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Home My WebLink AboutPermit Electrical 2010-5-7 o \(j . 5i.\Lt Residential Electrical Authorization To Begin Work 69600-BEL-10-00200 Approval Code: 026279 5/7/2010 1 :51 pm E.mailed To: gmd@gmdelectric.com ,'I'i..A"l'Re'VIEW' City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us C"", ."'i 0 New Construction IRJ Addition/afterationlreplacement !" "":"':.ih:C-,\,.E(:rQl~Y'6FiCONSTRl.JC:;TION :'. .?.<' ;t:. IZl 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory i.':' :..... .JOBSITefNF.ORMATION 'ANDiL;OCkTIRN";':".' '.' ..' Job Address: 345 21 ST 5T City/State/ZIP: SPRINGFIELD, OR 97477 Suitelbldg.lapt.no.: Project Name: Gilbert ,-;;. '. " H~' Cross Street/directions to job site: E on Main St, 1ft on 21st 51. ,'- ....;;-. Tax map/parcel no.: 1703361305300 ; .... ....1." ""'. ,. '.' }'. DESCRI!UiRN~Of:WORK.+;i1;.:,.* J-<-"" :i;".' .." install ductles~ system 1/1 with GFCI receptacle .. e +. .. '"Y,''''''' JSITECbNYACT',:~/h, F .. p' ..:, , Name: Norma Gilbert Phone: 541.843-0435 Fax: 541.988-1800 . .. Email: ..,-", i'"' '.; .,......,... ,....i;;.<CQlj:t~CtOFF".,.."Ot" . oF .. . ...;; ., '.>~ Elec lic. no.: 20-537C ceB lie, no.: 162191 Business Name: GMD ELECTRIC INC Contact Address: PO BOX 72206 City/State/ZIP: EUGENE. OR 974010291 -7fi' ".- <.. ..~ 1~ . ,\i .. '" " Phone: 5417417369 Fax: 5419881800 Email: gmdelectric@comcast.net '" Metro lic. no.: City lic. no.: Supervising Electrician's lic: no.: 48745 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 inspect.ion: " . ~;." , , NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. 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 D Fire pumps o Emergency systems o Addition of a new molor load of 100 HP or more D Six or more residential units in one structure D Health care facilities D Hazardous locations D A service or feeder rated at 600 amps or more D Buildings more than three stor o Marinas and boat yards o Floating buildings o Commercial-use agricultural buildings D 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 B~.a~ch"'cir"cuits.{ Branch circuits without service or feeder Branch circuits each additional circuit without service .Electric~J pennit Fees ~..^ y " Subtotal Stale surcharge {12% of permit total Technology fee (5% of permit tOlal) TOTAL PERMIT FEE ~';J ~.\Q~ ~~ W/n 2o/D ~ The local building department may determine that an Authorization To Begin Work is null and <--I/7f') void if it does not meet applicable land use laws and local ordinances. ~,' ,. $55 00 $55.00 $6.00 $6.00 $6100 $7.32 $3.05 $71.37 J.*Q\iLCP ~ \C\.\\) \\.\. OOSYY 5"'-7--'/U Inspections Phone: 541-726.3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit ,: ~i' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,.". .,;" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00544 ISSUED: 04/30/2010 APPLIED: 04/30/2010 EXPIRES: 11/07/2010 VALUE: Status Issued SITE ADDRESS: 345 21ST ST ASSESSOR'S PARCEL NO.: 1703361305300 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Mini-split Owner: GILBERT NORMA D & JAMES E Address: 345 21ST ST SPRINGFIELD OR 97477 Contractor Type Electrical Mechanical I CONTRACTOR INFORMATION I Contractor License GMD ELECTRIC INC 162191 EUGENE HEATING INC 188592 BUILDING INFORMATION I Expiration Date 11/19/2010 Phone 541-726-8601 541-726-7656 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Constrnction Type: # of Bedrooms: #,!Jf Sto.ries: Height of'.Structure . Type of Heat: t . ~. .... ,Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floo.r: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nfa I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0(0.0.1'. L"oi Coverage: ,- ~i REQUIRED PARKING Total: Handicapped: Compact: JOTlCE: ~lt.:'( ",,'" CHIS PERMIT SHALL EXPIRE IF TH~,WORK' ,\UTHORIZED UNDER THIS PERMIT'IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. I PUBLIC IMPROVEMENTS I Sidewalk Type: ATTENTION: Or~ law requires you to follow nDear~,i!ffil Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001. 0090. YOU may obtain copies of the rules by caUlng the center. (Note: the telephone number for the Oregon Utility Notification Center Is 1-800-332-2344). If ~!i - ,t, Street Impro.vements: Storm Sewer Available: Special Instruction: Notes: Page I of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00544 ISSUED: 04/3012010 APPLIED: 04/3012010 EXPIRES: 1110712010 VALUE: 225Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I V alu'ailon D~~criDtion I Description Tvpe of Construction $ Per ~qFt or muliiplier Square Footage or Bid Amount Value Date Calculated 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 Date Paid $11.52 $4.80', $79WO,i,' , $17.00 $7.32 $3.05 $55.00 $6.00 '. "I" 4/30/10 4/30/10 4/30/10 4/30/10 5/7/10 5/7/10 5/7/10 5/7/10 Receipt Number 3201000000000000177 3201000000000000177 3201000000000000177 3201000000000000177 3201000000000000199 3201000000000000199 3201000000000000199 3201000000000000199 Total Amount Paid $183.69 ,Jnim:Reviews '1 ';'. i ",1,., 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. ~eollireCUnsnectio;ns 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. '.- ~ .-.-- .,..-:....,..,.. . ..->~.~h ":8';,:[;:: ,- .~.!>,~~'ti. " ;:r; ," ~r.i Paee 2 of 3 ,~"'~... . "'~T}j~, ._,'~_ '-"_f'i Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .~.~:; i.," \",,1 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00544 ISSUED: 04/30/2010 APPLIED: 04/30/2010 EXPIRES: 11/0712010 VALUE: "; ..1 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 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 employees who are in compliance with ORS 701.005 will be nsed 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 on the site at all times during construction. _ilP>>-"- .....- "~.'- Owner or Contractors Signature Date :\j :., d,. Paee 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 #: 3201000000000000199 Date: 05/07/2010 2:34:00PM Job/Journal Number COM20 I 0-00544 COM20 I 0-00544 COM20 I 0-00544 COM20 I 0-00544 Payments: Type of Payment ONLINE CHGS cReceintl Description Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS . Check Number Batch Number Received By NJM ONLINE ;; ,.....,....... ~'... -- ," -'-' ~':'.'. ';'~~"'" ", ~. ,~,i' r. -.......... "." -" " .; J (~~' , ;, ?'rt~: Page I of 1 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: $71.3 7 $71.37 51712010