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Home My WebLink AboutPermit Electrical 2006-1-11 ;, 9P~~ :~7 ",,:;'. i;:t.,<,. ~-<.;.'. .: .~H_"f,~_ ~I .......... 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number (OW( Z.OO {, - 0004 S- Date 1. I'LOCA'TidJv:OF.lNS'i'tiLtATio"N:::." ,. "'j 3. ~cI'!'Mf..il.fit,"'1i~'scf1IiiiU!JE}Ji,UjW" j;'>..." 'I 35i'r-'... .0~~'Q,~ . .. LEGAL DESCRIPTION 17D33.4"3> 2. DO zoo A. ti'!'i~:~e's'~4'eiitral ~'iSi.;igi~, '~~~~i~Iti~I}~'m)h. pe-r:d,vehirig:tfl~'ft ~:. ,l Service Included JOB DESCRIPTION 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof AJ.J <; C l r L<.A' f S" $106.00 $ 19.00 Permits are non-transferahle and expire if work is Each Manufact'd Home or not started within 180 days ofissuance or if work is T Modular Dwelling Service or $50.00 Suspeuded for 180 days. A TENTICFeedirregOn la . Ilh,,>,,,,' .,.' .,',.. ~'.' ,- ....." '"'''~/J~W rules ";,,,,,,,,,,,,,,,...~r:~,,(,;~,,:y':;~;,",,. """"~""" .." ,.... :. ~j 2. r!!i!1!!JR.i1CI'.,QR ;Il'!~T #I,A[{9N;0,!'f.IJ'}1.' ;catiol!!' '.Servife'~';J\F,ee~c~sf;'r~i''!!!iI~}$ij,'',IJ!rUli~J~SO~>RCipfntip'l:;sJ ri ('., r::.., In A.R 952'OOl-()Ol~;h JC IUles are setforth Electrical Contractor l .rJ lVI n u L<LL..k'clJ.ri&:~I' m 200 Amps odessgh OAR 952-0C' $ 63.00 \' I , ('l' av om",n ~r:; '. .- llf-.- <Q cal''-''~e 201 Amps to 400JAmpshe rules t $ 75.00 Address t'V' ,'f'))( L\ \90b numb;rf~rI46C);Jjpl~ir600\i:mps!lephone' $125.00 lie U(&Oon 11.:'l' At '. ti~ Cent601,Amps to 1000 AmpMICa/ion $163.00 c.. (J,1,1 ""'1,1 1"71 .....'.;J'-~IJU<i1?.."...." City \ {lite.. '1 hone . I '1\0 ~ '-l . Over 1000 AmpSIVolts1). $375.00 Reconnect Only $ 50.00 Supervisor License Number "3 0 ~ S 5> Expiration Date \ 0 \ Q' \ \ 0 " Constr. Contr. Number \ l!l 4 "(1 \ Expiration Date D \ 0 \ D <1 \ 1.[:J:), c. f--,je.hlpor;aryS~~~;i~es,o'rF~edcr~'~-:_;:/".r . :' . t Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. ~&r.~-~:~hL~i'rcuits:-.,:__~ .,~:'... ; .r'r"~:"":.,":>"~::'i.~~ -, "::-..:~ Signature of Supervising Electrician ./-..;r:;.~," - , New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit ---.., City L i'b. '?o [S O"x C-vLG-&1/~ Phone E. tJMi~~eii;i;'e;'~'s>(Sc'r"~\c~if~e~edi';i iiltl~'ded) .",E,~Clil;;'slall~li';:!ij' 7070 (..., g' 2 -~~'FcE: Pump or irrigatron $ 50.00 II 1fthleEf~~ IF TtiE WO:lK $ 50.00 OWNER INST ALLA TION l~~H~~z m I ~ 1frf~ e~A'M\T IS r.;E:T $ 25.00 The IOstallation is being made on property I own whb'OMMENC lflY ~eAJB'rl ffill~~IFOR $ 45.00 IS not IOtended for sale, lease or rent. ANY 1 ~mmlJi5>Permit Inspection Fee is $45.00 + Surcharges Owners Signature: 4. [~~?,Or.4:9fA8AvE'::' ..>(:.::} ,. ' .:; ,>.J 5 S- '10/0 <..-~o b If ~" , Owners Name Address 7% State Surcharge 10% Administrative Fee Inspection Request: 726-3769 TOTAL Shared Drive(T:)IBuilding FonnsIElectrical Pennit Application ~-03.doc ;,j $ 50.00 $ 69.00 $100.00 "..' '1 ',' ..,t~l~ ; , ~. . . . / $ 43.00 L( L{J /2. $ 3.00 . . CITYOFSPRINUl'U!.LD' Building/Combination Permif PERMIT NO: COM2006-00045 ISSUED: 01/11/2006 APPLIED: 01/11/2006 EXPIRES: 07/11/2006 VALUE: I Status: Issued 225 Fifth Street, Springfield, OR :'541-726-3753 Phone , 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3535 Franklin Blvd Bus Stop ASSESSOR'S PARCEL NO.: 1703343200200 Eugene TYPE OF Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Electrical Service and One Circuit to Bus Stop Commercial Owner: LANE TRANSIT DISTRICT Address: PO BOX 7070 EUGENE OR 97401 Phone Number: 541-682-6100 # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: I CONTRACTOR INFORMATION I) . OregO[1"'" .-~ ,0(10[1 Utility Contractor i'1T'CN1\ON. dopted by t\16 OH~!:l!s.elort\Expiration Date LANTZ ELECTI~ICoN rule~:n.or 1hose ru\e!l~6.7.9~52-001- 07/14/2006 NotiYBUiiDINGIINFORMA:iI0NI' rules U1 1[1 v,'. may OU'~'" '. the telephO[1e 0090. Yo~ of, Stories: (!'lotue't'I'lt" Notilicatlon \1\[1(' ,'"v. 0[1 I , ca -Height ofJreg 344). be' '" ..' 00 332-2 [1Um l):~~,!'JHeat:l - Water Type: Range Type: Energy Path: Sprinkled Phone 541-726-0659 ;.. Contractor Type - Electrical Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I I Front yard Setback: Side 1 Sethack: Side 2 Sethack: ., Rearyard Setback: - Solar Setbacks: Overlay D1st: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING .. Total: Handicapped: Compact: Street Storm Sewer Available: Special Instruction: IPUBLlC IMPROVEMENTS' ~ \'i- \\-I~ '-N\.l~; ~01\C~~~\\ '2.\\t>,\,\,\\t.~~~ ?~~~ype: \\-1\'2. ?O\\\l~\l \l~\l~" t>,'3t>,~\l~~nspoutslDrainS t>,\l\\-I t.\l 0\\ Ii) CG~~t.~C p..'i ?t.\\\0\). t>,~'i ",'CO \) Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multlp6er Square Footage or Bid Amount ~ Value Date Calculated I of 2 .. Status: Issued 225 F1fth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspecUon Line Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Clrc Ea Add Perm ServlFdr 200 amps or less + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Clrc Add, Alter, Extend Clrc Ea Add Total Amount . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00045 ISSUED: 01/11/2006 APPLIED: 01/11/2006 EXPIRES: 07/11/2006 VALUE: Tot~l Value of Project ~ Fp.p.~ Paitl J Amount Paid Date Paid Receipt Number $6.60 1111/06 2200600000000000046 $5.28 1/11106 2200600000000000046 $3.00 1111106 2200600000000000046 $63.00 1111106 2200600000000000046 $5.50 213/06 1200600000000000109 $4.40 213/06 1200600000000000109 $43.00 213/06 1200600000000000109 $12.00 213/06 1200600000000000109 $142.78 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. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service: Final Electric: When aU electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all infnrmatinn hereon Is true and correct, and I further cerUfY 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 wiD 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 Ume, that each address Is readable from _ the street, that the permit card is located at the front ofthe property, and the approved set of plans wiD remain on the site I at all Urnes during constructiolL Owner or Contractors SIgnature Date 2 of 2 225 Fifth Street Springfield, Oregon 97477 5~1-726-3759 Phone .., J~/Journal Number COM2006-00045 , , COM2006-00045 COM2006-00045 COM2006-00045 Payments: Type of Payment CreditCard , .. ,(.1., :1 I :1 :c :c , ~ , " .0., :! , ., :L C .!,. 'j '. 21312006 . RECEIPT #: ~ ~ JiiiitY of Springfield Official Receipt .eIopment Services Department Public Works Department 1200600000000000109 Description + 8% State Surcharge + 10% Administrative Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Paid By CAMP CREEK ELECTRIC Received By djb 1 of 1 Date: 02/03/2006 Item Total: Check Number Authorization Batch Number Number How Received 143068 In Person Payment Total: 11:43:02AM Amount Due 4.40' 5.50 43.00 12.00 $64.90 Amount Paid $64.90 $64.90