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Home My WebLink AboutPermit Electrical 2010-6-30 City Of Springfield 225 Fifth 5t Springfield, OR 97477 .'i~J:Y Phone: 541-726-3753 .l"-~ Email: permitcenter@ci.springfield.or.us ~ '-':';:.:1k~" U/O.777 Residential Electrical Authorization To Begin Work 69600-BEL-10-00293 . . Approval Code: 002001 6/30/2010 2:13 pm E-mailedTo:gmd@gmdelectric.com '",":' if' '". ,_., W< :;~' "1 D New Construction IRl Addition/alteration/r8P1ac,ement 11~0<;' ",;', ,~' ';I.:<::'~tEGOR'6$'~&brilSTRl.JQfIOril~,,,,_,;_. "",;. -"...1 IKI 1 or 2 family dwelling D Multi-family D Commercial D Accessory II':' .4;>' '.JOS'SITEINFClRMATIC:>N'KNPL:OCATION:,;'/ '~ ., "! ,......-......... .- Job Address: 1028 1STST CitylStatelZIP: SPRINGFIELD, OR 97477 Suite/bldg.lapt.no. : , r Project Name: Barrett " Cross Street/directions to job site: Centennial Tax map/parcel no.: 1703352213800 .: " ':if ,.. '-~----'< ..--. >' ,::" C : .; ';'DESc:BIRIION.Qf;VII0RK".,ii':~,;,," "c, ,;, , Ductless " '''';'' ';..1. ,. i.'....' , . ,i~?;' ,.?,:;,', "-,':' .... .~,' .." .... : .. ...." .' .. .." ',<', ......... ".. ,.,:iC",:":! , ;,~ ': i:SITEi,CONTcACi'i,,;: ::~ ',' Name: Kellv Barrett , ,I, Phone: Fax: Email: r " ,'. _'" <~::f ;'J;;1""fCO,NTMQ:]LOR, J-.,' . .,;""":: i. .~ Elec lie. no.: 20-537C CCBlic. no.: 162191 Business Name: GMD ELECTRIC INC , Contact: . " Address: PO BOX 72206 ."~"- .. .. .. CityfState/ZIP: EUGENE, OR 974010291 , Phone: 5417417369 Fax: 5419881800 Email: gmdelectric@comcast.net Metro lie. no.: City lie. no.: ., Supervising Electrician's lie. no.: 4874S Supervising Electrician's Name: MICHAEL K GOWINS .. " " :;;=-:r p- , Number of Inspections Included in paid services: -'<\,~:~t , Residential Service: 4 'I;:'.:'.'.'~} , Reconnect Only: 1 All Other Services' 2 Upon. review and approval by your local jurisdiction, your permit will be e-mailed or faxed wilhin one business day, with instructions on how to schedule your Inspection. NOTE: This Authorization To Begin Work expires within 180 days If a permit is not obtained. Tho local building department may determine that an Authorization To Begin Work is null and void if it dous not meet applicable land use laws and local ordinances. Please check, all that apply; D 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 D Fire pumps D Emergency systems D Addition of a new motor load of 100 HP or more D Six or more residential units in one structure D Health care facilities :,~>~t -/"" D Hazardous locations D A service or feeder rated at 600 amps or more o Buildings more than three stor o Marinas and boat yards D Floating buildings o Commercial-use agricultural buildings o .Installation of a 150 KVA or larger seperately derived sys D/'A", "E", or "1-2" or "1-3" D Recreational Vehicle Parks o Supply voltage for more than 600 supply volls nominal :j~ ~En;i:HEDuLE Qty. ~escription Branch circuits without service or feeder Branch circuits each additional circuit without serVice EI~ctrlcai~~ermiffEi9r Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE .~ ~~o . ~.'\: 'Comw/O ~/2sd/f 0 '-"';' ~ltf' " $5500 $55.00 $6,00 $6.00 , , $61.00 $7.32 $3.05 $71.37 \t~ l\.\: ~v v:~ ()0777 /7/7\..../ Inspections Phone: 54.1:-726,3769 This Authorization To Begin ~ork~mustbe posted at the job site until replaced by a Permit ~ .., "..;",- i" Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 'r,!~;{{: ";3~ 'j.'" " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00777 ISSUED: 06/16/2010 APPLIED: 06/16/2010 EXPIRES: 12/16/2010 VALUE: SITE ADDRESS: 1028 1ST ST ASSESSOR'S PARCEL NO.: 1703352213800 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: 2 zone mini split heating system Owner: DALRYMPLE DEBBI A Address: 1028 1ST ST SPRINGFIELD OR 97477 TYPE OF USE: New Residential ICONTRACTOR'INFORMATlON ~ Contractor License GMD ELECTRIC INC 162191 EUGENE HEATING INC 188592 BUILDING INFORMATION I Contractor Type Electrical Mechanical # of Units: Primary Occnpancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: #.of Stories: ,BeightibfStructure : Type ;;-t' Heat: ' ';-'Wiiie'r TYpe:' 'Ringe Type: Energy Path: Sprinkled Building: Expiration Date 11/19/2010 Phone 541-726-8601 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 ~ Frontyard Setback: Side I Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees R,qd: Paved Drive Rqd: ,'Y~ of Lot Co~erage: ifP::' ". :;:' "l.'.,I': I PUBLIC IMPROVEMENTS ~ Street Improvements: , Storm Sewer Available: \ w requires you.to Speciallnstructio'A'TTENTION: orego~b~ the oregon UtI''%, folloW rules adopt\hQse rules are set fo . Notes: Notification centeor., 0 through OAB~2{lQj; ^ R 952-001-0 I, ' fttiafU!\ll! 'fY:,'", '" In 0" obtain copIes 0 ',--' "h ne'" 0090 You may (Note' the talap 0 .", : caliing the center. Utility'N{;tijicatiOR: . , number for the 0~~~g~_332-23<r4)" ' center 15 Pa2e 1 of 3 REQUIRED PARKING Total: Handicapped:. Compact: Sidewalk Type: Downspouts/Drains: W 1\-1t \N0\'l$ "01\C~:. :'i S\-IP-\.\. r.'}.?~~t\'l\-J\\1 \S ~01 :'i\-lIS ?r.\'I\-J\1 \l~$r.\\ :'i\-ll \)O~t\) rO\\ p.,\l:'i\-lO\\llr.\) \) 0\'1 IS p-'OP-~ CO\-J\W\r.\'4Cr. ~ ?r.\'I10\). P-\'4'i "\ \\0 \)f:\ , . ~ l" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00777 ISSUED: 06/1612010 APPLIED: 06/1612010 EXPIRES: 12/16/2010 VALUE: Status Issued . ."'-. . ~. ."";,.~ "";." 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I \ Description Tvpe of Constrnction I Valuation ,Description ~ . ':,;::"(, ':.i'i' \"'i - . . $ Per'Sq:Ft ':<, :Square Footage ~C"'-_'''_'' '.', '. . ...... . or mul~~,~lier " " or Bid Amount Value Date Calculated Total Value of Project ~ Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handling Vnit Vp to 10,000 Heat Pump + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add Amount Paid Date Paid $13,56' $5,65 , $79,00,",0" ' .r $17:00':' , $17,00 $7,32 $3,05 $55.00 $6.00 ~. ,.;., , "i< : '" I ~'~\.H " 6/16/10 6/16/10 6/16/10 6/16/10 6/16/10 6/30/10 6/30/10 6/30/10 6/30/10 Receipt Number 3201000000000000307 3201000000000000307 3201000000000000307 3201000000000000307 3201000000000000307 3201000000000000355 3201000000000000355 3201000000000000355 3201000000000000355 Total Amount Paid $203,58 .,.1;,( <';'".', " , lp,i~~'R~~i~';~' :~ " ':"Hr,Jj 'l::. 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...PeoniredJ nsnectinns I Rough Mechanical: Prior to Cover '., . '.,: ~ I ~ ,:4 , Final Mechanical: When all mechanical w~r~' is complet~: Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete, ~ '~TIT; ;t.t~t?:~~~ .:f: '~r"" . ,.~.c;';~~'_" l:f~illi . , ,:',\( -; r; . ~. ..' :~,'",., Paee 2 of 3 " ;l.;.l'~;j:. ..... ~I- ~,. .(. , '~.\.. 1 .. 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: COM2010-00777 ISSUED; 06/1612010 APPLIED: 06/16/2010 EXPIRES: 12/16/2010 VALUE: Status Issued :. " 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 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. 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 ." ,'I',-C", '. . .' '<t."",;; '~ . times during construction. .';~~':.; ~J~;. ~,'. " , \.,',~., ','}',. " ...,. i Owner or Contractors Signature Date " ."....,.,..... '.'." . '. ffr'ii'- ,~:~~} i~L~.\_H :"\?r1r. . "'\.~1 p{ 1 ,. , ;'! ' ;" :,. ~ ',' . , '. "'1 '-,' " Pa2e 3 013 ,.;".---.- 225 Fifth Str~et Springfield, Oregon 97477 541-726-3759 Phone t.'D.'~~."'.~. J.'iU'. ...... '.... WiEl '.: .',.,..,.c - .. .c,". ,. '-: ,,",,~.,>,,-,_,_,,.,,.._,,,,.. ~""." '",_, ",t~ ,_ . City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000355 Date: 06/30/2010 2:32:0SPM Job/Journal Number COM20 10-00777 COM20 1 0-00777 COM20 I 0-00777 COM20 1 0-00777 Payments: Type of Payment ONLlNE CHGS cReceintl Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By ONLlNE PERMIT CHGS " . .' . <::heck Number R;~~r~.ii'~~ j~y~'i'~,:~~at.~~,.~ umber ~JM,. \"d. .t:~;~;:\~;; - ,.,1 ONLINE '. 'i ~. .......;........, .,. ;;; ;~.jrli~, . ,.1 'f f' ' . ~~;~}~~R: i::]l~',~i~~}.;:.. <:~ it' I . (i::r-:r]: . :;;1.: ;..,', .. I ,. n"\~: 'l.": \1~H;l, ; ,id" " .',10'" .. . !!/~::~JC:! J~.~~;Y,'.~~'< "~ .':~ .I:i:,:.',iI1; '_N~":'~_"" ..,. ~;~,\ i- .. ~t;' Page 1 of I Item Total: Authorization Number How Received Amount Due 55.00 6.00 7.32 3.05 $71.37 Amount Paid GMD Online ELECT Payment Total: $71.37 $71.37 6/30/2010