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HomeMy WebLinkAboutPermit Electrical 2006-6-11 ~\O~. \'(1.0 \0 'V~0 "e' \e"O ,\\\eO c,\,e I /'" NfP ..f ','- " ',~~- . ~ 0''( , 225 FIFTH STREET. SPRINGFIELD, OR 97477'; PH:(541)726-3753 . FAX: (541\~ ~9' . , ~~o ELECTRICALK-G~Wl'UCATION,. ~"e~~~:~. ~/ City Job Number \' Aa '\\,\.'~ Date .' 1.~1'1'\0" ,!-o"'" 1\~c!5~~~ 3. te~Mt.~-DB~~~&~~ LEGAL DESCRIPTION A. 1!1"\\*~}R-m&\\ta~~gm:tfliMlfitiwa1'i'iji'~':'~d*'1jiu:.'l:\1ffi'i~~ ~_~""~__~_ _"'~~'_'~~f>.__~~ \ 1 O~ 34 '?f2.. ('/) \ D \ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof , .~ . .' CITY OF SPRINGFIELD, OREGON . . . 200 Amps or less l $ 63.00 201 Amps to 400 Amps $ 75.00 Address ~~31 -\-\U)~ F1 L\ 401 Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 City .c '~Ql-v\e...-OC Phone -=t 2(,Of.o 7:J" Over 1000 Amps/Volts $375.00 --G . Reconnect Only $ 50.00 ~ 3d C. '1~<1:.TENTION' Oreg~n -. -~~="'''''''''''. """''''''8'~.1i!.''~~U,1j ~ Supervisor License Number ., ., o{, 'I .' C. ,ell! !:'!9'~"erytC~!9r.F.eedersr,",""~,1= . ,"I!i<>l IUIlUVY IUlC."'J o.dopted y lilt;: Iv~VI Ju"., Expiration Date I ^{ 11280 ::1-~otificallon Center. ThfD~fu[i~t'i'O'u~Ait~~Z~\I~tQr Relocatiou ~ ~. III v"n "",,-uul-0010t:%8~ah OA~ 952-0U1- $ 50.00 :~ ,., A 3 ";,'23.0. You may obtain Mp,EffiP8t"fli~s~ules by $ 69.00 vv"To( Constr. Contr. Number d U- <:>l~ j<....:., (201 Amps to 400AmP,f . ~ """"'Y '"" "enter. ~61t~J;'~tbe6~WA~' $100.00 . ti D t :::t I \ I 200~ number for the Oregon lJIIIIPy 1~(Jlill(;,,"8fl xplra on a e. v<:lIlltlr is 1-8L0Y~"""(iO\1:~,,or 1,000 Volts see ",B" above. D. iit'-;;h~ei'#uirg'~'.!I!I:W$l'i"~~~""'-'t,~~I~ Signature of Supervising Electrician ___.,'._. ''"._'~'''-''''''5._ ~"'"'~.~ ~ r~{;~ . . OwnersN~~ \riXi T~.rt ~ct Address \.{) \tJrx lO~ 0 E. f}ii~~~~1!(~tYi!1i~~~r~~~-~~i~~i~"t!lJ~~~~ City ~ ~ Phone ~~?~ .1olW OWNER INST ALLA nON JOB DESCRIPTION p~;en:t~I~~~I~~? not started within 180 days of~:ce or if work Is Suspeuded for 180 days. ~,~~~~'<O_~, '"..;......,~.., ~-~~__~-:~ 2 CO. , crORINST.... TIONfONh ~ . ' . r-:"t...,.cl.,,~..1L~. 1 .........~,~t6''J\''''''... ~ Electrical Contractor LL:l ht;z EJ~in'(.. $106.00 $19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 """~~"'",,,,,,,,,",;r~'ft-_"""--"<~,,""""~"" " B. ep'ic~es~o~rlt:eooe~.l.l ,~stilllatiol}~J\I!e~tiQ!iSr~~~eloCa: lOn: New Alteration or Exteus!on Per Panel One Circuit Each Additional Circuit or with Service or Feeder Pennit $ 43.00 ( $ 3.00 ~.cx) Pump or inigation $ 50.00 SignJOutline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Miuimum Electric Permit Inspection Fee is $45.00 + Surcharges NgU~Signature: . 4. F(J~t).8fAli~vlt~~JlI \.0\ (j) THIS PERMIT SHALL EXPIRE IF THE WORK . ,""""',","~~~',,",,~'i~ . . .. ,. '.", 0 ~I'l AUTHORI7Fn IINf1f:i:l TI-lIC: o:[)',1IT IS tl3f 8,.?o/., State Surcharge f":~ COMMENCED OR IS ABANDONED FOr \. ~~ 10% Administrative Fee v.llJO A~Xs~~cq,.HAi'e~~IP916-3769 ~ <{ ~~. . ~OT AL ll. M ~ .sJ...~^'~ "~"-"""'~'--'-"^.'~'.'~~ The installation is being made on property 1 own which is not intended for sale, lease or rent. . . CITYOF~rKli~ul'lJ!.L1J Building/Combination Permit PERMIT NO: COM2006-00044 ISSUED: 01/11/2006 APPLIED: 01/1112006 EXPIRES: 07/1112006 VALUE: Status: Issued 225 Fiftb Street, Springfield, OR 541-726-3753 Phone .: 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3550 Franklin Blvd Bus Stop ASSESSOR'S PARCEL NO.: 1703343200101 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 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor LANTZ ELECTRIC License 84679 Expiration Date 07/1 4/2006 Phone 541-726-0659 I BUILDING INFORMATION' .:# of Units: Primary Occupancy Group: Secondary Occupancy Yrlmary Construction Type Secondary Construction # of Bedrooms: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Patb: Sprinkled Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GarageJCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dlst: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: : IPUBLIC IMPROVEMENTSI . S treel Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains Notes: I VaIuatioo Descriotion I Description Tvpe of Construction SPerSq Ft or multipUer Square Footage or Bid Amount Value Date Calculated 1 of 2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00044 ISSUED: 01/11/2006 APPLIED: 01/11/2006 EXPIRES: 07/11/2006 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 Ff'f'~ taW Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount PaId Date Paid $6.60 $5.28 $3.00 $63.00 1/11106 1/11106 1/11/06 1/11/06 Receipt Number 2200600000000000047 2200600000000000047 2200600000000000047 2200600000000000047 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, that I have carefully examined the completed applicalion and do hereby certify that all . informalion 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 permissinn 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 luspections are requested at the proper time, that each address is readable from the street, thai 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 2 of 2 225 Fifth Street .~ Springfield, Oregon 97477 541-726-3759 Phone . ~ J(lb/Journal Number COM2006-00044 COM2006-00044 COM2006-00044 COM2006-00044 Payments: Type of Payment CreditCard :Jio.. ,,' - :, .'-, .1 iJ' ~i :":. ~ i OJ' 1/11/2006 RECEIPT #: 2200600000000000047 Description . Perm ServlFdr 200 amps or less Add. Alter, Extend Cire Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By LANTZ ELECTRIC Check Number Batch Number Received By IIh Page 1 of 1 .....ty of Springfield Official Receipt .velopment Services Department Public Works Department Date: 01/11/2006 Item Total: Autborlzatlon Number How Received 04728B Phone Payment Total: II :35:44AM Amount Due 63.00 3.00 5.28 6.60 $77.88 Amount Paid $77.88 $77.88