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Home My WebLink AboutPermit Electrical 2010-5-5 City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us <::\0. t::GO Residential Electrical Authorization To Begin Work 69600-BEL-10-00193 Approval Code: 025422 5/5/2010 3:21 pm E-mailedTo:gmd@gmdelectric.com PL:AN REVIEW f.i D New Construction IX] Addition/alteration/replacement Please check all that apply: o 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 ," ':;~.;c;a.TE:G6RY'OF;i::QNSTRUi::iioN',,~ " 0.1 D Multi-family 0 Commercial D Accessory IKI I:' 1 or 2 family dwelling ", 'JOB-SITE'INFORMATION AN'o' LOCA liON Job Address: 4825 E ST City/State/ZIP: SPRINGFIELD, OR 97478 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 o Health care facilities Suitelbldg.lapt.no.: Project Name: Rigsby Cross Streetldirectlons to job site: 48th Street Tax map/parcel no.: 1702332302101 D Hazardous locations D A service or feeder rated at 600 amps or more o Buildings more than three star D Marinas and boat yards o Floating buildings o Commercial-use agricultural buildings D Installation of a 150 KVA 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 ;~f';;;f~;;~gg~fl;lg[)uC.~' Description Qty. Brahct1 Urc'uffiV < y Branch circuits without service or feeder Branch circuits each additional $6,00 circuit without service Electricai:PehnifFges~;,,:r:<:~+" />l5:f~', "i,:..,j~ _:b. ,-,o:';":'f.r:;:;. pE!;li::~IPJIONQ~:W(jRK' , ,"'> 'c,. Ductless Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE "', ~SjT:E(':bNlAc:t, Name: Marv Riqsbv Phone: Fax: Email: . ~ -H\. _," ~" > ,iF ";~7,90NTRAC,TOR" Elec lie. no.: 20-537C 162191 CCB lie. no.: Business Name: GMD ELECTRIC INC Contact: Address: PO BOX 72206 CitylState/ZIP: EUGENE, OR 974010291 Phone: 5417417369 Fax: 5419881800 Email: gmdelectric@comcast.net ~ ,~ ~ \(\.\0 \\" Metro lie. no.: City lie, no.: Supervising Electrician's Iic. 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 ,~_":'ifu $55.00 $55 00 $6,00 $61.00 $732 $3,05 $71.37 '~ :s ."1. \0 lJ\ "S Q (2-,. W Upon review and approval by your local jurisdiction, your permit will be a.mailed or faxed within one business day, with instructions on how to schedule your inspection. W'Y\WlO &C{l ~lO , __CfJ580 ()rYI NOTE: This Authorizatfon To Begin Work expires within 180 days if a permitls not obtained. The local building department may determine that an Authorb:ation To Begin Work is null and void if il does nol meel applicable land use laws and local ordinances. Inspections Phone: 541,726.3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00520 ISSUED: 04/27/2010 APPLIED: 04/27/2010 EXPIRES: 10/06/2010 VALUE: 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4825 E ST ASSESSOR'S PARCEL NO,: 1702332302101 Springlield TYPE OF WORK: Heating System L_. ~'j'/{~l i;~J J :'" TYPE OF USE: New Residential PROJECT DESCRIPTION: Install dnctless system ';'." '" ''''~~., " Owner: MARY L RIGSBY REVOCABLE TRUST Address: 4825 E ST SPRINGFIELD OR 97478 Phone Number: 541-746-8715 I CONTRACTOR INFORMATION ~ Contractor Type Electrical Mechanical Contractor GMD ELECTRIC INC COMFORT FLOW HEATING CO. . License 162191 460 Expiration Date 11/19/2010 06/27/2011 Phone 541-726-8601 541-726-0100 ,,",,+' . BUILDING INFORMA nON i # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Construction Type Secondary Constrnction Type: # of Bed rooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sjfrinkled:BiJilding: : _;.r'i'-'~ . t': " ~ ' Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occnpant Load: n/a I DEVELOPMENT INFORMATION ~ Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: "DTICE: HIS PERMIT SHALL EXPIRE IF THE WORK ,UTHORIZEO UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ., ANY 180 DAY PERIOD. I PUBLIC IMPROVEMENTS ~ Sidewalk Type: " ATTENTION: Oregon law r,equires you 10 foll,ow rUlejl9.l1!ll!i'tlll~regon Ulility Notification Center. Those rules are set forth In OAR 952..(1()1..(1()10 through OAR 952-001- 0090. You may oblaln COpies of the rules by calling the center. (Note: the telephone IllUInber for the Oregon Utility Notlflcatjon Center III 1-800-332-2344). . .,.~,.~~, . Street Improvements: Storm Sewer Available: Special Instruction: ,-. j' Notes: , \H\: ~);. U:>", ;,. ' ,........., .;,,'j '/Lt~fi ;+;1" , ''''', ", . Page I of 3 ~'!:l'?:'!;; m;<;. ~ .1 , 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 ,,;T;~tal; V,alue, of Project <'; ,..,'. I' , ~ ':\" '" Fee Description + 12% State Surcharge + 5% Teehnology Fee 1st Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Exteud Circ Ea Add Amount Paid Date Paid $ 11.52 $4.80 $79.00 $17.00 $7.32 $3.05' , $55.00 $6.00 4/27/10 4/27/10 4/27/10 4/27/10 :5/6/10 5/6/10 5/6/10 5/6/1 0 Total Amount Paid . "'j ,.. $183.69 . I Plan Reviews ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00520 ISSUED: 04/27/2010 APPLIED:' 04/27/2010 EXPIRES: 10/06/2010 VALUE: Value Date Calculated Receipt Number 3201000000000000169 3201000000000000169 3201000000000000169 3201000000000000169 3201000000000000187 3201000000000000187 3201000000000000187 3201000000000000187 To Request an inspection call the 24 hour r~cprdjng ,\It 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, in,sp,~ctio.ris,n;quested after 7:00 a.m. will be made the following work day. ~'~~j-." "\;:,;~. lJenilireCUnsnections ~ 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 co~plete. " Paee 2 of 3 ::.;;~.!.. ,H~iif.ll~~' . ~ ~. ~~ .>, . .0(1'1 ~'l)."..." ....::.,:i , ;,.~,;_.~.:-. ~" ~' Status Issued 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line : :~", CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00S20 ISSUED: 04/27/2010 APPLIED: 04/27/2010 EXPIRES: 10/06/2010 VALUE: By signature, 1 state and agree, that I have carefully examined the completed application and do herehy 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 Springtield and the Laws of the State of Oregon pertaining to the work descrihed 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 Date , ~+J1.o. ~r.'" ':. ~.,,{i,t'. -~}':{' i.:',- ' !,,' ;,:' it'I:". ,: ,f#..~' " , .:c',"')':"" f.~1;~~_~ ,V;1:!; I "r Pa2e.3 01'3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000187 8:07:37 AM Date: 05/06/2010 Job/Journal Number COM20 I 0-00520 COM20 I 0-00520 COM20 I 0-00520 COM20 I 0-00520 Payments: Type of Payment ONLINE CHGS cReceintl Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 55.00 6.00 7.32 3.05 $71.37 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add. . ' . ... + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Amount Paid nJm ONLINE gmd elect Online Payment Total: $71.3 7 $71.37 " .' f: .. ~.,J ... ' . !. ....f. Page I of I 5/6/20 I 0