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HomeMy WebLinkAboutPermit Electrical 2010-3-30 A.i.i.ENYlON: Oregon law requlrGo vou ~ CiIII0\7 Moo Qdopted by the Oregon UtIIIi!l C\loUficaIIon Center. Those NI8lI are Bet fori\\} Cil OAR e&2.(1l)1.c1l110 through OAR lI52.c1l1~ @llSO. ~ mQy obtcIn copIaQ 01110 ruIoo IJi7 dln9 tho 03ntG1. (Note: 1M iclephono ~ \'or Ill\! Oregon Utility N~ Center 10 HIOO 132-2344)- ~' -~~\) \~ / NOTE, Th" '",ltorl..llo" To B'gl" Worl< "pi,.. wlllt'" 180 do,. It, p'""IlI. 00' oblo'"", ~~~ \i).'< _ ' The local building department may detennlne that an Authorization To Begin Work Is null and ~. l......\ '\\)n_ void If 11 does not meet applicable land use lilW$ anellocal ordinanus. ~~. \ ,V'" InspBctions PhonB: 541-726-3769 ~~ This Authorization To Begin Work must be posted at the job site until replaced by a PermiU". City Of SpringfiBld 225 Fifth 51. Springfield, OR 97477 Phone: 541-726-3753 EmaiJ: permilcenter@d.springfield.or.us SPRINGFIELD ff ----',- '::,.r,;(,~ . OREGON '"TYPE'OF WORle' - ,- o New Construction lKJ Additionfalte~tionlreplacement IKI I CATEGORY OF, CONSTRUCTION o Multi.family 0 Commercial o Accessory 1 or 2 family dwelling JOB SITE INFORMATION AND'LOCATION Job Address: 2481 15TH ST City/State/ZIP: SPRINGFIELD. OR 97477 Suite/bldg.Japlno.: Project Name: Tift Cross Street/directions to Job site: Hayden Bridge Road Tax map/parcel no.: 1703243301300 i ,~',<::;DESC~I~Tl0N,OF,WORK Ductless i, '" : ',SITE CONTACT~ " Name: Norman Tift Phone: Fax: Email: CONTRACTOR Elec lie. no.: 20-537C cca lie. no.: 162191 Business Name: GMD ELECTRIC INC Contact: Address: PO BOX 72206 City/State/ZiP: EUGENE, OR 974010291 :......:..o~.,...l....~'<'.:,,,.... . - -' :';-",.--.._~- .' Fax: 54198818 IHOR .~:\-..:~;\'" Supervisi flERIOl).74S '-;-':'.,"). 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 Inspectlon.. GIO-"?'6'? Residential Electrical Authorization To Begin Work 69600-BEL-10-00129 Approval COdB: 036915 3/30/2010 4:25 pm E-maiIBdTo:gmd@gmdBIBctric.com :"C 'de,', PLAN REVIEW '. , Please check all that apply: o Hazardous locations o A service or feeder beginning o 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 al150 Volts or less to ground exceeds o Marinas and boat yards 14,000 Amps for aU other o Floating buildings o Fire pumps o Commercial-use agricultural buildings o Emergency systems o Installation of a 150 IWA or o Addition of a new motor load larger seperately derived sys of 100 HP or more o "A" "E" or "[-2" or "1-3" o Six or more residential units in ' , o Recreational Vehicle Parks one structure o Health care facilities o Supply voltage for more than 600 supply volts nominal L'" " FEE SCHEDULE ",,,,' , Description I QIy, I E" I Total Branch,circuits ....,,- , , Branch circuits without service or 1 $55.00 $55.00 feeder Branch circuits each additional 1 $6.00 $6,00 circuil without service Electrical Petm'it.Fees c. , Subtotal $61.00 State surcharge (12% of permit $7.32 total) Technology fee (5% of permit total) $3.05 TOTAL PERMIT FEE $71.37 ClO- 31)'5 ~ B\3t\lO Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00385 ISSUED: 03/30/2010 APPLIED: 03/30/2010 EXPIRES: 10/01/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2481 15TH ST ASSESSOR'S PARCEL NO.: 1703243301300 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New PROJECT DESCRIPTION: Two-zone mini-split ductless heat pump and air handler for residence. Residential Owner: TIFT NORMAN E & FERN E Address: 2481 N 15TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION . Contractor Type Electrical Mechanical Contractor GMD ELECTRIC INC EUGENE HEATING INC= ,._",., . ", License 162191 188592 Expiration Date 11/19/2010 Phone 541- 726-860 I 541-726-7656 BUILDING INFORMATION I # 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENTINFORMATION . . . -,<._~>.;~i\"}~~;~~~~~fff;,.:;.,;.'.'>":/", " Front yard Setb'l.!'J;.' t" ' . ......" . 'd"'-' list: Total: Side I SetbaciHUT\C " txPlRE \" re.~s Rqd: AMNT1ON: Oregon ~:~_~. Side 2 Setbacl<fHIS PERMff SMAtl nus PERMIi . .!;e'Rqd: follow ruleaadopted ~~~i::":~' Rearyard Setbl\EI<l'HORIZEO UMDESR ABANDONEO-~~(coverage: NotIftcatlonCenter. Those ghe~:he952.ooa- Solar SetbacksCOMMENCED OR \ :." . In OAR 952.oo1.oo~nthc:\es of the ruleSb1 I PUBLIC IMPROVEMENTS =:. '::: :"~egon ~llty NotIfIc8tiaI!I " , SicC6lntllir~~.a00-332"2344). , ..~:~~. <'.<> "." ". REQUIRED PARKING Street Improvements: Storm Sewer Available: Special Instruction: ,".".....". Downspouts/Drains: .; ~j.-J. j i~ 1'.i='.1"l.: 'il", - ~, Notes: , . raee ,I of 3 , .' '" ' .' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I val~a'iion' Description ~ Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project Fees Paid--' 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 Amount Paid . Date Paid $13.56 $5:65 $79.00 $17.00 $17.00 $7.32 $3.05 $55.00 $6.00 3/30/10 3/30/10 3/30/10 3/30/10 3/30/10 3/31/10 3/31/10 3/31/10 3/31/10 Total Amount Paid .......-......-..'.""......."., " $203.58:;;:;;' -;-:;:' . ~..- -j . I-rl~n R~;iews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00385 ISSUED: 03/30/2010 APPLIED: 03/30/2010 EXPIRES: 10/01/2010 VALUE: Value Date Calculated Receipt Number 3201000000000000106 3201000000000000106 3201000000000000106 3201000000000000106 3201000000000000106 1201000000000000278 1201000000000000278 1201000000000000278 1201000000000000278 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 Reuuired InsDecti~ns I " .. 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. .,,"'...~; '''''''''''''''r' , ';y~r>~;: :~~., Page 2 of 3 ;~/~'i' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '--<;. , . I ~ . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00385 ISSUED: 03/30/2010 APPLIED: 03/30/2010' EXPIRES: 10/01/2010 VALUE: 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 nurtber 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 reqllired inspectiolls are requested at the proper time, that each addl'ess is readable from the street, that the permit card is located at the front of the,property, alld the approved set of plans will remaill on the site at all times during construction. ,.......~~ ,,:'v. ,:\?:,'':' Owner or Contractors Signature ":' ... ~ *, ., I ",' ,;S ~i Page 3 of 3 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone j).P~cJo.'!I!_~NA~}!A F~~~I~EL~ :iJ ~~.~~~.~'~~~ tk" -, '-. ,- , , , ~ "" lIIt.t:. ! , ~~. .~; , J ___0. '._ .. ,'._ ......~.,..".__.._. c. City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000278 Date: 03/31/2010 8:31:48AM Payments: Type of Payment ONLINE CHGS Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received KR ONLINE GMD Online ELECTRIC Payment Total: Amount Due 55~00 6~00 7~32 3,05 $71.37 Job/Journal Number COM20 I 0-003 85 COM20 I 0-00385 COM2010-00385 COM2010-00385 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Amount Paid $71.3 7 $71.37 .,,";', ;.: :~ ~" ~- 1-' ~i I cReceintl Page 1 of 1 3/31/2010