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Home My WebLink AboutPermit Electrical 2010-4-27 City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenler@ci.springfield.or.us 0..\ () - Lt'1ltJ Residential Electrical Authorization To Begin Work 69600-BEL-10-00184 Approval Code: 036222 4/27/2010 3:44 pm E-mailedTo:gmd@gmdelectric.com D New Construction IX] Additionfalteralionfreplacement ~CA TEGORYOF;CONSTRUCTlON ~,C'2t ,: "::"":'f.~':j ..1 ", ,'<., ""...,,- ~;'~'F.-.~~+.".. . ~ . T'-' 001 or 2 family dwelling o Multi-family 0 Commercial o Accessory .JOS:SITEINFORMA:TION AND I!.OCATlbN~2.;. Job Address: 3955 S EST City/State/ZIP: SPRINGFIELD, OR 97478 Suite/bldg./apt.no.: Project Name: Sheldon Cross Street/directions to job site: Main St (R) on South 38th Street ' f 'l' Tax map/parcet no.: 1702314403900 ~ Ductless Name: COry Sheldon Phone: Fax: Email: ,. CONTRACTOR Elec lie. no.: 20-537C 162191 ceB Iic. no.: Business Name: GMD ELECTRIC INC Contact: Address: PO BOX 72206 City/State/ZIP: EUGENE, OR 974010291 Phone: 5417417369 Fax: 5419881800 Email: gmdelectric@comcasl.net Metro lie. no.: City Iic. no.: Supervising Electrician's lie. no.: 4874S 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-mailed or faxed within one business day, with instructions on how to schedule your inspectic;m.. '. .,_ NOTE: This Authorization To Begin Work expires within 180 days if a permit is not 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. ie 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 o Fire pumps o Emergency systems D Addition of a new motor load of 100 HP or more D Six or more residential units in one structure D Health care facilities D Hazardous locali~ns D A service or feeder rated at 600 amps or more o Buildings more than three stor o Marinas and boat yards D Floating buildings D 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 ~ranch'cii"cuitS. Branch circuits without service or feeder "','I" "F,EI;:~fHEDLitE" J '. Qty. Branch circuits each additional circuit without service ~19ctrical Permit Fees:~f Subtotal State surcharge {12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE , '. ~~ \\,\ ,,"T;"f' , ~, I $55,00 $55.00 $6.00 $6.00 I -, ~ ; $61.00 $7.32 $305 $71.37 ~.,o P<-.'();; ~<J..:- ~ ~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit ',.- Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00496 ISSUED: 04/22/2010 APPLIED: 04/22/2010 EXPIRES: 10/28/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3955 S E ST ASSESSOR'S PARCEL NO.: 1702314403900 Springfield TYPE OF WORK: Heating System TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Two zone mini-split, C.f .,.~;~ t ". Owner: SHELDON CARY & MARGARET D Address: 3955 S E ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION ~ Contractor Type Electrical Mechanical Contractor License GMD ELECTRIC INC 162191 EUGENE HEATING INC 188592 BUILDING INFORMATION. Expiration Date 11/19/2010 Phone 54 I - 726-860 I 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 I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: u/a I DEVELOPMENT INFORMATION ~ , ~":'''';' REQUIRED PARKING Total: Handicapped: Compact: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: , Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS ~ Street Improvements: Sidewalk Type: , .' ,NOTICE: DOWH1&1"~nW!~fTHE WORK ." ';;~~~H6~~16~NDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Storm Sewer Available: equlres you to ' Specialljtttre!\.l\llfDN: Oregon ~a~;e oregon Utility. , follow rules adopted Jse rules are set fort!j' Notes: Notification Center. T\rough OAR 952-001- in OAR 952-001-0g~~ copies of the rules by 0090 You may 0 Note' the telephone caliing the center. (on uiility Notification number lor the, or1e~00_332-2344). Center IS - I ,'J ,..-..-1.,'-;...'..,.,........ "',.. .. '~.._~;~~. - - .~ .,;,<;;;cis, t$'.'1' lill!age 1. of 3 ...... 'J C ll,^r Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description ~ Descriotion $ Per Sq Ft or mnltiplier Tvpe of Constrnction Sqnare Footage or Bid Amonnt ..;r.otal Valne of Project \ t~, l' ',' .J,', . ~ (: Fee DescriDtion + 12% State Snrcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Heat Pnmp + 12% State Snrcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amonnt Paid Total Amonnt Paid $13.56 $5.65 $79.00 $17.00 $17.00 $7.32 $3.05 $55.00 $6,,00 " $203.58 I Plan Reviews , Date Paid 4/22/10 4/22/10 4/22/10 4/22/10 4/22/10 4/28/10 4/28/10 4/28/10 4/28/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00496 ISSUED: 04/22/2010 APPLIED: 04/22/2010 EXPIRES: 10/28/2010 VALUE: Valne Date Calcnlated , Receipt Nnmber 3201000000000000163 3201000000000000163 3201000000000000163 3201000000000000163 3201000000000000163 3201000000000000170 3201000000000000170 3201000000000000170 3201000000000000170 To Request an inspection call the 24 hourr,~,~~rdlrigia.'t 7i~,~3769. All inspections requested before 7:00 a.m. will be made the same working day, i1f~p'~ctioh-~requested after 7:00 a.m. will be made the following work day. "'!:""', ..."., [..ReolliredJnsnections I Rongh 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. " , ~ '" . ~ .. ",". . Pa2e 2 of 3 -irjil Status ("....~:- , ~ ;lr:~' >.;~;" Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 I nspection Line - ,,-t~.., , .~ f 'i.~,~"; :l,-};,\ >. . ~ " ,",' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00496 ISSUED: 04/22/2010 APPLIED: 04/22/2010 EXPIRES: 10/28/2010 VALUE: By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any aud 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 the property, and the approved set of plans will remain ou the site at all times during construction. Owner or Contractors Signature . ~--'.,"" '-,:.,"-: .~_:::'" ;,Jo ,.... "'. 'it:~~r ':I;tt";l'n:::" i ,-. ." roo' /:t ...:_;;1,_,..:, ....1 ; ,t ~ . ."ji-J; ~; ^,; " '7 f<"t~~; ;~~~f' ~~r,:'_,;_ . ' ! .~ Pa!!e 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 #: 7:44:42AM 3201000000000000170 Date: 04/28/2010 Job/Journal Number COM20 I 0-00496 COM20 1 0-00496 COM20 1 0-00496 COM20 1 0-00496 Payments: Type of Payment ONLINE CHGS cRcccintl 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 Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Receiyed By Batch Number Number How Received Amount Paid GMD Online Payment Total: $71.37 $71.37 NJM ONLINE ,I, . :1['" -,,',.n' ~ i, { '~'h\.i(. , 1,", .'~ '. ~ 1 . "," ....J,~" ~..;'" ~" ';.Ii:t .' . Page 1 of 1 4/28/20 I 0