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Home My WebLink AboutPermit Electrical 2009-7-10 . , Electrical Permit Application _". '': _,-, ~ ?f~' ."", i1::.M % ~ _-. ~ >~""-_ . - cr~r e!}iS ~Rl'NG~l~Itq;~~JRE€jP~N::c- 225 "-ifth Streett Springfield, OR 97477tPH(S-aI)726-3753+FAX(541)726-3689 1;0'i~DEP'ARTMEth USE:ONLY ~~ Ipe~itnoO~rui~~~4- I Date: . \-'\D~ This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire jfwork is not started within 180 days of issuance or if work is suspended for 180 days. 1 ',LDCALT GDVERNMENT'ARPRD.VAL\J:L. ,_ I Zoning approval verified? 0 Yes 0 No I ,.CATEGD.RY:'D.f; .CD.NSTRI.JCTIDN ~~:}; I 0 Residential II(] Government I 0 Commercial 1 ,J"JD.BlSITEW~'f;DRMATID.N "AND~L()CATID.N 1, I Job site address: 3'3(),S f!l7Lje: fS'L//O I City: Springfield I State: OR I ZIP: I Reference: CDm~ooq -009 J <I I Taxlo!.: I~ ...."''''~'~DESC-RipTID.NfD.FWD.RK . I Install Electrical Service and branch circuits for Sacred Heart I I Northbound EMX bus station. I I" ~':f,;';f,,;.~;],~'''';;jRRD.RERJ,Y:OWNER:~\~. ., I Name: Lane Transit District I I Address: 3500 East 17th Avenue I I City: Eugene I State: OR I ZIP: 97403 I I Phone: 541-682-6100 I Fax: I I E-mail: I 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 4 79.540( I) and 4 79.560( 1). Signature: I '" CD.NTRACrD.R'INSTALt.:ATION; . I Business name: Camp Creek Electric LLC I 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 SignilJ!!rS!lR'J;\!i"".r.:~.Ii<;~n.,~n2.;_?9?~~""M .._.. ._ 1 Pri ntfn~t!~~i@ig~j~g';~g~ryl~Q.~~ ~~ieJf~~L~rs~n ,itv . I' l\l.....tifi,...-Hnr.f"ontar .Th^s'rr'-'Jl1'>C' "~p~ I:' ". Slg,,~tlJ!~ gf'~lg!!llJg:S.UI?e...ryJli~r:' ;;n- .,,~....,,~...~ .~~~' ''''? '" ~ru I v'-'~-vv ,-vv IV lll'UU~11 ......nW,."V'/\.()\ \ 0090. You may obtai~~c~'("'~ rl(1S;'W \\~ ')c>o~~~~ ~hee~~~~~~t~~~~~;n ~ ~ ~ ~enter~ :..;J300-33ijr~. .C 5l,O~~ ~~~ j~w~. 0~ ~",.,,-"", ,~r?P 6<J ~ I' 'f;EE- SCHEDULE ' I~N~~ber ,ofi;~~~cti~ri~l~er ite_~Y:),> 'IQi~:I" '.. """'.....,:.".; ..+i".. h..c,.,...."_..~:',,. '.C,'d>."-. Jr., ,",,:. I I Residential, per unit, sen'ice include'd: 11.000 sq. ft. or less (4) I Each additional 500 sq, ft, or portion thereof 1 Limited energy (2) Each manufactured home or modular dwelling service or feeder (2) Services or feeders: installation. alteration, relocation 200 amps or less (2) 20t to 400 amps (2) 401 to 600 amps (2) 601 to 1.000 amps (2) Over 1,000 amps or volts (2) Reconnect only (2) 201 to 400 amps (2) 40 t to 600 amps (2) $134.00 $ $ 25.00 $ $ 32.00 $ $ 63.00 $ $ 81.00 81.00 $ $ $ $ $ $ 95.00 $158.00 $205.00 $469.00 $ 63.00 $ 63.00 $ 87.00 $ $ $126.00 Over 600 amps 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: Each branch circuit 114 I $ 6.00 184.00 b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) Each additional branch circuit I I ~ 5:':: I ~ Miscellaneous fees: service orfeeder not included Each pump or irrigation circle (2) 1 Each sign or outline lighting (2) I Signal circuit or a limited-energy panel. alteration, or extension (2) $ 63.00 $ 63.00 $ $ I I I $ 63.00 $ 1 Each additional inspection: (I) I $58.00 $ ';"',6,PPLIC,6,tIITUSE" I (A) Enter subtotal of above fees (J\.1inimum Permit Fee S58.00) I (B) Enter Li~o~T~(.12, [A]) $19.80 I I (C)Technolpg)f.!JC~51'fI\lfIIf.I:l:I-l'.\.U J::V ~ $8.25 I TOTAL re'esJif~4@1'rQ'i'1!.~~IM!!!"l'"AA~-L 'ff~~1&-~VO~f COMMENCED 0 . . .." ~n"jll ''''IVUI 6\ ANY 180 DAY PE~:g;BANDONED FOR \:{'V' ~ " $165.00 I ~Sf~,f!~~9~1,*~,1 ~k "'I' CITY OF SPRINGFIELD Building/Combination Permit Status Iss u ed PERMIT NO: COM2009-00914 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 SITE ADDRESS: 3305 MARTIN LUTHER KING JR B SPRINGFIETYPE OF WORK: Electrical Work Only ASSESSOR'S PARCEL NO.: . ROW-MISC TYPE OF USE: New Commercial PROJECT DESCRIPTION: Electrical Conduit for LTD Station Owner: LANE TRANSIT DISTRICT Address: PO BOX 7070 EUGENE OR 97401 Phone Number: 541-682-6100 I ,CONTRACTOR INFORMA nON, Contractor Type Electrical Contractor CAMP CREEK ELECTRIC LLC License 164877 Expiration Date 06/09120 II Phone 541-746-1471 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary C~nstruction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building-: Lot Size: Sq Ftlst 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 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: . Paved Drive Rqd: 0/0 of Lot Coverage: Total: Haodicapped: , Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutsfDrains: Notes: I Valuatioil DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of2 _A1!:~1,~~r~'~~' ~\- . 'Status Issued CITY OF SPRINtil'lJ!,LD Building/Combination Permit PERMIT NO: COM2009-00914 ISSUED: 07/10/2009 APPLIED: 06/25/2009 EXPIRES: 01/10/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fe~s Paid I Fee Description + 12% State Snrcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add. Perm Serv/Fdr 200 amps or less Amonnt Paid Date Paid Receipt Number $19.80 $8.25 $84.00 $81.00 7/l 0/09 7/10/09 7/l 0/09 7/10/09 2200900000000000784 2200900000000U00784 22U0900000000000784 22009000UUOU0000784 Total Amount Paid $193.05 I Plan Reviews I 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. I R.eqIJir~.d I.~~nectio~~ I Rough Electric: Prior to Cover 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 aoy and an work performed shall be doue iu 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 permissiou ofthe Community Services Division, Building Safety. 1 further certify that only contractors and employees who areiu compliance with ORS 701.005 will be used outhis project. I further 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. ~g~ ownerr6ntractors Signature 7-/0-09' Date Paee 2 of 2 22~ Fifth.Street Springfield, Oregon 97477. 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200900000000000784 Date: 07/10/2009 1:IU:35PM Payments: Type of Payment. Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due . 81.00 84.00 8.25 19.80 $193.U5 Job/Journal Number COM2009-00914 COM2009-00914 COM2009-00914 COM2009-00914 Description Penn Serv/Fdr 200 amps,or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Amount Paid Cred itCard CAMP CREEK ELECTRIC IIh 059585 In Person Payment Total: $193.05 $193.U5 .' cReceinll Page 1 of 1 711 0/2009