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
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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
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Fax:
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Elec lie. no.: 20-537C
162191
CCB Iic. no.:
Business Name: GMD ELECTRIC INC
Contact:
Address: PO BOX 72206
City/StatefZIP: EUGENE, OR 974010291
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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
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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.
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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
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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
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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
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00932
ISSUED: 07/13/2010
APPLIED: 07/13/2010
EXPIRES: 01115/2011
VALUE:
Status
Issued
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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
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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: .
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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).
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Storm Sewer Available:
Special Instruction:
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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
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Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Copstruction
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$ Per S.ii Ft
or multiplier
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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
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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
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Total Amount Paid
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$183.69, >,
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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 " '
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Final Electric: When all electrical work isico';;,plete.
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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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;::~ ~~~,~'}~~',-"
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Owner or Contractors Signature
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Paee 3 of 3
Date
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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
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Paid By
ONLINE PERMIT CHGS
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Re'ceived By, j Batch Number
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ONLINE
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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