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Home My WebLink AboutPermit Electrical 2007-6-19 apii' 'IElLD, ZON \;()~ ~ INITIAL -. ... L~ ~<-. DATE 1R.~ M~__ ~..." "SOURCE \A~ \ Q ~\C\\Ofl d CC'nn(Q)w~lP'~nb' ~ .",awn ~ILID\ (Q)~fEOO1M. 225 FIFI'H STREET. SPRINGFIELD, OR 97477 0 PH:(541)726-37S3 . FAX: (541)726-3689 ELECTRICALPMM.IT~10N City Job Number (~} _0' U ~ 'C:) 1. N~ '<1.., LEGmT~Q))~\ ) je~00N:\)exm\t Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. "'CONTRACTOR INSTALI4TIONONLY Electrical Contractor GW\ D z.-\ ~\ <..s Address 9S7 'f)o~;ldqe.} ~ City s~d '~I Phone '/;).J::r~J:;o/ Supervisor License Number c.j ~ 7 'f ~ /0/7 . / Constr. Contr. Number ~ 0 :-:Sa, 7 G cc.~ 1~/CjI Expiration Date Expiration Date /J;/1!d~ / :/ Signature of Supervising Electrician ~i" ./~ - . . ....... , - '" Owners Name lfe\t)'( W.tfJ Addres2W~~ ~N\\~ City _ . (i./ Phone ~.. q D:8 :\. -- ' , ~ . OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. N)lJii~I~N: qb~gon law requires you.~o follow ruler~opted by the Oregon Utility - l T'. - "''' fL'I"" ?ro c:ot fnrth NotlTlcaIlon vt:11 v', "v"',,,, ~ - ~.-. in OAR 952-001-0010 throtJ\J~~ 9mC~~f' A f\ 0090. You may obtain cop~ I S 3l\)UJJ ~PfflP~Q~esr. ~~!169he telep.ho, 1 DV number for the Oregon Utility No~\atl~ · Center is 1-800-332 .2344). ~~<6' t~CP Date 3. COMPLETE FEE SCHEDULE BELOW, A. New Residentiai, - Single OJ' Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 B. Services or Feeders - Installation, Alterations or Relocation: 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 N ,Qyq,l9QO AmpsNolts $375.00 'R~et Only $ 50.00 THIS PERMIT SHALL EXPIRE IF THE WORK MJtlll~ll'~f)'@NrJif~ ms1'!fiMIT ISNOT CCWs~b~kD.Ji~~o~~M~O FOR A~'b01tQpQ~lfsfRIOD. $ 50.00 201 Amps to 400 Amps $ 69.00 401 Amps to 600 Amps $100.00 Over 600. ~ps or 1000 Volts see "B" abo:ve. D. Branch Circuits, New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Pennit $ 43.00 $ 3.00 E.Miscellaneolls (Service/feedernot incl~ded) -Each Instltllatl9n Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharge~') 4. ; SUBTOTAL OF ABOVE .' ~ ~ 8% State Surcharge H 10% Administrative Fee 4.~ } 5% Technology Fee ~ TOTAL h\.-'~ ~;~~~sr~'~;l-~ ~ 1,1 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-00995 ISSUED: 08/21/2006 APPLIED: 08/03/2006 EXPIRES: 02/21/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5065 FORSYTHIA DR ASSESSOR'S PARCEL NO.: 1802042202100 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and air handler Owner: TREVOR LJAN Address: 5065 FORSYTHIA DR SPRINGFIELD OR 97478 Phone Number: 541-988-9038 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Contractor GMD ELECTRIC INC HOME COMFORT HEATING & AIR License 162191 84164 Expiration Date 11/19/2008 06125/2007 Phone 541-726-8601 541-345-2838 BUILDING INFORMATION I VN # of Stories: Height of Structure: Type of Heat: Water Type: 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: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKlNG Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Sewer Available: Downs~UCff~g~iJnaw requires you. ~o Special Instruction: ATTENTIO. t d by the Oregon Utility follow ~uleS adop \hose rules are set forth Notes: Quic~nY..fo( storm drainage only. Owner adding downspouts t~iilc&ttgUl~nter. h gh OAR 952-001- ~unBlPt. HEWORK OAR952001-0010t roU b THIS PERMIT SHALL EXPIRE IF T in ~ay obtain copies of the rules Y AUTHORIZED UNOER THIS 6~~r6~6SR N01 OO~~;Ii~~~he center. (NO~;i:i~; ~e~~~~~t~~n COMMENCED OR IS ABAN numberforthe.Oregon_3322344). ANY 180 DAY PERIOD. Center IS 1..800 Paj!e 1 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project ~ Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Minimum/Adjustment Electrical -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Air Handling Unit Up to 10,000 Heat Pump MinimumlAdjustment Mechanical + 10% Administrative Fee + 5% Technology Fee Renew Electrical Permit Amount Paid $4.50 $2.25 $3.60 $43.00 $2.00 $10.00 $4.50 $2.25 $3.60 $8.00 $12.00 $25.00 $4.50 $2.25 $45.00 Total Amount Paid $172.45 I Plan Reviews I Date Paid 8/21/06 8/21/06 8/21/06 8/21/06 8/21/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 9/13/06 6/19/07 6/19/07 6/19/07 CITY OF SPRING~lELD Building/Combination Permit PERMIT NO: cOM2006-00995 ISSUED: 08/21/2006 APPLIED: 08/0312006 EXPIRES: 02/21/2007 VALUE: Value Date Calculated Receipt Number 2200600000000001161 2200600000000001161 2200600000000001161 2200600000000001161 2200600000000001161 1200600000000001407 1200600000000001407 1200600000000001407 1200600000000001407 1200600000000001407 1200600000000001407 1200600000000001407 2200700000000000985 2200700000000000985 2200700000000000985 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. 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. Paee 2 of 3 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: cOM2006-00995 ISSUED: 08/21/2006 APPLIED: 08/03/2006 EXPIRES: 02/21/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 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 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 approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00995 COM2006-00995 COM2006-00995 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Renew Electrical Permit + 5% Technology Fee + 10% Administrative Fee Paid By GMD ELECTRIC ,.....')' of Springfield Official Receipt .;velopment Services Department Public Works Department 2200700000000000985 Date: 06/19/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received Ilh 099577 In Person Payment Total: Page I of I 1: 14:08PM Amount Due 45.00 2.25 4.50 $51.75 Amount Paid $51.75 $51.75 6/1 9/2007