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Home My WebLink AboutPermit Electrical 2010-6-17 City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Email: permitoenter@Ci.springfieJd.or.us. c/o. (pgg :...~',: . Residential Electrical Authorization To Begin Work '- ")~.'';'' . :-';;!~~C. 69600-BEL-10-00270 Approval Code: 023110 6/17/2010 12:27 pm E-mailedTo:gmd@gmdelectric.com 0.' 'P~N.REViEWj'. "'-; ", .t;c;:~' .'., :if,t, lKl Addition/alteration/replacement .. TCA TEGORV.OF'.CONSJRUCTION ": .:J:.;,. o Multi-family D Commercial D Accessory . JOB'SITE'INFORMATION ANDL.OCA T'ION' "'. ". Job Address: 3805 E $T CitylStatefZfP: SPRINGFIELD, OR 97478 Suite/bldg.lapt.no.: Project Name: Bertini (1) Cross Street/directions to job site: 38th Tax map/parcel no.: 1702311301400 Ductless ".........,.." '."'~""'" '" ...."". ..,....'.,... , ", 'i"'''''-.-''~'''~i,. ... .. ""-',-""k:""\""'~' ,v, DE:Sc:~IPTlo.N:OE'WORK;o,:;"'P ,:.cl,;,:.: ....' ..J ;::.,.,. ~-,' L;~'::~,..~:" .: Name: Nancy Bertini Phone: Fax: Email: + "'j:,"" ....T.. '_.~~- ,', .. .,:'.c"'.. '9QNTRACTOR .'c.-;' . ""~~, '., ,. ", ~ Efec fie. no.: 20-537C ceB lie. no.: 162191 Business Name: GMD ELECTRIC INC Contact: Address: PO BOX 72206 City/State/ZIP: EUGENE, OR 974010291 Phone: 5417417369 Fax: 5419881800 Email: gmdelectric@comcast.net Metro lie. no.: City lie. no.: . or'.' Supervising Electrician's lic. no.: 4874$ ~'....~. . :,:'1.;!_.~~ :'! . ....,~, !c;".:' Supervising Electrician's Name: MICHAEL K GOWINS , ,'I" 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 l,I.mailed or faxed within one business day, with instructions on how to schedu.le your Inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The locai building department may determine that an Authorization To Begi~ Wor1o: is null and void if it does not meet applicable land use laws and local ordinances. Please check all that apply: o A service or feeder beginning al400 Amps where the available fault current exceeds 10,000 Amps at 150 Volts or less to ground exceeds 14,000 Amps for all other o Fire pumps o Emergency systems o Addition of a new molar load of 100 HP or more o Six or more residential units in one structure o Health care facilities . -, Description ~ia!!c.h Branch circuits without service or feeder Branch circuits each additional circuit without service ElectFi~al)ferlTlit Fe9S~!~, Subtotal State surcharge (12% of permit total TeChnology fee (5% of permit tolal) TOTAL PERMIT FEE o Hazardous locations o 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 '0 Installation of a 150 KVA or larger seperately derived sys o "A", HE", or "1-2" or "1-3" o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal .'1 $55.00 $55.00 $6,00 $6.00 $61.00 $7.32 $3.05 $71.37 ~.\\) \0'\ ~ ~'-R ~ ~mLfJIO -aO(o'tr' : c.o ----\7 LO ()(Y> Inspections Phone: 541-726.3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit . ~~ ~~- Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00688 ISSUED: OS/27/2010 APPLIED: OS/27/2010 EXPIRES: 12/17/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3805 E ST ASSESSOR'S PARCEL NO.: 1702311301400 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Install dnctless system, Owner: BERTINI LIVING TRUST Address: 3805 E ST SPRINGFIELD OR 97478 ,',"J ,,' :",i.':,;.:{ .F;:.'} t 1: , Phone Number: 541-746-6845 ,t:H_<{~" 1 .;,;! j: '!'J . :'fO,if I CONTRACTOR INFORMATION ~ Contractor Type Electrical Mechanical Contractor GMD ELECTRIC INC COMFORT FLOW HEATING CO. License 162191 460 Expiration Date 11/19/20 I 0 06/27/2011 Phone 541-726-8601 541-726-0100 " BUILDING INFORMA nON I # of Stories; 'Height of St~ucture 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 GaragelCarport Sq Ft Other: Occupant Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: nla I DEVELOPMENT INFORMATION ~ ~ _~.... ...,~ """,-__"0.'_'" " '. {q ,REQUIRED PARKING Total: Handicapped: Compact: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 1{)Verl~')/])i~i:' ' ',ni'si'reeiTFees Rqd: , 'Pa~ed Drive Rqd: % of Lot Coverage: Street Improvements: ATTENTiON: Oregon law requires you to follow rules adoo e h ' , I PUBLIC IMPROVEMEN~ification Center, Those rules are set forth ..a.tAR 952-001-0010 through OAR 952-001- 0090. YiSi.dlrnl~~~:copies of the rules by ,", ,callingJhe cente{i1JNote:. the telephone numbe~1b1~~05PegM'ijtility Notification , " ,'fll "I ,,' Center is 1-800-332-2344). Storm Sewer Available: Special Instr;ijction:'E' IIUI'V . ;/-I/S PERMIT SHALL EXPIRE IF THEiWORK' }UTHORIZE_D UNDER THIS PERMIT rSNOT ,OMMENCED OR IS ABANDONED FOR ' I\NY j 80 DAY PERIOD, Notes: ,fi' .. ,:,~.; ," ""' Page. I 00 '~""",';" ';'.':':","fI:...,g.. ,< '(ilN ;".i;:;,,'\:;"l" ~. , I I \ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Descriotion Tvpe of Construction 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, Extend Circ Ea Add Total Amount Paid ;",,"';." . '-..~':.. ..'e'" ~..._., . ~,.~~,~;,},t; : I V aluation Desc~i~tion I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00688 ISSUED: OS/27/2010 APPLIED: OS/27/2010 EXPIRES: 121]7/2010 VALUE: Value Date Calculated ;. ;'~i1-'t tH,;;~'/ \i'. L.t't" , . Square Footage or Bid Amount Total Value of Project Receipt Number 3201000000000000249 3201000000000000249 3201000000000000249 3201000000000000249 3201000000000000249 3201000000000000310 3201000000000000310 3201000000000000310 3201000000000000310 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. $ Per Sq Fl- or multiplier' ~ Amount Paid $13.56':.'.;, . \ $5 65-~' "'r. . . ,,'.~...<..'I $79.00:"'~ ,'.'l~.;tt\~: , ."-'f/'i'; - $17.00"., . $17.00' $7.32 $3.05 $55.00 $6.00 $203.58 Date Paid , 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 , " I Plan Revi~~s' ~.. ""t'>!_;, :". ~e(]I!~_reCUnsnectio~s ~ .,. -, " '<. ., . ~ . ......:,. ,,,;, ... Rough Mechanical: Prior to Cover ~ 1'~'< l-. II;. ' ::.(t~:,..\ 'It!: ",~ ~~~ "'~" Final Mechanical: When all mechanical work. is comp"ite. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. " ".,-1 I. II" . ',~.., ;: ~"l...j ,: . 1,:' ""', ' Paee 2 of 3 '..j",' ., ",i.l Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,', ~}!',i' ,,' 'r- ,..... , ..._..,~~~ I.t- CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00688 ISSUED: OS/27/2010 APPLIED: OS/27/2010 EXPIRES: 12/17/2010 VALUE: By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, aud I further certify that any and all work performed shall he 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 permissiou of the Community Services Divisiou, Building 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 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 ,:~.,' , . ....., .;-17".... '~... ~ ..' c' ~::J '.. , . "'''','' .,... ...,'..c.~, .,. Pa2e3 of 3 Date ,.. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone 8j~Q~;~ lJA.., . ~~.~_.., . City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000310 Date: 06/17/2010 1:32:47PM .1.::' Amount Due 55.00 6.00 7.32 3.05 $71.37 Job/Journal Number COM20 I 0-00688 COM20 I 0-00688 COM20 I 0-00688 COM20 1 0-00688 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add,. 1".,'.- + 12% State Surcharge ". + 5% Technology Fee ".,,1. r. ~" Payments: Type of Payment ONLINE CHGS Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid NJM ONLINE GMD Online ELECTRJC Payment Total: $71.3 7 $71.37 :.:,.IJ;!' ." . "',,,"'.,' -..,.... '""j" :',/~Y'j'.' t'f. ~. -,: ~ ;.~ . ,: <: " . cReceintl Page I of I . 6/17/2010