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Home My WebLink AboutPermit Electrical 2010-8-2 City Of Springfield 225 Fifth 5t Springfield. OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us C/O. /()2.1 " .Residential Electrical Authorization To Begin Work .... ' 69600-BEL-10-00357 Approval Code: 079074 8/2/2010 2:52 pm E-mailedTo:gmd@gmdelectric.com '*''+j, Tr-d~ .c. .';"'0"" .:'P' ,',; D New Construction IRl Addition/alteration/replacement P//:. V J:..CA TEGORYOFc::ONSTRUC"TION ' .~ . .:7.....'2. 1RI 1 or 2 family dwelling D Multi-family D Commercial q. Accessory I :,{.1q..,: ::iC,.;i.J0I3'i:;I"TE.INFORMAtioN.ANpt0cA:TToN::;J:'. ,'.j"',.!, ";-! Job Address: 1628 MENLO lOOP . ~\. , ,! .l . ,~, . '.. City/State/ZIP: SPRINGFIELD, OR 97477 -' Suite/bldgJapt.no.: Project Name: Alban Cross Street/directions to job site: Centennial (R) onlo Anderson (R) onto Menlo Tax map/parcel no.: 1703273301400 .'. ;';',: ":'~?:'~"-:.:ElESCRipTiON!OF:W0~1{;::f:;-;.:l7;~?.~~:~:'+,.i;:~i.;t.e: Ductless " i :~ :. . , .', I~' ..... ..,.......... -.'~::+SITE.CONTAci ,,;:::/, .\c>' "..._;;;'~'-, ~..." ,;",/;<;:;:",09 '""",-" Name: Alice Alban Phone: Fax: Email: \<'i~. ~....?.. . '.. ....I? J'L. .;;.';.'!';' t - ".; 1<. .' 20-537C 162191 ):..\1 '.',... ~ ..,. ~ Elec lie. no.: CCB lie. no.: ,., ,..L;. ,".. Business Name: GMD ELECTRIC INC .. Contact: Address: PO BOX 72206 CityfState/ZIP: EUGENE. OR 974010291 Phone: 541.741-7369 Fax: 541-988-1800 Email: gmdelectric@comcast.net Metro lie. no.: " City lie. no.: '. .. ."., , " ;:". Supervising Electrician's lie. no.: 4874$ Supervising Electrician's Name: MICHAEL K GOWlNS Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 Upon review and approval by your local jurisdiction, your ponnit will be e-mailed or faxed within one business day, with instructions on how to schedule your inspection. ", " .r',' I ~'. NOTE" This A.uthorlzatlon To Begm Work expires wlthm 180 days If a permit IS not obtauled ::~ ',::....'_ , ,~ ',," ,,... . The local building department may determine that an Authorization To ~~~!~:~orf~'.'~~.~~~ir' :and void if it does not meet applicable land use laws and local ordinances. ;. , . . ['<'{/ -~ '";'''if.''''. 'PLAN'REVIEW';. 'A"""J!' '-.~: ,.'] ,,",A,' ", "~_1 - , , ,. Please check all that apply: o Hazardous locations o A service or feeder beginning o A service or feeder rated at at 400 Amps where the 600 amps or more available fault current exceeds o Buildings more-than three star 10,000 Amps at 150 Volts or less to ground exceeds o Marinas and boat yards 14,000 Amps for all other D Floating buildings D Fire pumps o Commercial-use agricultural buildings D Emergency systems D Installation of a 150 KVA or o Addition of a new motor load larger seperately derived sys of 100 HP or more o "A" "E" or "1-2" or "1-3" o Six or more residential units in ' . o Recreational Vehicle Parks one structure o Health care facilities o Supply voltage for more than 600 supply volts nominal ;; ',. "",;,. ';/FE:E;SCHEDiiLE.,::,:.'J"';i;:S>,':,'.. '. : pescription I QIy. Ea. Total .Y ;f '. ,..".'; Branch circuits without service or 1 $55.00 $55 00 feeder Branch circuits each additional 1 $6.00 $6.00 circuit without service Electrical Permit Eees . . '.... "0.-:",- .... '/ .J.' .. Subtotal $61.00 State surcharge (12% of permit $7,32 total) Technology fee (5% of permit total) $3.05 TOTAL PERMIT FEE $71.37 # ~:~~~ ~ ~ '0.:" ~~ ~~\.o ~~~~ ~ Inspections Phone: 541,726,3769 This Authorization To Begin Work must be posted at the job site until replaced by a'Permit ~~;/O- 0/02-9 r>2--/cJ /7 r7'---/ -~ Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-01029 ISSUED: 07/30/2010 APPLIED: 07/30/2010 EXPIRES: 02/02/2011 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1628 Menlo Lp ASSESSOR'S PARCEL NO,: 1703273301400 ',Springfield TYPE OF WORK: Heating System ;',;, ::,....' " ,', TYPE OF USE: New Residential PROJECT DESCRIPTION: Two zone mini split , . Owner: ALBAN ROBERT F & ALlCE M Address: 1628 MENLO LP SPRINGFIELD OR 97477 Contractor Type Electrical Mechanical I CONTRACTOR INFORMATION ~ Contractor License GMD ELECTRIC INC 162191 EUGENE HEATlNG'INC"'" .. 188592 I BUILDING INFORMA nON ~ Expiration Date 11119/2010 Phone 541-726-8601 541-726- 7656 # of Units: Primary Occnpancy Gronp: Secondary Occnpancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: , Height of Structure Type of Heat: Water Type: R'aiige Ty'pe: ," , ..,'\, i' ~ ,E~~rgy:P~th: , . 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 ,,'1' I DEVELOPMENT INFORMATION ~ REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: Total: ' # Street Trees Rqd: ATTENTION: Oregon law rffil'nijjli:aP~d\O Paved Drive Rqd: follow rules adopted by thrdiiifpj.'t~: tfilltih % of Lot Coverage:iotific'oItion Center. Those rules are set or . . in OAR 952-001-0010 through OAR 952-001- L . .,,,, 'Ai--......f"I v""" ""'-'0\/ f"'\ht:::.in eDDIes of the rules by I PUBLIC IMPROVEMENTSI~ing the center. (Note:tM telepnon" , "u<~,ber for the Oregon Utility Notification . ~...". C~i~.e,v.v~!kfr,YjW:332-2344), DownspoutslDrains: Street Improvements: Storm Sewer Available: Special Instruction: NOnCE: THIS PERMiT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THiS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR /If'J'v' 180 DAY PERIOD. ,,:;,~,' ,) ,.. -l":ll( .:,~,:,j ltH>t' . .;-.. -... ,. '. ~.. ;:;;;n.:,,::..:,: '.:, Notes: \ Page I of3 ii~ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Descriotion + 12% State Surcharge + 5% Technology Fee I st Appliance Air Handling Unit Up to 10,000 Heat Pump + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid ':., ~<:, . < ., ~,,' ,,' !:t' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-01029 ISSUED: 07/30/2010 APPLIED: 07/30/2010 EXPIRES: 02/02/2011 VALUE: Value Date Calculated ~;'\', ," .1 Valuation Description ~ Square Footage or Bid Amount $ Per Sq Ft or multi~~~~e~ _' . i~.~' ~.,' to'l; 1 : . .~ .' ;Total Value of Project ~ Amount Paid Date Paid Receipt Number 3201000000000000499 3201000000000000499 3201000000000000499 3201000000000000499 3201000000000000499 3201000000000000503 3201000000000000503 3201000000000000503 3201000000000000503 To Request an inspection call the 24 hour r.i~_~~di.ri'~t~t726-3769, 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. $13.56 $5.65 $79.00 $17.00 $17.00' $7.32",; , $3.05 $55:00 $6.00 ,'~'. '-'7.....,. 7/30/10 7130/10 7130/1 0 '7130/10 , 7130/10 .8/2/10 ' 8/2/10 8/2/10 8/2/10 $203.58 Plan Reviews ~ ~' 'j... ,. , ;,' ~ . .".1:,{ ::;.< ;;q::t Ue(]uiredJnsnections ~ 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 complete. {i~.., ::'. ;~' , Pa2e2 of 3 . ,.l: .'i~ V_ , ....~ .."""',,............... .......... '.. I "". '......,. """, I .....f .,-"c -'.".," "'''';''W'''''.'.,", ,,,......,. " , .~..".,<-' ",;"'".: . "". 'i."~~:L~'r . Status "-", Issued 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,;: ,-',' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-01029 ISSUED: 07/30/2010 APPLIED: 07/3012010 EXPIRES: 02/02/2011 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 correct, and I further certify th.t any .nd all work performed shall he done in .ccordance with the Ordinances of the City 'of Springfield and the,LiI;~s 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 .pproved set of plans will remain on the site .t .11 times during construction. Owner or Contractors Sign.ture , " ..",\.;.,-. .r..;:;':\';" .......:/,""'" . , ",,' r, 'u,'.7. ':: I, if, " e ~,,\h' :~:; .1 . . ,,,-., .... '~ .' .!\ , ~ '''i''i i ;~..~". : Paee 3 of 3 Date City Of Springfield 225 Fifth 5t Springfield, OR 97477 '" Phone: 541-726-3753 Email: permitcenter@cLspringfield.or.us Residential Electrical Authorization To Begin Work 69600-BEL-10-00357 Approval Code: 079074 8/2/2010 2:52 pm E.mailed To: gmd@gmdelectric.com D. Accessory ~'i!'l1~~'5iJ0Bislf'EIIt-lEORMAiTIONV.trND1L!'Q!::;4:mIQ~..ft~ 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 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 separately derived sys o "A", "E", or "1-2" or "1-3" o Recreational Vehicle Parks o Supply voltage for more than 600 supply volts nominal Job Address: 1628 MENLO lOOP 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 ::ity/State/ZIP: SPRINGFIELD, OR 97477 )uite/bldg./aplno.: 'roject Name: Alban ::ross StreeUdirections to job site: Centennial (R) onto Anderson (R) onto Menlo Branch circuits each additional $6.00 $6.00 circuit without service :~j~~'!r"9,~HR~YI!i)!LE~~,~~m;I~~it~'.i*m~f*j~~~i~]~~~~t~ffitr%~~iNrl?i~* $61.00 ::Iec lie. no.: 20-537C 162191 State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE $7.32 CCB lie. no.: $3.05 $71.37 3usiness Name: GMD ELECTRIC INC :ontact: I\ddress: PO BOX 72206 :ity/State/ZIP: EUGENE, OR 974010291 'hone: 541-741-7369 Fax: 541-988-1800 ::mail: gmdelectric@comcast.net Vletro lie. no.: Ci~ lie. no.: )upervising Electrician's lie. no.: 4874S )upervising Electrician's Name: MICHAEL K GOWINS \Iu!1lber of inspections Included In paid services: ~esidentjal Service: 4 i!econnect Only: 1 ~II Other Services: 2 Jon review and approval by your local jurisdiction, your pennit will be e-mailed or faxed thin one business day, with Instructions on how 10 sehedule your inspection. )TE: This Authori:z:ation To Begin Work expires within 180 days if a permit is not:~?tiifned. -:L ,-,.._,.,~ ._-, Ie local building department may determine that an Authorization To B~9.i.r!_~ork is null and lid if it does not meet applicable land use laws and local ordinances.. Inspections Phone: 541- 726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit // '/} a ~{/J/O- {J/J..bf '?>2-/cJ h rT'----" '" City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759.Phone RECEIPT #: 3201000000000000503 Date: 08/02/2010 3:06:40PM . ~., ('~i:'{fl ,t \)1 ili-.. .' ':.()'. Item Total: Authorization Number How Received Amount Due 3,05 55,00 6,00 7,32 $71.37 Job/Journal Number COM20JO-OI029 COM2010-01029 COM2010-01029 COM2010-01029 Description + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge ';t: ":\i'" Payments: Type of Payment Paid By ONLINE PERMIT CHGS " Check Number Received By ~ Batch Number Amount Paid ONLINE CHGS "rijm ONLINE gmd elect Online Payment Total: $71.37 $71.37 " f. : .~< to : .~. t" \~s:~,j.,~~'~(. d' j r .. 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