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Home My WebLink AboutPermit Electrical 2006-1-11 "'\~~ . ~'^ f..:~~S0 ,. . . . I .. . \\\~~~E '(0 ~ . 225 FIFTH' STREET . SPRINGFIELD, o'R 97477 . PH:(54I)726-3753 . FAX: (54\.ldl!'~""; . . . \{'IQ 0'0 ELECTRICAL PN~tf.#f',!.CATION . \0\\0"'0~6 60 ./ City' Job Number \.'A1C111.J"tUI Date ~;:tI\tI~~0\' "~~./ - ,,\lV'':) 1.0~ 3, t~i1m~i~e~~~~ t~\. ....'" . <'l..\\\~ A.II7~~1~r~&if!~tfp.'\1fu~e1r~!t~4~tr~ Service Included 1000 sq, ft. or less Each additional 500 sq, ft. or portion thereof Supervisor License Number 3'-/ Ii Q.:') C. tltt~1Y:$e~I.t~i'4it~td~~~~:r,;:~~m*__ .~ Expiration Date 1^/I' Z80::+,~;:rEN~'ON: OregOJlli$tlllllill:olir~tjol'llti!lP or Relocation -4..) '1' ~ 1~~':;" ',uo,,~ c:dopted ~lfal6..ffu~8f;lessUtility $50,00 i:onstr. Contr. Number :;J () - 3~~~~~~ ~:nter. Th2O'FAlTIps~tBrwQ',^,mpsth $ 69.00 ..', ~.", vv~-uv 1-0010 t~bflA1Rp~t~I6605.Rn\'ps1- $100.00 Expiration Date ::t I \ ! 200~0:~:;:~~, ::tl~~~i~~~~~;1~m!itlJj~1lVolts;ee "Bn ab~ve. .",. . . . Signature of Supervising Electrician number for the Ore~~:t'l!B!!'~(!ir,......~~~~W~,\\\\'f~~fa .~f -A. -e~ Center IS 1-80iNO\Y~ljeraiiOn or Extension Per Panel ~ "-= ~ -.::-y _ . One CIrCUIt $ 43.00 '---'C Each Additional Circuit or with I " 00 ownersN~e D. TmJ\<;\t \)\~cr Service or FeederPennit .' $ 3.00 ;.,. "'D1 ~ E. ~7M&cWI~tt.(S::AJr~~r~~l:r~~lii~J\w~Ea"Th~i~~It:ti~ Address ,U ~""=-___u" ,.,.__.r~J"'1.~..~;>'\.....n~....~..:~~.K\Hr=~.._,...,,~1] City f 1 ~N .r\ 0;' Phone ~ Pump or irrigation $ 50.00 ~ Sign/Outline Lighting $ 50.00 OWNER INST ALLA nON Limited EnergylResidential $ 25,00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges oV . ~.1i> -, Jf. ~og 1. ~~1:t€!~S.:!~t:~i~~1V..i.'it .~().. \~ (\ r\XhJ0 LEGAL DESCRIPTION \ i. t)~?A"\-~ \t)\DO @ JOB DESCRIPTION ~) c{ ~JJ\L: ~ '&.t.D S\op Permits are non-transferah il.nd expire if work is not started within 180 days glssuance or if work Is Suspended for 180 days. If><~---~'''~~=>~~ 2. ~.' ',W.2,R,IINS~ . . ^ 'FIO,~J;9lf,P " Electrical Contractor L.a hT;z EJe.cfn'c.. ~ Address 3t-I~31 ~ 1.uL4 F./\ '-J Phone -:r Z{'OG,. ':> i. The installation is being made on property [ own which is not intended fOT sale, lease or rent. NeilCfjanature: THIS PERMIT SHALL EXPIRE IF THE WORK ~~~~:~~~ ~~~\:BU~~;ri~~~~~~q . ~~ I{~P.tRW~3~6~~ bt.D\O '0^!., \~ ~~ $106.00 $19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 !\,W;l~~~;w.~;m"~'~~"'~'<e!1.tJ!., . B. ')~t:Vi~es:oJ:Ul:eeders~Jn~tallation:rA1Jer-t)tigns~or.Reloca ion: 200 Amps or less 201 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 TOTAL Shared Drive(T:YBuilding Fonns/Electrical Pennit Application 1-03.doc , :"'_S~f.lIl;'G.:~ .. -' ~ ~ . - - :#,- ~ . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-00046 ISSUED: 0111112006 APPLIED: 0111112006 EXPIRES: 07/1112006 VALUE: Status: Issued 225 FIfth Street, SpriDgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 TnspeCtiOD LiDe SITE ADDRESS: 3975 Franklin Blvd Bus Stop ASSESSOR'S PARCEL NO.: 1703344310700 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 Ph ODe Number: 541-682-6100 " 'CONTRACTOR INFORMATION I Contractor Type Electrical Contractor LANTZ ELECTRIC License 84679 Expiration Date 07/1412006 Phone 541-726-0659 I BUILDING INFORMATIONI . #ofUnits: : Primary Occupancy Group: Secondary Occupancy I'rimary CODstruction Type Secondary CODstruction # 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: OCCUpaDt Load: .- D/a I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Sethack: Side 2 Setback: Rearyard Setback: Solar Sethacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: ;:J IPUBLIC IMPROVEMENTS I . Street Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutsiDrains Notes: I Valuation Descriotion , ~:! Description Type of CODstruction $ perSq Ft or multipUer Square Footage or Bid Amount Value Date Calculated I of 2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2006-00046 ISSUED: 0111112006 APPLIED: 01/11/2006 EXPIRES: 0711112006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 TnspeCtiOD Line Total Value of Project Fp.p.s tlWU 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 2200600000000000045 2200600000000000045 2200600000000000045 2200600000000000045 Total Amount $77.88 I Plan Reviews I . 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. win be made the following work day. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: WheD all electrical work is complete. By signature, I state and agree, that T have carefully examined the completed application and do hereby certify that all informatloD hereon is true and correct, and T further certify that any aDd 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" , aDd that NO OCCUPANCY wiD be made of any structure without permission of the Community Services DivisioD, . Building Safety. I further certify that only contractors aDd employees who are iD compliaDce with ORS 701.005 will be used , 00 this project. I further agree to ensure that all required iDspectloDs 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, aDd the approved set of plans wiD remain on the site at all times during constructlolL Owner or Contractors Signature Date 2 of 2 . ~ 225 Fifth Street Springfield, Oregon 97477 d41-726-3759 Phone ;.~ Job/Journal Number CpM2006-00046 COM2006-00046 COM2006-00046 COM2006-00046 Payments: Type of Payment CreditCard , ~. . 1 " :0 , :( ". _.l. ""'" ,- i' \ 0, :~ , :( j L. ~~. -"'1' ;1 r '( 1/1112006 RECEIPT #: 2200600000000000045 Descripdon Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By LANTZ ELECTRIC Check Number Batch Number Received By lIh Page I of I .ty of Springfield Official Receipt Wevelopment Services Department Public Works Department ;; Date: 01111/2006 Item Total: Authorization Number How Received 00745B Phone Payment Total: 1I:30:59AM Amount Due 63,00 3,00 5.28 6.60 $77.88 Amouul Paid $77.88 $77.88 ,