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Home My WebLink AboutPermit Electrical 2010-5-14 sp~.r,,~~~ L~~ ~OREGON .-~- D New Construction City Of Springfield 225 Fifth 51. Springfield, OR 97477 Phone: 541-726.3753 Email: permilcenter@C.i.springfield.or.us (l\6 .C::jl~ Residential Electrical Authorization To Begin Work 69600-BEL-10-00208 Approval Code: 011430 5/14/2010 2:10 pm E-mailedTo:gmd@gmdelectric.com PLAN REVIEW"", . [Rl Addition/alteration/replacement CATEGoilioFCONSTRUCTION o Multi-family D Commercial o Accessory Job Address: 935 V ST 'JOB SITE INFORMATION ANDLoc'ATION{ . Suite/bldg./apt.no.: CitylStatefZIP: SPRINGFIELD, OR 97477 'j. Project Name: Dworshak Cross Street/directions to job site: E on Hayden Bridge Rd, rt on 10th St, rt on V St Tax map/parcel no.: t1"." 1703261202800 install ductless system and GFCI receptacle ,DESCRIPTION OF WORK'.0'QF.o", '-c~' '" Name: A & M Dworshak Phone: 541-746-1992 Email: Elec Iic. no,: 20-537C ~~ '. ?SITE.CONT ACT .' :'''j-''''''''*'''''...I . ",i Fax: " ,,', [TCONTRACTOR'';;>'. ceB lie. no.: 162191 Business Name: GMD ELECTRIC INC Contact: Address: PO BOX 72206 City/State/ZIP: EUGENE, OR 974010291 Fax: 5419881800 Phone: 5417417369 Emall: gmdelectric@comcastnet City lic; 'nd::,;,'~',',:l~~~?j"~;"'-' HAU.8E)(PIRE IF THE WOR sup."';';ng\'ll'TtfIf@P.~~~: U N [)!\iia,r.hlIfuB Number of in~~tt~~i ttJCJiO i i e Re,;deol;" ~,"7'fe180 rYAY PERIOD. Reconnect Only: .1 All Other Services: 2 Upon review and approval by your local Jurisdiction, your pennit will be e-malled or faxed within one business day, with Instructions on how to schedule youri nspectlon. NOTE: This Authorlzallon To Begin Work expires withIn 180 days If a permit Is not obtained, The local bultdlng department may determine thilt im Authorization To Begin Work 'Is null and void If It does not meet ilppllcable land use laws and local ordinances. -~ 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 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 D Commercial-use agricultural buildings D Installation of a 150 I0JAor larger seperately derived sys D "A", "E", or "1-2" or "1-3" D Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal Ji $55,00 $55.00 .--"1 D' Fire pumps D 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 "~;;:J"~-,_;:;;t<}..;_~~ic ,~ Description ~!arich:,~_i_r~uits Branch circuits without service or feeder Branch circuits each additional circuit without service EJectric~1 Pe~R1itF~e's.:_~;;'~" ,'"" Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE CJD-5')L) $6.00 $6.00 $61.00 $7,32 $3.05 $71.37 IdL- 511LJ\IO ATTENTION: Oregon law requires you to folI~w r~les adopted by the Oregon Utility Notlticaflon Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- " 0090.. You may obtain Copies ot the rules b calling the center. (Note: the telephone y number for the. Oregon Utility Notification Center IS 1-800-332-2344). InspectiQns Phone: 541,726-3769 This Authorization To Begin wo~,€.i1i~~st ~~..p.?~ted at the job site until replaced by a Permit , ;;,'.' Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00579 ISSUED: 05/07/2010 APPLIED: 05/0712010 EXPIRES: 1lI1412010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 935 V ST ASSESSOR'S PARCEL NO.: 1703261202800 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Mini-split ductless heating system and GFCI receptacle. Residential ,<;,"-; Owner: DWORSHAK MICHAEL R & AGNES' " Address: 935 V ST .. ,; SPRINGFIELD OR 97477 Contractor Type Electrical Mechanical I CONTRACTOR INFORMATION ~ Contractor License GMD ELECTRIC INC 162191 EUGENE HEATING INC 188592 BUILDING INFORMATION , Expiration Date lI/19/2010 Phone 541-726-8601 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION ~ '.,' REQUIRED PARKING ... .,"., Frontyard Setback: ":Ov~rlay Dist: Total: S~de 1. Setback: ",.,"",;i;!;!:,,;;,,:~iStreet~rees Rqd: Handicapped: SIde 2 Setback: ," r..ft'\~nve Rqd: Compact: Rearyard Sfl\Jllf~t: ~I'IRE. If 1\\t."~~'c/ft Coverage: ATTENTION: Oregon law requires you~o Solar Setback\! , r:oNlI15,",r>.LL IS pE.RNlI1 \5, follow rules adopted by the Oregon Utility .,.u <:." , , ' rth ~\n\10R\ OR IS r>.BJI,l'\O UBLIC IMPROVEME ~ R 952-001-0010 through OAR 952-001- ri'lMME.l'\CE.O 00' YO~y'.o)jtain copies of the rules by Street Improvements:O OJl,Y I'E.R\ . I'" t U Dgm~r.rlll'..lote: the telephone ",NY '\ li ca Ing e '\, , '1' ti n Storm Sewer Available: number iDfi~Pi\UtMll-MM~y Nolllca 0 Special Instruction: Center is 1-600-332-2344). Notes: ~ I: Paee 1 of 3 ,',. . S:".l'\;I, k'., n:.; '.j:, Status ;,:.,1 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line }'.. I Valuation Description ~ Description $ Per Sq Ft or mnltiplier Type of Construction Square Footage . or Bid Amount Total Value of Project Fees Paid I 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:~~\:' l,,~;i';>. ;;:;:(1.. $17.00 :..i " $7.323. . $3.05 $55.00 $6.00 Total Amount Paid $183.69 Plan Reviews I: . " Date Paid 5/7/10 5/7/10 5/7/10 5/7/10 5/14110 5/14/10 5/14/10 5/14/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00579 ISSUED: 05/07/2010 APPLIED: 05/07/2010 EXPIRES: 11/14/2010 VALUE: Value Date Calculated Receipt Numher 3201000000000000196 3201000000000000196 3201000000000000196 3201000000000000196 1201000000000000461 1201000000000000461 1201000000000000461 1201000000000000461 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. Reouired InsDections . Rough Mechanical: Prior to Cover ! ....,~~ Final Mechanical: When all mechanical work;.!~ complete. V' .J Rough Electric: Prior to Cover . . Final Electric: When all electrical work is c~';"plete. ""'",..' i. ,. Paee 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .. .> '.. :;;\i: CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00579 ISSUED: 05/0712010 APPLIED: 05/07/2010 EXPIRES: 11/1412010 VALUE: By signatnre, 1 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. 1 further certify that only contractors and employees who arc in compliance with ORS 701.005 will be used on this project. 1 further agree to ensure that all required inspections arc requested at the proper time, that each address is readable from the street, that the permit card is located ai the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature '\(~~~ """.V",,, c . <,' " :i"'r~i '~:l' 'i'" Paee 3 of 3 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone U:;:' Ia City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000461 Date: 05/14/2010 2:51:0IPM Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 55.00 6.00 7.32 3.05 $71.37 Job/Journal Number COM20 I 0-00579 COM20 I 0-00579 COM20 I 0-00579 COM20 I 0-00579 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment ONLINE CHGS Amount Paid KR ONLINE GMD Online ELECTRIC Payment Total: $71.37 $71.37 ,. . " " ..',.~"40- . tr.:; '..0.... '. .:11 ,;,;;,.-~.:.:~. .' .':~ i~:';."". cReceintl Page I of I 51! 4/20 I 0