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Home My WebLink AboutPermit Electrical 2010-5-14 S:~.~~~:~.L.~ ~ ~';REGON City Df Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us Residential Electrical Authorization To Begin Work 69600-BEL-10-00209 Approval Code: 091538 5/14/2010 2:16 pm E-mailedTo:gmd@gmdelectric.com [.' .~ "... - '''''''-",. ....~'" .;-:) . PLAN REVIEW'" t'e; ," *"'~\ .' TYPE,DF WORK, : o New Construction [[] Addition/alteration/replacement Please check all that apply: D A service or feeder beginning at 400 Amps where the available fault currenl exceeds 10,000 Amps at 150 Volts or less to ground exceeds 14,000 Amps for all other CATEGORY OF'CONSTRUCTION D Multi-family 0 Commercial D.Accessory 00 1 or 2 family dwelling 'JOB SITEINFORMATIDN ANDLOi:;ATIDN~;:' - : ~ ./"'-:<\ t';i:;' Job Address: 2725 MERRYHILL CT CityfState/ZIP: SPRiNGFIELD, OR 97477 D Fire pumps D Emergency systems D Addition of a new motor load of 100 HP or more o Six or more residential units in one structure o Health care facilities Sulte/brdg./apt.no.: Project Name: Fish Cross Street/directions to job site: Yolanda, rt on 23rd, rt on Viewmont, 1ft on Merryhill Ct. Tax mapfparcel no,: 1703244101200 , ,~~EE'SCHEDULE Qty, Heat Pump Air Handler Bran:ch clfcuits . .~,--. Branch circuits without service or feeder Branch circuits each additional circuit without service I. Name: Jackie Fish Phone: 541-726-2685 Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) Fax: Email: .CONTRACTOR Elec Iic. no.: 20-537C 162191 TOTAL PERMIT FEE CCB lic. no.:' ,";.,......, . ....' '~'," Business Name: GMD ELECTRIC INC ".';~,a:. .1,.1L: Y.;~... e.\CJ.loO~ o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than threestor o Marinas and boat yards o Floating buildings o 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 $6.00 $12.00 ,;/"!--. $67,00 $8.04 $3.35 $78.39 ()D -\j08'--",~ 'S-{IGllID ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-Q01-o01 0 through OAR 952-001. 0090. You may obtaIn copIes of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Contact: Address: PO BOX 72206 City/State/ZIP: EUGENE, OR 974010291 Phone: 5417417369 Fax: 5419881800 Email: gmdelectric~fi}:T.GE: THIS PERMI " Metro Iic. no.: Supervising Electri ia Supervising Electric' Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one buslnes$ day, with Instructions on how to schedule your Inspection. NOTE: This Authorization To Begin Work expires withIn 180 days If a permit is nol 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 lo&al ordinances. ~.;._,; --. ,'~'FfiEf. '3&.. _~\}'.:..: '. Insi>e.Et!ons Ph?~e: 541-726-3769 This Authorization To Begin Wor~.must be posted at the job site until replaced by a Permit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00608 ISSUED: 05/14/2010 APPLIED: 05/14/2010 EXPIRES: 11/1412010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2725 MERRYHILL CT ASSESSOR'S PARCEL NO.: 1703244101200 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Install heat pump and air hand1er in residence. Residential Owner: GARCIA JOHN & INGEBORG K Address: 2725 MERRYHILL CT SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION . Contractor Type Electrical Mechanical Contractor GMD ELECTRIC INC COMFORT FLOW HEATING CO." " License 162191 460 Expiration Date 1l/19/2010 06/27/2011 Phone 541-726-8601 541-726-0 I 00 BUILDING INFORMATION' # 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: Occnpant Load: n/a I DEVELOPMENT INFO~N: Oregon Iaw.!tcw1res.YRU,.tpn . .~. '. follow rules adopted by tNGt\llf31l\'JfiHtfKING Frontyard Setback: ' " ,'. _Qy,erlay Dist: NotlficatlonCenter. ThoSeljllJAA,aresetfol1ll Side I ~1tE: Elf iHE Wl.J#IStreet Trees Rqd:1n OAR 952-Q01-0010throuaIJE1- Side 2 ~ r,sIpERMIT SMAU. EXPIR ERM\1 \S >>a"ted Drive Rqd: 0090. You may obtain cop : ules by Rearyaril', ~m:ZED UNDER THIS P OR % of Lot Coverage: calling the center. (Note'e ephone Solar Setll~" D OR IS ABANDONED f number for the Oregon UtilIty Notification IIvlENCE , Center Is 1-800-332-2344 . ANY 180 I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: . ",",r i Sidewalk Type: . Downspouts/Drains: Notes: :>jJl", 'd. II Co..1 "'~~"~:':", "...".,. '-' "." I I:>~.tij ";"'1 ,.~';~' .'~ ''':Pae:e 1 of 3 "".,...;--.... ... :',"<.. ,-:~t;'r', "~'..;, Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description ~ Description $ Per Sq Ft or multiplier Type of Construction Square Footage or Bid Amount Total Value of Project 'FeesP~id I ...,.,.,\' , "~_~'.~: ,~; ii' Amount Paid' Fee Description + 12 % State Surcharge + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee 1 st Appliance Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Heat Pump $8.04 $11.52 $3.35 $4.80 $79.00 $55.00 $12.00 $17.00 Total Amount Paid $19~,71 ,,,'. I Plan Reviews ~ Date Paid , . 5/14/10 5/14/10 5/14/10 5/14/10 5/14/10 5/14/10 5/14/10 5/14/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00608 ISSUED: 05/14/2010 APPLIED: 05/14/2010 EXPIRES: 11/14/2010 VALUE: Value Date Calculated Receipt Number 1201000000000000462 1201000000000000453 1201000000000000462 1201000000000000453 1201000000000000453 1201000000000000462 1201000000000000462 1201000000000000453 To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, in~p.~cti!'!1s..requested after 7:00 a.m. will be made the following work day. [-':Ii; ~";;;:..:' 'ff"1^'$ ; ,>.~'t,r;, 1 ' Reduired'hisoections 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. ',;i ';" Pa~e 2 of 3 .'1'\" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00608 ISSUED: 05/14/2010 APPLIED: 05/14/2010 EXPIRES: 11/14/2010 VALUE: - ,", -<::~~ .x~ ':-"it'. Status Issued .. i \' ~ "'",.':' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, 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 1 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 descrihed herein, and that NO OCCUPANCY will he made of any strncture without permission of the Community Services Division, Building Safety. 1 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 on the site at all times during construction. Owner or Contractors Signature Date ',r, .....,.... . ~':. ~J"--:_. ".i,Jj., ..-..~"J.r,\ ;P I '1,,' ~ l: ", ',\ ," .! j< oJ. ~':' .;. F, ,.''ti'" ", ",} ~ i 4., ',j' Paee3 01'3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~,~::~~.. L: City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000462 Date: 05/14/2010 2;51 :48PM Job/Journal Number COM20 1 0-00608 COM20 1 0-00608 COM20 1 0-00608 COM20 1 0-00608 Payments: Type of Payment ONLINE CHGS cReceintl Description Add, Alter, Extend Clrc . Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Amount Due 55.00 12.00 8.04 3.35 $78.39 Item Total: Check Number Authorization Received By Batch Number Number How Received KR .....".;;.,j:, . ~I.;t:'l ':J .. ~','... ;,'?.;I(t ....~lJ! 'j'r ,,':,1 ., "\[, ~:.~ ;1" Page 1 of 1 Amount Paid ONLINE GMD Online ELECTRIC Payment Total: $78.39 $78.39 5114/2010