HomeMy WebLinkAboutPermit Electrical 2010-5-21
City Of Springfield
225 Fifth 5t.
Springfield, OR 97477
Phone: 541-726.3753
Email: permitcenter@ci.springfield.or.us( "ll.- ~.
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o New Construction
IRJ Addition/alteration/replacement
CATEGO~Y OFCONSTRUQTI6N:i;~"
1KJ 1 or 2 family dwelling
o Multi-family 0 Commercial
D Accessory
..JOB'SITE.lNFORMATioN'AND LOCi>. TION:
Job Address: 5083 G 8T
CityfState/ZIP: SPRINGFIELD, OR 97478
Suite/bldg./apt.no.:
Project Name: Dowdy
Cross Street/directions to job site: E on Main, 1ft on 48th, rt on G 51
Tax map/parcel no,:
1702332300110
install ductless system and GFCI receptacle
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Name: Ed Dowdv
Phone: 541-726-9984
Fax:
Email:
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'CONTRACTOR,'. ,; 'r."
Elee lie. no.; 20-537C
ceB lie. no.: 162191
Business Name: GMD ELECTRIC INC
Contact:
Address: PO BOX 72206
CityfState/ZIP: EUGENE, OR 974010291
Phone: 5417417369
Fax: 5419881800
Email: gmdelectric@comcast.net
Metro lie. no.:
City lie. no.:
Supervising Electrician's lie. no.:
48745
Supervising Electrician's Name:
MICHAEL K GOWINS
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Number of Inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
OID.5W
Residential Electrical Authorization To Begin Work
69600-BEL-10-00220
Approval Code: 067425 5/21/2010 11:46 am
E-mailedTo;gmd@g~delectric.com
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Please check all that apply: D Hazardous locations
o A service or feeder beginning D A service or feeder rated at
at 400 Amps where the 600 amps or more
available fault current exceeds D Buildings more than three stor
10,000 Amps at 150 Volts or
less to ground exceeds D Marinas and boat yards
14,000 Amps for all other D Floating buildings
,
D Fire pumps D Commercial-use agricultural
buildings
D Emergency systems D Installation of a 150 KVA or
o Addition of a new motor load larger seperately derived sys
of 100 HP or more D "A", "E", or "1-2" or "1-3"
D Six or more residential units in D Recreational Vehicle Parks
one structure
D Health care facilities D Supply voltage for more than
600 supply volts nominal
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.Description Qty, I Ea. I Total
E3ranc6 :crrc(jits:~,-:;~., ... ,J..'. "j'..". , .. - '.:"..
Branch circuits without service or 1 $55.00 $5500
feeder
Branch circuits each additional 1 $6.00 $6.00
circuit without service
t;:lectrii::al.Per~it _Fees'f7"~ts L". , ,.",.. -' ,;., - -
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Subtotal $61.00
State surcharge (12% of permit $7,32
total)
Technology fee (5% of permit total) $3.05
TOTAL PERMIT FEE $71.37
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Upon review and approval by your local JUrisdiction, your permit will be a-mailed or faxed (, _. _ _ 5 91\
WIthin one bUSiness day, WIth instructions on how to schedule your inspection U-J"Y \ W) 0 - ro u '--/
NOTE' Th\. Autho""I,o" To B.gm Wo,' "p'''' w"h," 180 d.,.." p"mll\,"o' obla,,,d. in (Y't 5 _ d / _I U
The local building department may determme that an AuthOrization To Begm Work IS null. an~
void if it does not meet applicable land use laws and locar ordinances.
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00580
ISSUED: 05/07/2010
APPLIED: 05/07/2010
EXPIRES: 11/07/2010
VALUE:
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SITE ADDRESS: 5083 G ST
ASSESSOR'S PARCEL NO.: 1702332300110
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Two-zone mini split
Phone Nnmber: 541-726-9984
Owner: DOWDY EDWARD J
Address: 5083 G ST
SPRINGFIELD OR 97478
Contractor License
GMD ELECTRIC INC ,,1 " 162191
EUGENE HEATING INC:'~" ",'~:M' 188592
BUILDING INFORMATION ~
Contractor Type
Electrical
Mechanical
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Constrnction Type
Secondary Constrnction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
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Street Improvements:
Storm Sewer Available:
Speciallnstrnction:
Notes:
I CONTRACTOR INFORMATION ~
Expiration Date
11/19/2010
Phone
541-726-8601
541- 726-7656
# of Stories:
Heigbt of Strnctnre
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
n/a
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
I DEVELOPMENT INFORMATION ~
__, "~"" , REQUIRED PARKING
Overlay Dist: ATTENTION: Oregon law rIaUl'~s you to
# Street ~rees Rqd~OIlOW rules adopted by thJie\II!!fJ!iI/~lty
Paved Drive Rqd:~ 'f' t' Center. Those nSie!J1lWt!et forth
., t'L C otllca Ion '01
,. 0 ot overag hOAR 952-001-001 0 through OAR 952.0 .
0090. You may obtain copies of the rules by
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PUBLIC IMPROVEMEN ber for the Oregon Utility Notification
, , CSili~~tk1~~~:332-2344).
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Downsponts/Drains:
'7fct:
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NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
r;OMMnJCED OR IS ABANDONED FOR
, ':'f iq-: Q~,Y PERIOO,
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Status
Issued
~~ .
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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I Valuation Description ~
Description
$ Per Sq Ft
or mnltiplier
Sqnare Footage
or Bid Amonnt
Tvpe of Construction
'Total Va(ue,ilf prilject
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Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1 st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
$13.56
$5.65
$79.00
$17.00 ,~.."
$17.00
$7.3f':'.~
$3.05'; T'
\.:
$55.00" .
$6.00
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5/7/10
5/7/10
5/7/10
5/7/10
5/7/10
5/21/10
5/21/10
5/21/10
5/21/10
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, Total Amount Paid
$203.58
Plan Reviews ~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00580
ISSUED: 05/07/2010
APPLIED: 05/07/2010
EXPIRES: 11/07/2010
VALUE:
Value
Date Calculated
Receipt Number
3201000000000000195
3201000000000000195
3201000000000000195
3201000000000000195
3201000000000000195
2201000000000000555
2201000000000000555
2201000000000000555
2201000000000000555
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To Request an inspection call the 24 hour f.~,c.()rding,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. .
l...ReouiredJn'\nections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work. is complete.
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Rough Electric: Prior to Cover
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Final Electric: When all electrical work is co'~plete.
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Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00580
ISSUED: 05/07/2010
APPLIED: 05/07/2010
EXPIRES: 11/07/2010
VALUE:
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 1 have carefully e"xamined 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 he done in accordance with
the Ordinances of the City of Springfield and thel:aws,onhe State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will he made of any struct'i1~e\;'ith()nt permission of the Commnnity Services Division, Bnilding 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 I,roper 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 Signatnre
Date
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Page 3 of 3
225 Fifth Street
Springfi~llI;Dregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000555
Date: OS/21/2010
12: IJ:02PM
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 0-00580
COM20 I 0-00580
COM201O-00580
COM20 1 0-00580
Description
Add, Alter, Extend Circ >''/: .iii. F.
Add, Alter, Extend Circ Ea Add'"
+ 12% State Surcharge
+ 5% Technology Fee
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
njm
ONLINE gmd elect Online
Payment Total:
$71.3 7
$71.37
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5/21/2010