HomeMy WebLinkAboutPermit Electrical 2010-3-17
SP.~I~G~
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m;. " OREGON
City 01 Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenter@ci.springfield.or.us
o New Construction
. ,TYPE OF-WORK
IRl Addition/alteration/replacement
CATEGORY OF CONSTRUCTION,
o Multi.family 0 Commercial
[Z] 1 or 2 family dwelling
o Accessory
JOB SITE INFORMATION AND LOCATION
Job Address: 2490 34TH 5T
Clty/StatelZlP: SPRINGFIELD. OR 97477
Suite/bldg.lapt.no.:
Project Name: Crabtree
Cross Street/directions to job site: Hayden Bridge Road
Tax map/parcel no.:
1702193101104
, DESCRIPTION,OF WORK-. ,
Ductless
I, '
SITE CONTACT
Name: Dwavne Crabtree
Phone:
Fax:
Email:
.
"
'"
CONTRACTOR'
Elec lie. no.: 20-537C
162191
cee lie. no.:
~usiness Name: GMD ELECTRIC INC
Contact:
Address; PO BOX 72206
City/State/ZIP: EUGENE, OR 974010291
Phone: 541
Email: gmd
Supervising
Number of Inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
tJO-;)'7]
Residential Electrical Authorization To Begin Work
69600-BEL-10-00119
Approval Code: 012014 3/17/2010 1:04 pm
E.mailed To: gmd@gmdelectric,com
., . , PLAN REVIEW . ':
Please check all that apply: D Hazardous locations
D A service or feeder beginning D A service or feeder rated at
at 400 Amps where the 600 amps or more
available fault current exceeds o Buildings more than three stor
10,000 Amps at 150 Volts or
less to ground exceeds D Marinas and boat yards
14,000 Amps for all other o Floating buildings
o Fire pumps o Commercial-use agricultural
buildings
o Emergency systems o Installation of a 150 I'\VA or
o Addition of a new motor load larger seperately derived sys
of 100 HP or more o "A" "E" or "1-2" or "1-3"
o Six or more residential units in ' ,
o Recreational Vehicle Parks
one structure
D Health care facilities o Supply voltage for more than
600 supply volts nominal
-- " FEE SCHEDULE' .. " , .
Description I Qty, I Ea, I Total
Branch;c~jcults -.!,".,., , " ./~: ': "
Branch circuits without service or 1 $55.00 $55,00
feeder
Branch circuits each additional 1 $6.00 $6.00
circuit without service
Electrical Permit F,ees' .....,.
Subtotal $61.00
State surcharge (12% of permit $7.32
total)
Technology fee (5% of permit total) $3.05
TOTAL PERMIT FEE $71.37
CID - 60\1
~~
6\11\10
A'i"i'EN1tO\It. Oregon mt reqUIrGO yG3t:)
l:DII~ rrudQa adopted by the Oregan UtIIIV
C\lotlftcation Center. Those rul811 Qf8 oot~
Cll OAR ll52~1-C1010tilrClUgtl OAR ~
@U8O. VlIlI may obi&'Jn oopIeQ ca Ii\Q 'UNU "V
dine tho cmUr. (Nola: Iil0 ~opIlaro
~~iho Oregon UtIIIty~
c:ente11o 1 eoo..sal'-23<<I~
_ ~~ ,0...:,0
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Upon review and approval by your local jurisdiction, your permit will be e.malred or fued
wtthln one business day, w1thtnstructions on how to schedule your Inspection. ~
NOTE This Authorization To Begin Work expires within 180 days If a permit is not obtained \. ("\
Th. 10'" ""dol. d.p,"m.o' 10" d",='oo 'h" 00 ''''ho""ooo To . I . 'V
,old" It do.. oot 10'" 'oolt..bI.,..d .,,'._ ..d'o..' 0",'",0,,", .'.'0 Wo"" ,. """ ood ~ ~ <
Inspections Phone: 541-726-3769 ~
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
ii~
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000250
Date: 03/17/2010
t :36:38PM
Job/Journal Number
COM20 I 0-00297
COM20 I 0-00297
COM20 I 0-00297
COM20 I 0-00297
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Item Totul:
Check Number Authorization
I{ece'ived By Batch Number Number How Received
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
KR
. ."~~~. :~. -
.. ft. .;'
':r..'.l~
Page I of I
Amount Due
55.00
6.00
7.32
3.05
$71.37
Amount Paid
ONLINE GMD Online
ELECTRIC
Payment Total:
$71.37
$71.37
311 7/20 10
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00297
ISSUED: 03/09/2010
APPLIED: 03/09/2010
EXPIRES: 09/17/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2490 34TH ST
ASSESSOR'S PARCEL NO.: 1702193101104
Springfield TYPE OF WORK: Heating System
,
TYPE OF USE: New
PROJECT DESCRIPTION: 3 zone mini split heating system for reisdence.
Residential
Owner: CRABTREE LOVING TRUST
Address: 2490 34TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor License
GMD ELECTRIC INC 162191
EUGENE HEATINGINC' 188592
BUILDING INFORMATION I
Expiration Date
11119/2010
Phone
541-726-8601
541-726-7656
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Group:
Primary Construction Type
Secondary Constructiun Type:
# of Bedroums:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sp'rinkled BnHding:
Lut Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carpurt
Sq Ft Other:
Occnpant Luad:
n/a
REQUIRED PARKING
Front yard Setback: Overlay Dist: ATTENTION' Oregon ~ \lllqulrll9 you to
Side I Setb!!f'~Il!. , O\l,~reet Trees Rqd: follow rulllQ adopted by tte~YtI~~
Side 2 ~~y;. EXPIRE If lHE W PI cd Drive Rqd: tiflcatlon Center Those ~~
, Rearya'T\{l~lflltRMfT StlA~~ THIS PERMIT IS NQ f Lot cuverage~OOAR 952.001.00'10 through OAR ,:.oo~
Sular SeNtr\'\<l(ilRlZED UNO MOONED fOR " '0090. You may obtmln co~ or:',e :e
ANY 180 DAY PERIOD. PUBLIC IMPROVEMENT. II for:,e or~gg~~).
Street Improvements: ~tmwal'f!1ype:
I DEVELOPMENT INFORMATION I
Storm Sewer A vaHable:
Special Instrnction:
Downsponts/Drains:
Notes:
,',
('.i,!
.~ .
I'"
Pa!!e I of3
S'tatus
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Type of Construction
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00297
ISSUED: 03/09/2010
APPLIED: 03/09/2010
EXPIRES: 09/17/2010
VALUE:
I Valuation Description ~
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Date Calculated
Value
'"
Total Value of Project
Fees PlIid ~
Amount Paid Date Paid Receipt Number
$15.60 3/9/10 2201000000000000215
$6.50 3/9/10 2201000000000000215
$79.00 3/9/10 2201000000000000215
$34.00 3/9/10 2201000000000000215
$17.00 3/9/10 2201000000000000215
$7.32 3/17/10 2201000000000000250
$3.05 3/17/10 2201000000000000250
$55.00 3/17/10 2201000000000000250
$6.00 3/17/10 2201000000000000250
$223.47
Plan Reviews I
.,'
To Request an inspection call the 24 hour r~c~rdin'g' 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 Reouired 'nsDect~
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 of 3
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" CITY OF SPRINGFIELD
1"'':.. I,
Status
Issued
Building/Combination Permit
PERMIT NO: COM2010-00297
ISSUED: 03/09/2010
APPLIED: 03/0912010
EXPIRES: 09/17/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, 1 statc 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 Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
thai NO OCCUPANCY will be made ofany strllctul'e without permission of the Community Services Division, Bnilding 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.
I... .."
Owner or Contractors Signature
Date
,. ~
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