HomeMy WebLinkAboutPermit Electrical 2010-2-9
S.p,RI"NGFIE, L~D"
,; ..~.'l'A"~j
_:~"( ~~..... .
n\"", , ~
iIl,;~" 'OREGON
City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541.726-3753
Email;permitcenter@ci.springfield.or.us
IP
ID
Ii
I [ZJ 1 or 2 family dwelling
I: ,,"" ';" JOIrSrrE INFORMAl'ION'AND1LOCAl'I6N '
I Job Address: 2004 7TH ST
.. ~ik ~~l~:~~~;;t::~:~=7i:,;~}rxp,e:-O~~WQRlfi~t-;t::.-:
New Construction [R] Addition/alteration/replacement
.~:{CA fEGORYOFZCciNSTRLJcfI6N~:":';;,.
o Multi-family
o ACces~ory
o Commercial
City/State/ZIP: SPRINGFIELD. OR 97477
Suitefbldg.fapt.no. :
Project Name: Melear
I Cross StreeUdireclions to job site, Q Street (R) onto 7th
Tax map/parcel no.:
1703261301301
';:PE~CRipTlpN,qFcWOi<K;~~t~{';;i'~
Heat Pump with Air Handler
I;"l~ ,,;:,~'1'
I Name: Dick Melear
I Phone: 541-744-0076
I Email:
",:,.SITE CONTJ>.tT,:~4:~':"'\'~;' .
~
<",,~.
Fax:
I',' ""
:,.,. ,>","" "
, .~ ... ro' -
. "lc6NTkA~T6R),i- ,-Jib,.'.
"
I Elec lie. no.: 20-537C
Business Name: GMD ELECTRIC INC
CCB lie. no.:
162191
Contact:
Address: PO BOX 72206
I CityfState/ZIP: EUGENE, OR 974010291
Phone: 5417417369
Fax: 5419881800
Email: gmdelectric@comcast.net
Metro lie. no.:
City lie. no.:
Supervising Electrician's lie. no.:
4874S
Supervising Electrician's Name:
MICHAEL K GOIMNS
Number of inspectIons included in'paid services:
Residential Service: 4
Reconnect Only' 1
All Other Services: 2
'.. ,.
Upon review end approval by your local jurisdiction, your pormit will bo_~e-mai!?d __~r faxed
within ono business day, with Instructions on how to schedule your inspection.
"
NOTE: This Authorization To Begin Work expiros within 180 days if a pormit is no'-obtalned.
The local building department mllY determine that an Authorizlltlon To Begin Work is null and
void If It does not meet applicable land use laws and local ordinances.
. 61i1J-1ll;
Electrical Authorization To Begin Work
69600-BEL-10-00065
Approval Code: 062916 2/9/2010 12:22 pm
E-mailedTo:gmd@gmdelectric.com
'"H>~ PtAN'REVIEW, " ,;':" ;,' "='~'~,;. ' ,
I,"'" 1'1'- '''''''''''','' "_,,!'\e F EE~S C'H EDU ['E'
:;::""~..'",,".,~,, ~""":"T."-_!.l;~",,,'r,," -' ,,_ " ___
I Description Qty. tEa.
IBian~hcrr~it.Sj:~.;d~\ ~_ "'..~~. ,
1 Branch circuits without service or $55,00
feeder
1 Branch circuits each additional
circuit without service
IEJ~'ctric~C!I.:~~r~J~,Fees-:'.:~- .:~-~ .:;~>.~r~,
I Subtotal
I State surcharge (12% of permit
total)
Technology fee (5% of permit total)
Residential
I:
o Hazardous locations
o A service or feeder rated at
600 amps or more
D Buildings more than three stor
D Marinas and boat yards
o Floating buildings
D Commercial-use agricultural
buildings
D Installation of a 150 KVA or
larger seper,ately derived sys
D "A". "E", or "1-2" or "1-3"
D Recreational Vehicle Parks
D Supply voltage for more than
600 supply volts nominal
.11
. "~ 1
,
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
1 0,000 Amps at 150 Volts or
less to ground exceeds
14,000 Amps for all other
Total
$55.00
2
$6.00
$12.00
D Fire pumps
D Emergency systems
D Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
D Health care facilities
TOTAL PERMIT FEE
'~.I;
(}..'
~~
, "1
.,,,"~ ,
$6700 I
$8,041
$3,35 I
$78.39 I
~.\o
~,\O~Q/
V-- \;0-
(l;rnLeJ/{J ~ O()/7h
/)/Y) ~<} ,9-/0
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
_S.~R ,I!'I.(J. .~iti,.', ','.:
~..J "
~A~' ;,
,- ;,u__'"., ~~, '~!: .~
,<....e, .,....._.,.. ".'_'_.' ,-:::;.-0
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00176
ISSUED: 0210912010
APPLIED: 02109/2010
EXPIRES: 08109/2010
VALUE: '
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
54 I -726-3769 Inspection Line
SITE ADDRESS: 2004 7TH ST
ASSESSOR'S PARCEL NO.:. 1703261301301
Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Heat Pump with Air Handler
Owner: MELEAR DICK H & CHERYL D
Address: 2004 N 7TH ST
SPRINGFIELD OR 97477
Phone Number: 541-744-0076
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
GMD ELECTRIC INC
License
162191
Expiration Date
11/19/2010
Phone
541-726-8601
BUILDING INFORMATlO~ I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
I'rimnry Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Strncture
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
I I, DEMELORMENT INFORMATION I
ATTENTION: Orego~ b'-- 'he Oregoll UW"l
rules adopteo y. ~e set forth
Front yard SetbacfP.\I0Walion Center. Those ru\e~ VJl5\!1fl<!>ist:
Side I Setback: NO\l~~ 952.-001,0010 through of ~lflffi!s1lr1es Rqd:
Side 2 Setback: In ~O you may obtaiO cople~he t mll&.eve Rqd:
Rearyard Setbac!p'Ocaliing the center. (Noteiilit ~t\lfc/a~overage:
Solar Sethacks: mber tor the Oregon U32._i344).
nu _ h_ ;~ 1,1'100,3
..........-- "
I PUBLIC IMPROVEMENTS I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Description
Type of Construction
'U ,
;0' ..", NOTICE:
r~~Su~~~MIT ,S.~~~~ ~XPIRE IF THE WORK
; I_~T J,,'uLCI I n10 t"tliIVII/ 10 NOT
I Valuation DeSCIh~titIlfiEIJCED OR IS ABANDONED FOR
. ~JDAY PERIOD.
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Downspouts/Dnlins:
Notes:
Value
Date Calculated
Paee I of 2
'_S_..,.RRIN~F'IIf'iLD", iii,', '" ,c~. :
"A '
I' " - ;1.
.:1 ',.~ ;;
LVil~"" ,J
_, ^, _ ..... '..~. ,_. A ._.",~' :'
CITY OF SPRIN\.JJ<lJ',LD '
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00176
ISSUED: 0210912010
APPLIED: 02109/2010
EXPIRES: 08109/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description ,
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Receipt Number
$8.04
$3.35
$55.00
$12.00"
2/9/10
2/9/10
2/9/10
2/9/10
1201000000000000116
1201000000000000116
1201000000000000116
1201000000000000116
Total Amount Paid
$78.39, .
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
workday. ''',' .
Rec'l ;[l'l'llnsnectinns I
III.. . I I II
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I h~ve 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 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 property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
.. ;;~)
Date
"
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
;P7:Q~;~;
~-~'-
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
cOM20 I 0-00 176
cOM20 I 0-00 176
COM20 I 0-00 176
cOM20 I 0-00 176
Payments:
Type of Payment
ONLINE CHGS
cReceinll
RECEIPT #:
1201000000000000116
Date: 02109/2010
Description
Add, Alter, Extend circ
Add, Alter, Extend circ Ea Add
-I- 12% State Surcharge
-I- 5% Technology Fee
Paid By
ONLINE PERMIT cHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm
ONLINE gmd elect Online
Payment Total:
i.'
Page I of 1
] :29:47PM
Amount Due
55.00
12.00
8,04
3,35
$78.39
. Amount Paid
$78.39
$78.39
2/9/20 I 0