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Home My WebLink AboutPermit Electrical 2010-7-7 City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us c/o' <683 Residential Electrical Authorization To Begin Work 69600-BEL-10-00309 Approval Code: 010129 7/7/2010 11:53 am 'f'. . E.maileq To: gmd@gmdelectric.com ~{ifs~",~JbBISlfE(iNF~ORM:A. TlbNii,.ND!lloe.o.;tT0NI~W~~1~j~~~\ Job Address: 364 49TH ST Please check all that apply: o A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps al150 Volts or less to ground exceeds 14,000 Amps for all other City/State/ZIP: SPRINGFIELD, OR 97478 q Fire pumps o Emergency systems o Addition of a new molor load of 100 HP or more o Six or more residential units in one structure o Health care facilities Suite/bldg./apt.no.: Project Name: Hays Cross Street/dIrections to Job site: Main Street (L) onto 49th o Hazardous locations D A service or feeder rated at 600 amps or more D Buildings more than three stor D Marinas and boat yards o Floating buildings D Commercial-use agricultural buildings o Installation of a 150 KVA or larger seperately derived sys O "A" "E" or "J~2" or "1-3" , , D Recreational Vehicle Parks D Supply voltage for more than 600 supply volts nominal Elec lie. no.: 20-537C TOTAL PERMIT FEE CCB Iic. no.: 162191 Business Name: GMD ELECTRIC INC Contact: Address: PO BOX 72206 City/StatefZIP: EUGENE, OR 974010291 .p ~'<- ~~\o \\: Phone: 541-741-7369 Fax: 541-988-1800 EmaiJ: gmdelectric@comcastnet Metro lie. no.: City Iic. no.: Supervising Electrician's lie. no.: 48745 Supervising Electrician's Name: MICHAEL K GQIMNS Number of inspections included In paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 .'.,' :11' Jpon review and approval by your local jurisdiction, your permit will be e-mailed or faxed Nilhin one business day, with instructions on how to schedule your inspection. &rYlZ~/O- 7-1---,0 "OTE; This Authorization To Begin Wor!< expires within 180 days If a permit is not obtaIned. rho local building department may determine that an Authorization To Begin Wor1l: is null and loid if it does not meet applicable land U5e laws and local ordinances. $71,37 ~ 'v~ ~ \0 \~\Z-- .~ 00663 /l/")l'.,; Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posied at the job site until replaced by a Permit Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00883 ISSUED: 07/02/2010 APPLIED: 07/02/2010 EXPIRES: 01/07/2011 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line . , SITE ADDRESS: 364 49TH ST.,,' ,':" "Springfield TYPE OF WORK: Heating System ASSESSOR'S PARCEL NO.: 1702324100225 .,., ., TYPE OF USE: New Residential PROJECT DESCRIPTION: Install ductless system' Owner: HA YS DAVID K & BARBARA E Address: 364 49TH ST SPRINGFIELD OR 97478 Phone Number: 541-746-1191 Contractor Type Electrical Mechanical I CONTRACTOR INFORMATION ~ Contractor License GMD ELECTRIC INC 162191 COMFORT FLOW HEATING CO:' '" 460 BUILDING INFORMATION ~ Expiration Date 1lI19/2010 06/27/2011 Phone 541-726-8601 541-726-0100 # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Constrnction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Typ~.: '. E.~'~rgy' p~th':'\ f:, I . Sp',:inkled Building: -~'.' ~ Lot Size: . Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION ~ REQUIRED PARKING Front yard Setback: Side 1 Sethack: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I ~., I PUBLIC IMPROVEMENTS , Street Improvements: Storm Sewer Available: Special Instruction: ,.'.-~\.;r"." Sidewalk Type: DownspoutslDrains: Notes: b;i;;,. r"" ....r." '\,," Pa2e 1 01"3 Status Issued .'~ 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,'.;" .,,' .(."". ~ "',) I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount .'i,-:,li.1. ,'t:' .4':.", .~,).V':; " Total.Value of Project I.;' ,;, ~ ':." 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 Date Paid $11.52 $4.80 $79.00 $17.00 $7.32, $3.05 $55.00 ,,' . $6,00, . .' ".:J ,t"" 7/2/10 7/2110 7/2/1 0 ,7/2/10 , 7/7/10 " 7/7/10 '7/7/10 7/7/10 Total Amount Paid $183.69 I Plan Reviews ~ CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00883 ISSUED: 07/02/2010 APPLIED: 07/02/2010 EXPIRES: 01/07/2011 VALUE: Value Date Calculated Receipt Number 3201000000000000374 3201000000000000374 3201000000000000374 3201000000000000374 3201000000000000396 3201000000000000396 3201000000000000396 3201000000000000396 To Request an inspection call the 24 hour re~'~rd,fri.~i:a't'726c3769. 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 workday.,::"." l..JleoniredJnsnections 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 complet~. ; ,", . l,j J ....r , ~~ ,~\! 1', ., Paee 2 of3 ",,"'. ~'",' "Ct 1":~~:Pi i}Ji~~'~!/~ 1, ", ", '., . . Status Issued ."".,1 t"'...... ~.' ";'" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00883 ISSUED: 07/02/2010 APPLIED: 07/02/2010 EXPIRES: 01/07/2011 VALUE: "',.' "''''~~',_ ;_ i. ... ", . ,., i ~ . , '.;. . ; ~3~ET~_;; 'JT~'~;"'. 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 herehy certify that all information hereon is true and correct, and 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'St~!e,of Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will he made of any struct~re 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 times during construction. Owner or Contractors Signature Date !,':." ;/lH ~, ,::~rt~;'~~ .':"', . . - .\,'.,~,,,,. ~ :...;,.,'.;.J Ii' H t " ~. " \' Paee 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone "I"iiiil'!~el'1lW>...."... i. .... Mr.', i ...,.,....,. ...... c. 'C',%=",,--,-",=,'''""''- ,"" .JC ~, City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000396 Date: 07/07/2010 1:48:20PM , . Amount Due 55.00 6.00 7.32 3.05 $71.37 Job/Journal Number COM2010-00883 COM2010-00883 COM20 I 0-00883 COM20 I 0-00883 Description Add, Alter, Extend Circ ,....,. Add, Alter, Extend Circ Ea Add.:".""." '_''- + 12% State Surcharge '" {. + 5% Technology Fee Payments: Type of Payment ONLINE CHGS Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received njm ONLINE gmd electric Online Payment Total: Amount Paid $71.37 $71.37 j ~. " - ~ J~ , '~,~,itl~~:,' ;"-_.~ ",' ,'k...'" . '. ~~ .' .~ .J \"':, ..~-'r' '.{ , cReceintl Page 1 of I 7/7/2010