HomeMy WebLinkAboutPermit Electrical 2010-2-25
SPRINGflELD
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City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenter@ci.springfield.or.u5
Residential Electrical Authorization To Begin Work
69600-BEL-10-00088
Approval Code: 026232 2/25/2010 11:54 am
E~majled To: gmd@gmdelectric.com
. .," """'SRLAN REVII::W.. .. ".. ,
l:r{RE,C)f;WORK
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lR] Addition/alteration/replacement
o New Construction
"iCATEGORY.:OF'CONSTRlJ,CTioN ..~.
[R)1 or 2 family dwelling
o Multi-family D Commercial
o Accessory
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JOB SITEIN'''ORMATION ANb LOCATION
Job Address: 1355 QUINALTST
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg./apt.no.:
Project Name: Weich
Cross Street/directions to job site: Centennial (R) onto Market 51
Tax map/parcel no.:
1703253201600
Furn Swap
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. SITE'CONTACT. "
Name: Norma Weich
Phone:
Fax:
Email:
"qONTRACTOR
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Elec lie. no.: 20.537C
CCB lie. no.:
162191
Business Name: GMD ELECTRIC INC
Contact:
Address: PO BOX 72206
CitylSta~
E, OR 974010291
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Phone: 5
pmpW'1'NE<WORK
Email gJiltiif<M{JRriffiIHINOER THIS PERMIT is
M,t,o l,cCrQ,MMENCE
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 permit will be e-malled or faxed
within one business day, with instructions on how to schedule your Inspec tion.
NOTE: This Authori<:atlon To Begin Work expires within 180 days If a permit Is nol obtained.
The local building department may determine that .an Authorization To Begin Work Is null and
void If It does not meet applicable land use laws and local ordinances.
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Please check all that apply:
D. A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at 150 Volls or
less to ground exceeds
14,000 Amps for all other
GIO-).~O
D 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 'r0JA or
larger seperately derived sys
o "A", "E", or "1.2" or "1-3"
o Recreational Vehicle Parks
o Supply voltage for more than
600 supply volts nominal
:'f., I:EE ,SCHEDULE '~:" C,,,{ .
Qty,
$55.00
$3.00
,..... ..,
$58.00
$6.96
$2.90
$67.86
C()n\ m\ D--?6 0
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d \ /lfNlttt!9N: Oregon law requires you to
fOUo~ rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952.Q01-00l 0 through OAR 952.(J()1.
0090. You may obtain copies of the rules bIf
calling the centar. (Note: the te/ephonG
number for the Oregon Utility NotiflcaUCliil
Center is 1-800-332-2344).
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,
Inspections Rhone: 541-726-3769
This Authorization To Begin Wor~ ~~st ~e ~?sted .at the job site until replaced by a Permit
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
Branch circuits without service or
feeder
li"'-isc~elja'neOus,"
Balance of permit fees'
E.lecil~icaJ:&e:L111 it' Fees
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
, ~0
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00250
ISSUED: 02/25/2010
APPLIED: 02/25/2010
EXPIRES: 08/25/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1355 QUINAL T ST
ASSESSOR'S PARCEL NO.: 1703253201600
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Replace heat pump and air handler in residence.
Residential
Owner: WEICH NORMA J
Address: 1355 QUINALT ST
SPRINGFIELD OR 97477
Phoue Number: 541-729-5108
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor License
GMD ELECTRIC INC 162191
COMFORT FLOW HEATING CO. 460
BUILDING INFORMATION I
Expiration Date
11/1912010
06/27/2011
Phone
541-726-860 I
541-726-0100
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION .
REQUIRED PARKING
Total: to
ATTENTION: Oregonlbr/l'.m~~~t~\lity
follow rules adopted lr9~les are set forth
Notification Center. Those h OAR 952.()()1-
in OAR 952_001-001~throu.g oftherulesby
, (Note' the e ep
calling the center. Ut' 'Iity NotificatIOn
h rJpr tj'Je Oregon I
nUffitl~'~J~M\\f:1-800-332-2344).
Downspouts/Drains:
Front yard Setback: Overlay Dist:
Side I Setback: # Street Trees Rqd:
~::~aSr~'(g~U:l:WE~MIT SHALL EXPIRE IF ;~~'~~;~;~:v~;:~e:
Solar SetbtBls.' '.
COMMENCED OR IS ABANDON\:OO8Jtlc IMPROVEMENTS I
Streetlm.Mff.,.t~QtP'AY PERIOD.
Storm Sewer Available:
Special Instruction:
Notes:
"\.ll .,1 ....
Page I of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valu'ation Description ~
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Fees Paid i
Fee Description
+ 12% State Surcharg'e
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
1st Appliance
Add, Alter, Extend Circ
Heat Pump
Amount Paid
$6.96
$11.52
$2.90
$4.80
$79.00
$58.00
$17.00
Total Amount Paid
$180.18
Pl~il ~eviews ~
~, !
Date Paid
2/25/10
2/25/10
2/25/10
2/25/10
2/25/10
2/25/10
2/25/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00250
ISSUED: 02/25/2010
APPLIED: 02/25/2010
EXPIRES: 08/25/2010
VALUE:
Value
Date Calculated
Receipt Numher
2201000000000000173
1201000000000000177
2201000000000000173
1201000000000000177
1201000000000000177
2201000000000000173
1201000000000000177
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 Reouired Insnec~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rongh Electric: Prior to Cover
Final Electric: When all electrical work is complete.
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Paee 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00250
ISSUED: 02/25/2010
APPLIED: 02/25/2010
EXPIRES: 08/25/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signatnre, I state and agree, that 1 have carefnlly examined the completed application and do herehy certify that all
information hereon is true and correct, and 1 fnrther 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 structnre without permission of the Community Services Division, Bnilding Safety.
1 fnrther 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 frout of't~~ prope).ty, and the approved set of plans will remain on the site at all
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times during construction.
Owner or Contractors Signature
Date
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Paee 3 of 3
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000173
Date: 02/25/2010
1 :23:29PM
Job/Journal Number
COM20 I 0-00250
COM2010-00250
COM20 I 0-00250
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
Add, Alter, Extend Circ
+ J 2% State Surcharge
+ 5o/~ Technology Fee
Paid By
ONLINE PERMIT CHGS
Amount Due
58.00
6.96
2.90
$67.86
Item Total:
Check Number Authorization
Received By Batch Number Number How, Received
KR
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Page I of I
Amount Paid
ONLINE GMD Online
ELECTRIC
Payment Total:
$67.86
$67.86
2/25/20 I 0