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Home My WebLink AboutPermit Electrical 2010-5-21 City Of Springfield 225 Fifth 51. Springfield, OR 97477 Phone: 541-726-'3753 Email: permitcenter@ci.springfield.or.us Q,1~.W1 Re~idential Electrical Authorization To Begin Work 69600-BEL-10-00221 Approval'Code: 093590 5/21/2010 1:50 pm E-mailedTo:gmd@gmdelectric.com LJ New Construction [KJ Addition/alteration/replacement Please check all that apply: D A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps al150 Valls or less to ground exceeds 14,000 Amps for all other ~9A TEGOR)' OF. CONSTRl!CTION J:<.:. [R] 1 or 2 family dwelling o Multi-family 0 Commercial o Accessory .. +='iJQBJflTE IN~ORMATION AND'LOCHION-:" Job Address: 2277 11TH $T City/State/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 Suite/bldg./apt.no. : ,.');.e :'. Project Name: King Cross Street/directions to job site: Hayden Bridge Rd, rt on 10th, 1ft on 11th Tax map/parcel no.: 1703261105400 Description !:3r~D'ch:'Circ"'uits% Branch circuits without service or feeder Branch circuits each additional circuil without service ~i~(;tric<itRer-mit Fees,:' Subtotal State surcharge (12% of permil lolal Technology fee (5% of permit total) TOTAL PERMIT FEE install ductless system and GFCI receptacle . 'c,c,,;.",SrrE,CONTACT,1:"" : Name: Wendell Kinq Phone: 541-746.9833 Fax: Email: Elec lic. no.: 20-537C 162191 CCB lic. no.: Business Name: GMD ELECTRIC INC Contact: .,...-,;-1" Address: PO BOX 72206 -i.... City/State/ZIP: EUGENE, OR 974010291 Phone: 5417417369 Fax: 5419881800 Email: gmdelectric@comcast.net .~ ~~~~\P \,. Metro lie. no.: City lie. no.: !'upervising Electrician's lie. no.: 4874S Supervising Electrician's Name: MICHAEL K GOWINS Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 ~'" I:. Upon review and approval by your local Jurlsdil;tion, your permit will be e-mailed or faxed within one business day, with instructions on how to schedule your inspection. CoY1 W 10 NOTE: This Authorization To Begin Work expires within 180 days if a permil is not obtained. 5 -d~ ' U The local building department may determine that an Authorization To Begin Work is null a~d void if it does not meet applicable land use laws and local ordinances. '0-' . o Hazardous locations D A service or feeder rated at 600 amps or more o Buildings more than three stor ' o Marinas and boat yards o Floating buildings o Commercial-use agricultural buildings o Inslallation 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 $61.00 $7.32 $305 $71.37 \(\~O ~~~ ~0J'\ CYCULfr {1m -'''''',-: ~.~i';"" ,"'i"~.. ~,. Inspe.~liri~s pti.;'~e: 541-726-3769 This Authorization To Begin Work':~ust be posted at the job site until replaced by a Permit " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00647 ISSUED: OS/2012010 APPLIED: OS/20/2010 EXPIRES: 11/2412010 VALUE: Status Iss u ed 225 Fifth Street, Springtield, OR 54t-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2277 11TH ST ASSESSOR'S PARCEL NO.: 1703261105400 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Two-zone mini split Owner: KING WENDELL S & BARBARA Address: 2277 N 11TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical 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 Constructiou Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure- . Type of Heat: Water Type: Range Type: E~ergy Path: Sprinkled Bnilding: 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 I REQUIRED PARKING Frontyard Sethack: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay I?ist: #. Street Trees Rqd: Paved Drive Rqd: . o/."of Lot Coverage: Total: n.al)~~~'iJ.w requires you to ATTENTlOe'iH/llfte13 by the Oregon Ut ilty ':~~~;~~~enter. Thhose ru~e~~~ :;i- o~;~ OAR 952"()01"()01~t ro~g 5 by . OU nt r (Note: the teleph e . . call~9 t::= :'e ~r~gon Utility Notitica ion SIdewalJllll'!l1'8I' . 1 "00 ""'2 2344) Center IS -0 -- - . Downspouts/Drains: I PUBLIC IMPROVEMENTS I Street Improvements: Storm'Sewer Available: Spedallnstruction: ~ i Notes: ~~OTICE: THIS PERMIT SHALL EXPIRE.IF THE W,ORK I ITHORIZED UNDER THISiPERMIT IS NOT ';r'AENCED OR IS ABANDONED FOR " nw PERIOD. ",~,l,.,hl. Pa~e I of 3 " 0\'1', :l, Ul~: \,.i' '_;,Ii-' i; St :..:'. ',~"\' -j';lV '.. fY-' '. ....:'~..'" Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I , ' I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amouut Total Value of Project ~ Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Heat Pump + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Exteud Circ Ea Add '" Amount Pail!, ,", it"" ........-.,-...... .''o..i:,. ;{., "\ $13.56 ",i," $5.65;~: $79.00 $17.00 $17.00 $7.32 $3.05 $55.00 $6.00 . f;' Total Amount Paid $203.58 ._,' ; ..:. I I "Plan Reviews ~ Date Paid 5/20/10 5/20110 5/20/10 5/20/10 5/20/10 5/24/10 5/24/10 5/24/10 :5./24110 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00647 ISSUED: OS/2012010 APPLIED: OS/2012010 EXPIRES: 11/2412010 VALUE: Value Date Calculated Receipt Number 3201000000000000212 3201000000000000212 3201000000000000212 3201000000000000212 3201000000000000212 320]000000000000220 3201000000000000220 3201000000000000220 3201000000000000220 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. '.;-...:-7;.. ...; ~...: ~~.:. - L..Jle~~"~~i'edJ n~necti'~ns I '/"'!' \\ . ':t~ 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. t'7 ," Pa2e 2 0/'3 Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fa< 541-726-3769 Inspection Line :;~~,~:+' ~Yr; .A'~,~~'" " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00647 ISSUED: OS/20/2010 APPLIED: OS/20/2010 EXPIRES: 11/24/2010 VALUE: By signature, I stale and agree, Ihat I have carefully examined the completed application and do hereby certify that all information hereon is Irue and correct, and I further certify that any and all work performed shall be done in accordance wilh the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the w~rk described herein, and Ihat NO OCCUPANCY will be made of any structure without permission of the Communily Services Division, Building Safety. I 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,t,lle property; 'and the approved set of plans will remain on the site at all times during construction. ' 'l~' Owner or Contractors Signature ;,'~:f!/ .r'; f'll. ~."'~ \~L~I .,~ L"" ",:'" . i Paee 3 ~f3 Date 225' Fifth Street Springfield, Oregon 97477 541-726-3759 Phone .r~:9~;'ii tit. j City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000220 Date: OS/24/2010 7:50:50AM Received By nJm Check Number Batch Number Item Total: Authorization Number How Received Amount Due 55.00 6.00 7.32 3.05 $71.37 Job/Journal Number COM20 I 0-00647 COM20 I 0-00647 COM20 1 0-00647 COM2010-00647 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment ONLINE CHGS Paid By ONLINE PERMIT CHGS Amount Paid ONLINE gmd elect Online Payment Total: $71.37 $71.37 . "". .,i, ~"""~,,,,,,"."'_h. , "".. 11....t'~ ' cRcccintl Page 1 of 1 5/24/20 I 0