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Home My WebLink AboutPermit Electrical 2010-4-12 SPRINGFIELD. ~.."'.,;"".. .....'."l~.. " . . '<,.~.~ <'. J<"C- . ~;+Ji./,.,. '~"";'J ,,:,c.:: OREGON City Of Springfield 225 Fifth 5t. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfieJd.or.us C-l0-lt-3~ Residential Electrical Authorization To Begin Work 69600-BEL-10-00165 Approval Code: 031385 4/12/2010 3:58 pm E-mailedTo:gmd@gmdelectric.com o New Construction I&J Addition/alteration/replacement i;~i:~}?,f~~~~d;;~T~ij,';~t~{;\~';~'GA':t~G'O'~'i;W~.F:rC,pNSr~.i.IQTj6N.~:tf~;;:j}fY:~~~~f{t~~i:,.:;:.'~s~a~:y [Z] 1 or 2 family dwellJng 0 Multi-family D Commercial 0 Accessory i~~~~~~n;~~.~~~~:oBIsJfEIiN~,0RMAT.iONr~N'D}irOG~>f1oN.~~~:;,.jJ~1;'M"~~*:Jl1:~'~ Job Address: 1197 S 39TH ST 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 Volts or less to ground exceeds 14,000 Amps for all other City/State/ZIP: SPRINGFIELD, OR 97478 o Fire pumps o Emergency systems D Addition of a new motor load of 100 HP or more o Six or more residential units in one structure o Health care facilities Suite/bldg./apt.no. : Project Name: Adams Cross StreeUdirections to job site: Jasper Road Tax map/parcel no.: 1802064108403 Heat Pump/Air Handler Branch circuits without service or feeder Branch circuits each additional circuit without service Name: Gary Adams Phone: Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) Fax: Emal1: Elee lic. no.: 20-537C cce Iic. no.: TOTAL PERMIT FEE 162191 Business Name: GMD ELECTRIC INC Contact: Address: PO BOX 72206 City/State/ZIP: EUGENE, OR 974010291 Phone:5417417369 Fax: 5419881800 Ema!l: gmdelectric@comcast.net Vletro lic..no.: City lic. no.: Supervising Electrician's lic. no.: 48745 Supervising Electrician's Name: MICHAEL K GOWlNS "'umber of inspections included in paid services: ~esidenljal Service:' 4 ~econnect Only: 1 ~II Other Services: 2 D Hazardous locations D A service or feeder rated at 600 amps or more D Buildings more than three stor D Marinas and boat yards o Floating buildings o Commercial-use agricultural buildi~gs 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 valls nominal 2 $6.00 $12.00 $67.00 $8,04 $3.35 $78.39 Jon review and approval by your local jurisdiction, your permit will be e-mailed or faxed I' _...... 1'\ J ,......... \ 0 f)f--/ i 2 '1 lh;o o",b,,'om d.y, w;'h;",""UO", on how to "h.d,l. yo" In'p"Uoo. W y \W. -- ~ c;>j )TE; This Authorization To Begrn Work expires within 180 days If a permit is not obtained. . Ie local building department may determine that an Authorization To Begin Work is null and L\ -13...-' ION M- lid if it does not meet applicable tami use laws and local ordinances. 1 Inspections Phone: 541-726-3769 This Authorization ToBegin Work must be posted at the job site until replaced by a Permit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00432 ISSUED: 04/06/2010 APPLIED: 04/06/2010 EXPIRES: 10/13/2010 VALUE: 225 Fifth Street, Springfield, OR . 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1197 S 39TH ST ASSESSOR'S PARCEL NO.: 1802064108403 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler Owner: ADAMS GARY LEE & LINDA SUE Address: 1197 SO 39TH SPRINGFIELD OR 97477 " Phone Number: 541-726-9616 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor License GMD ELECTRIC INC 162191 COMFORT FLOW HEATING CO. 460 BUILDING INFORMATION ~ Expiration Date 11/1912010 06/2712011 Phone 541-726-8601 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I ~;..........' ;....,. ..... . '. REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Oist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd:' . Compact: % of Lot Coverage: . to ATTENTION: Oregon ;aw re6~~e~X'~fti\ity PUBLIC IMPROVEME ation Center. Those rUle~~~ :;2-001- R 95?_nn1-0Q1 0 through b In OA ~M.l"dtJtaIlXlt.'t!pieS of the rules Y 0090.. You may' JilIRllr the telepho~e , calling tl1lllGtill~t on'tlflfliy Notification "numberfor the. T1e8g00_332-2344). Center IS - Street Improvements: Storm Sewer Available: Spe~W.~~tion: HE WORK NU ll"~. L EXPIRE IF T NotekHIS PERMlri ~~~~R THIS PERMIT \S NOT. AUTHORIZE R IS ABANDONED FOR '. rOMMENCED 0 ANY i 80 DAY PERIOD. L> ~. " ,I", ,; ..."'., -. ~ .' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description ~ Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project ~' Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid' ::, $11.52 $4.80 $79.00 $17.00 $8.04 $3.35 $55.00 $12.00 Total Amount Paid $190.71 I' Plan Reviews ~ Date Paid 4/6/10 4/6/1 0 4/6/10 4/6/10 4/13/10 4/13/10 4/13/10 4/13/10 -, CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00432 ISSUED: 04/06/2010 APPLIED: 04/06/2010 EXPIRES: 10/13/2010 VALUE: Value Date Calculated Receipt Numher 3201000000000000130 3201000000000000130 3201000000000000130 3201000000000000130 3201000000000000145 3201000000000000145 3201000000000000145 3201000000000000145 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. '.;~A:~' ;::;("}1!~ ""I~' ~e(JlliredJnsnections ~ 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. Pa2e 2 on Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line . ~~\;/ :;:' ;,,'" ", .,,;^.~~ '.',"" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00432 ISSUED: 04/06/2010 APPLIED: 04/06/2010 EXPIRES: 10/1312010 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] 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 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 ihe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature A.M\{' .. \.5/J, .. , ".;,;).;:..1 . , ~ ." -.j !' . ~~ 1t. '1. Paee 3 of 3 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000145 Date: 04/13/2010 7:24:14AM Paid By ONLINE PERMIT CHGS . :.': . (~ " : R~ce~ved By nlm Check Number Batch Number Item Total: Authorization Number How Received Amount Due 55.00 12.00 8.04 3.35 $78.39 Job/Journ~,1 Number COM20 I 0-00432 COM20 I 0-00432 COM20 I 0-00432 COM20 I 0-00432 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Payments: Type of PaYOlent ONLINE CHGS Amount Paid ONLINE gmd elect Online Payment Total: $78.39 $78.39 .' ":;-, "","',', ." _",.t: 1;'" ;" . ~~ ,'.' ,.<i; .. ,~ I' cReceintl Page I of 1 4/13/20 I 0