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Home My WebLink AboutPermit Electrical 2009-7-10 ; Electrical Permit Application 225 Fifth Strect+Springlield, OR 97477. PII(541)726-3753+ FAX(541)726-3689 I Permit no.: (\ A -' C\ \V ~ I ,.\D,tf\ I This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. i Residential, per unit, service included: 11.000 sq. ft. or less (4) I Each additional 500 sq. ft. or portion thereof I Limited energy (2) , I Each manufactured home or modular' dwelling service or feeder (2) I Services or feeders: installation, aUera/ion, relocation I 200 amps or less (2) $ 81.00 81.00 I 20 I to 400 amps (2) $ 95_00 $ Name: lane Transit District 40110600 amps (2) $158.00 $ Address: 3500 East 17th Avenue 601 to 1.000 amps (2) $205.00 $ City: Eugene 1 State: OR I ZIP: 97403 lOver 1,000 amps or volts (2) $469.00 $ I Phone: 541-682-6100 1 Fax: I Reconnect only (2) $ 63_00 $ 1 E~lllail: I Temporary services or feeders: instalia/ion, alteration, relocation This installation is being made on. residential or farm property I 200 amps or less (2) $ 63.00 I owned by me or a member of my immediate family. This I 201 to 400,arnps (2) $ 87.00 $ property, is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1); 140t to 600 amps (2) $126.00 I $ Signature: lOver 600 amps or 1,000 volts, see services or fceders section above 1~~lt1r;l~0'8;11I,CON;r~CrOR1INSTACI!A:rIONm~~t][,tl~'11 I Branch circuits: new, alteration. extension per panel I Business name: Camp Creek Electric LLC I a. Fee for branch circuits with purchase of a service or feeder fee: I Address: PO Box 41900 Each branch circuit 114 I $ 6.00 184.00 I City: Eugene I State: OR I ZI P: 97404 b.Fee for branch circuits without purchase cif a service or feeder fee: I Phone: 541-746-1471 I Fax: 541-741-6208 I First branch circuit (2) 1$55.001 $ I E-mail: mike@campcreekelectric.com I I Each additional branch circuit $ 6.00 $ I CCB license no.: 164877 I BCD license no.: C81 I I Miscellaneous fees: service or feeder not included I Signing supervisor's licens~-r;rr302-8'SN: Oregon law reDl ]iro' _Ea~h pump or inigalion circle (2) $ 63_00 I Il:i:uvv,..{u,Ac; ~,""t......,."",..J b th 0 "1 "'t'~ ~hv . I. I. I. (2) $ 6300 Print name of signing sUP~JM~~9.r;M~,...v~~~~~r~s~~ Y e reg In '"t,~f'il~]gn or out me 19ltmg . I S. f" 1..,,"\.{; II. R ,; - . ...,..,v"'.......~ ~es arll' S~Sigqal:fircuit or a lim]ted~energy panel. $ 63.00 $ 19nature 0 slgnmg supel'vlso.n ~2~ -~71nhrnllnh nA 0 I'll: raltenltlOn. or extensIOn (2) uu"U Yi -' -, ." - 6' caliingO~ may obtain copies of the rd!i!c!l'1dditional inspec'ion: (I) I $58_00 $ ~ " /' e center. (Note. the telepl "'iffi:Q' .<<'<'1"'_" ' , " - I'" "il!iLi fuMj;illi-"m ,. -~. I I ~ nUl . the Oregon Utility Notific~~jf'~1JiII1Rqf_UiliW"ill,AI?I?I!ICANil'li!USE""'::Sl'l%l iI"~,illi-S:l~iIi!:" ~'^ ~ ~~IS 1-800-332-2344), {A9~ntersublolal ofabovefees $16500 I \\!. 'V ,\. CA. WztS (Minimum Permit Fee $58_00) NOTICE'" ~ \{f I (13) Enter 12% surcharge (.12 x [A]) $19.80 I THIS PERMIT SHALL EXPIRE If T 0 K (e) Technology Fee (5%of[A]) $8.25 $193.05 COMMENCED OR IS ABAND E ~ \A \~ r.a.. Ar>i4Il-:jsOOJ ~/AVCf'lMRIOD. ~ . ~ . , ~,,~V" ,,\, fJ'V- ~~ ~c,L&'" ~"e'\,<~~ 1~~iIi!:_Si;i1I0tAIl'~GO""ERNMEN;rIAeeROY,M;,~l-__liqitl I Zoning approval verified? 0 Yes 0 No I I:ll"',~! .1:j';TiCAJEGORYll0FJiCOJIISTRut;rION~sJr;;j;,iJlil I 0 Residential J IilJ Government I 0 Commercial I li,$;;j!";J.oelSI;rErINI7.0RMATI0N.l1AN[)15IIOCAJIONl-~1l!1.,j1il I lob site address: 3':50/ lJ1t:.iL 1<'1.//0 I I City: Springfield I State: OR I ZIP: I I Reference: C. Ot'Y'l ;2.00q -1)091 ~ Taxlot.: I I Install Electrical Service and branch circuits for Sacred Hearl I Southbound EMX bus station. I $134.00 $ $ 25.00 $ $ 32.00 $ $ 63.00 $ $ $ _~R~!~~!,I~"9, . n,t .., . =i! ., Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00913 ISSUED: 07/10/2009 APPLIED: 06/25/2009 EXPIRES: 01/1012010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3301 MARTIN LUTHER KING JR B SPRINGFIETYPE OF WORK: Electrical Work Only ASSESSOR'S PARCEL NO.: ROW-MISC TYPE OF USE: New Commercial PROJECT DESCRIPTION: Install Electrical Conduit for L TD Station Owner: LANE TRANSIT DISTRICT Address: PO BOX 7070 EUGENE OR 97401 Phone Number: 541-682-6100 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor CAMP CREEK ELECTRIC LLC License 164877 Expiration Date 06/09/20 II Phone 541-746-1471 BUILDING INFORMA!ION.I # of Units: Primary Occupancy Group: Secondary Occnpancy Group: Primary Constrnction Type Secondary Constrnction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Bnilding: 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 I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Set hack: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: . Total: Handicapped: _ Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Speciallnstrnction: Sidewalk Type: Downspouts/Drai,ns: Notes: I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 01"2 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2009-009I3 ISSUED: 07/10/2009 APPLIED: 06/25/2009 EXPIRES: 01110/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter,.Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $19.80 $8.25 $84.00 $81.00 7/10/09 7/10/09 7/10/09 7/10/09 2200900000000000785 2200900000000U00785 2200900000000000785 2200900000000000785 Total Amount Paid $193.05 I Plan Reviews , 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 day, inspections requested after 7:00 a.m. will be made the following work day. Renuired Insneetinns I . I. Rough Electric: Prior to Co,:er 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 examined the completed application and do hereby certify that all information 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 described herein, and that NO OCCUPANCY will be 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 be used on this project. I fnrther agree to ensure that all required 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. c/~o!r ~ Owner or ~ntractors Signature (-Io-or Date Pa2e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00913 . COM2009-00913 COM2009-00913 COM2009-00913 Payments: Type of Payment CreditCard cReceiotl RECEIPT #: City.of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000785 Date: 07/10/2009 1:16:46PM Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 81.00 84.00 8.25 19.80 $193.U5 Description Penn Serv/Fdr 200 amps or less . Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By CAMP CREEK ELECTRIC Amount Paid IIh $193.05 $193.05 279692 In Person Paymeilt Total: Page 1 of 1 7/10/2009