LeniQ.xv:)!;U Phone 7~ ~ O1Lf'-f I City~ ~QoL OWNER INSTALLATION I The installation is being made on property 1 own which is not intended for sale, le~e or rent. Owners Signature: (~ l-rJ 7)IO/dO/ID Inspection Reqnest: 726-3769 V/ . ) 1'j,/q--WIO tctB 3. ; COMPLETE FiE SCHEDULE BEWW 1._.,.. _~ __"r_4.___~ __. _"..'~_.'_ A. [N;"::~~si~e~ti~I_~~;';ie ();_~~~Famil~ !,er dwill;~;uni< . Service Included 1000 sq. ft. orless Each additional 500 sq. ft, or portion thereof . $117.00 $ 21.00 Each Manufact'd Home or Modular Dwelling Service or Feeder r.....--.--..'--:'.... -..'-.--.---... ---..-- --1"--' B. I Services or Feeders -Installation, Alterations or Relocation: '. .- --- ....-.... ~ . --_._- "- . ........: - . /1' r..P 200 Amps or less \ $ 7M(( TJ \ . 201 Amps to 400 Amps $83.00 401 Amps to 600 Amps $138.00 601 Amps to 1000 Amps $]80.00 Over 1000 Amps/Volts $413.00 Reconnect Only $ 55.00 $55.00 c. [r;;;;p~";;-ryS;':;'ic"es ~r-F~d;r;":: .-.----~ _.~ --.- _. ._~- -_ t Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps l.$~ $ 76.00 $110.00 -ln~ ,cP Over 600 Amps or 1000 Volts see "B" above. r"1"'-- .-,.- ..- - - ----. ~ ,,", -- ,~-, ~ D. K~~~DC'~ _C!rc~it~ _ . __ . ~ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 48.00 \ 'L. fV !r-$~ .:". ~---'.~-- '- ----- ,--- I E. I Miscellaneo~s (Service/feeder not.inclnded) -Each Installation i l _.._. _ _..... --'''___~'_'_''_.._. _. ~"_' _ '.", __. ___ _.-.> Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited Energy/Residential $ 28.00 Limiled Energy/Commercial $ 50.00 Minimum Electric Permit Inspection Fee is $50.00 + Surcharges 4.:.SuBTOTAL (iF ABO'VE -. :: .' .. ']/ .. t7.UV ,-- .. . "'''''' "'-... .Q 8% State Surcharge "7 . K () 10% Administrative Fee I r:: _ 7; .. 5% Technology Fee TOTAL I f2.... s2, Shared Drive(T:)lBuilding FormslElectrical Permit Application 7-07.doc _S.I!.'A.IN.. .G!'!,IIIL.D. ii.'.'~..l. .'......... 'l~ ~. 1!-.h.~i' ...- , -.....".'.' 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: COM2009-01522 ISSUED: 10/16/2009 APPLIED: 10/1612009 EXPIRES: 05/18/2010 VALUE: Status Issued SITE ADDRESS: 530 CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703263401600 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Install heat pump and air handler in residence Residential Owner: R & R PERKINS LLC Address: 530 CENTENNIAL SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION' Contractor Type Electrical Mechanical Contractor GMD ELECTRIC INC COMFORT FLOW HEATING CO. License 162191 460 Expiration Date 11/19/2010 06/27/2011 Phone 54 I -726-8601 541-726-0100 BUILDING INFORMATION. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height nf Structure Type of Heat: Water Type: Range Ty'pe: 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: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: Street Impmljements: '~U liCE' Storm Sewe"t'A~~i1able: SpeciallnstrJJiiol;thiV1IT SHALL EXPIRE IF THE WORK flU I HURIZED UNDER THIS PERMIT IS NOT Notes: ?OMfvlENCED OR IS ABANDONED FOR ,.,NY j 80 DAY PERIOD. I PUBLIC 1MPRO\j,~A,I: Oregon law requires you to follow rules adol!lm1,1(l{lftlf.Qt~gon UtIlity Notification Centef. 'lIiose Mes are set forth In OAR 952-oo1.0GlOf'. .",.."iOARI952'()()l- 0090. You may obtain copies of the rules ~ calling the center. (Note: the telephone nurilber for the Oregon Utility Notifioatlon Center 111-800-332-2344). ,I:; Paee I of 3 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01522 ISSUED: 10/16/2009 APPLIED: 10/16/2009 EXPIRES: 05/1812010 VALUE: .1 Status Issued I 1225 Fifth Street, Springfield, OR i 54] - 726-3753 Phone ,541- 726-3676 Fax 54]- 726-3769 Inspection Line I Valuation Descrintion I Description Tvpe of Construction $ Per Sq Ft or multipl,ier ' Square Footage or Bid Amount Value Date Calculated Total Value of Project FpP~, ~ Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technolngy Fee Add, Alter, Extend Circ Ea,Add Perm Serv/Fdr 200 amps or less Temp Power 200 amps or less Amount Paid Date Paid Receipt Number $]1.52 $4.80 $79.00 $17.00 $8,04 $3.35 $55.00 $12.00 $18.72 $7.80 $12.00 $81.00 $63.00 10/16/09 10/16/09 10/16/09 10/16/09 11/12/09 11/12/09 1 1112/09 ] 1112/09 12/23/09 12/23/09 12/23/09 12/23/09 12/23/09 2200900000000001188 2200900000000001188 2200900000000001188 2200900000000001188 3200900000000000749 3200900000000000749 3200900000000000749 3200900000000000749 ,22009000001100001425 22009001100111111001425 22009000001100001425 2200900000000001425 2200900000000001425 Total Amount Paid $373.23'; F 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 Rpn.uJrprI rn~nprtion~ I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. .;',; "Paee 2 01'3 r-S.I1!I'I.IN....C\F!_lf;IL;._ .aiiII.."""'..'. .......... w.::AA' I . It _", .., T~ ," ":'Y" ti' .,.. ,..41 }, Status Issued 225 Fifth Street, Springfiel~, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Uhe .':;' " CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01522 ISSUED: 10/1612009 APPLIED: 10/1612009 EXPIRES: 05/18/2010 VALUE: I By signature, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is true and correct, and I further cc~tifv that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws Or ihe State of Oregon pertaining to the work described herein, and th'll 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 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 rlroperty, and the approved set of plans will remain on the site at all times during construction. I I I Owner or Contractors Signature -' I Paee 3 of 3 Date RECEIPT #: . , I a~!'!o.~,~'~.'._. :.:... 'i4A'~ ; 1IiI. ',1IoS. " - ~. .......{...' .. , 2200900000000001425 , 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1522 COM2009-0 1522 COM2009-0 1522 COM2009-0 1522 COM2009-0 1522 Payments: Type of Payment CreditCard cReceintl Descriptjon Temp'Power 200 amps or less Perm Serv/Fdr 200 amps or less Add, Alter, Extend Clic Ea Add + 5% Technology Fee + 12% State Surcharge Paid By MICHAEL K. GOWINS/GMD .ELECTRIC I I ReceivJd By njm I I Check Number Batch Number I I Page Ilof 1 City of Springfield Official Receipt Development Services Department Public Works Department Date: 12/23/2009 Item Total: Authorization Number How Received 03340 I In Person Payment Total: 10:31:37AM Amount Due 63.00 81.00 12.00 7.80 18,72 $182,52 Amount Paid $182,52 $] 82.52 ] 2/23/2009