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HomeMy WebLinkAboutPermit Electrical 2019-12-120RES0l( Web Address: www.springfield-or,gov Building Permit Commercial Electrical Permit Number: 81f -f9-002766-ELEC IVR Number: 81 1046996177 Email Add ress : permitcenter@springfield-or. gov SPRIN6TIELD s Permit Issued: December 12,2Ol9 Category of Construction: Sign Submitted Job Value: $0,00 Description of Work; East of 66th and Main @ crosswalk signal Type of Work: New Worksite Address ROW-MISC Springfield, OR Parcel 1702290003200 Owner: Address OREGON DEPARTMENT OF TRANSPORTATION 4O4O FAIRVIEW INDUSTRIAL DR SE MS#2 SALEM, OR97302-1142 Business Name LANTZ ELECTRIC INC - Primary License ccB License Number 204082 Phone 541-726-0659 Inspection 4999 Final Electrical 4240 Electrical - Feeder Inspection Group Elec Com Elec Com Inspection Status Pending Pending Various inspections are minimally required on each project and often dependent on the scope of work. Contact the issuing jurisdiction indicated on the permit to determine required inspections for this project, Schedule or track inspections at www.buildingpermits.oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: Btlo46996t77 Schedule using the Oregon ePermifting Inspection App, search "epermitting" in the app store Permits expire if work is not started within 180 Days of issuance or if work is suspended for 180 Days or longer depending on the issuing agency's policy. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not, Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction, ATTENTION! Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in gAR 952-OO1-OO10 through OAR 952-O01-OO9O. You may obtain copies of the rules by calling the Center at (5O3) 23?-L947. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.O10 (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.O1O-020 (Plumbing). Printed oni 12112119 paoe 1 of 2 Ci\myReports/reports//production/01 STANDARD City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 TYPE OF WORK JOB SITE INFORMATION LICENSED PROFESSIONAL IN FORMATION PENDING INSPECTIONS SCHEDULING INSPECTIONS Permit Number: 81 1-19-002766-ELEC Page 2 of 2 Fee Description Services 200 amps or less Technology Fee State of Oregon Surcharge - Elec (12olo of applicable fees) Printed on: L2/f2/L9 Quantity Total Fees: Fee Amount $ 1 12.00 $s.60 $13.44 $131,04 1 Page 2 of 2 C : \myReports,/reports//production/0 1 STANDARD PERMIT 12/1,L/z?tg 84:37PM 54L74L3447 Electrical Permit A 225 Fifth SueBto Spdrryfiold, OR 9717?rPIt(541)720-3753olAlt(irl)72G3680 LANTZ ELECTRIC PAGE AT/AT Thic permit is issued under OAR g1E-309-0000. Permic are nonlransftrable. Permi$ explrt if work h not started wilhin 180 dayr ofissuance or lfwork h suslended lor l$0 deys. CITY OT' SPRTNGFIELD, OREGON permitno,.S n 'nQQ-'e Date: I a (r tq Zoniog approval verified? E Y"t ElResiderrtial E Commercial No E Government Job site addross: East of City: Springfield Srate: oR ZIP: 9'14'18 Install service for crosswalk signal in ROW Taxlot.:Refsrenoe: SpringfieldName: Address: City:State ztP Phone:Fax: E'mail: TNs installation is being made on rcsidsntial or farm property owned by me or a rnember of my immediate family. This prypgny is not intcndcd for sale, exchBnge, lease, or rem OAR 479.540(l) and 479.560(l). Business namo: Lantz Eleokio Inc Address: 3453 Hishyray !.8 City: Eugene State: OR 71p197405 Phoner 5{l-726- 06J9 f2;1; 541 -741 3a47 E-mail; fffany@laneelectric.com CCB license no.: 2040E2 BCD license no.: Cl06l liening supervisor's license no.: [3SO c Levi LaotzPrintname of sigrring Signatuc of R.eqidenftl, par unrt, cerv{e tnduded: $I,000 sq. ft. or le6o (4)$186.00 Each additional 500 sq. ft. or portion thereof $3G.00 t Lirnited cncrgy (2)s{{.00 $ Eaoh manufacturcd home or modutar dwelling sewioe or feeder (2)$E9.00 $ Srvlocs or fceder: installadon, alteratlan retocaduz 200 arnps o less (2)i $112.00 $ I12.00 201 td 400 amps (2)$131.00 $ 401 to 600 amps (2)s22r.00 $ 601 to 1,000 emps Q)$28s.00 $ Over 1,000 amps or volts (2)$654.00 $ Recornect only (2)$E9.00 $ Temporary scrvlces or feedcrs: nstrllation, alterattorl rclocation 200 amps or less (2)$$89-00 201 Do 400 amps (2)st?z.00 $ 401 to 600 arnps (2)8r77.00 $ Ovcr 600 amps or 1,000 volts, sec ferviccs or feedem soction ebove Bnnch circuits: new alteratiorl, extenlion per panel a. Fee for brarrch circrrite with purchase ofa service or feeder feel Each branoh oircoit $t.00 $ b. Pee for brmch circuits widrour purchesc of a oeryioe or feeder ftc: First branoh circuit (2)It9.00 $ Each additionpl branch circuit s8.00 $ Mi*crllaneous fees: sery/ce or feeder not lncludd Each pump or irrigation circle (2)$89.00 $ Each sigu or oudine lieh$ng (2)$80.00 $ Signal circuit or a limited-eoesgy psncl, alteration, or crtcnsion (2)$8e.00 $ (A) Enter rubtotal ofabove fees (Ivltntmura Perrnit Fet $102.00) Esch sddiflonal lnspcctlon: (l)$102.00 $ rtz.oo $ (B) Enter l2% surcharge (.12 x [A])$ 13.,14 (C) Technology FEE (s% oflA])s 5.60 .TOTAL fees and surcharg* (A through D):$ 131.04 Last editEd 7/12019 BJones )