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Home My WebLink AboutPermit Electrical 2010-6-1 City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541.726-3753 Email: permitcenter@ci.springfield.or.us ei{J. t/1(P Residential Electrical Authorization To Begin Work 69600-BEL-10-00236 Approval Code: 049193 6/112010 1 :02 pm E-mailedTo:gmd@gmdelectric.com o Accessory Job Address: 538 W M 8T City/State1ZlP: SPRINGFIELD, OR 97477 SuitelbldgJaptno.: Project Name: Gunther Ctoss Street/directions to job stie: Centennial, rt on Prescott, In on W. M 8t. Tax map/parcel no.: 1703274300603 install ducUess system, GFCI receptade Name: Shirley Gunther Phone: 541-747-8096 Fax: Emall: Elec lie. no.:"20-537C ceB lie. no.: 162191 Business Name; GMD ELECTRIC INC Contact Address: PO BOX 72206 City/State/ZIP: EUG ~10291 Phone: 5417417369THIS PERMI Eman, gmdelect" MIZED UNDER THIS PERMI Metro "c. no.' R IS,~RAMDONED FOR Supervising Electrician's lie. no.: 4874 Supervising Electrician'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-malled or faxed within one business day, wtth InstnJctlons on howto schedule your Inspection: NOTE: This Authorization To Begin Work expires within 180 da~ If a permit hi not obtained. The local building department may detennlne that an Authorization To Begin Work Is null and void If It does not meet applicable land use laws and local ordinances. ~Iease 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 Fire pumps D Emergency systems o Addition of a new motor load of 100 HP or more D Six or more residential units in one structure D Health care facilities Branch circuits without service or feeder Branch circuits each additional circuit without service Subtotal State surcharge {12% of pennit total Tedmology fee (5% of permit total) TOTAL PERMIT FEE tJD~ ~C1G D 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 Installation ofa 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 $6.00 $61.00 $7.32 $3.05 $71.37 k'JL L2 II \ \-0 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 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 1'1100-332-2344). ~.\O ~iX~ \,t\ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Pennit ~~ .9>t~ \\.\(\.\0 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: C0M2010-00696 ISSUED: 06/0112010 APPLIED: 06/01/2010 EXPIRES: 12/0112010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 538 W M ST ASSESSOR'S PARCEL NO.: 1703274300603 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Mini split heating system in residence. Owner: GAUTHIER MARK W & SHIRLEY L Address: 538 W M 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 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: Occupant Load: nla Street Improvements: NOTICE: FrontyardT9iI~""ERMIT SHAll EXPIRE IF THE ..9:r...rJay Dist: Total: Side I SetliMl<HORIZED UNDER THIS PERMIT ISV~ct Trees RqdAlTENTlON" Ore Haodicapped: Side 2 Set~Jli!fNCE ~OJd Drive Rqd:tollow rules ~d gon law regll/mQ~u to Rearyard~~1il'6 0 D OR IS ABANDONED FOA'!. of Lot Covera~Iificalion C fpte~ by Ihe Oregon Ulillty Solar Set{,~~ks: AY PERIOD. In OAR 952~'~~~10 I~r~~ ru~e~ are sel_forth I PUBLIC IMPROVEMEI;~ Ih I aln copies oflhe rules by . e cen er. (Nole: the telephone , flurn 8r lor~h" I"l''',,",n..J.Jj',' , C 1111;'11':I......,."" Illy Notification en sr IS 1-800-332-2344) DownspoutslDrains: . I DEVELOPMENT INFORMATION'. REQUIRED PARKING Storm Sewer Available: Special Instruction: Notes: Pal!e I of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20]0-00696 ISSUED: 06/01120]0 APPLIED: 06/0]/20]0 EXPIRES: 12/01120]0 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description ~ DescrivtioD Tvpe of Construction $ Per Sq Ft or mnltiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project .~ Fee Description + 12% State Surcharge + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee 1st Appliance Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Heat Pump Amount Paid Date Paid Receipt Number $7.32 6/1I10 1201000000000000594 $11.52 6/1/10 1201000000000000587 $3.05 6/1/10 1201000000000000594 $4.80 6/1I10 1201000000000000587 $79.00 6/1/10 1201000000000000587 $55.00 6/1/10 1201000000000000594 $6.00 6/1/10 1201000000000000594 $17.00 6/1/10 1201000000000000587 Total Amount Paid $183.69 I Plan Reviews I To Request an inspection call the 24 hour recordin~ 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. ~enlliredJnsnections ~ 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. Pa!!e 2 of3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: C0M2010-00696 ISSUED: 06/01/2010 APPLIED: 06/01/2010 EXPIRES: 12/01/2010 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 I have carefully examined the completed application and do hereby certiry that all information hereon is true and correct, and I further certiry 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. I further certiry 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 Pal.!e 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000594 Date: 06/01/2010 2:50:04PM Job/Journal Number COM20 I 0-00696 C0M201O-00696 C0M2010-00696 C0M20 I 0-00696 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 Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 55.00 6.00 7.32 3.05 $71.37 Amount Paid KR ONLINE GMD Online ELECTRIC Payment Total: $71.37 $71.37 cReceintl Page I ofl 6/1/2010