HomeMy WebLinkAboutPermit Electrical 2006-1-23
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LEGAL DESCRIPTION
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JOB DESCRJPTION
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Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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1000 sq. fl. or less
Each additional 500 sq. fl. or
portion thereof
$106.00
$19,00
Each Manufacl'd Home or
Modular Dwelling 'Service or
Feeder
$50.00
. ___ 'll"'ll} \0
2 ~ ;?;oNtRAcroRmsiAi.uTIQN:miL i:; 1 B. r .S~rvic;" 0'" F,eeile'r1~i;,;i:iIf!.-iii)~,.Aii"t;i';0'Ii~.'0~;Rclocalioli:':, I
. ~..... < ,q ,. ,. '.,.'..' ",M. '...'~' . ~ . \G'.'" r:~:;~.~d O~'~\ltH_'~~;~~ S~l \~\\~;'.'--' "L' ,,_'c... c.;..... " ~,\<~j
Electrical Contractor ru VY\ rLV't -e t. E ll'r-tY, C r200'Amps qr,less'l rule O{>.I'\ 95'2.'00~' $ 63.00
In ~ L~IQr20C'~~ps.to 400Ail1~s \ \De rules '0'1 $ 75.00
Dol t"19 \.~ -f' "O:'l~vV'''' .."psG
Address -' ... 4 Do ')r'b 9;:,401 J\mPJ,~,,600)Amps \elepDOi"le $125,00
, " t' "'al/ c; ,.. ~\O' ti"le . tlon
00"0. ,0 601 Amps to 1000 J':inps./ '\oti\\Ca $163.00
Eu .\ ,I ~ 'he L." ..- - t'lI,'" "
City c.<Y\e.Y lljo~ Phone l'-tl;-/tlllcall\n90\~rt\990)\mpSN?lJt_'2.344). $375.00
nll('(l\:leReconnectpnl:'!)O-~ $ 50.00
I' Cef\\.t::\'
Supervisor License Number <, 0.1 s S
Expiration Date \ 0 \ 0 \ I 0 I
Constr. Contr. Number \ \.p l\ <("1 I
Expiration Date Dlo \ 11=1 I Z-t,(),
Signatur~ of Supervising Electrician
Ac......-t ..;-
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LI'~
Address ,:>e;, ..sc:> ><
City ~G-C7l./~Phone
Owners Name
OWNER INSTALLATION
New Alteration or Extension Per Panel
NOTlCEone Circuit I $ 43.00
THIS PE_'SIRili~~aEm!llEo~E WOR~/
AUTHORltrnc{J~tf~~e(tll~RMIT IS--tffifL- $ 3.00
70 70 COMMfj!'l.vM-J(lJIlliAi?olW(SbWQ~Pml,~tillcl~ded) "':EachIIlSlill:iHorij
A~Y 1801frA'tPfRIOC. . .. '. .... .... .
bY Z - {J 0 Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50,00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee Is $45.00 + Surcharges
4. ~.iirBi~'fAi;Q~1'!()~:', '::t.:...:", J
-6>10 State Surcharge
10% Administrative Fee
The installation is being made 011 property I own which
is not intended for sale, lease or rent.
Owners Signature,
Inspection Request: 726-3769
c. ~'~re.riip.9r~'ry-~Sfryices~'~r.~Fcc~~'rs":. .0"" "
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Installation, Alteratioo 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. L!l!~'~~h "C'irc'~',i~:~>.;~ .;~:.; ....,o~;~ :!I":~>,~.j'L ~:\ :~ "
$ 50,00
$ 69,00
$100.00
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l{s
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5)"
4lfO
$ 5"'"
TOTAL
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Shared Drive(T:)lBuilding FormslElectrical Pennit Application ~~3,doc
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. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2006-00046
ISSUED: 01111/2006
APPLIED: 01111/2006
EXPIRES: 07111/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
l 541-726-3769 Inspection Line
SITE ADDRESS: 3975 Franklin Blvd Bus Stop
ASSESSOR'S PARCEL NO,: 1703344310700
Eugene
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Electrical Service and One Circuit to Bus Stop
Commercial
Contractor Type
Electrical
Phone Number: 541-682-6100
. , you to
t\ ~TENT~?~~.?:;t~~n ~~~h~e6~;~~n Utility.
1'-'.'....... ".- _ r-.........il"lr Thnserulesate~talvl'"
I CONTRACTOR'INFORMATlON','ugh OAR 952-001-
n' ~, " , - -.. "htain copies of the rules by
Contractor 0090. You maYe~,iJien~~Jte: tExpirlltio~EDate
LANTZ ELECTRIC calling t~_~ ~h,~~~,7J~nn Utilitv N07/1'1/2()06
I BUtLDtNG'INFORMA:TWNllouO-332-2344J.
Phone
541-726-0659
Owner: LANE TRANSIT DtSTRICT
Address: PO BOX 7070
EUGENE OR 97401
'!' # of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
"eight of Structure
Type of "eat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
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
REQUtRED PARKING
Overlay Dist: Total:
# Street ~~i: E IF iH~~~pped:
Paved D R ~Mli SHt>.LL EXPIR Mli~~t:
% of Lot F, 5ZED UNDER iHIS PER FOR
~~~~M!:Nr,EO OR IS t>.Bt>.NOONEO
...
I PUBLIC IMPR~~l\WLIl1lSlt Pl:t\IUU.
Sidewalk Type:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
~
~" Street Improvements:
Storm Sewer Available:
Special Instruction:
Downspoutsmrains:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa~e I of2
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2006-00046
ISSUED: 01111/2006
APPLIED: 01111/2006
EXPIRES: 0711112006
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
Fp.p.~ P,llid I
$6.60
$5.28
$3.00
$63.00
$5.50
$4.40
$43.00
$12.00
1111/06
1/11/06
1/11/06
1/11/06
1/23/06
1/23/06
1/23/06
1/23/06
Receipt Number
2200600000000000045
2200600000000000045
2200600000000000045
2200600000000000045
3200600000000000026
3200600000000000026
3200600000000000026
3200600000000000026
. Fee Description
: + 10% Administrative Fee
p + 8% State Surcharge
. Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Alter, Extend Clrc
Add, Alter, Extend Circ Ea Add
Amount Paid
Date Paid
Total Amount Paid
$142.78
I Plan Reviews ,
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 all electrical work is complete.
, 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.
, 1 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 ofpians will remain on the site at all
. times during construction.
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Owner or Contractors Signature
Date
Paee 2 of2
'(
~~~ Ififth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00046
COM2006-00046
COM2006-00046
COM2006-00046
Payments:
Type of Payment
CreditCard
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1/23/2006
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RECEIPT #:
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lilt . ^' '.
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...ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
3200600000000000026
Date: 01123/2006
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
CAMP CREEK ELECTRIC
Item Total:
Chcck Number AutboriZation
Received By Batch Number Number How ReceIved
djb 279927 In Person
Payment Total:
Page I of 1
1I:48:32AM
Amount Due
43.00
12.00
4.40
5.50
$64.90
Amount Paid
$64,90
$64.90