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Home My WebLink AboutPermit Electrical 2006-12-15 . o Ee,{) 07 (j{ I eLl 1 l' OF SPRiNGFIELD Building/Combination Permit PERMIT NO: COM2006-01618 ISSUED: 12/15/2006 APPLIED: 12/15/2006 EXPIRES: 06/1512007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3125 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1702303403300 Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Repair Service Mast Owner: Address: OLSEN ROBERT D PO BOX 1434 EUGENE OR 97402 LOEW CHRISTINA M PO BOX 1434 EUGENE OR 97402 Owner: Address: I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor L H MORRIS ELECTRIC License 01838 Expiration Date 06/08/2007 Phone 541-747-081 I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 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 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 PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: Paee 1 of2 . .CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01618 ISSUED: 12/15/2006 APPLIED: 12/15/2006 EXPIRES: 06/15/2007 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fees Pairl I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Service Reconnect Amouut Paid Date Paid Receipt Number $5.00 $2.50 $4.00 $50.00 12/15/06 12/15/06 12/15/06 12/15/06 2200600000000001713 2200600000000001713 2200600000000001713 2200600000000001713 Total Amount Paid $61.50 I Plan Reviews I To Request an inspection call the 24 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. I Rellllirerllnsnedions I Electric Service: Approval required prior to utility compauy euergiziug 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, aud 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 2 of2 I FEE SCHEDULE I DeKriptlon I Qly. I EL I Tola! I Resid~tlat SINGLE- OR mulU.ramUy dweUing unit. Indudcs attllChed gara~ )1,000 sq. ft. or leas Ea. addl SOO sq. ft. or portion ~ Limited energy. residential lwilh above so. It) I . Limited energy, multifamily residential (with .bove 10. ft.) I Senico OR feeders installation, alteration, AND/OR relocation 1200 amps or less j 201 amps to 400 ampll 1401 amps to 599 Imps I TEMPORARY Ieni4:e'l OR ftcden installation, all"utlon, AND/OR mocalioa 1200 amps or Icss I 20 I amps to 400 amps 1401 amps to 599 amps j Braneb circuils - NEW, allentlon. OR extension, per pand I A. Fcc for branch circuits with above scrvlce or fceder fee, each branch circuit lB. Fcc forbnnch cin:uib withoutscrvicc or fceder fc:c., flnt branch circuit I each addl branch circuit I Miscellaneous I Service rcconncct only I Each manufactured OT modular dwellinlZ:_ service and/or fceder I Pump or irrigation circle I Sign or outline lighting I Signal circuit(s) or limited- energy pancl, alteration, or extension. I I I i II I TOTAL PERMIT FEE $61.50 I I . City Of Springfield 10% Local Admin Fcc; 5% Local Technology Fcc I City of Springfield .Electrical Authorization To Begin W. E-maUed Th: dhelgen@lhmorri..com " Check on status of permit: Contact: http://www.cisprlngfleld.or.usld.dlBulldinglindex.htm I 0 New conslrUction I TYPE OF WORK iii Additionlaherationln:pbcement CATEGORY OF CONSTRUCTION I [K] I or 2 family dweUina D Multi-family 0 Commercial/Industrial JOB SITE INFORMATION AND LOCAl1ON IJOb no.: IJob address: 31~ OLYMPIC ST CitylSlalelZIP, SPRlNGFlliLD. OR 91478-5569 I Suitelbldg./apt.no.: I Project name: Cross street/directions to job site: 1 1 1- ISubdivision: ITn: map/parcel no.: 11.01 no.' 1702303403300 DESCRIPTION OF WORK Repair Scmce Mast SITE CON1l\CT l Name: Mike McCall IPhone, (541)747-0811 IFa,,, (541)747-0852 I Email, I CONTRACTOR FJ. lie. no.: 20-39C I CCO Iicno.: 1838 Buslncs5 Name: LH MORRIS ELECl'RIC INC Contact: Dawn Hclgen Addre!lS: 483 SHELLEY ST ICltylSlalelZIP: SPRINGFIELD OR 91477-1966 IPhone: 5417470811 IF..: 5417470852 I Email.dhdgcn@lhmom..com IMctro lie no.: ICily lie no.: ISuperl'bling electrician's lie. no.: 3006S ISuptTvising electrician'. name: GARY LEE PEOPLES Upon revM!w and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to schedule your Inspection. Receipt # EC507091 1211512006 2:14:S1 PM $50.00 $50.001 j I I I $50.00 I 545.00 I 54.00 I $7.50 I ELECTRICAL PERMIT FEES Subtotal Minimum Fcc State S~{8%ofoc:rmil fee) Ci!,: Of S~~ftcid fees . NOTE: This Authorization To Begin Work expires within 180 days if 8 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. This Authorization To Begin Work must be posted at the job site until replaced by a Permit. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . ~~:.~;.~..... ... :... Mit.... '.1 ,-'" .... ..., ..".....,"'.... . C&of Springfield Official Receipt ~opment Services Department Public Works Department RECEIPT #: 2200600000000001713 Date: 12/15/2006 3:05:32PM Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 50.00 2.50 4.00 5.00 $61.50 Job/Journal Number COM2006-01618 COM2006-01618 COM2006-01618 COM2006-01618 Description Service Reconnect + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Payments: Type of Paymeot Amount Paid ONLINE CHGS ONLINE PERMIT CHGS ddk ONLINE LH Online MORRIS Payment Total: $61.50 $61.50 cReceintl Page 1 of 1 12/15/2006