HomeMy WebLinkAboutPermit Electrical 2010-6-23
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City Of Springfield
225 Fifth Sl
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springlield.or.us
Residential Electrical Authorization To Begin Work
69600-BEL-10-00283
Approval Code: 076301 6/23/2010 12:26 pm
E-mailedTo:gmd@gmdelectric.com
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o Multi-family
iIlI!~jl'ii.Jlii1li1lfJQBtSi'iErINF;ORP.lA.TiONfANo;l!iOCA:TiQNIlI!iil..l,~'!it:
Job Address: 829 S 43RD 8T
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at 150 Volts or
Jess to ground exceeds
14,000 Amps for aU other
City/StatelZlP: SPRINGFIELD, OR 97478
o Fire pumps
D 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
SuiteJbldgJapt.no.:
Project Name: Radella
Cross Street/directions to job site: 42nd (L) MT Vernon Rd (R) onto S. o43rd
Elec lie. no.: 2Q..S37C
162191
TOTAL PERMIT FEE
CCB lic. no.:
Business Name: GMD ELECTRIC INC
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 buildfngs
D Commercial-use agricultural
buildings
D 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
600 supply volts nomInal
$71.37
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ATTENTION: 0regon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-00H01 0 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 1-800-332-2344).
Contact:
Address: PO BOX 72206
City/StateIZlP: EUGENE, OR 974010291
Phone: 54174173691~U
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Em.iI: gmdelectriC@,~~?i~11Yi'l17 THIS PERMIT IS NOT
Meb"';c.no.: COMMENCED OR t&:Yfil8PJ.mONED FOR
Supervising Electricl~t'~1fic1 RoQ DAY 8f~
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 approvill by your IOCIII Jurisdiction, your pennlt will be e-malled or faxed
within one business day, wfth InstnJctions on how to schedule your inspecfion.
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NOTE: This AuthorWItlon To Begin Woril: explru within 180 days If I pennlt Is not obtained.
The 10CIII buildIng deparbnem my ddennlne that In Authoriz.r:ion To Begin Wol1l: Is null and
yold If It dOe5 not meet applicable Ilnd use laws and IOCilI ordinances.
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Pennit
Status
Issued
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: COM2010-00722
ISSUED: 06/04/2010
APPLIED: 06/04/2010
EXPIRES: 12/23/2010
VALUE:
SITE ADDRESS: 829 S 43RD ST
ASSESSOR'S PARCEL NO.: 1802052108900
Springfield TYPE OF WORK: Heating System
PROJECT DESCRlPTION: Install ductless heating system
Owner: RODELLO GILBERT A
Address: 829 S 43RD ST
SPRINGFIELD OR 97478
TYPE OF USE: ' New
Residential
Phone Numher: 541-744-6966
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor License
GMD ELECTRIC INC 162191
COMFORT FLOW REA T1NG CO. 460
BUILDING INFORMATION.
Phone
541-726-860 I
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:
Range Type:
Energy Path:
Sprinkled Building:
Expiration Date
1111912010
0612712011
Lot Size:
ATTENTION: o~~~Ft~M,~IHl)SUireS you to
follow rules ad;~'?'& 1f1~~~oerCegon Utility
Notification Cent?,~: 1ffl!,~I)lIm~ are set forth
in OAR 952-001-~1J1'I'16il\fil~f(~<gg2-001-
0090. You may o'Nd1hQ~t's of the rules by
callirl1i'lhe cerlAA<:ulN!lM:-.'1I\l!:tel~~ho~e
DEVELOPMENT INFORMATION enter is 1-800-3a2-2344).
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
NOTICE: I PUBLIC IMPROVEMENTS~
Street Impf!'r.trqe~~MIT SHALL EXPIRE IF THE WORK
Storm Sew'l,PAI,l,iUalilm UNDER THIS PERMIT IS NOT
Speciallnftf'n'c'tidilNCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
Pal!e I of3 -
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains:
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: C0M2010-00722
ISSUED: 06/04/2010
APPLIED: 06/04/2010
EXPIRES: 12/23/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descril)tion ~
Descrintion
Tvne of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Fee DescriDtion
+ 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
Amount Paid Date Paid Receipt Number
$13.56 6/4/10 1201000000000000612
$5.65 6/4/10 1201000000000000612
$79.00 6/4/10 1201000000000000612
$17.00 6/4/10 1201000000000000612
$17.00 6/4/10 1201000000000000612
$7.32 6/23/10 1201000000000000749
$3.05 6/23/10 1201000000000000749
$55.00 6/23/10 1201000000000000749
$6.00 6/23/10 1201000000000000749
Total Amount Paid
$203.58
I Plan Reviews ~
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.
l...P:p.nllireclln~ne{'tions I
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.
Pal!e 2 of3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00722
ISSUED: 06/04/2010
APPLIED: 06/04/2010
EXPIRES: 12/23/2010
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 certify that all
information hereon is true and correct, and I further certify 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 he 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 nsed 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 ofthe property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pal!e30f3
\
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000748
Date: 06/23/2010
2: 12:52PM
Job/Journal Number
COM2010-00811
COM201O-00811
COM20 I 0-00811
COM20 I 0-0081l
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
. Add, Alter, Extend ciic
Add, Alter, Extend CiTc Ea Add
+ 12% State Surcharge .
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Amount Due
55.00
6.00
7.32
3.05
$71.37
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
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Page 1 of 1
Amount Paid
ONLINE GMD Online
ELECTRIC
Payment Total:
$71.3 7
$71.37
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6/23/2010