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Home My WebLink AboutPermit Electrical 2006-1-23 .' I. V.tbC{11QNQF, IN~JjiLMT.i.6lV." .~ q 7.C::; rK!iJn I-!./,'n LEGAL DESCRIPTION . J70~~ 4lf> JOB DESCRJPTION A--clJ ' S- ~1 8./ vD /6700 rc "c....." ~ +s. Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. '~.. .'."""" " ...,' .,~... 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 ..;- '- 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"" " .,. . Ji. . ,:;:~, J 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 . ;';-:',':J :.'l;~ l{s I 2.. 5)" 4lfO $ 5"'" TOTAL b l{ ,<> Shared Drive(T:)lBuilding FormslElectrical Pennit Application ~~3,doc . . 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. .' 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 'I. 4 .1 'I . '. :< 'I "41 1/23/2006 . RECEIPT #: .J~~~~! lilt . ^' '. , ,I . . ... ...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