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Home My WebLink AboutPermit Electrical 2004-07-02OF PRIN Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00668ISSUED: 0710212004APPLIED: 06/0812004 EXPIRESz 0110212005 VALUE: SITE ADDRESS: 400 21ST ST ASSESSOR'SPARCELNO.: 1703361307100 PROJECT DESCRIPTION: New electrical service Owner: OpTION ONE MORTGAGE LOAN TRUST 2001 Address: 3 ADA IRVINE CA 92618 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Residential Contractor Type Electrical Contractor L H MORRIS ELECTRIC License 01838 Expiration Date 06/08/2005 Phone 541-747-0811 CONTRACTOR INFORMATION # of Units: Primary Occupancy Secondary Occupancy Primary Construction Secondary Construction # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: tortr Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: by $ Per Sq Ft or multiplier Square Footage or Bid Amount by nla PUBLIC IMPROVEMENTS Description Type of Construction Total Value of Project Value Date Calculated Type: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-36768ax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2004-00668ISSUED: 0710212004APPLIED: 06i0812004EXPIRES: 0110212005 VALUE: tr'ees Pa Amount Paid Date Paid Receipt Number 1200400000000000869 1200400000000000869 1200400000000000869 1200400000000001024 1200400000000001024 1200400000000001024 1200400000000001024 Fee Description + l0o/o Administrative Fee + 7%o State Surcharge Perm Serv/Fdr 200 amps or less + 10V" Administrative Fee + 77o State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Total Amount Paid $6.30 $4.41 $63.00 $6.10 $4.27 $43.00 $18.00 6t8t04 6t8t04 6t8t04 712104 7t2t04 7t2t04 7t2t04 $145.08 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection 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. Electric Service: Approval required prior to utility company energizing service. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. nsnections 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 Pase 2 of 2 Date 225 Fifth Street Springfitild, Oregon 97 477 541-726-3759 Phone -ity of Springfield Official Receipt -;evelopment Services Department Public Works Department RECEIPT #: 1200400000000001024 Date: 0710212004 8:28:38AM Job/Journal Number coM2004-00668 coM2004-00668 coM2004-00668 coM2004-00668 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 7Yo State Surcharge + l0% Administrative Fee Amount Due 43.00 18.00 4.27 6.10 Item Total:$71.37 Payments: Type ofPayment Paid Bv CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check LH MORzuS ELECTRIC INC djb ttt44s In Person $71.37 Payment Total: ---S?iF 7/212004 Page 1 of I {Kx*[trtts 02/06/04 FRI 09;11 FAX 5417263680 CITY OF SPRINGFIELD E oor i'zogii,#,ii,ry;"o,rffC ii,illir-,iiii, Aoo ilr"4L Oter 1 3. C" NOTIGE: D. :1,:t Signature LECAL DESCRIPTION tzazlbLz O7t o<> JOB DESCRIPT]ON MA^t f,4e<rr aetL Service Includcd 1000 sq. ft or les.s Each additional 500 sq. ft. or portion thcrcof Each Manufact'd Home or Modular Dwslling Scrvice or Feeder 200 Amps or lcss 201 Amps to 400 A-rrps 401 Amps to 600 Amps 601 Arnps to I0O0 Amps Over 1000 Araps/Volts Reconnect Only $ 106.00 $ 19.00 $50.00 l' s 63.00 u3.-T $ 75-00 $ r25.00 $ 163.00 s375.00 $ 50.00 s s0.00 s 69.00 s 100.00 $ 43.00 $ 3-00 A. trcu,-6 Permits are non-transferable and erpire if ryork is not started within 180 <lays of issuonce or if work ls Suspended for 180 days. ., Elect-ica] ConEaotor 1.ra. liltrrrc E/E* Address Crty lrn,Phone 747'o& I f Supcwisor LicenseNumber 414 5S Expiration Date /o- /^o 4 Constr. Conr. Number Ot ?S { Expiration Date Sig'narure of Superrising Electrician Address 3 ,4b,A Hil,lffirrrrrrrrrrrrrrr*ffiH:ffi,tfrtrtffiL lqy l'$fipffi$flffim!,c : r u Fu#- Ai! I IUU UAY TThIUU. B. ci€C\l'N€ " (-A Phoue gz6tg OWNER INSTAILATION The installation is being rnade on propemy I own which is uot intended for sale, lease or reot, Owoers Over 600 or 1000 Volts see "B" sbove. New Alteration or Ertenslon Per Panel One Circuit Each Additional Circuit or with Service or Feeder Pcrmit - 7% State Surchargc 10% edministrative Fec TOTAI, b3o 7 .r( Sliored Drivc(f:yBuilding FonnVBecrrical pcrmit Application l-0i.doc 45.00 + Surcharges en +t Inspection Reques* 726-3769 22s FIFTII STREET . SPRINGFIELD, OR97477 t ELECTRICAL PERMIT APPLICATTON Ciry Job N*brrCOrneooq -OO &E Datc 6- ftag owners Name OPT: or..l (>rvL- ru oMH Thosc through rulr 02/06/04 FRI 08:09 ITX/RX N0 63291 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fa.x 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2004-00668ISSUED: 0610812004APPLIED: 06/0812004 EXPIRESz 1210812004 VALUE: SITE ADDRESS: 400 21ST ST ASSESSORTS PARCEL NO.: 1703361307100 PROJECT DESCRIPTION: New electrical service Owner: OpTION ONE MORTGAGE LOAN TRUST 2001 Address: 3 ADA IRVINE CA 92618 Springfield TYPE OF WORI(: Electrical Work Only TYPE OF USE: New Residential Contractor Type Electrical Contractor L H MORRIS ELECTRIC License 01838 Expiration Date 06/08/2005 Phone 541-747-0811 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: R-3 VN # of Stories: Height of Structure Type of Heat: Water Type: Type: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport NOTI THIS RE II THE PER ISN Sq Ft Other: Occupant Load: the Oregon REQUIRED PARIilNG Total: Handicapped: Compact: et torth $ Per Sq Ft or multiplier Square Footage or Bid AmountDescription Type of Construction Total Value of Project Value Date Calculated rll I' U I-LT'I1\ U TN tl L'I TYTryJ Valuation Description I to Building/Combination Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-00668ISSUED: 0610812004APPLIED: 06/0812004 EXPIRESz 1210812004 VALUE: Fee Description + l0o/o Administrative Fee + 7%o State Surcharge Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $6.30 $4.41 $63.00 $73.71 Date Paid 6t8t04 6t8t04 6t8t04 Receipt Number 1200400000000000869 1200400000000000869 1200400000000000869 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. wilt be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. 1 Electric Service: Approval required prior to utility company energizing service. 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 Pase2 of2 E I€es fill(ll Kequtreo rnspeQuolls l 225 Fifth Street Springfield, Oregon 97 477 54!-726-3759 Phone ^'ty of Springfield Official Receipt -- cvelopment Services Department Public Works Department RECEIPT #: 1200400000000000869 Date: 0610812004 10:41:5eAM Job/Journal Number coM2004-00668 coM2004-00668 coM2004-00668 Description Perm Serv/Fdr 200 amps or less + 7%o State Surcharge + l0oh Adminishative Fee Amount Due 63.00 4.41 6.30 Item Total:$73.71 Payments: Type of Payment Paid BY CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check LH MORzuS djb I 10691 In Person Payment Total: $73.71 -sE r 6/8/2004 Page I of I IrXfl.A 02/06/O4 FRI 09:11 FAX 5417283689 CITY OF SPRINGFIELD ?2s F'IFTII STREET . SPRINGf,'IELD, OR97471 r PI*(541)726-3753 . FAX: ELECTRICAL PERMIT City Job Number q-oo Y ou*.z-o Oele @ oor Service Iucludcd 1000 sq. ft. or les.s Each additional 500 sq. fr or portioo thcrcof Each Manufact'd Elome or Modular Dwetling Service or Feeder 200 Amps or less 201 Amps to 400 Amps One Circuit Eash Additioual Circuit or with jo ,> * 45e< o 4as the s106.00 s 19.00 ss0.00 4nto9 .t 1 3. 4oa 2l 4r.-.L LEC.AI DESCRIPTIONno336t=O?iOO JOB DESCRIPTION L"n^Ar Permits are non-transferable and erpire if work is not started within 180 days of issuance or if worlr is Suspended for 180 days. A. , -, Elecrical contsactor I .tt, lrltr L d.r.-L Address City €e ro Phone )47-o€ lt E.xpiration Date o -o Constr. Conn. Number O / kZV Expiration Date L-3 -o, of Elecriciau OWNER Ir\STAILATION The isstallation is being made on properry I own which is aoc inteoded for sale, leasc or reat' Owncrs Sigoahrre: s 63.00 to s 75.00 401 Amps to arq OAB 0t thg r 201 Amps to 400 Amps 401 Amps to 600 A-ups Over 600 or 1000 Volts see "8" absve. New Alteration or Erteuslon Per Panel B. D Minimunr s r25.00 sr63.00 s375.00 s 50.00 s 50,00 s 69.00 s100.00 { s 43,00 L s 3.oo 4?* tg ownersName C))TtOr(o1/( . yl.oocG/tffi Service orFeederpcrmit Addre.ss 3 Arr{ City trVel Phone Pump s 45,00 Fee is $45.00 + Surcharges o'oe I - z'l1Yo SE,ta Surcharge 1 0%o Artm inistrative Fec TOTAI, Ltg -t I 3J- Shared Drivc(f : /Building FonngBecrrical Pcrmit tpplication l -0i.d cc Inspection Request: 72G3769 4. 02/06/04 FRI 08:09 ITI/RX N0 6JZ9l ( SupcrvisorLicenseNumbcr SaZb 9 . 25.00