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Home My WebLink AboutPermit Electrical 2010-6-17 City Of Springfield 225 Fifth 51. Springfield, OR 97477 Phone: 541-726-3753 . Emai1: permitcenter@ci.springfield.or.us o New Construction IRJ Addition/alteratio~{replacenient CC). TEGORY OFCONSTRUC110Nc'> [Z) 1 or 2 family dwelling o Accessory o Multi-family D Commercial i.: c'c c cJOB SITEiNFORMkTION AND LocA liON' r T Job Address: 3807 E 5T ',i... ~ ," , City/State/ZIP: SPRINGFIELD, OR 97478 Suite/bldg.lapt.no.: Project Name: Bertini (2) Cross Street/directions to job site: 38th ,."," Tax map/parcel no.: 1702311301400 Ductless ~~~"""'~:",4 Name: Nancy Bertini Phone: Fax: Email: c.,...._._ ..,;_.yt."' 'c', EfCOrJJRt-CTOR:c :" 'cc~ :cc k Elee lie. no : 20-537C ceB lie. no.: 162191':' 'i, I';, ,_ Business Name: GMD ELECTRIC INC Contact: Address: PO BOX 72206 City/State/ZIP: EUGENE, OR 974010291 Phone: 5417417369 Fax: 5419881800 ,."'.. "I' Emall: gmdelectric@comcasl.net Metro lic. no,: City lic. no.: Supervising Electrician's lic. 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 {!IO. ft?87 Residential Electrical Authorization To Begin Work 69600-BEL-10-00271 Approval Code: 084417 6/17/2010 12:33 pm E-mailed To: gmd@gmdelectricccom ;'~,~' 1'-l>~ccD c.c" c {pii.6.NfREVIEW; - c ,," 'c' icc Please check all that apply: D Hazardous locations D 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 star 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 D Addition of a new motor load larger seperately derived sys of 100 HP or more D "A", "E", or "1-2" or c'lc3" D Six or more residential units in D Recreational Vehicle Parks one structure tJ Health care facilities D Supply voltage for more than 600 supply volts nominal ~.~'\'ccr" "",,> c.;.F,EEl)CI-iEDuLE" c'{\;[ ,,," c ". L Description I Qtyc I Ea. I Total ~ran~~:c!r~_uhs .'-. ":; . ~ 1~,,,' ,<;: >.,'",':F,i, , Branch circuits without service or 1 $55.00 $55.00 feeder Branch circuits each additional 1 $600 $6,00:l circuit without service /' ~h:J;c1r!,clillJ:"_er~it;F~es~}/ ~"" , CC ',J ,', " ", " cC I Subtotal $61cOO State surcharge (12% of permit $U2 total\ Technology fee (5% of permit total) $3.05 TOTAL PERMIT FEE $71.37 --:"<Li *"" \ ,~~~ t~ 0 \\ \<\.~ ~\O '\g'~' ~ "i"-4<. tY' i Upon review and approval by your local jurisdiction, your permit will be a.mailed Of_ ~_'. ~~~C:~m /} ~ I _" within one business day, with instructions on how to schedule your inspection. .. .. ~ ~ "---" . c "c. eo--fIr __ \ 0 The local building department may determine that an Authorization ro".1"809Io Work Is null and void if It does not meet applicable land use laws and local ordinances, NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtain.ad. ., c< 00 Co '6,7 (11Y) Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit .-.:."..,. ....,.;. '< ;: II y CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00687 ISSUED: OS/27/2010 APPLIED: OS/2712010 EXPIRES: 1112712010 VALUE: :~ !I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3807 E ST ASSESSOR'S PARCEL NO.: 1702311301400 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Install ductless system Owner: BERTINI LIVING TRUST Address: 3805 E ST SPRINGFIELD OR 97478 I CON'fRACTOR INFORMATION ~ Contractor Type Mechanical Contractor License COMFORT FLOW HEATING CO. 460 BUILDING INFORMATION ~ Expiration Date 06/27/2011 Phone 541-726-0100 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: "Rimge Type,' .....Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: it/a I DEVELOPMENT INFORMATION ~ REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: Total: # Street Trees Rqd: Handicapped: . Paved Drive Rqd: 1 ~C$ you to . % of Lot Coverage: ATTENTION: Oregon a . Utility .. :L.. .,'._.. follow rules adopte.d by the ,orea9reO"setfOlVl' ,., .. .... _ .. . ication Center. Those ru es. . I PUBLic IMPROVEMENl1~i~R;5 ~ay -obtain copies of the rules bV .i(j " au t INote: the telephone . callmgitllfMlllR typ~. UtTty NoUflcatlOft numb8J:.!?r_the Orego~ 2' '2344) 'Cmt1~q!lt'l9V6i&l . . Street Improvements: Storm Sewer Available: Special Instruction: . NOTICE: K Notes: THIS PERMIT SHALL EXPIRE IF THE WOR . . '\! ITHORIZED UNDER THIS PERMIT IS NOT ,~OMMENCED OR IS A I~'';'-- :.::: ANY 180 DAY PERIOD, Valuation. Descri Description Type of Construction $'Pe;:Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 , .';i" hlt..,~ t";"i,>,., :'_, ~>:J u Li} 1 ( , . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00687 ISSUED: OS/27/2010 APPLIED: OS/27/2010 EXPIRES: 11/27/2010 VALUE: Status Issued '~,w_';, 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Tota! Valu~p(Project J ',Fees Paid'" : Fee Description + 12% State Surcharge + 5% Technology Fee 1 st Appliance Air Handling U nit 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 Receipt Number $13.56 $5.65 $79.00 $17.00 $17.00 $7.321:;';~ i' 1 \),'i ,'~' ' $3.05"1'< L i.;H i, I . $55.00 ,,,,,_. ;.- ,,' ,'''.>~;:::'il''gl,1j. ", '.Ii>~..(;!.,'~ '" $6.00:;,;~;, 5/27/10 5/27/10 5/27/10 5/27/10 5/27/10 6/17/10 . '. 6/17/10 6/17/10 6/17/10 2201000000000000590 2201000000000000590 2201000000000000590 2201000000000000590 2201000000000000590 3201000000000000311 3201000000000000311 3201000000000000311 3201000000000000311 Total Amount Paid $203.58 I Plan Reviews ~ To Request an inspection call the 24 hour recording !!t.7.26-3,769. All inspections requested before 7:00 a.m. will be made the same working day, insluictions'hjquested after 7:00 a.m. will be made the following _r,,;.[~'I.., .1'". ,i"li' work day. . .:', ' ., Reouired Insoections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, 1 state and agree, that 1 have carefully'examih'ci!.'the completed application and do hereby certify that all information hereon is true and correct, and 1 furth'i'.ci:'rtifj'!~,i't anY'aild all work performed shall be done in accordance with the Ordinances of the City of Springtield and thel~a)'V~ 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 certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 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. I,.. Date Owner or Contractors Signature ,",., ::;,~;{L , ",-,,; I:,' ,I., . . Pa2e 2 of 2 CITY OF SPRINGFIELD 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line " . Building/Combination Permit PERMIT NO: COM2010-00687 ISSUED: OS/27/2010 APPLIED: OS/27/2010 EXPIRES: 11/27/2010 VALUE: Status Issued "~I -' SITE ADDRESS: 3807 E ST ASSESSOR'S PARCEL NO.: 1702311301400 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Install ductless system Owner: Address: BERTINI LIVING TRUST 3805 E ST SPRINGFIELD OR 97478 1)'~~~':~" i;ik~tl~)::l.":' ;'F'l",::, .::">! ,~" .~;'i'ie,_'~!; !" '~!~J>': " .1"" . I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor COMFORT FLOW HEATING CO. License 460 Expiration Date 06/2712011 Phone 541-726-0100 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: , , Height of Structure' Jype of Heat:"" ,",. r: 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: n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 6~erlay Dist:' " ,,#:Streel, '[,'ees Rqd: I~PavedTii:ive'Rqd: ~r,%",of'~ot: Coverage: ,t,- " REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I VaiuitionD~sc'r'iption ~ Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 ,i\_f ;,df;'S'! ,.~!..{~ :"'\iC'''''';1 : ; Ii 'I >> il " i1, .,.' " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20]0-00687 ISSUED: 05/27/2010 APPLIED: 05127120]0 EXPIRES: 1112712010 VALUE: lr::~~i ~~~~;,!f: (1 ~\~~ill::+L~. ' ':.. Y:p'~ ii' . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project J "~ees Paid. 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 Receipt Number , ~n> ';;:", ;, 5/27/10 5/27/10 5/27/10 5/27/10 5/27/10 I 6/17/10 6/17/10 6/17/10 6/17/10 2201000000000000590 2201000000000000590 2201000000000000590 2201000000000000590 2201000000000000590 3201000000000000311 3201000000000000311 3201000000000000311 3201000000000000311 $13.56 $5.65 $79.00 $17.00 $17.00,.:F; $7.32JVi $3.051' ,;,,' $55.00>)0::" _"""0/,1,/ $6.00" '.j., ~.l;:\,t , i. ';/' 'i~.~' , ; . Total Amount Paid $203.58 I Plan Reviews ~ To Request an inspection call the 24 hour recl),rdi,ng~d76c3769. All inspections requested before 7:00 a.m. will be made the same working day, i.nS'pectionsi-equested after 7:00 a.m. will be made the following .. f ,.~ 'r work day. . . ,< Reouired Insnections ~ Rough Mechanical: Prior to Cover Final Mechanical: When 'all mechanical work i,s complete. . " ' ~ - j . _,li .(: <to"~ '. By signature, I state and agree, that I have carefully.,e,~amin~d the completed application and do herehy certify that all information hereon is true and correct, and I furthj~r..c~rtif~)I.H~t.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. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 fnrther agree to ensure that all required inspections are reqnested 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 ',I', ~. \,,1 'I' ~ ',: ': '" ~.: 'f" Date J.~ Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone s~~~;~ Wit. . City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000311 Date: 06/17/2010 I :35:54PM Job/Journal Number COM2010-00687 COM20 1 0-00687 COM20 1 0-00687 COM20 I 0-00687 Payments: Type of Payment ONLINE CHGS cReceiotl ,~; :' Amount Due 55.00 6.00 7.32 3.05 $71.37 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization . Received By Batch Number Number How Received Amount Paid NJM ONLINE GMD Online ELECT Payment Total: $71.3 7 $71.37 , 'if- ;;.'r l .,;,1 "! , ".,.' ,!, Page I of I 6/17/2010