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Home My WebLink AboutPermit Electrical 2010-5-6 ~S~~~lNG,~E~D , . '". .;7""" . 'l;:iEi:;~/ ,-tJJ; ,::#r;i~d:';_"~ OREGON City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726~3753 Email: permilcenler@ci.springfield.or.us ~\(). ~1Y-- Residential Electrical Authorization To Begin Work 69600-BEL-10-00195 Approval Code: 021616 5/6/2010 1 :21 pm E-mailedTo:gmd@gmdelectric.com REVfEW:;:.,. ~n;,;,,",! D New Construction (K) Addition/alteration/replacement 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 . .,~.::t\",:*,;.c1.9AtEGO~Y,6FrCONSJRUgiI6N''lkc: "'.' ",., [g] 1 or 2 family dwelling 0 Multi-family D Commercial D~__~~e~s~ry~:\," ';j/ '<'.i ",JOB.$ll'E:'fNF'ORMAl'lor.J:AND LocATION":'_ Job Address: 1 033 DONDEA ST CityfState/ZIP: SPRINGFIELD, OR 97478 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 Suite/bldg.lapt.no.: Project Name: Cronk Cross Street/directions to job site: Jasper Road Tax map/parcel no.: 1802061308800 Total F'" Heat Pump Description Etr~jlc^t1'f'CfrcuiisJ':<"_+,,"ff~i Branch circuits without service or feeder Branch circuits each additional circuit without service Electrical' P~;rmit;Fee-s'f' ' Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE "J.-- '4 :....:; iSITE,CONTACTft,""''', Name: Richard Cronk Phone: Fax: Email: ;.:.;. .... CONTRACTOR.. '" ..,- "........ " .., ," ~.."'~_..?- --'<"- 162191 ~,_.._. Elec lie. no.: 20-537C CCB Iic. no.: Business Name: GMD ELECTRIC INC Contact: Address: PO BOX 72206 City/State/ZIP: EUGENE, OR 974010291 Phone: 5417417369 Fax: 5419881800 ~ I\~ ~ 0-:'\0 .\:J ~ ~ Email: 9mdelectric@comcast.net Metro lic. no.: City lie. no.: SupelVising Electrician's lie. no.: 4874S SupelVising Electrician's Name: MICHAEL K GOWINS Number of inspections included in paid selVices: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 Comruv 10 Upon review and approval by your local jurisdiction, your permit will be e.malled or faxed ..5- ~ _ I " within one business day, with Instwctions on how to schedule your inspection. ._1li4 ,.!..:...:: :.. . ~ '-.-.l ..,j':';":::' ...;.c;,ii;:.., NOTE: This .Authorization To Begin Work expires within 180 days if a permlt is not,oJ:itaiiied. ,~_.~ i '-; . . The local building department may determine that an Authorization To ~~~ln_ Work is null and void if it does not meet applicable land use laws and local ordinances. 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 KYA or larger seperately derived sys D "A" "E" or "1-2" or "1-3" , , o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal "1 $55.00 $55.00 $6.00 $6.00 -;'., $61.00 $7.32 $3.05 $71.37 ~\) ~(2- ~ -00577 N/tV\. Inspections Phone: 541-726..3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line __HI..,: CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00574 ISSUED: 05/06/2010 APPLIED: 05/06/2010 EXPIRES: 11/06/2010 VALUE: Status Issued " - ,. ~t:'I~':" . 'J'. SITE ADDRESS: 1033 DONDEA ST ASSESSOR'S PARCEL NO.: 1802061308800 Springfield TYPE OF WORK: Heating System TYPE OF USE: Move Residential PROJECT DESCRIPTION: Heat Pump Owner: CRONK LOUISE ANN Address: 1033 DONDEA ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION ~ Contractor Type Electrical Contractor License GMD ELECTRIC INC 162191 BU~~,~I~~ I~FORMA T10N ~ Expiration Date 11/19/2010 Phone 541-726-8601 ,# of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: #'61' Sto'ries: --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 DEVELOPMENT INFORMATION ~ REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist:' - # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ Street ImproveJl'l'l'~TION 0 Sidewalk Type: : reg on law requires you to Storm Sewer ,{'Y~?'MJfetles adopted by the Oregon Utility, Downspouts/Drains: Speciallnstnfc!tlori,"atl~n Center. Those rules are s~;/orth"" 'r;, ' m OAR 902-00t -001 0 through OAR 952~OOl.' " Notes: 0090., You may obtam copies of the r01&S b "i.,. NOTICE: calhng the center, (Note: the teleri~i'" Y,.,", THIS PERMIT SHALL EXPIRE IF THE WORK . 'v, "'''' V'''U.Ji! U!illt~, :v,; , " AUTHORIZEO UNDER TH t Center is HOO-332-2 ~ luation Descri COMMENCED OR IS ABANDONED FOR $ Per Sq Ft Square Foot~~~Y 1 SO DAY PERIOD. Description Type of Construction . Value Date Calculated or multiplier or Bid Amount. "'. Pa2e I 012 -'.. " t: CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00574 ISSUED: 05/06/2010 APPLIED: 05/06/2010 EXPIRES: 11/06/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line i~~~1;;;' _. ",i,_\'::.. ,"". ': ',~ I , , ); ,; " ,;:Total Valoe of Project I 'Fees Paid-l Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid $7.32 $3.05 $55.00 $6.00 5/6/10 .5/6/1 0 5/6/10 .5/6/10 Receipt Number 3201000000000000189 3201000000000000189 3201000000000000189 3201000000000000189 Total Amount Paid $71.37" , . I Plan Reviews , 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, in~p~.cti,ons..requested after 7:00 a.m. will be made the following work day. . '::-:'. .-: -. ..' " I ReQ:~ired Insoections ~ Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed applicatioll 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 Ordinaoces 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 allY structure without permission of the Community Services Division, Building Safety. I further certify that only cOlltractors alld employees who are in compliance with ORS 701.005 will be used 011 this project. I further agree to ensure that all required inspection's are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of ttie property, and the approved set of plans will remaill on the site at all times during construction. Owner or COlltractors Signature Date \p~'I2; '..IlL>".;..)1 l. .......,-''"' .,.", ,......... :I(lf'. Palle 2 01'2 225 Fifth Street Springfield,Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000189 Date: 05/06/2010 1:48:5IPM Job/Journal Number COM2010-00574 COM2010-00574 COM20 I 0-00574 COM20 I 0-00574 Payments: Type of Payment ONLINE CHGS cReceint I Descrjption Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS ;, .' Clleck Number R~~~,i!ed ~Y' v. Batch Number NJM ONLINE ~. .Y.'.1'.' ,i.1-", ,,)('ei\' ".f 13' ~,.~- .-.,- -~, "'" i\~iY~Yf" ;;, ( r" .-.l!',;,;\" :':>. "'.'C, ...,......, .n._~.. '"'h''' ;f ~:,it!? ~' i,.' .- Page I of I Item Total: Authorization Number How Received Amount Due 55.00 6.00 7.32 3.05 $71.37 Amount Paid GMD Online ELECT Payment Total: $71.37 $71.37 5/6/20 I 0