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Home My WebLink AboutPermit Electrical 2009-12-28 SPRINGFIELD .. l[*;'lit,~~", I'~'> , 0""~ : , ';;"ff,,- -,\. OREGON City Of Springfield 225:Fifth St Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us {;q '/1Q f; Residential Electrical Authorization To Begin Work 69600-BEL-09-00307 Approval Code: 093315 12/28/2009 3:46 pm E-mailedTo:9md@9mdelectric.com I 0 New Construction [R] Addition/alteration/replacement Please check all that apply: o A se(l,iice or feeder beginning at 400Amps where the .available fault current exceeds 10,000 Amps at 150 Volts or less to ground exceeds 14,000 Amps for all other ~..,; ",1~'C'ATEG6Ry..oF:CONsJRQ~Tlol\l;r.i:;? ;l;J'~"..7j,i"~,:"i~J [El1 or 2 family dwelling D Multi-family 0 Commercial o Accessory ':~JOB:SITE!iNFORMATioN'ANbrocAirlbN :"~_l,'S,;~~~.!,'::;; Job Address: 488 MANSFIELD ST CityfState/ZJP: SPRINGFIELD, OR 97477 D Fire pumps o Emergency systems 0' Addition of a new motor load of 100 HP or more o Six or more residentiai units in one structure o Healtn care facilities Suite/bldg.lapt.no. : I Project Name: Turner I Cross StreeUdirections to Job site: Hayden Bridge (R) onto 5th Street I Ta.x map/parcel no.: 1703233405600 I Description Add Heat Pump I Branch circuits without service or feeder I Balance of permit fees Name: Ronald Turner I Phone: 541-726-4913 I Email: Fax: I Subtotal I State surcharge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE I' ' ',.,. I flee lie. no.: 20-537C CCB Jie. no.: 162191 Business Name: GMO ELECTRIC tNC Contact: Address: PO BOX 72206 City/State/ZIP: EUGENE. OR 974010291 Phone: 5417417369 .~ ifZ (\~ O\.;p '0 ~\: Fax: 5419881800 Email: gmdeleclric@comcast.net I Metro lie. no.: I Supervising Electrician's lie. no.: I Supervising Electrician's Name: City lie. no.: 48748 MICHAEL K GOWINS Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 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 o Installation of a 150 KVA or larger seperately derived sys D "A", "E", or "1.2" or "1.3" o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal $55.00 I $55 00 .'..'..'1 ~3.00 ',~.;:,~-"f " '! $58,00 $696 $2,90 $67.86 , \S>~o .00-... \~~~ ~ . \S- UJ;n],(flJr - 0171~ ;1/Yi I d)d.tf/O f Upon review and approval by your focal jurisdiction, your pennlt will be e-mailed or faxed within one business day, with instructions on how 10 schedule your Inspection. NOTE: This Authorilalion To Begin Work e){pires within 160 days if a permit is not obtained. The tocal building department may determine that an Authorllatlon To Begin Work hil null and void if it does not meet applicable land use laws 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 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01796 , ISSUED: 12/16/2009 APPLIED: 12/16/2009 EXPIRES: 06/29/2010 VALUE: 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 488 MANSFIELD ST ASSESSOR'S PARCEL NO.: 1703233405600 Springlield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Replace heat pump and air handler in residence. Residential Owner: TURNER LESTER RONALD & S M Address: 488 MANSFIELD ST SPRINGFIELD OR 97477 Phone Number: 541-726-4913 I CONTRAC~OR INFORMATION . Contractor Type Mechanical Contractor COMFORT FLOW HEATING CO. License 460 Expiration Date 06/27/2011 Phone 541-726.0100 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Strnetnre Type of Heat: Wa'er 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: n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Se'baek: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC I.MI'ROVEMENTS ~ Street Improvements: Sidewalk Type: Storm Senl\,TIi6I:IiIlJble; Orel1~n lal" ",",' ':'0- t . , . ;.;'-'t ~ , f"\~\-l _ ~ you 0 Special hfSliI:U't.tlllrles adopted llY ih0 C)reoon Utility ~olllicatlon Center. ThGse :ules ar", set forth NOTICE' HE WORK Notes: In OAR 952,001-0010 through OAR 852.001. RMIT SHALL EXPIRE 1FT NOT 0090. You may obtain cORies of.t~"""loo h.. THIS P~ ,__~ l'h1nCQ TH\S PERMIT IS. ''''UIIIIl L1n' center. (Note: the tel f-';'VII" : ,. :'.:'::;" ."'~~~ _.' ANDONtU rur, number for the Oregon Utility No~kffition Descr.i6iiO'nEIICEO OR IS AB Center is 1-800,332-2344). I,' ANY 1 (jU DAY PERIOD. $ Per Sq Ft Square Footage or multiplier or Bid Amount DownspoutsfDrains: Description Type of Construction Value Date Calculated Paee I of 2 _~A!N~Elf!I,!;l: I , CITY OF SPRINGFIELD Building/Combination Permit , Status Issued PERMIT NO: COM2009-0I796 ISSUED: 12/16/2009 APPLIED: 12/16/2009 EXPIRES: 06/29/2010 VALUE: 225 Fifth Street, Springfield, OR 541.726-3753 Phone 541-726-3676 Fax 54] -726-3769 ]nspeetion Line Total Value of Project " l...J:us ~~.irl I Fee Description + 12% State Snreharge + 5% Technology Fee ]st Appliance HelllPnmp + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Cire Minimum/Adjustment Electrical Amount Paid Date Paid Receipt Nnmher $] 1.52 $4.80 $79.00 $]7.00 $6.96 $2.90 $55.00 $3.00 ]2/16/09 12/16/09 12/16/09 12/16/09 12/29/09 , 12/29/09 12/29/09 12/29/09 2200900000000001396 2200900000000001396 2200900000000001396 2200900000000001396 2200900000000001436 2200900000000001436 220090000000000]436 2200900000000001436 Total Amonnt Paid $180.18 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 workday. -;''','' . ,..!, , -, R~o'lIi~ed InsnectionsJ 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. By signature, 1 state and agrec, that I have carefully examined the completed application and do he;'eby certify that all information bereon 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 Springlield 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 agree to ensure that all required inspections are requested at the proper time, that each address is readable from the strect, 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. ~ ' :1 ;' Owner or Contractors Signature Date Page 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~.:~. Na~~I...~Djj... ..'.'.. .,~ III . -. III ; ~.A!;;, . -~~." ~;~ City of Springfield Official Receipt Development Services Department Public Works Department Job/.Journlll Number COM2009-0 1796 COM2009-0 1796 COM2009-0 1796 COM2009-0 1796 Payments: Type of Payment ONLINE CHGS cRcccintJ RECEIPT #: 2200900000000001436 Date: 12/29/2009 Description Add, Alter, Extend Circ MinimumlAdjustment Electrical + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received ONLINE GMD Online ELECT Payment Total: NJM , . Page I of I 8:21:04AM Amount Due 55.00 3.00 2.90 6.96 $67.86 Amount Paid $67,86 $67.86 1212912009