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Home My WebLink AboutPermit Electrical 2010-8-13 Electrical Permit Application f"~'"''''''''''''''''''''''''''~'''';''''''''''''' < ""O'~;i,.,v";; .. ',' 0"70.' o} ..... .. .,..J~ll,f~~~."" ,...,.."",__'....,,."..... 225 Fifth Street. Springfield, OR 97477tPH(541)726.3753tFAX(54I)726.3689 SPA~ 'j L~.~ DEPARTMENT USE ONLY permilno!> If ...-sre.:ZoIO-5/ Date: f(..-,~ -,2;' I This permit is issued under OAR 918-309,(}000. Permits are nontransferable. Permits expire if work is not started within 180 days ofissuance or if work is suspended for 180 days. I LOCAL GOVERNMENT APPROVAL I I Zoning approval verified? DYes D No I I CATEGORY OF CONSTRUCTION I I m;,sidential l D Government I D Commercial I I JOB SITE INFORMATION AND LOCATION I I Job site address: .a 77<1 l//'e.<;;:;fV\C)~ Rue--.I ~_ I State: CJ/Z.- I ZIP;Cl)'/-7 71 'Refu~fe: \'1D?f\A.~ \ I Taxlot.:CO\O\() I ~C~IPTION OF WORK I I ~tJ ';Lk.::l-- pLUU/J I ".- / I PROPERTY OWNER I Name: '\<Jc:::t ~~e.l~ 1 Address: rx"7 1Jt.~w'mol'\.+ JL\u~ 1 I City: .1 State:OtL- I ZIP: Qrf'?71 I Phone: 1 I Fax: I I E-mail~ I This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). \\ Signature: I FEE SCHEDULE I Number of inspections per item ( ) IQty.1 Cost Total ea. cost I Residential, per unit, service included: 11,000 sq. ft. or less (4) $134.00 $ I Each additional 500 sq. ft. or portion $ 25.00 $ thereof I Limited energy (2) $ 32.00 $ I Each manufactured home or modular I $ 63.00 $ dwelling service or feeder (2) I Services or feeders: installation, alteration, relocation I 200 amps or less (2) $ 81.00 $ I 201 to 400 amps (2) $ 95.00 $ 40 I to 600 amps (2) $158.00 $ 601 to ],000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) $ 63.00 $ 201 to 400 amps (2) $ 87.00 $ 40 I to 600 amps (2) $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above CONTRACTOR INSTALLATION Branch circuits: nell\ alteration, extension per panel I Business name: ~.rt\\> ~\~\<.." Tr\C-.-,..J a Fee for branch circuits with purchase ofaservice or feeder fee: I Address: ?o...BoJt 7.;2;).0," Each branch circuit I S 6.00 I $ I City: ~vqei'\e.. I State:C)fL I ZIP: 97'fo I b. Fee for branch circuits without purchaseofaservicc or feeder fee: I Phone: :S''117<f1-7'?:1o<7 I FaX:.5'1-1 -'1.Y~-I@ol First branch circuit (2) II I $ 55.001 $55. I E-mail: ~tndJ ,3lW'l .. \.......kIC.. _ C D ~ I I Each additional branch circuit J $ 6.00 $ h. I I CCB licOiise no.: .j&'::J./'1 / I BCD license no.:aO.~ rll Miscellaneous fees: service or feeder not included I I Signing supervisor's license no.: l/-'ii 7'1 .5 I I Each pump or irrigation circle (2) I I $ 63.00 $ I I Printnameofsigningsupervisor:inl~a...j /L. c;."wil'\& I Each sign or outline lighting (2) $ 63.00 $ I I SignatureofSigningSUpervisor7r')':;;.U .-~ I Signal.circuitorali~ited-energypaneL I I $ 63.00 $ I .. .r, ~ alteration, or e:\1enslon (2) . .. Each additional inspection: (I) I I $58.00 $ I APPLICANT USE ~~ ~ (\~~ ~ ~ ~~, ~ ~~~. 440.2584.; (9108/COM) "",{I/ ,,<J 'V \0 , ro'''tfY...~ ' ~ (A) Enter subtotal of above fees (Minimum Permit Fee S58.00) 1 (B) Enter 12% surcharge (.12 x [A]) I (C) Technology Fee (5% of [A]) .' I TOTAL fees and surcharge5-{A through C): $ $ $ I $ 7/.~ r S;~RINGF...IE~.L ~ . i ~~.. " !tt. ~- OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.of.us Building I Residential Permit PERMIT NO:--S11-SPR2010-00051 IVR Number: 811143085246 perm itcenter@ci.springfield:or.us PROJECT STATUS: Issued ISSUED: 8/13/10 APPLIED: 8/13/10 EXPIRES: 2/8/2011 VALUE: $0,00 SITE ADDRESS: 2774 VIEWMONT Springfield ASSESOR'S PARCEL NO: 1703244100106 .i. ..~ SCOPE: , - WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Heat Pump OWNER: ADDRESS: FEDERAL NA TIONAL MORTGAGE ASSOCIATION 400 COUNTRYWIDE WAY SV-35 SIMI VALLEY CA 93065 Phone Number: Contractor Type Contractor Name GMD ELECTRIC INC CONTRACTOR INFORMATION ~ '. Lie Type J,,: ,). cee Lie No 162191 Lic Exp 11/19f2010 Phone 541-741-7369 BUILDING;INFO~M~!IO~ , # of Units: o # 'of Stdhes: I Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: or', ,-.,' II, c: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: Fire Alarms: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Energy Path: Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: Land Haza. rdrArea:nor.J' 0"00 I " . 'I'.. '. . - " on 8.W reg . .' Retainin~:W~II:V rules adopted b . the L U1res you to Soils Repof!IRequired;:enier Tho~ J Oregon UtJllty in OAR 952-001-00'10 thr~~ru es are settorth 0090 You may obt . . gh OAR 952-001- cal;ing the cente;"ln(NCOtPi.etshOf the rules by b . 0 e. e teleph num er for the Oregon urn '. one , , Center is 1_800_33~~I3~~t,'flCation . . < .),~~~. .' j, ';:j1'~;1ti5 'r.f. [.'OnCE: E WORK rHIS PERMIT SHALL EXPIRE IF TH . IJTHORIZED UNDER THIS PERMIT IS NOT r)MMENCED OR IS ABANDONED FOR "y 180 DAY PERIOD. or,;--/. dca~ ~1 ',~:i;:dh. ( Springfield Building Permit ,lfi("-" 8/13/2010 10:01:32AM Page 1 of 3 ..fk... Sr~IN.....GF '. E.. L?iiP . _'"II~..~ .~ YiL . .... ,~"'. OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00051 W'NW. ci. springfield. or. us , , r '\'.! IVR Number: 811143085246 ., .". " :i; .;~ ' . ,Ii ":ft;,, PROJECT STATUS: Issued ISSUED: 8/13/10 , ;' ,-~:.' -" ' \ APPliED': 8/13/10 EXPIRES: 2/8/2011 VALUE: $0,00 SITE ADDRESS: 2774 VIEWMONT Springfield ASSESOR'S PARCEL NO: 1703244100106 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: PROJECT DESCRIPTION: Heat Pump DEVELOPMENT INFORMATION I ;' " Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay'Disi: ..i:' H.. # Street'Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: PUBLIC IMPROVEMENTS , Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: , ~:' " . ,~l:.l:." 'I '~,' .:~Io' , ;""1" 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 . Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us REQUIRED PARKING Total: Handicapped: Compact: ." ,.t,;" ,),.-.:!:.D: f " Sidewalk Type: Downspout/Drains: '~l' " 1.;,.' t. .... ~,.....,~ ,_.. ".~.-- .'~:.Vaiuatio'n~bescription , Descriotion y'."n\s'~ l-;'p" ':".\\t,!' , Unit Amount Unit Tvoe Tvoe of Construction I.. ,FE.ES~pAf[) Amount Paid Descriotion Branch circuits with service or feeder each circuit Branch circuits without service or feeder.. 1 st circuit State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Total Amount Paid .. "., J ..;,if::-.u, ~. ,; Date Paid 08/13/2010 08/1312010 08/13/2010 08/13/2010 $6.00 $55.00 $7,32.' $~05, .. $71.37' , , ':,: Springfield Building Permit ,8/13/2010 10:01:32AM . '~~~,;, :~~~r{~~t;.'"' .~,l/ f Unit Cost Value Receio.t # 224433 224433 224433 224433 Page 2 of 3 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 S:~~~~__.FI~.L~ ~.~ ,-. , ...... .. f:> OREGON CITY OF SPRINGFIELD " ~I(\~i ;;':!';";;ci~".:,,,- f ' Building I-Resideritial Permit '1"';lr~..>1., r.....- ':;"':~':""'" PERMIT NO:S?1iiSPR2010-00051 IVR Number: 811143085246 www.ci.springfield.or.us permitcenter@ci.springfield.or.us ISSUED: 8/13/10 APPLIED: 8/13/10 EXPIRES: 2/8/2011 VALUE: $0,00 PROJECT STATUS: Issued ; SCOPE: ,. WORK INVOLVED: TY~EOF STRUCTURE: ~~:~ ;'i~;I:' SITE ADDRESS: 2774 VIEWMONT Springfield ASSES OR'S PARCEL NO: 1703244100106 PROJECT DESCRIPTION: Heat Pump ">..~.' -" i,oJ r:: ,:~i-'ct'PlanlRev~~ ~ '.~ Com~lete Result 08/13/2010 Issued 08/13/2010 Over the Counter 08/13/2010 Over the Counter 08/13/2010 Not Required 08/13/2010 _ Not Required 08/13/201 O';~' . Not Required . t.~.:. '.'. ',":-." .'0'.-,', _, , INSPEC1:lbNS'R~(;j'UIRED . :-ifii{': .;"-T"~" - i" ....,.~ . Comments Reviewer Nancy Machado Nancy Machado Nancy Machado Nancy Machado Nancy Machado Nancy Machado DeDartmen~ Permit Issuance Application Acceptance Initial Review Planning Review Public Works Review Structural Review Received 08/13/2010 08/13/2010 08/13/2010 08/13/2010 08/13/2010 08/13/2010 Due Date 08/13/2010 08/13/2010 08/13/2010 08/13/2010 08/13/2010 08/13/2010 Over the counter permit Over the counter permit Over the counter permit Over the counter permit ~ Inspections 4500 Rough Electrical 4999 Final Electrical 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 and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Communjty 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 thaI all required inspections are requested at the proper time,.,th'at.~a'ch address is readable from the street, that the permit card is located at the front of the property, and the approved' seh,(pians will remain on the site at all times during construction. . f i.' , .- -...-.-. "'~i'r D' I Owner or Contractor Signature Date "'.. " -.~J~~::~~.~~'+~j.,~'j: ',:,:;;;: ~~, ~ ~ '.' '11:: ."""" .,.,. ,. r;:w;,y. .::'T:r~""l ':.; j..1 . 'iirr1:' '~;~.~~t'~~ : ,01 , ~!l' ,:..)1'';'_ ,':i'C' ....,.' Springfield Building Permit ~'-''''~'~/13/2010 10;01:32AM ".;; Page 3 of 3 TRANSACJION ,RECEIPT "'; ::-,". \ ;' -;~.;, CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 "--'0');'." WNW.ci.springfield.or. us permitcenter@ci,springfield.or,us RECEIPT NO: 20 I 0000053 RECORD NO: 811-SPR201O-00051 DATE: 08/13/2010 '"~,oil IDES'CRIf!;j'I()N~~--">":' ---::;fl,'$", ;~ .';- -",-- Branch circuits with service or feeder each circuit Branch circuits withoul service or feeder - 1 sf circuit State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) . - - ..-.----,.--..~--_., Ul PAYMEN1. TYi',E . Check 4315 0-'<".~"..."-" ',,', .., .... ".. :-,. }'1:,."o "_ \; ,: ,4. >; ..... ....... . ":';"""" ... .... ," y AGC.QUNT,,0.0PE:....:..' ':" - - -':jA.M9J),tH,D.UE:' 224-00000-426102 $6,00 224-00000-426102 $55.00 821-00000-215004 $7.32 .100-00000-425605 $3.05 .TOTAL DUE: $71.37 PA' .y 0.' -R"';,c''''''CI\SHIER' NMACHAoO'fY'kL'.""'o.-M"M'''E'N'T'' 's' , ,z";;-.'ffi,-Si*''''';'''''-'''M'O'' 'U-N' 'T" 'PAID' ~__ " -;/"'_h~ __ _ ,; _,',_ _"'''_. ki\+-''''~...:_.__,~._..~ ;0"'''0'%:7<","'''''''"; ;' .l,~f---~<4"~____~:~_~-,_;'..1~~~> G.M.D. ELECTRIC $71,37 = 1 ,:,Qi~1 l~)!~J i'.U: ,>~!~;, l :" > .' .,_ I .~:'l\ ..',. ::,,,": ~. .' . r ",' .:."tf'!,iYc? -.. '- " \,i,',5r '. {""-I ~("It..,! "".;/~ !',';". \",-! : "-'.;:': ," .:t.,.. , , , . . - . .'~~. . . " -..,. ~" . .1,: