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Home My WebLink AboutPermit Electrical 2010-4-6 City Of Springfield 225 Fifth 51. Springfield, OR 97477 Phone: 541.726-3753 Email: permilcenler@ci.springfiefd.or.us 0-10- 39lJ;J Residential Electrical Authorization To Begin Work 69600-BEL-10-00147 Approval Code: 046492 4/6/2010 10:31 am E-mailedTo:gmd@gmdelectric.com R'liAr..iTREVIEW;:,"F :.'.' ;",J.:;;:'. "0,,,11''',,' ?;I0l'J'Yf,lEOFWORKV": '~'ijf0f,JV'.,. ......,... ;', 0 New Construction IRl Add ition/alteration/replacemenl . ',/.' '"><,:;:."\.t'. ...c~f:EGbRy,qfcONS'rRuCtION;:" ""'/",.;- ,;',"! '",'r , . IRl 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory .;,;.,' . .."" tJoasITE'INEORl'VtA.TIONAN-D)::OCA liON .. ',' j .' Job Address: 210 SEWARD AVE City/StatefZIP: SPRINGFIELD, DR 97477 Suitefbldg.lapt.no.: Project Name: Smith Cross Street/direCtions to job site: Hayden Bridge Way (R) onto Castle (R) onlo Seward Tax map/parcel no.: 1703233203500 T .:" ;, ,..~.:.; ".i:!T... OgScRiPTIOf.tb&.WOBK,j...;.;;/ .i'~i1(;~.,~'.:";ij Ductless II' "f'" '"<.,;..",, C ,T: f'" .... ...... '.' :...- "~",'.~I .. ". "e."'." 'SITEI;;QNT~CT "';~"':i.-" ,'_':-;"_r- . 1 , Name: Joel Smith -. Phone: Fax: Email: "'\~ i'P' '. .... .::,' .C0NTRACTOR!".'';':;'4. .;.... .. , .. . ., .~'._.....~' ", . ... -'~ .... " L' Eleclic. no.: 20-537C eee lie. no.: 162191 Business Name: GMD elECTRIC INC Contact: Address: PO BOX 72206 CityfStatefZIP: EUGENE, DR 974010291 Phone: 5417417369 Fax: 5419881800 Email: gmdelectric@comcast.nel Metro lie. no.: City lie. no.: Supervising Electrician's lie. no.: 48745 Supervising Electrician's Name: MICHAEL K GOWlNS ~_h' .--....- Number of inspections included in paid services: , Residential Service: 4 ".~~";"1" ';;:,,-,' Reconnect Only: 1 .. All Other Services: 2 Upon review and approval by your local jurisdiclion, your permit will be e.mailed or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This AuthorIzation To Begin Work expires within 180 days if a permit is not obtained. The local building department may delermine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. Please check all that apply: o A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at150 Volts or less to ground exceeds 14,000 Amps for all other 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 o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three stor o Marinas and boat yards o Floating buildings o Commercial-use agricultural buildings o Installation of a 150 KVA 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 Description ,,:;;;~ FEE'SCHEDULE , - - ...'....~.... "_.-.. ." . ... .....~ Qty. ~Hlri-ch'c;ir.c;~ui~':'i Branch circuits without service or feeder Branch circuits each additional circuit without service gI9ctr'ICal'PennifFe~s Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE ~( ~tI.'b 0.: \Y"' ~ ':\: $55.00 $6.00 $61,00 $7.32 $3.05 $71.37 ~ J,,\~ f>r..' ~~ v--S \J.-~ ():mwlO -tJ,:}?> q fa (lrY\ 4-&-/0 Inspections Phone: 541.726-3769 This Authorization To Begin Work must be posted at the job site un!il replaced by a Permit 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .r"l': CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00396 ISSUED: 04/01/2010 APPLIED: 04/01/2010 EXPIRES: 10/06/2010 VALUE: Status Issued SITE ADDRESS: 210 SEWARD AVE ASSESSOR'S PARCEL NO.: 1703233203500 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Two zone mini-split Owner: SMITH JOEL E & SHERRY M Address: 210 SEWARD AVE SPRINGFIELD OR 97477 Contractor Type Electrical Mechanical I CONTRACTOR INFORMATION ~ Contractor License GMD ELECTRIC INC 162191 EUGENE HEATING INC"::;: 188592 BUILDING INFORMATION. Expiration Date 11/19/2010 Phone 541-726-8601 541-726-7656 # 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 1 st Floor: Sq Ft 20d Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION ~ REQUIRED PARKING Overlay Dist: _ Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: . 1 w rce~rn~.,ou to % of Lot Coverage: ,e.1iENTION: Oregodn bathe Oregon Utility follow.rules adQpt\hJse rules are set lorth ..~. Center. 0 I PUBLIC IMPROVEMEMlI'I>JIi-R 952-001-~btain caples 01 the rules by uJ!'l'e.. You may INDte: the telephone Street Improvements: II ng lIilll'iYl'll1W1fyl'" I' t n :,:0 " . ca I or the Oreg2n Ulility Noti Ica 10 Storm Sewer 4,Yi'ilolPle' . .:~:-: ':..' .~.. " number~El'rt(gflJg"'lJI\Y1Ja:it/S:-2344). SpeciallnstruHi\/rI:lr.;~: ':,,:!~. . ..' THIS"""'" , ., ,. AUTH6~~~~ 3~~~~ ~~P/RE IF THE WORK COMMENCED OR IS AS IS PERMIT /S NOT ANY 180 DAY PERIOD. ANDONED FOR Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Notes: Paee'l of3 .. . Status Issued 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54]-726-3676 Fax 54]-726-3769 Inspection Line .'W" ~" ."... , ". ,.,-~.:, ..... I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amouut Total Value of Project ~. Fee Description + 12% State Surcharge + 5% Technology Fee . ]st Appliance Air Handling Unit Up to ]0,000 Heat Pump + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Orc Ea Add Amount Paid $13.56 $5.65 $79.00 $17.00 $17.00 $7.32 $3.05 $55.00 " $6.00":,,: Total Amount Paid ,;.';<;0' . ~ ...j $203.58- . -,"'j I Plan Reviews ~ Date Paid 4/1/]0 4/1/]0 4(](]0 4/1/]0 4/1/]0 4/6/]0 4(6/]0 4(6/]0 4(6/]0 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00396 ISSUED: 04/0112010 APPLIED: 04/01/2010 EXPIRES: 10/06/2010 VALUE: Value Date Calculated Receipt Number 320]000000000000]]3 320]000000000000]]3 3201000000000000113 320]000000000000113 320]000000000000]13 320]000000000000126 320]000000000000126 3201000000000000]26 320]000000000000]26 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. .. l....ReollirerUnlitnections 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. " ".'"'<.' ... "~ l' '" ,.,.,.~. ., Paee 2 of 3 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00396 ISSUED: 04/01120]0 APPLIED: 04/0]/2010 EXPIRES: ]0/06/20]0 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 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 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 employeeswhoare in compliance with ORS 701.005 will be nsed on this project. I further agree to ensure that all required inspections ace r'eq~~sted at the proper time, that each address is readable from the street, tbat the permit card is located at the front ofth~ prope'fty, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date ',', I' , ~ .-:' \y.; '.d, i~;, I ' " .. .,i:) rn,i' ., .', ""';l, .' ..' 'Pa2e 3 of 3 ;fi-. '\ ' ,,'.1 F': ~ 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone SJ:~;~ Wit City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000126 Date: 04/06/2010 IO:52:54AM Job/Journal Number COM20 I 0-00396 COM20 1 0-00396 COM20 I 0-00396 COM20 I 0-00396 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee .'>; Amount Due 55.00 6.00 7.32 3.05 $71.37 Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid ONLINE CHGS ONLINE PERMIT CHGS njm ONLINE gmd elect Online Payment Total: $71.37 $71.37 ..1 , .."",,'" ~. ;,- "' cReceintl Page I of I 4/6/20 J 0