HomeMy WebLinkAboutPermit Electrical 2010-6-23
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~OREGON
City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-72&-3753
Emai1: permitcenter@ci.springfield.or.us
Residential Electrical Authorization To Begin Work
69600-BEL-10-00282
Approval Code: 057679 6/23/2010 12:08 pm
E-mailedTo:gmd@gmdelectric.com
CID.81!
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 1-800-332-2344).
00 1 or 2 family dwelling
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
less to ground exceeds
14,000 Amps for all other
o Multi.family 'D Commercial
o Accessory
1!l!liIU1liif~,!t~fJoB!SrrEiiNIf&RMAjjoN!ANDiiY&!c%TfoN~>>~.
Job Address: 751 S 68TH PL
City/StatelZIP: SPRINGFIELD, OR 97478
o Fire pumps
D Emergency systems
D Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care facilities
Suite1bldgJaptno.:
Project Name: Hoisington
Cross street/directions to job site: Main St (Ll onto 69th (ll onto G (ll onto 68th
State surcharge (12% of pennit
total
Technology fee (5% of permit total)
Elee lie. no.: 2G-537C
TOTAL PERMIT FEE
cce lie. no.:
162191
Business Name: GMD ELECTRIC INC
(,\ () - <(511
Contact
n
Phon" 541i4);7~$WRIZED UNO
Em.;I, gmd~i~Jf;g@~~ OR IS ABANDONED FOR
1"'\1\11 IOUUA
Metro lie. no.: City lie. no.:
Supervising Electrician's lie. no.:
48745
Supervising Electrician's Name:
MICHAEL K GOWINS
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All Other Services: 2
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Upon review and approval by your IOCilI Jurisdiction, your pennlt will be e-malled or rued
within one business day, wtth Instructions on howto schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 days If a permit Is not obtained.
The local building department may detennlne that an Authorizlltion To Begin Work Is null and
yold If It does not meet applicable land use la_ and local ordinances.
o Hazardous locations
D A service or feeder rated at
600 amps or more
D Buildings more than three stor
o Marinas and boat yards
D 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"
D Recreational Vehicle Parks
D Supply voltage for more than
600 supply volts nominal
$3.05
$71.37
l4--- ~ 1'031 (0
~.\V
\a\1~1V-
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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 Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COMlOIO-0081I
ISSUED: 06/23/2010
APPLIED: 06/23/2010
EXPIRES: 12/23/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspeetion Line
SITE ADDRESS: 751 S 68TH PL
ASSESSOR'S pARCEL NO.: 1802031100700
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace heat pump and air handler
Owner: HOISINGTON DANIEL E & M K
Address: 751 S 68TH PL
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor License
COMFORT FLOW HEATING CO 460
I BUILDING INFORMATION.
Expiration Date
06/27/2011
Phone
541-726-0100
# of Units: # of Stories: Lot Size:
Primary occ:Jfticy Group:. . Hei/(ht ofStrncture 0 IFtllst Floot: to
MrrI . . . ATTENTION' r fiJW r~ulres you
Secondary.v. ncy Group: e of Heat: ':z'.
P . :r",,'" ru::o.WToRU^LL EXPIRE IF THE W"~ T' follow rules ado I: '~e ~9on Utility
r1mary''''/l~sn''''''''1I "W"' ~.\her ype. Notification Cente b Wf!l ~e set forth
Seconda.I:iI~OOml<l!19J\JflflteR THIS PERMIT IS I~ge Type: in OAR 952.001.0 ~ :p[ggl!'-.001-
# ofBedm'Jm~JIENCED OR IS ABANDONED FOR Ene.r/(Y Path:. . . 0090. You may o~~ tr~ofthe rules by
ANY 180 DAY PERIOD. Sprmkled Buddmg: calling'\{~e cent~~~Rl\~j ll1w%lephone
.. 0
DEVELOPMENT INFORMATION mter is 1-800-332-2344).
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Description I
Description
Tvpe of Construction
$ PerSq Ft
or multiplier
Square Foota/(e
or Bid Amount
Value
Date Calculated
Pal!e 1 of2
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: C0M2010-00811
ISSUED: 06/23/2010
APPLIED: 06/23/2010
EXPIRES: 12/23/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~
Fee DescriDtion
+ 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 Numher
$7.32 6/23/10 1201000000000000748
$11.52 6/23/10 1201000000000000747
$3.05 6/23/10 1201000000000000748
$4.80 6/23/10 1201000000000000747
$79.00 6/23/10 1201000000000000747
$55.00 6/23/10 1201000000000000748
$6.00 6/23/10 1201000000000000748
$17.00 6/23/10 1201000000000000747
Total Amount Paid
$183.69
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.
~e(]llirerUnsnections I
Rou!:h Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rou!:h Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By si!:nature, I state and a!:ree, that I have carefully examined the completed application and do herehy 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 be made of any structure without permission of the Community Services Division, Buildin!: Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project
I further a!:rec 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
Pa!!e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000749
Date: 06/23/2010
2:13:42PM
Job/Journal Number
COM20 10-00722
COM20 I 0-00722
COM20 I 0-00722
COM20 I 0-00722
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ 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
Amount Paid
KR
ONLINE GMD Online
ELECTRIC
Payment Total:
$71.37
$71.37
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