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Home My WebLink AboutPermit Electrical 2010-6-21 City Of Springfield 225 Fifth 51. Springfield, OR 97477 Phone: 541-726~3753 Email: permitcenter@d.springfield.or.us (3!O, 7% Residential Electrical Authorization To Begin Work 69600-BEL-10-00277 . Approval Code: 044014 6/21/2010 12:11 pm E-mailedTo:gmd@gmdelectric.com D New Construction ;,:; :}*,2;&'"~0,::CArEG:6RY,~6F:COIIIStRUC:tION; IZJ 1 or 2 family dwelling 0 Multi-family D Commercial . - tl', 'fJOB:Si'fEINFORMAfIOill:ANO:LO.CATION Job Address: 1822 12TH ST City/State/ZIP: SPRINGFIElD, OR 97477 Suite/bldg.lapt.no.: r.~:,': . .1j"; .'l' Project Name: Netherton ",,(t>' ';p~ . Cross Street/directions to job site: Centennial Blvd (R) onto 12th Tax map/parcel no.: 1703264103600 ~"," Please check all that apply: o A service or feeder beginning at 400 Amps where the available fault current exceeds 1'0,000 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 motor load of 100 HP or more o Six or more residential units in one structure o Health care facilities Ductless -.'_. --,':".j ..-- . ] ., \:".. Fax: '.I:'J,;ni<: " ",:, ;J:L;:C_Q~jBtCtOR:::-: ". Elec lic, no,: 20-537C CCB Iic, no,: 162191 Business Name: GMD ELECTRIC INC Contact: Address: PO BOX 72206 . ~r -'T-'":"' City/State/ZIP: EUGENE, OR 974010291 Phone: 5417417369 Fax: 5419881800 Email: gmdelectric@comcast.net Metro lic. no.: City Iic. no.: Supervising Electrician's ltc, 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";U7:.': Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 dilYs if a permit Is not obtained. The local building department may determine that an Authorization To Begin Work is null and void If it does not meet applicable land use laws and local ordinances. Description ~r'ancH~c'irc'_ujJs~':", Branch circuits without service or feeder Branch circuits each additional 'circuit without service Subtotal State surcharge (12% of permit total TeChnology fee (5% of permi1totaf) TOTAL PERMIT FEE ~~~ :~~~ '. ~" . CQn'WIO c.o ";).1 ---I 0 o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three star o Marinas and boat yards o Floating buildings o Commercial-use agricultural buildings o Installation of a 150 KVA or larger seperately derived sys O "A" "E" or "1-2" or "1-3" , , D Recreational Vehicle Parks D Supply voltage for more than BOO supply volts nominal $5500 $55.00 $6,00 $6.00 $61.00 $7.32 $3.05 $71.37 ~\O l,d ~~ ~, u.; --()0741p h~ Inspections. Rhone:. 54 J -726-3769 I .' ~. . ',.1 . > This Authorization To Begin Work.m.ust be posted at the job site until replaced by a Permit :-......:.:.:.' . ., .. ,',.,.., '1t' ~,t., Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line '1t.,;:',;. ..,.' SITE ADDRESS: 1822 12TH ST ASSESSOR'S PARCEL NO.: 1703264103600 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00746 ISSUED: 06/09/2010 APPLIED: 06/09/2010 EXPIRES: 12/09/2010 VALUE: Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: mini-split Owner: Address: MCLAUGHLIN JUDY A 1822 12TH ST SPRINGFIELD OR 97477 TYPE OF USE: New Residential , I CONTRACTOR INFORMATION . Contractor Type Electrical Mechanical Contractor GMD ELECTRIC INC EUGENE HEATING INC"':~ ~I ..~~'.'II.l.,"';; ,.', "';1.:,,':' , BUILDING INFORMATION I # of Units: Primary Occnpancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of St~ries: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: ;', ,c. License 162191 188592 Expiration Date 11/19/2010 Phone 541-726-860 I 541-726-7656 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION ~ ~ '.... "~I '"" .." , Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: , % of Lot Coverage: I PUBLIC IMPROVEMENTS ~ , 'I Street Improvements: ' ..aFEhlTION; Oregon law requires you to_'--::'"~";"" Ston." r~fJ~e&1vrJ\\''aI<'lbpted by the Or8gon Utility~~ ' " ' spec,a~Wh'i:'li~rm{'center, Those rules are set fortl:l:~<,' i"Lt.';, . In OAR 952-001-001 0 through OAR 952-001' Notes:0090, You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notlflcatloll Center is 1-800-332-2344), , "', P'uiel of3 0"]. REQUIRED PARKING Total: Handicapped: Compact: , Sidewalk Type: N OTI C~:wnspouts/Drains: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNOER THIS PERMIT IS NOT COMMENCED OR is ABANDONED FOR ANY 180 DAY PERiOD, \:.,.11 , , Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line i""\\.;,;.j..,' ",,, , 1,"""_';" ,;:;' ~ .~ , . ~'h~ jj,: j'p. '~;. . Valuation Description ~ Description $ Per Sq Ft or multiplier Tvpe of Constrnction Square Footage or Bid Amount Total Value of P~oject ~-, Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid $11.52 $4.80 $79.00 $17.00 $7.32 $3.05 , $55.00. _ ,.i-_.cJ,-".';.. a '...iII.....1 $6.0q.:":~ 'I' Total Amount Paid ........-1. .'.. ~l_";n.J.., $183.69:\ " :' """, -,.". , Plan Reviews ~ Date Paid 6/9/10 6/9/10 6/9/10 6/9/10 6/21/10 6/21/10 6/21/10 6/21/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00746 ISSUED: 06/09/2010 APPLIED: 06/0912010 EXPIRES: 12/0912010 VALUE: J Value Date Calculated Receipt Number 1201000000000000639 1201000000000000639 1201000000000000639 1201000000000000639 3201000000000000318 3201000000000000318 3201000000000000318 3201000000000000318 To Request an inspection call the 24 hour recordi\lg at 726)769, 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.Jle~o'i1ire~n~n"ections I Rough Mechanical: Prior to Cover Final Electric: When all electrical work is complete. Rough Electric: Prior to Cover Final Mechanical: When all mechanical work.is.complete. ...,...., r) '. 'J "f' ""1',"". 1t~f'![~ ............ ft.~~\.~ 1,. . ~ . Pa!!e 2 of 3 lIi:~f~'~J!"'11,tI,,9i .' J ... .. ',' Status Iss u ed .,' ' "'tl 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line :" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00746 ISSUED: 06/09/2010 APPLIED: 06/09/2010 EXPIRES: 12/09/2010 VALUE: By signature, I state and agree, that I have carefully examined the completed application and do hereby certify lhat all information hereon is true and correct, and I furth~C'Certify lIlat 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 struct~re withqui'permission of the Commuuity Services Division, Building Safety. I further certify that only contractors ana employees. who are in compliauce 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 -- - ., 'L ., ,,:' ....;, -,;.;.1 ,};;' ('L\~ '.11\: fidH: ) . j . .,;~ws rill.! '\ Itl.!:\"Y': ,';!:)i~;." f.?;';'C .', "',' .,T'Ci.'" ':'N~ if/({ ~~: .",':;. .. , .i.(' ; r?:' ,. . , ,. Paee 3 of 3 Date 225 Fifth Street { . ,j Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: , 3201000000000000318 Date: 06/21/2010 12:55:52PM Job/Journal Number COM20 I 0-00746 COM20 I 0-00746 COM2010-00746 COM2010-00746 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add' + 12% State Surcharge + 5% Technology Fee /"'-' Item Total: Amount Due 55.00 6.00 7.32 3.05 $71.37 Payments: Type of Payment ONLINE CHGS Paid By ONLINE PERMIT CHGS Check Number Authorization Received By Batch Number Number How Received njm ONLINE gmd elect In Person Payment Total: Amount Paid $71.37 $71.37 ::~,-:.::~ ,:,"I/~;:i1" . ~\. -~. ,~. ;;::..,... 1'" \.\:~:(i:~ '~~~~~ :~1, .1;"-:~& " . ~.h:}1~ 'H ~i''.-~~ _ ':~ ~li. j!1 " .,'-f' 1'''- '-~ ,- ' :~, ~"i.:fi;l;~ ~..!.~_f{;: ',f(,li:, .~ '-':)t " cReceintl Page I of I 6/21/2010