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Home My WebLink AboutPermit Electrical 2010-1-13 S~~I~.~~EtD , _"r'(0'':; Ii'>''''"" ........- ,,' 'm.",,",," OReGON' City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Emsil: permilcenter@ci.springfield.or.us Residential Electrical Authorization To Begin Work 69600-BEL-1 0-0001 B Approval Code: 070278 1/12/2010 5:02 pm E4TJailed To: gmd@gmdeJectric.com -";;;:~,>~~4 I 0 New Construction IX] Addition/alteration/replacement I !Rl1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory 1,*.r:r"';~:M'::BjOBCsiTE'iN~ORMAT[ONlYANDj~OCA"TioNifdJ.~2.iAt'.:*l'~: Job Address: 88 T 5T I CitylState/ZIP: SPRINGFIELD, OR 97477 ,- Suitelbldg./apt.no,: I Project Name: Holt I Cm.. St,eWdl,eo'loos '0 job sIte. 2nd St,,,, 'I Tax map/parcel no.: .1703262203873 Heat Pump/Air Handler I Name: Randy Holt' I Phone: 541-741-7294 I Emsi1: 11';' I Elec lie. no.: 20-537C I Business Name: GMD ELECTRIC INC I Contact: I Address: PO BOX 72206 I Clty/Sta',/ZIP. 'K/Hi'1r"f.974010291 .", .. I Phone 541741'F~~ ;F-RMIT SHAlt!'@(~117dB1Ilio~Ht ~V~lil\ I NDER 1'HI'" t'tIiIV.lr b !KlT Emall: gmdeleo'~q<MGR~1ED U ," . - "1~[;r'lU~ mo I Metm Ito, no,. COMMENGI:U UN '" ,;wrc, no,.U" ' -:. Ii iJAY F;:;1;{ll).. "', I Supervising Elem~iln,J ~c. no.: 4874S . Fax: ceB lie. no.: 162191 Supervising Electrician's Name: MICHAEL K GOWINS .~ 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 p'ermlt will be e-malled or faxed wilhln one business day, with Instrucllons on how to schedule your inspection. NOTE: This Authorization To Begin Work expires w11hin180 days if a permit Is riot obtained. The local building department may determine that an Authorization To Begin Work Is null an~ void If It does not meet llppllcable land use laws and IOClll ordinlln ces. , -~~v ~Y"~. ~ \ I I LJD-'4-f'--"~ \ 1\~IID 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 less to ground exceeds 14.000 Amps for all other o Fire pumps o Emergency systems o Addition of a new motor load of100HPormore' o Six or more residential units in one structure o Health care facilities I Description ~tkt:J I Branch circuits without service or feeder I Branch circuits each additional circuit without service ~(~~trl~I'R~}"-,ii)tFeestyG.. ~;" I Subtotal I State surcharge (12% of permit lotal) I Technology fee (5% of permit total) I TOTAL PERMIT FEE C jf}if1 ",'''1 ,~,;,ll 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 agricult~ral buildings o Installation of a 150 KVA or larger seperately derived sys o "A", "E", or "1.2" or "1-3" o Recreational Vehicle Parks o Supply Voltage for more fhan 600 supply volts nominal Qty, Ea, Total +2 $55.00 $55.00 2 $12.00 I ':;1 $67,00 I $8.04 $6.00 $3,35 $78.39 ATTENTION: Oregon law requIres you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification , Center is 1-800-332-2344). \ \~o/' ' ~'lX;-~/ V". ,LJ" ~'t;I" ~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit " _SI!~I.!,,!liF.lli~j ! " Status Issued 225 Fifth Street, Springl!eld, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 88 T ST ASSESSOR'S PARCEL NO.: 1703262203873 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00047 ISSUED: 01/13/2010 APPLIED: 01/13/2010 EXPIRES: 07/13/2010 VALUE: Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Heat pump and air handler in resideuce. TYPE OF USE: New Owner: HOLT RANDALL L & CINDY S Address: 88 T ST SPRINGFIELD OR 97478 , ' I CONTRACTOR INFORMATION I Contractor License GMD ELECTRIC INC 162191 BUILDING INFORMATION, Contractor Type Electrical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bed rooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: nla I DEVELOPMENT INFORMATION I Residential Phone Number: 541-741-7294 Expiration Date 11/19/2010 Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement; Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Phone 541-726-8601 REQUIRED PARKING Frontyard Setback: OVerlaji Dist; Total: Side I Setback: # Street Trees Rqd: AiTENTlON: OregOIpJ!mIli\fl~~~It~ you,to Side 2 Setback: Paved Drive Rqd: follow rules adoptedCo.idag~p' 8gon Utility Rearyard Setback: % of Lot Coverage: 'Notification Center, Those rUles are set forth Solar Setbacks: ~,..., in OAR 952-001-0010 thrQugh OAR 952-001- H9TI':c, ~ l~ 1\','= \Mn~ nnQ~, Vnll mav obtain copi~s,ofthe rules by S PERMIT SHALL t^I"~.l'.UIliirr:~lI'ROVEMENTS I calling the center. (NOre',t,ne tel~~nor.n' TH\ D UNDER 1t1ISYw,~ "" \ " number for the Oregon Utility Notlflcalion Street ImprovePlejf~RIZE R IS ABANDONED l-ul'l Side~M~~i&:1-800'332-2344). nMMENCED 0 ' Storm Sewer A ,r,;.~llltbTe.;O DAY PERIOD. Downspouts/Drains: Speciallnstruct~W){ 10 Notes: ---- Description Type of Construction I Valuation DescriDtion I ;$ Per Sq Ft or multiplier Square Footage or Bid Amount '''rill Page 1 of2 ....." " .. '0, ..,..I'.t Value ~. .:"r.. Date Calculated /.,' " t, Status Issued 225 Fifth Street, Springfield, OR 541- 726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fee, Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid $8.04 $3.35 $55.00 ".. $12.00 Total Amount Paid $78.39 ' I Plan Reviews I Date Paid 1/13/10 1/13/10 1/13/10 1/13/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00047 ISSUED: 01113/2010 APPLIED: 01113/2010 EXPIRES: 07/13/2010 VALUE: Receipt Numher 1201000000000000039 1201000000000000039 1201000000000000039 1201000000000000039 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' ~eouir'ed Tn,neetion, I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. 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 Springlield and the Lal"s of theiStateof Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any strnctnri,vithoui permission of the Commnnity Services Division, Building Safety. I fnrther certily 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 reqnested 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 of plans will remain on the site at all times during construction. Owner or Contractors Signature Page 2 of 2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM20 I 0-00047 COM20 I 0-00047 COM2010-00047 COM2010-00047 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 1201000000000000039 Date: 01113/2010 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received ONLINE KR GMD Online Electric Payment Total: ",.,. <'1 : Page I of I 9:50:4IAM Amount Due 55,00 12.00 8,04 3,35 $78:39 Amount Paid $78,39 $78,39 1/13/2010