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Home My WebLink AboutPermit Electrical 2009-7-1 Electrical Permit Application 225 Fifth Slreet+Springfield, OR 97477+ PH(541)726-3753+ FAX(54t)726-3689 Penn it no.: (1 9- a; / ~ I Date: 71;/07 I , I This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if wo~k is not started within 180 days of issuance or if work is suspended for ]80 days. l~p:;,,1L,%'Z':l:OCAlt'lG'0V ERN MENT~r'AP~R'0 V 'A:'"~%f:rW~_4:1 ,..~,."_,.%04%$t,, _,., E. .. ._.. '....... ...... .,....,...-;r:::........ ........I,~.~.t'""Jlf,'0,q;;:,_._;.7filiit I Zoning approval verified? DYes D No 1 1;:'lr:J;J~r~cAtt:E130Ry;~0I'JrC()NSTRlJC;nON~~t~~1 I R'd . I . .. I d d eSI entia, per UUlt, service me u c : I 0 Residential 110 Government I 0 Commercial I I 1::lf:liifrJ-l'!JOB~SITe~INI'ORMA'I'10NiAND1i!IIOCATIONt~&'lil!1 1.000 sq.:ft or less (4) . 3087 d 3085 MLK P 'k 1 I Each additional 500 sq. ft. or portion Job site address: an ar w~y thereof 1 City: Springfield 1 State: OR 1 ZIP: 1 I Limited energy (2) I Reference: . ~\ J I Taxlot.: I Each !f'anufa~tured home or modular" 1:1%0, '''''''''!If'11I11I''1i1j;'iID CRIPTIClN'0'F'WORKJI0Y"!;41Z"~4i'1Jil,"%1 dwelling semce or feeder (2) lfh4ii0illi.t':ekM,JJ5iffiJl);lFcAL".. . ... .. ^ . .. d; .. . d,_ . ;S;~ . , . _ "4WJm,-i)$llfr,,,,,,,,p'C"h,,iJT,w I Install Electrical Service and branch circuits for Riverbend 1 Northbound and Southbound L TD EMX Stations. I I I I I I 1 Name: Lane.Transit District I Address: 3500 East,17th Avenue 1 City: Eugene I State: OR I Phone: 541-682-6100 I Fax: I E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent OAR 479.540(1) and 479.560(1). I ZIP: 97403 Signature: ",~~;;'.CONTRACTOR~INST.6:III!'A.:TI0N4ji,'61~","}:F-fjil I Business name: Camp Creek Electric LLC 1 Address: PO Box 41900 I City: Eugene I State:OR I ZIP:,97404 I Phone: 541-746-1471 I Fax: 541-741-6208 I E-mail: mike@campcreekelectric.com I CCB license no,: 164877 I BCD license no,: C81 I Signing supervisor's Ii~ense no.: 30235 j Print name of signing supervisor: Dave Feiereisen I Signature of-signing supervisor: L; c--'''" ...f .....----, .~ ~~ 0--':0- \sJ' 440.2584-J (9/08/COM) $134.00 $ $ $ $ $ 25,00 $ 32.00 $ 63.00 Services or feeders: instal/ation, alteration, relocation 200 amps or less (2) $ 81.00 81,00 $ 95.00 $ $158.00 $ $205.00 $ $469.00 $ $ 63.00 $ 20] to 400 amps (2) 401 to 600 :imps (2) 601 to 1,000 amps (2) Over) ,000 amps or volts (2) Reconnect only (2) Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) , $ 63,00 I 20 I to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126.00 1 $ I 1 I I , Each branch circuit 128 1 $ 6.00 1168,00 I' b. Fee for branch circuits without purchase of a service or feeder fee: I I I I 1 I I I Over 600 amp~or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: I I I I I I I I Each pump or irrigation circle (2) I I Each sign or outline lighting (2) I Signal circuit or a limited-energy panel, alteration, or extension (2) Each additional inspection: (I) First branch circuit (2) I I ~ 5:':: I : Each additional branch circuit Miscellaneous fees: service or feeder not included $ 63.00 $ 63.00 $ $ $ 63.00 $ $58.00 I $ I (A) Enter sublotal of above fees (Minimum Permit Fee $58.00) I (B) Enter ]2% surcharge (.12x [A]) I (C) Technology Fee (5% of[A]) I TOTAL fees and surcharges (A through C): $249.00 $29.88 1$12.45 1$291.33 1 I I I I I I I 1 1 1 I Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00916 ISSUED: 07/01/2009 APPLIED: '06/25/2009 EXPIRES: . 01/01/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3085 MARTIN LUTHER KING JR B SPRINGFIETYPE OF WORK: Electrical Work Only ASSESSOR'S PARCEL NO.: ROW-MISe TYPE OF USE: New PROJECT DESCRIPTION: .Electrical Condnit for LTD Station @3085&3087 Commercial Owner: Address: LANE TRANSIT DISTRICT PO BOX.7070 EUGENE OR 97401 Phone Number: 54 1-682-6100 Contractor Type Electrical ATTENTION: Oreaon law reQuires VOIJ In TOi/OW rUles adopted bv the Oreaon Utility I €ONTRA€:rORrINF0RMA,n0N, I' set forth III vt"\n ;::1;Jt;:;-uv l-VV I U iflfuugn UAN 952-001 ~ Contractor 0090, You may obtain COI!,icefise1e rUExiHtation Date CAMP CREEK ELECTRlcrGt!ce center. (Noi'6:487'Jtelephone 06/09/2011 .....,_...~_...__..I..._r'\...:._____"~,,-. ~I ,.,. " - - -.-,_.. - .....1 . .~.."..............." BUlLDINGrINFO~ifION'I:344) , Phone 541-746-1471 # of Units: Primary Occupancy Gronp: 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: NOTSpl'lJIkled Building: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a Front yard Setba~k: Side I Sethack: Side 2 Set hack: Rearyard Setback: Solar Sethacks: or,,,..... ....__. .___ I DE;~:F;{0;~ii~i,J:NkMriATfoN. :~TtISVVUKK - -.... NOT COMMENCED OR IS ABANDONED FOR ANY R\@rt\l,'l~'1!RIOD. # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: . Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date 'Calculated , Page 1 01'2 _S!!,FlI"'~I!IIl;L;Oj 'tr. =-'; Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea,Add Perm Serv/Fdr 200 amps or less Total Amount Paid Amount Paid $29.88 $12.45 $168.00 $81.00 $291.33 Total Value of Project Fee,S P~id I I Plan Reviews , Date Paid 7/1/09 7/1/09 7/1/09 7/1/09 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: CQM2009-00916 ISSUED: 07/01/2009 APPLIED: 06/25/2009 EXPIRES: 0 I/O 1/20 I 0 VALUE: Receipt Numher 2200900000000000744 2200900000000000744 2200900000000000744 2200900000000000744 To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working da)', inspections requested after 7:00 a.m. will,be made the following work day. Re(Juired r nsn~ctiollS I Underground Electric: Prior to cover Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefnlly examined the completed application and do hereby'certify that all in'formation 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 descrihed herein, and that NO OCCUPANCY will h~ 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 he used on this project. I further agree to ensure that all reqnired 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 of plans will remain on the site at all times during construction. Y)//!!sff ~ Owner or Contractors Signatnre' c:::,.. Paee 2 01'2 7A~q Date I 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springficld Official Receipt Development Services Department Public Works Department I . Job/Journal Number COM2009-00916 COM2009-00916 COM2009-00916 COM2009-00916 Payments: Type of Payment CreditCard cRcceintl RECEIPT #: Date: 07/01/2009 2200900000000000744 Description Penn Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By MICHAEL BRYE Item Total: Check Number Authorization Received By Biltch Number Number HowUeceived CJC 158289 In Person , Payment Total: Page 1 of 1 Il:41:57AM Amount Due 81.00 168.00 12.45 29.88 $291.33 Amount Paid $291.33 $291.33 711/2009