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
)