HomeMy WebLinkAboutPermit Electrical 2006-6-11
Supervisor License Number 3'49 ~:'fYFJ\ITlml' OregS"1 t#p~~s,~~o~~It~di,~m~Jf~1'mt'~
~I follow rules adopted hv th'l Qreg0n Utijitv .
Expiration Date If?: ex:J ::7..'ntifj,...~ti,...n ("'onter Thlnstallatlon, J\]teration or Relocation
.- . " . OSt; rUles dre sel TOrIn
n 3 )r1 OAR 952-001-001 0 t~9M,To!'t,~,lf~52'001- $ 50.00
onstr. Contr. Number de - 6J~~ Vrlll m';l~' obtain t'G\:l~t.'!l~lt'?I'tlO?~JfJy S 69.00
.. .' I I '1r'10/- calling the center. (1~~A0.'!1Pe \'CR9SI~ml'f $100.00
Explral10n Date :::t. \ LJ./ 'P", ,~h"," '0::" ''1e Oregloveri6ol)' Amps6rJlOOO Volts see "B" above.
Signature of Supervising Electrician Center is 1-i)}~~~~~~I~t~~_i~~~;mt~'1t11~
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OwnersName ~.\m~\+ tJi~tri:tServiceorFeederpennit l $ 3.00 ~.UU
Address f\ () -. "-,' () E. ~i~<giJliiI1~~"(srAA;wfe~d~~~~ih1irJ\'f.;E;i~:r{~li:!fo~
'fJ 'l ) ~>;~W"nd .....",,' ~.r.~~ U'l...;l.....~~,..~~ ,....."-"v....,,'G.; .... . ,.~
City f I ytena..- . Phone lDM...l.a.lCi)
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LEGAL DESCRIPTION
11 D~ 3~3'd.. r1J!.1Cl)
JOB DESCRIPTIOJo{
~r~on~hl~ex~o~;oP
not started withiu 180 days :~~ance or if work is
Suspended for 180 days.
2.
Electrical Contractor .1-.a nt;z Ele.ctn'c:..
Address ,3J-j~31 -\-\w~f;n
ity 6AAlN\1' -"Of.. Phone ~2&()f.,~ '1
'V .
OWNER INSTALLATION
3.
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A. ~Rem.pj!ltl:ll'':f<S.~!!g~~~4!~J.E~mil er. lIlYr>till!-'ig}!ID.! ~
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
""'"~'~~"t6"""'''''-''I'.\'-'-'''''''~'''"'~'-il:!:
B. . e jc_es!Or;F.ee(lersrf,rnstallalio~;;Xlll?tion~Wr~elocation,~~~
to3,
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsIVolts
Reconnect Only
.\
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
New Alteratiou or Exteuslou Per Pauel
One Circuit
Each Additional Circuit or with
$ 43.00
Pump or irrigation
SignJOutline Lighting
Limited EnergylResidential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
The installation is being made on property [ own which
is not intended for sale, lease or rent. Minimum Electric Permit Inspection Fee Is $45.00 + Surcharges
N,(l,y;ue~. ~ ignature: 4. 'tSiYBT'8"iJi.1YfJF.Jf1i, '0, Vif1L, ~1~r~~~~" I A Lo (j)
U II"I:~ ~~~~;'Jp:n~~~':;%,,~~'3 ..it..." LV .
THIS PERMIT SHALL EXPIRE IF THE WORK g;r'!. State Surcharge ~:l.ca
Au I HUHlltU UNUtH I HI::; t-'tHMII I::; NU 1 10% Administrative Fee . ,- . loU
COMMENCED OR IS ABANDONED FOR {\(\ N/7 . ~~a
At#"1'6Uifm'l-'flfRroa~6-3769 M \Jj \\ \h..V'" TOTAL \ ~. VO
~;~ -,\..;> ,~"""",,,,"..'_~ _'^"n~ ,~~
.
. CITY OF SPRINGFIELD
Status: Issued
. 225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
Building/Combination Permit.
PERMIT NO: COM2006-00045
ISSUED: 01/1112006
APPLIED: 01/11/2006
EXPIRES: 07/1112006
VALUE:
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:
Address:
LANE TRANSIT DISTRICT
PO BOX 7070
EUGENE OR 97401
Phone Number: 541-682-6100
.
I CONTRACTOR INFORMATION I
. Contractor Type
Electrical
Contractor
LANTZ ELECTRIC
License
84679
Expiration Date
07/14/2006
Phone
541-726-0659
I BUILDING INFORMATIONI
# of Units:
Primary Occupancy Group:
Secondary Occupancy
P"rimary Construction Type
Secondary Construction
# of Bedrooms:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENTINFORMATION I
., Front yard Setback:
Side 1 Sethack:
Side 2 Sethack:
. Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
IpUBLIC IMPROVEMENTS I
Street
Storm Sewer A van able:
Special Instruction:
Sidewalk Type:
DownspoutsIDrains
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$PerSq Ft
or multlpUer
Square Footage
or Bid Amount
Value
Date Calculated
.
1 of 2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00045
ISSUED: 0111112006
APPLIED: 0111112006
EXPIRES: 07111/2006
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F~~s Pairll
- Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Alter, Extend Clrc Ea Add
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
$6.60
$5.28
$3.00
$63.00
1/11/06
1/11106
1/11/06
1111106
Receipt Number
2200600000000000046
2200600000000000046
2200600000000000046
2200600000000000046
Total Amount
$77.88
I Plan Reviews I
. To Request an inspection caD the 24 hour recording at 726-3769. AIl inspection requested before 7:00
, a.m. will be made the same working day, inspections requested after 7:00 a.m. wiD be made the following
. work day.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
By signature, I state and agree, !hat 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 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 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 wID remain on the site
. at all times during construction.' ,
Owner or Contractors Signature
Date
f
2 of 2
225 Fiftto Street
~
Springfield, Oregon 97477
541-726-3759 Phone
.
J(lh/Journal Number
COM2006-00045
COM2006-00045
COM2006-00045
COM2006-00045
Payments:
Type of Payment
CreditCard
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1/11/2006
RECEIPT #:
~~
2200600000000000046
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
LANTZ ELECTRIC
Received By
IIh
Check Number
Batch Number
Page I of I
MJy of Springfield Official Receipt
.velopment Services Department
Public Works Department
Date: 01111/2006
Item Total:
Authorization
Number How Received
8804B Phone
Payment Total:
11:33:I8AM
Amount Due
63.00
3.00
5.28
6.60
$77.88
Amount Paid
$77.88
$77.88