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Home My WebLink AboutPermit Electrical 2006-7-14 ,- . ~ .: " ClTY OF"SPRINGFIELD, OREGON ,." ,~ 225 FlFfHSTREET . SPRINGFIELD, O'R 97477 . PH:(54I)726-3753 . FAX: (541~\~1ql#,<0 '\ '/ ELECTRICAL P,ppMIT APPUcATION ~0"i\<'~~00~ <,0 / CityJobNumber "Ao .f'CC:A~ Date ~"C~~~,0~./ / ..\,)' o~~' ...;\{\~. . 10...\ ....n~. 3. f@~f!R~ffiS.~Q~ t'\\,.... \e 'I),... ('.~ ..eo. A. ~er.li~.W"'.tifli!~i;fgr.rrr;1[Ilit1m"il:f~~'1I1i~g;iji,>ffii..~'I.I ~ .:;,.. . ,-M i \1......, -_._.......,__~......... ....--.......A.!JI Service Included 200 Amps or less $ 63.00 201 Amps to 400 Amps $ 75.00 40 I Amps to 600 Amps $125.00 601 Amps to 1000 Amps $163.00 Over 1000 Amps/Volts $375.00 Reconnect Only $ 50.00 AT. .TENTION: Oregor I~." f^-"",--"^'.'.h Supervisor License Number 3'-19 Q.r61):Jw rules adoptbld la~:'S.~~~~tlF.~d~~r.w.$~~1 c- f I Notiiication Center. Those rules ;re set forth ~ Expiration Date I () I 2tXJ:::+in OAR 952-001-001 0 ~'1F~'tl~~~1\~~5~!-ie~r! Relocation ~ 0090. You may obtainWrAmp~p~II~~ules by $ 50,00 . Constr. Contr. Num. be~ d [') - 3.;J.,~"1Iino the r.enter. (79Jtb."!P!!.'Jt~,,4Q~~mPJ $ 69.00 . I I 1- number for the Oreg@:1l~."'Pf !<!,9gg~P!!l $100.00 ~"l;I('r:::lI ExpirationDate ::r \ WO<p r.pntpris 1-8r,,;!'''''60^0~A^''\ 1000 V It "B" b vv~ . _ vver. . mpsor 0 ssee a Qve. rm~''''''-:\' -"'''''''''l<,,-_.t_~..~~~;S/'if;'''~lIll-:1ll\'>t't'''~!~' Signature of Supervising Electrician D. 1Il",~C~jGIr~Ults,*$~~ """*8!'i''''<m:....'i\\,>;.<:w~ ,-A. ..(2~ New Alte~ation or Extension Per Panel '- ~ ...;:-yA' One CIrCUIt $ 43.00 .~ ,'~ "-m '''~'I.L '" l C.w.;~~do~~~:~~~~~~tor with \ $ 3.00 ~ pU 'Cl l- Owners Name \UJ\L. \ ~!,lJ\_ ,f\ Ul. 'III U - Address l>r1 LW If) 1 ..- E. lM~~~,;1~ryl~.tit~~r~~~I!~1~!{ff~1l!tl~~ City ~~ Phone J.aa2J.o1OO OWNER INST ALLA nON O'l.C\OO JOB DESCRIPTION ~C), ~th.l') Permits are non-transferable a not started within 180 days ofis Suspeuded for 180 days. ""..,......,.....-_...o;,,:~_~""'".....""~_ .............,..;-~-.......".~.........,;s CO ., CTOR"INSE' , > TIONiONL~ 2. . ',' -<. . . , .,. ~ ..,...... Electrical Contractor ,La nt:e.EJe.cln'(. Address :3J-l's3' -\-\W~ F1 'Z City~W\e"'.~ Phone -=t2f.,OG.'5'1 The installation is being made on property I own which is not intended for sale, lease or rent. o~Td~~ature: THIS PERMIT SHALL EXPIRE IF THE WORK 6IITi-jmmm mln~o TUI~ o:o,WT I~ tJOT SOMMENCED OR IS ABANDONED~~~O\ ,~IV'R nAVD~ '1\\ Inspectlonf)ReqUest:.f?~'dl3~ ~ ~ ~!\)\tJ ~~~ 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 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 ~"""'='-'~":"""""'l'~"-''''~_,",;;\q!~'''' H" /",('1 4. fcST"RTOTA,'r"op,1rBOJ{Ji:- _ ,';"m. W . ~~lf'2:b,":"r.""~1".....~.... f'C:!~ot6}' ~ ~Io State Surcharge 1'L.fQ.. 10% Administrative Fee \() .ld) "'11.W TOTAL Shared Drive(T:YBuilding FormslElectrical Permit Application 1.()3.doc . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-00043 ISSUED: 0111112006 APPLIED: 0111112006 EXPIRES: 07/1112006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR ~ 541-726-3753 PhODe 541-726-3676 Fax 541-726-3769 InspeCtiOD LiDe SITE ADDRESS: 3770 Franklin Blvd Bus Stop ASSESSOR'S PARCEL NO.: 1703344202900 Eugene TYPE OF Electrical Work ODly 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 'CONTRACTOR INFORMATION I Contractor Type Electrical Contractor LANTZ ELECTRIC License 84679 Expiration Date 07/14n006 Phone 541-726-0659 , BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: # of Stories: Height of Type of Heat: Water Type: Range Type: EDergy 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 'DEVELOPMENT INFORMATION' Front yard Setback: Side I Setback: Side 2 Setback: . Rearyard Setback: Solar Sethacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: IPUBLIC IMPROVEMENTSI Street Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains Notes: I Valuation Descrintion I DescriDtion . Tvpe of CODstruction $ perSq Ft or multipUer Square Footage or Bid Amount Value Date Calculated I of 2 . . CITYOFSr.",u,GFIELD Building/Combination Permit PERMIT NO: cOM2006-00043 ISSUED: 01/1112006 APPLIED: 01/11/2006 EXPIRES: 0711112006 VALUE: Status: Issued 225 Fifth Street, SpriDgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspeCtiOD LiDe Total Value of Project Fees Paid I . ~.:: Fee Description + 10%Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less AmouDt Paid Date Paid $6,60 $5.28 $3.00 $63.00 1/11/06 1/11/06 1/11/06 1/11/06 Receipt Number 2200600000000000048 2200600000000000048 2200600000000000048 2200600000000000048 Total Amount $77.88 I Plan Reviews I To Request an inspection caD 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. wiD be made the following . work day. IRi'1i'1J~ 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 examlDed the completed application and do hereby certify that all iDformatioD hereoD is true aDd correct, and T further certifY that any aDd ail work performed shall be done in accordaDce with the Ordinances of the City of SpriDgfield and the Laws of the State of OregOD pertainiDg to the work described herein, aDd that NO OCCUPANCY wiD be made of aDY structure without permissioD of the Community Services Division, Building Safety. I further certifY that only contractors aDd employees who are in compliance with ORS 701.005 will be used on this project. ' I T further agree to eDsure that ail required inspections are requested at the proper time, that each address Is readable from , the street, that the permit card ..located at the froDt ofthe property, and the approved set of plans wiD remain on the site at ail times dUriDg cODstruction. Owner or Contractors Signature Date 2 of 2 225 Fifth Street Sr..ringfield, Oregon 97477 5:11-726-3759 Phone . ~ ~ty of Springfield Official Receipt _evelopment Services Department Public Works Department '" Job/Journal Number COM2006-00043 COM2006-00043 COM2006-00043 COM2006-00043 Payments: Type of Payment CreditCard ;'l-- ., , "a , ') - :1' 'II. } \ ~ 1t :) - :, ,: I~, '. ~~ \ ~ '~., 1/1112006 RECEIPT #: 2200600000000000048 Date: 01/11/2006 Descripdon Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By LANTZ ELECTRIC Item Total: Check Number Authorization Received By Batch Number Number How Received IIh 01213B Phone Payment Total: Page 1 of 1 tt:37:47AM Amount Due 63.00 3.00 5.28 6.60 $77.88 Amount Paid $77.88 $77,88