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Home My WebLink AboutPermit Electrical 2010-7-21 {!JO .c/47 Residential Electrical Authorization To Begin Work 69600-BEL-10-00338 Approval Code: 044041 7/21/2010 1:11 pm E-mailedTo:gmd@gmdelectric.com ;;"PL:ANREVIEWv __ City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us ,,-.'"' o New Construction I l-. '<:,A TEG6RY~Qr!9:0NSTRliti:TloN~~~ 00 1 or 2 family dwelling D :Accessory o Multi-family 0 Commercial 'JOB:SITE;INFo'RMA T1o'WANO'IiOCA Tiotli:::;:-"\S=.: =;:-:~,:::! Job Address: 128 HAYDEN BRIDGE WAY City/State/ZIP: SPRINGFIELD, OR 97477 Suite/bldg.laptno.: Project Name: Cliner Cross Street/directions to job site: Pioneer Parkway ;./" Tax map/parcel no.: 1703233300220 Ductless .c;:t-i.' Name: Ken Cliner Phone: " J~$:i~~: ~'J1'm"~.0;:;', ....".1-;[{:..' ',.~~~., -'1""';:~:;\~ Fax: Email: ,'f~{;':l;'1 " CONTRActOR' ;'" Elec lie. no.: 20-537C ceB lic. no.: 162191 Business Name: GMD ELECTRIC INC Contact: Address: PO BOX 72206 'i, CityfStatefZIP: EUGENE, OR 974010291 Phone: 541-741-7369 '.t"" Fax: 541-988-1800 f: .t~;:,!)k~;J"l ; d' ,\: Emall: gmdelectric@comcast.net Metro lic. no.: City lic. no.: Supervising Electrician's Iic. no.: 4874S Supervising Electrician's Name: MICHAEL K GOWINS Number of inspections included'in paid services: ;~~~~~~e;~:e ~'ll,~~)~tr~~i'; ;,:;~,,~j ""1 ,'" Upon review and approval by your local jurisdiction, your pellllll will<i~J; ~':malled 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. The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances. 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 D Fire pumps D Emergency systems ~D Addition of a new motor load . of 100 HP or more EJ Six or more residential units in one structure Health care facilities Branch circuits without service or feeder Branch circuits each additional circuit without service ~'t ~lectrjc,ilIPEJrtriifFges'~:~._ Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE \'" .,.,,'. , .' 'Iii' ~i' ,. ..' ,.~ D Hazardous locations D A service or feeder rated at 600 amps or more D' Buildings more than three stor D Marinas and boat yards D Floating buildings D 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 volts nominal Qty. / ~ ~~ . ~"( ~j}\;' ~ $55.00 $55.00 $6.00 $600 .'1''/' f'.:',1, ~"" $61.00 $7.32 $305 $71.37 ~fU9'(O f\ . ;'Q/ ~~ ~ In;pections Phone: 5~\1-726-3769 This Authorization To Begin Work must be posted, at'lhe job site until replaced by a Permit J 'iI' .': .f..,)?,;),'; -d-/.!<cl c.{.". .C'" ,'r. i;.~1.#:~;'; , }', .'~,_, :~:,;:?,-;A'; ~'. mto/O-Oo9<--/7 ~~I!i~"~Iil!~I' I' " ".",....'...H.".,.....::.. 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: COM2010-00947 ISSUED: 07/16/2010 APPLIED: 07/16/2010 EXPIRES: 01/21/2011 VALUE: Status Issued ~ SITE ADDRESS: 128 HAYDEN BRIDGE WAY ASSESSOR'S PARCEL NO.: 1703233300220 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: ,f .,,'. Two-zone mini-splif~':; '\'~~i: ,,;.du "["" ,. " \: ~ TYPE OF USE: New Residential . ;,! ~ I :'.'.':' Owner: CLIMER KENNETH A & DAPHNE Address: 128 HAYDEN BRIDGE WAY SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor License GMD ELECTRIC INC 162191' EUGENE HEATING INC .' 188592 ,BUILDING INFORMATION ~ Expiration Date I 11/19/2010 Phone 541-726-8601 541-726-7656 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction TJ'pe Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: E,nergr Path: Sprink!e,d Bpilding:, "',_i" ....1"._ '. Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT'INFORMATlON I Fronl}'ard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: JL~+..'; . Not~~DTICE: !HIS PERMIT SHALL EXPIRE IF THE WORK UTHORIZED UNOER THIS PERMIT IS NOT r:MMENCED OR IS ABANDONED FOR "V i .Sf) OlW PERIOD, I PUBLIC IMPROVEMENTS I Sidewalk Type: \ equires you to .' TE"TION: Oregon aw r Utility , .". ....-, , AT "Dow/lSDcmt~mt1ain's-,e Oregon h .. .'~,.(_.. 101l0w rUleS ",.. l'.- 'se rules are set fort Notification cen\~~I~~~rough OAR 952.-001- in OAR 952.-001- . 0 ies 01 the rules by 0090. you may obtain ~ofe: the telephone calling the center. ( Utility Notification number lor the o~e~g~_332._2.344). Center is ,- . ,:;", ,,'l!t'. ~~ "t-.l .~jrl" Street Improvements: Storm Sewer Available: Special Instruction: ,'."','.'.'".:,.' I, ., . . .'\''';'i'';, '~;'''''.'''' ......._,. ~'...,... .." -,,"r.,_" ','b". .....,. <, ;, "j-Y,1?' ;~~_.:,~..~ .,-... '4~~;:;:;;'r... ...: ;'t~~~a2e 1 of 3 -'-"1-'('''..' . . I'::~:::~~ .~ '~'~1'J~;., Status Iss u ed 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 54]-726-3676 Fax 54]-726-3769 Inspection Line ,; ; i i~ ! J ';.,; ','!.: :"'.1 " i~" I Valuation Descriotion I Description $ Per Sq Ft or multiplier Tvpe of Construction Square Footage, or Bid Amount ....;:ji~t~i;rY~,I~~ ot Project . .~..l_.,. .;._~ ~'...' . .; .," .. ~ '.....' <;,~1 Fee Description + 12% State Surcharge + 5% Technology Fee ]st Appliance Air Handling Unit Up to ]0,000 Heat Pump + ]2% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid $13.56 $5.65 $79.00 $17.00 $17.00 $7.32 . $3.05 $55.00 '., \.1- $6,9_0,; ; Total Amount Paid $203.58 Date Paid 71]61]0 71]61]0 71]61]0 7116110 ..,71]61]0 71211]0 71211]0 7121110 71211]0 I Plan Reviews , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00947 ISSUED: 07/16/2010 APPLIED: 07/16/2010 EXPIRES: 01/21/2011 VALUE: Value Date Calculated Receipt Number 3201000000000000449 320]000000000000449 320]000000000000449 320]000000000000449 320]000000000000449 320]000000000000464 320]000000000000464 320]000000000000464 320]000000000000464 <'r": ~r':'~I!I1, ' I," To Request an inspection call the 24 hour r~l!rd.jJ.fg'l!{726~3769. All inspections requested before 7:00 a.m. will be made the same working day, irispeCti~ii~requested after.7:00 a.m. will be made the following ~'~-'<-~u.~' ' , ' , work day. -:: . , l..ReouiredJ nsnections ~ Rough Mechanical: Prior to Cover Final Mechanical: When an mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When an electrical work is complete. , ,,~ -":rL.-~t: ~I:'ir~' ~ :.. Paee 2 of 3 """':'1':,;".' ,......,- " ,,) :"HUI Status Issued v...'~.. :.'~':::.i. <! ' ,,-,,' }ilf:ij( . ~'''i i f9 j '. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00947 ISSUED: 07/16/2010 APPLIED: 07/16/2010 EXPIRES: 0l/2l/2011 VALUE: 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 arid 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 pe~mission 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 inspection; 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 ... ~'.. ' .t.. ~t~; "rE=7\ff{\1,' . --,.,.~ .Uiti:;; ,):i" ';'" ..: U'. ~ '.~}ij~l: ,,~it(.: " ." '\',j,.- "' ...' , t, 12 '11' _, '.~. 1 ~ " . ; ~ ' ....y"'; ;"'.",;. ' :{t~t~~':r,: ;r ,~,' " ',~ i:~ . ,'.'" : ,l Paee 3 of 3 " Date ',1,', 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000464 Date: 07/21/2010 ] :40:32PM Job/Journal Number COM20 I 0-00947 COM2010-00947 COM2010-00947 COM2010-00947 Payments: Type of Payment ONLINE CHGS cReceintl Description Add, Alter, Extend Circ ':". . ~.' i' Add, Alter, Extend Circ Ea Add.~-.:' + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Check Number Received By Batch Number NJM ONLINE :=t' <i~.~ Y;f;' '" ;"l' ". ,....~. (~ . , . ..;: .. ..~,' , :, ~1 .I;~i-i -to". \ . . ~ ' .... ...! Page 1 of 1 Item Total: Authorization Number Amount Due 55.00 6.00 7.32 3.05 $71.37 How Received Amount Paid GMD Online ELECT Payment Total: $71.3 7 $71.37 7/2112010