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)-
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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
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. OREGON
'"TYPE'OF WORle' - ,-
o New Construction
lKJ Additionfalte~tionlreplacement
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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
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Fax: 54198818
IHOR
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Supervisi
flERIOl).74S
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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
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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).
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".
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
,
.'
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.'
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:;;:;;' -;-:;:' .
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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.
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Page 2 of 3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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,
. 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. ,.......~~
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Owner or Contractors Signature
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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 ~~.~~~.~'~~~
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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
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cReceintl
Page 1 of 1
3/31/2010