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HomeMy WebLinkAboutPermit Electrical 2010-7-14 City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us C/O. 932. Residential Electrical Authorization To Begin Work 69600-BE L-1 0-00330 Approval Code: 081040 7/14/2010 4:49 pm E-mailedTo:gmd@gmdelectric.com o New Construction [R] Addition/alteration/replacement '""!,CATEGc:)~Y:bF CON~'IRUCiION{~;,:'0S.F1!(: '. 1 or 2 family dwelling 0 Multi~family 0 Commercial 0 Accessory IZI i,,:' '0 .:..;?", :JOB,SI1:i:j"II:ORMA TIOI,f:A:ND.LOCAtibN :,J .,' " ..,-'",- Job Address: 697 715T ST City/State/ZIP: SPRINGFIELD, OR 97478 Suitefbldg./apt.no.: Project Name: Dyson Cross Street/directions to job site: Main (l) onto 69th (R) onto 0 (l) onto 71 51 Tax mapfparcel no.: 1702352405400 Description Branch :.';;.~EESCHEDULi:': . Qty. Total Heal Pump '"' 'I I Fax: ")nl! " , :C9N'(~QioRA Elec lie. no.: 20-537C 162191 CCB Iic. no.: Business Name: GMD ELECTRIC INC Contact: Address: PO BOX 72206 City/StatefZIP: EUGENE, OR 974010291 , " Phone: 541~741-7369 Fax: 541-988-1800 Email: gmdelectric@comcast.net Metro Iic. no.: City lic. no.: Supervising Electrician's lic. no,: 4874S Supervising Electrician's Name: MICHAEL K GOWlNS Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 .. " .:1'\,'; 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 days if a permit Is not obtained. .j Please check all that apply: D A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000"Amps at150 Volts or less to ground exceeds 14,000 Amps for all other -,.:.! o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three stor 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" o Recreational Vehicle Parks o Supply voltage for more than 600 supply volls nominal :41 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 D Health care facilities Branch circuits without service or feeder Branch circuits each additional circuit without service g!~~!rlC~i1'p~r"1iff~9~~"~"0:; Subtotal Slate surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE f' ;:: 01\91 .r" .,\) W~~' $55.00 $55 00 $6.00 $6.00 ,,, $61.00 $7.32 $3,05 $71.37 lP'- f'l,I\P .lO ~~ ~ The local building department may determine that an Authorization To Begin Wor1c: is null and ,o,d ,j it do", "01 m..1 .pp"...,.I,"d u'" I.w. tod 10..1 o,d'","", 0m~/ c:) ".... (/(}f(;? :2.- Inspections Phone: 541.726-3769 "'7 h --7, This Authorization To Begin Work must be posted at the job site until replaced by a Permit #)//0 , - .' ... hr\...- -. . ',J' ,'_."-.,- 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: COM2010-00932 ISSUED: 07/13/2010 APPLIED: 07/13/2010 EXPIRES: 01115/2011 VALUE: Status Issued .. ,__L._""V SITE ADDRESS: 697 71ST ST ASSESSOR'S PARCEL NO.: 1702352405400 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Pnhlic PROJECT DESCRIPTION: Replace heat pump and air handler Owner: DYSON DANIEL J & MEGAN E Address: 697 71ST ST SPRINGFIELD OR 97478 Phone Number: 541-736-1080 ., , I CONTRACTOR INFORMATION ~ Contractor Type Electrical Mechanical Contractor GMD ELECTRIC INC COMFORT FLOW HEATING CO. License 162191 460 Expiration Date 11/19/20 I 0 06/27120 II Phone 54 I -726-8601 541-726-0100 BUILDING INFORMATION I . # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: #.of Stories: . Height of Structure ;j'ype of Heat: 'WalerType: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION ~ Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: Ii Street Trees Rqd: Paved Drive Rqd: ,0/.' o{Lot Cove'rage: REQUIRED PARKING Total: Handicapped: Compact: . ".'1 Street Improvements: I PUBLIC IMPROVEMENTS ~ ATTENTI~w:e5~~~J~~~\v requires you to follow rul!DoMllIptnd~Jtij8!IDregon 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). Ii ~ -,. i Storm Sewer Available: Special Instruction: , '-1'('1:: ~ t.., r;;, . , ". ' Notes: -... p . _.!i.nl ',i.Ui- ;.~;: , ,E~MIT SI-JALL ill,;,' .,f ,', , -'IZED UNO EXPIRE IF THE WbJi' " \Ii" ' ,~iVCED OR I~~ THIS PERIy1/T IS Nb'f '1/)4Y PERIOD, BANDONED FOR Pa2e 1 of 3 ,":di. " ,.,' ,i '.' ~' :: {I./' i I :~'.~ " Status Issued "",, 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Copstruction " ~r!~, , $ Per S.ii Ft or multiplier i ~~." . Square Footage or Bid Amount Total Value of Project ~ Fee Description + 12% State Surcharge + 5% Technology Fee ist Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid .; .L~ 7/13/10 7/13/10 7/13/10 7/13/10 7/15/10 7/15/10 7/15/10 7/15/10 $11.52 $4:80;;: $79;00"'" : $17.00 $7.32 $3.05 $55.00 $6.00 '",..: ;t,'.;-i Total Amount Paid . $183.69, >, ,',~li\1'R~ii~)Vs . 'I ..,....f' ",-"I. . .,'Iq j t, ' CITY OF SPRINGFIELD Building/Combination Permit " PERMIT NO: COM2010-00932 ISSUED: 07/13/2010 APPLIED: 07/13/2010 EXPIRES: 01/15/2011 VALUE: Value Date Calculated Receipt Numher 3201000000000000432 3201000000000000432 3201000000000000432 3201000000000000432 3201000000000000443 3201000000000000443 3201000000000000443 ,3201000000000000443 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. UeolJiredjnlt'nectiohlt , Rough Electric: Prior to Cover " ' . ,J . Final Electric: When all electrical work isico';;,plete. , \" ~:"',.' , ,~--- -,.._~..~_.. :::::1Et.."'::E...1c;:17L"':-' .,.. i'[~{iU 't~\~i~;r' ~ . "~:~ ;)'~~~t.? : . 'V;.'; Paee 2 of3 l't!j'~~.:.. ,-I"'i;;\'I",{,' . ,.fU'f"':~';?' ': :1'\~'J,. .. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ",,: , f.'"" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00932 ISSUED: 07/13/2010 APPLIED: 07/13/2010 EXPIRES: 01/15/2011 VALUE: By signatnre, I state and agree, that I have carefnlly examined the completed application and do hereby certify that all information hereon is true and corred, 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 Commnnity 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 readahle from the street, that the permit card is located at the front of tlte'propSt!)', and the approved set of plans will remain on the site at all times during construction. .,~~;I;::~ ~~~,~'}~~',-" .~'~':~{~;' A.?'f,~' ~. ';1 "..,;;.~-j,\kf" :';",,' Owner or Contractors Signature ,i'. .:,.~;" .,j' :',' \,r~:~ ,_'~, .i '~".~,~,,::!'" '~, "i-' . >,~;:: -'1~~-- .,,,-~,'i~'" ~ \;.. .~;'.;'. 1 " .....'_. ,;~.f? I Paee 3 of 3 Date , 225 Eifth St.reet Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development ServiCes Department Public Works Department RECEIPT #: 320io00000000000443 Date: 07/15/2010 7:32:35AM Job/Journal Number COM20 I 0-00932 COM20 I 0-00932 COM20 1 0-00932 COM20 I 0-00932 Payments: Type of Payment ONLINE CHGS cReceintl Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee ,.J ., . !,. ~ -I i' Paid By ONLINE PERMIT CHGS . ,..l~ " . ';\'CheckNumber Re'ceived By, j Batch Number ,'," ..,. .,~' ,. . r NJM ONLINE ';'.H-' . ;1';,'~i ,..-. '0.,1"'-""-" , l -, )~ I"~- L "-'I.. f ~I' "..,.,-~~:: -:..=.~ "f}.,=",,::'(, 1:' .,.:.:l:,C;T: ..~lLJ,. ':\.1)",1. I I " "~ ~'., ~ f ~;; \ .~ i . ~ . """'~"T._:!:". "'~:.'~ '~tl t ',' . . ": I~, " '~~,~:.'~i\',i '~'!., ':;,::T?' Page I of I Item Total: Authorization Number How Received Amount Due 55.00 6.00 7.32 3.05 $71.37 Amount Paid 'GMD Online Payment Total: $71.37 $71.37 7/15/2010