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Home My WebLink AboutPermit Electrical 2009-12-30 St~I~~:~,L~O. " ,:$6 ;.-:d OREGON City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Email: permi1center@ci.springfield.or.us Residential Electrical Authorization To Begin Work 69600-BEL-09-00311 Approval Code: 052974 12/29/2009 3:08 pm E-mailedTo:gmd@gmdelect~ic.com 1~~~~~Ri:ij\NrREVIEw.~'l~~'fJlf.~~~~ lif~~,,{~~1{'~'1,~~Fli1El.C!ii;;;W6R~1~~'~~ I 0 New Construction IX] Addition/alteration/replacement 11'jY.~~_~~C~I~g:<:lFlYiLQER~Q~~ff{gQ"Tr6fi:~~~~~;~a~~;j 11Zl1 or 2 family dwelling 0 Multi-family D Comm6rc~~1 0 Accessory Ilil!lIiii~1i'-!iOBIsITi:mNF:ORMA'fiCiN~N-Di1lbCA~TiON~~~.D I Job Address: 384 W 0 ST '-. I CityfState/ZIP: SPRINGFIELD, OR 97477 I Suttefbldg.fapt.no.: I Project Name: Ulrich I Cmos S'"e"d;"c';on, '0 job ,;,.: P;onee, Pa<kw,y I Tax map/~arcel no.: 1703341401700 lr;;i~!JJjll'l?~~!~}fj'ig[c;BIRIIQNjQf;WQR'Kfi;lW~~i~JlJiF.f~\1I1i~ Ductlessl Receptacle Name: Kathleen Ulrich Itho'ne: I,Emilil: Fax: Elec lie. no7"~.37C cee lie. no.: 162191 I Business Name: GMO ELECTRIC INC I Contact: I Address: PO BOX 72206 I City/StatelZIP: EUGENE, OR 974010291 'I Phone: 5417417369 Fax: 5419881800 I ,nT.l.rJ;' f lUt~Je.:I\{ Email: gmdtl~~jC\i@COl.OOEls:.n..;.1 r> ",' 1='XP\R'E' _'.~ r: I\\(\T I THIS r'tt\WI\' vH,.~ Ie, Df-KIVIII It> . ~ M."oUc.nol'_. ~n "'I'n IINDER l\:!;tJliHt.!!"" t:nH I AU I rl",,,I--- ^"'I-\\~u;;'j[~ . supervising'~eclifl\~flicr.~~ OR \b7J!l'&' ", I S,pm;,;ng ~~~f~W~Y PEl;;\f),I),h K GOWlNS Number of inspections included in paid services: Residential Service; 4 Reconnect Only: 1 All Other Services: 2 Upon review ilnd approval by your local jurisdiction, your permit will be e-mailed or faxed within one business d..y, with Instructilms on howto stheduleyour In spetllon. NOTE: This Authorization To Begin Work expires within 180 days If II pennlt Is not obtained. The local buildIng department may. determine that IIn Authorization To Begin Work Is null and void if It does nol meet app,lItable 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 Volts or Jess to ground exceeds 14,000 Amps for all other o 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 cQ-/1& 1 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 D Installation of a 150 'fNA or larger seperately derived sys O "A" "E" or "1-2" or ")_3" , , o Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal 1~-~\C~@"'''.l'~J2Ej*,~:'V"F.""E'''E-:'5-"C'H''E''D-"U'';E";Y'''''';""*'i":%#k0S:~_""""1 ~'M~:b,;;'fr~1t7,"'~4(t;;1&;;.&~)___.;._."~;,,~,.",._L;_...~~Wl?~'tfu,~~~ I Description Qty. Total I . I Branch circuits without service or feeder I Branch circuits each additional circuit without service $55.00 $55.00 $6.00 $6.00 $61.00 $7.32 $3,05 I $71.37 I KiL I {)\ '301 CPj ATTENTION: ,Oregonlaw'reqU1Tesyou 10 follow rules adopted, by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-Q01-001 0 through OAR 952-Q01. 0090. You may obtain copies of the rules by , calling the center. '(Note: the telephone number for the Oregon Utility Notification Center i81-890~2-2344). ~~l~' ~y \Y ~~ & Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit I Subtotal I State surcharge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE c'8- 11(01 ~" ". . .j"' ,,,f. .~~ ~ CA.'~ ~ \\~ CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2009-01767 ISSUED: 12/1 1/2009 APPLIED: 12111/2009 EXPIRES: 06/30/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 384 W D ST ASSESSOR'S PARCEL NO.: 17033:H401700 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install ductless system Owner: ULRICH KATHLEEN Address: 384 W D ST SPRINGFIELD OR 97477 r CONTRACTOR INFORMATION 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 , I BUILDING INFORMATION" # of Units: Primary Occupancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Constructiou Type: # of Bedrooms: # of Stories: Height of Structure 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 Ft Garage/Carport Sq Ft Other: Occupant Load: n/a , DEVELOPM~NTINFORMATION I ' , "".,'" , , REQUIRED PARKING E. -.If AnENTlON: Oregon law requires you to Front yard SetbaN{JTIC . XPIRE If ~&_!lt: . foUow roles adopted ~ Oregon UtIlity Side I Sethack: THIS PERMIT SHALL E IS PER~~l'fStNGifes Rqd: NotillcatlonCenter. Th AMllmnl:setforth Side 2 Setback: UTHORIZED UNDER TH {j Yfotlrive Rqd: In OAR 952..001..001 0 tlil'mlgh<0AR 952-D01- Rearyard setbac~OMMENCED OR IS ABANDON r\? of Lot Coverage:' 0090. You may obtain copies of the rules by Solar Setbacks: 180 DAY PERIOD. calling the center. (Note: the telephone fj, MY iWoh~.~..' fer the Qr9BQq ."I,;tv "'~~nJIltl~ I PUBLIC IMPROVEMENTS I Center 111 800 332-2344). " Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutsiDrains: Notes: , ;< (i: ,. '~~ .: , Pa~e 101'3 . ",."" _~~II\l~p'I~!?; , j . I Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01767 ISSUED: 12/1112009 APPLIED: 12/11/2'009 EXPIRES: 06/30/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726,3769 Inspection Line I Va,lua~iOl;. Descrintio~ I Description Tvpe of Construction $ Per Sq Ft or mnltiplier Square Footage or Bid Amount Value Date Calculated , ,,!,otal Value of Project ,~ " . . . L.Fpp" P~i~ . Fee Descriotion + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $11.52 $4.80 $79.00 $17.00 $7.32 $3.05 $55.00 $6.00 12/11109 12/11109 12/11109 12/11109 12/30/09 12/30/09 12/30/09 12/30109 3200900000000000803 3200900000000000803 3200900000000000803 3200900000000000803 1200900000000001365 1200900000000001365 1200900000000001365 1200900000000001365 Total Amount Paid $183.69 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, inspection,s requested after 7:00 a.m. will be made the following work day. ' .., ~eolliredJnf\nections I , Rough Mechanical: Prior,to Cover Final Mechanical: When ail mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Pa2e 2 of 3 Status Issued' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01767 ISSUED: 12/11/2009 APPLIED: 12/11/2009 EXPIRES: 06/30/2010 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 infurmation 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 or any structure without permission of the Commnnity Services Division, Building Safety. I further certify that oniy 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 rcquested at the proper time, that eaeh address is readable from the street, 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. Owner 01' Contractors Signature Date l.i:: ." ,; . ~.,. Page) of 3 225 Fifth Street &pringfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1767 COM2009"0 1767 COM2009-0 1767 COM2009-0 1767 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 1200900000000001365 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% Stale Surcharge Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works Department Date: 12/30/2009 9:35:34AM Amount Due 55.00 6.00 3.05 7,32 $71.37 Item Total: Check Number Authorization Received By Batch Number Number How Received KR .', Page I of I Amount Paid ONLINE GMD Onl}ne ELECTRIC Payment Total: $71.37 $71.37 12/30/2009