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Home My WebLink AboutPermit Electrical 2010-5-18 City Of Springfield 225 Fifth 5t. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfreld.or.us QIO'6D?S Residential Electrical Authorization To Begin Work 69600-BEL-10-00214 Approval Code: 031379 5/18/2010 3:38 pm E-mailedTo:gmd@gmdelectric.com o New Construction [X] 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 Volts or less to ground exceeds 14,000 Amps for all other ~~"..lt""'-''''''~ffcA'rEG6RiZoFi[coNsfRIDc'riolii~~--!Jfu-'''Z'l',rn ki~~~1:'tlfi~~:''{S''i!3;'''' ^~". .~.,,,.~ .._"_'k,-~_.._~.,,,,,__,_, ."",_,_,,,_,._:L,,,~~~~~rR~ [Z] 1 or 2 family dwelling 0 Multi-family D Commercial 0 Accessory ~';.~;s,~~1t~noB'siTE)Ni'0RMAJldN:ii:ND;rfu.c.6:floN~T~ Job Address: 2899 WAYSIDE LOOP City/Slale/ZIP: SPRINGFIELD, OR 97477 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 SuitelbldgJapt.no.: Project Name: Laxton Cross Street/directions to job site: Pioneer Parkway Elec lie. no.: 20-537C 162191 State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE CCB lie. no.: Business Name: GMD ELECTRIC lNC Contact: Address: PO BOX 72206 City/StatelZIP: EUGENE, OR 974010291 Phone: 5417417369 Fax: 5419881800 Email: gmdefectric@comcast.net .~ ~Q ~' Metro lie. no.: City lie. no.: Supervising Electrician's lie. no.: 48745, Supervising EI,ectriclan'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 ~\r faxed CoYV1 "l ,.,.... \ L' within one business day, with Instructions on how to schedule your inspet;tion. I IJ \ L.J<-I l./ 5-JQ-IO The 10c..1 building department may determine that an Authorization "to Begin Wor1< is null and ' void If It does not meet applicable land u\su laws and local ordinances. NOTE: This Authorization To Begin Wor1< expires within 180 days If a permit is not obtained. D Hazardous .locations D A service or feeder rated at 600 amps or more D Buildings more than three star o Marinas and boat yards o Floating buildings o Commercial-use agricultural buildings D Installation of a 150 'r0IA 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 $7.32 $3.05 $71.37 ~.\~ t{:j11Y I..:?Q ~~ \J CfJ5 << nM Inspections Phone:.541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit ", . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00588 ISSUED: 05/1112010 APPLIED: 05/11/2010 EXPIRES: 11/19/2010 VALUE: :. ~:'~,,:~ 'rt;' "~,;~: '1, Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 2899 Wayside Lp ASSESSOR'S PARCEL NO.: 1703224102300 Springfiel~ TYPE OF WORK: Heating System TYPE OF USE: New Commercial PROJECT DESCRIPTION: Two-zone mini-split Owner: LAXTON LILY G Address: 2899 WAYSIDE LOOP SPRINGFIELD OR 97477 Contractor Type Electrical Mechanical I CON~~CT~~ INFORMATION " Contractor "" ," License GMD ELECTRIC INC.: 162191 EUGENE HEATING INC'.,.. 188592 BUILDING INFORMATION ~ Expiration Date 11/19/2010 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 Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION . Front yard Setback: Side I Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: i '; J:.,,4;:.l~ f... ~,~'~ '''' ,t:, \' I PUBLlGIMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: ',';r:',' , Sidewalk Type: DownspoutslDrains: Notes: . 't \. J.: i~ Paee 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I.... i~"*',,,, ;~, ~ t." ",.," . .~"" ~ _. ..~Y{~'ji F;,r, i\" .. :r.ia;~-~,. ;.". ' I Valuation Descriotion I Description $ Per Sq Ft or mnltiplier Tvpe of Construction Square Footage or Bid Amount Total Valne of Project "~ Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Heat Pnmp + 12% State Snrcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid $13.56 $5.65 $79.00 $17.00 $17.00,Li $7 32~-"'" . . ~,7";-:i $3.05:.~;::" $55.00 $6.00" .~. --.: . .~'" ,'-Co" .,--..- "t ;-' ~ !l"!,! ".:, \ '..h., Total Amonnt Paid $203.58 I Plan Reviews ~ Date Paid 5/11/10 5/11110 5/1 VI 0 5/11/10 5/1VIO . 5/19/10 5/19/10 5/19110 5/19/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00588 ISSUED: 05/11/2010 APPLIED: 05/11/2010 EXPIRES: 11/19/2010 VALUE: Valne Date Calcnlated Receipt Nnmber 3201000000000000202 3201000000000000202 3201000000000000202 3201000000000000202 3201000000000000202 3201000000000000210 3201000000000000210 3201000000000000210 3201000000000000210 ., , To Request an inspection call the 24 hour r",!,o.rding,~(n.6:3769. All inspections requested before 7:00 a.m, will be made the same working day, in~pections 'requested after 7:00 a.m. will be made the following work day. ..; . l..ReouiretUnsnections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. . ' Rongh Electric: Prior to Cover .':'~:::;: . ::. ':..., , " Final Electric: When all electrical work is ~~;{i~ietr T'" . ..~. -.,. (.~,,.J . '(1 .' Paee 2 of 3 (' -iii"~' .~,~..~ ~ " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00588 ISSUED: 05/11/2010 APPLIED: 05/11/2010 EXPIRES: 11/1912010 VALUE: Status Issued " , .) '~:':" 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line By signature, I 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 Lalvs\of,thli'State of Oregon pertaining to the work described herein, and , _lI. that NO OCCUPANCY will be made of any structure'\vithou(permission of the Community Services Division, Bnilding Safety, I further certify that only contractors and employe~s, who are in compliance with ORS 701.005 will be nsed on this project. I further agree to ensure that all reqnired inspections are requested at the propel' 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 01' Contractors Signature Date " "~. . I , "",,'" ..,1 , :: '~:t' ~ , ; 1',\ \ ~j..;,l.'" i 'l~'" :,' "1,',,..,,' '~4. . " :1" "h~r \!((</t,;.:. .:,:iJ:: :-s.,' i :i': ,.l""-.ct.!' j;,I}if~} " ;,\ t.L;..;,\, ~ ' t'Hi "1;.>. " '.~ . . . .." Paee 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-126-3759 Phone '~.l: City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000210. 7:34:34AM Date: 05/19/2010 Job/Journal Number COM20 I 0-00588 COM20 I 0-00588 COM20 I 0-00588 COM20 I 0-00588 Payments: Type of Payment ONLINE CHGS cReceinll Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Amount Due 55.00 6.00 7.32 3.05 $71.37 ,..".,., Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid njm ONLINE gmd electric Online Payment Total: $71.37 $71.37 ),\~! <' ,t, . ',\,:-.; ,\.'\i,o! ~ .~'::,~ f , \, 'fl' i\~ '<.j' . &"-~ ." . .t".. .\,( ';'-', !rJ". ~'~.:-,~ ,i ,......]c.\< " ii, ~.. f( ~ , . Page I of I i!\5' ,j \,..1: 5/19/2010