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Home My WebLink AboutPermit Electrical 2009-7-27 .. . 225 Fifth Street. Springfield, OR 97477. PH(541 )726-3753. FAX(541 )726-3689 I Permit no.: lDate: 8/- c;/? 7/ ':2."; lJ'i Electrical Permit Application 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. ~1f;21I'W""'L!OCAL!4G()VE' . ,v 'eeR.OVA~::JIc~-"1 "':~;il'0,*~4P,,"4f',;?:',,_,flAL,,. ," ,,_ RNMEN;r~1A: "_"",,, ",::(JK0~i8f~~'7';':_;~ 1~7;~~~!L~~r~~~~~i~~~'()E/lC~N;~RUCTI0~~~;'i""i~=1 L, ,- ~"j>_o. - - , ".m; - ;1","" -, ,- - --" ,,__~4iUS0Ji?"~_ ~ I Residential, per unit, scnrice included: I 0 Residential J KI Government I 0 Commercial ~ 11.000 sq, ft, or less (4) 11~"::'1''ij]~JOBiJSITE{INIiOR.MATION~AND:i!1f0CATI0Nk~:j;qr~ 1 Job site address: "J-'-t D I P,ONIQ::7L P~\I I I ~~~~oaritionaI500 sq, ft, or portion $ 25.00 $ 1 City: Springfield 1 State:,OR I ZIP: . I 1 Limited energy (2) $ 32,00 $ fl~;~_~~~~Nnrc)Fl,wJ;~~~~~~~ill ~~~~I~:s~~i~~r~~ ~e~d:r (2)'odular $ 63,00 $ I I I Services or feeders: installation, alteration, relocation Install Electrical Service and branch circuits for Havden EMX bus station, I I 200 amps or less (2) $ 81.00 81,00 I 20 I to 400 amps (2) $ 95,00 $ I Name: Lane Transit District I I 401 to 600 amps (2) $158,00 $ I Address: 3500 East 17th Avenue 1 I 601 to 1,000 amps (2) $205,00 $ I City: Eugene I State: OR I ZIP: 97403 I lOver 1,000 amps or volts (2) $469.00 $ 1 Phone: 541:682-6100 I Fax: I I Reconnect only (2) $ 63,00 $ I E"'rnail: I I Temporary services or feeders: installation, alteration, relocalion This installation is being made on residential or farm property I 200 amps or less (2) $ 63.00 ,owned by me or a member of my immediate family, This I 201 to 400 amps (2) $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479,560(l), . I 401 to 600 amps (2) $126,00 $ S_igf!3ture: lOver 600 amps or 1,000 volts, see services or fceders section above r,~i~~l':f'~iC_ONi[RA't::r()-RiffifNSTAt!f!iATION:~~~~t&\.HI I Branch circuits: new, ai/era/ion, ex'tension per panel I Business mime: Camp Creek Electric LLC I I a. Fee for branch circuits with purchase of a service or feeder fee: I Address: PO Box 41900 I I Each branch circuit 114 I $ 6,00 184,00 I City,: Eug'ene I State: OR I ZIP: 97404 I I b. Fee for branch circuits without purchase ofa service or feeder fee: I Phone: 541-746-1471 I Fax: 541-741-6208 II First branch circuit (2) 1 1 $55,001 $ I E-mail: mike@campcreekeJectric.com I I Each additional branch circuit $ 6.00 $ CCB license no.: 164877 I BCD license no.: C81 I I Miscellaneous fees: service or feeder not included Signing supervisor's license no.: 3023S I I Each pump or irrigation circle (2) I $ '63.00 I Print name of signing supervisor: Dave Feiereisen I I Each sign oroutIine lighting (2) I $ 63.00 lei I SIgnal Circuit or a hmltedMenergy panel. Signature of signing supervisor: ,(." ,;/. ~ ,alteratlon,orextenslOn(2) $63.00 $ \~~ I Each additional inspectioo: (I) L $58,00 1 $ )6' - ..... .'\ (A) Enter,subtotal of above fees $165,00 ~~ (Minimum Permit Fee $58.00) ~ (8) Eoter 12%surcliarge (.12 x fAll, $19,80 : .. ~ 1 (C) Technology Fee (5% of [All $8,25 .I\: W 1 TOTAL fees and surcharges (A throngh C): $193,05 $134.00 $ 1 I I 1 I I I I: 1 1 $ $ ~S)Q~ , 0-..' 'W Ij,l~ :;.i.-O !!- 440-2584-J (9/08/COM) , --~~,~~~~~,~I,~~9i;'~jllb?,~~I; j,\J.' I" ,...', Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00917 ISSUED: 07/27/2009 APPLIED: 06/25/2009 EXPIRES: 0112712010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2401 PIONEER PARKWA YEAST B SPRINGFIETYPE OF WORK: Electrical Work Only ASSESSOR'S PARCEL NO,: 1703224408400 .TYPE OF USE: New Public PROJECT DESCRIPTION: Electrical Conduit for L TD Station Owner: Address: CITY OF SPRINGFIELD 255 5TH ST , SPRINGFIELD OR 97477 '(171783-;;88-009- ~ SI JalUao ' _~,.__..,._.. t,,,,,...... ",..,R,.,lr. :::Illl Inl l:::lnlllnll -':.',~~. :~I:"',":: ,",1':'''::'''~''''''''I\ ";;llIA'l AII~ 5U!\IBO I CON.TRACTO~ INF?RM~JION, IDA '0600 -~00-GS61:1\fO 45noJ41 0 ~09- ~00-GS6 !:J\fO ~!. Contractor 4Poljas am saln! asoLll1,lcen~eJO!jB:E)xPltatlOn Date CAMP CREEK ELECliRJli'1I:,):;CaJO aLlj tlq paI648'7_7SalnJ MOI!C06/09/2011 -, -~. .........."np.-' ~A<J. ,,,,,.-',,. 'I~UI.l.I\I.:I..l...l.V . BUILDINGIN~ORMATION' Phone 541-746-1471 Contractor Type Electrical # of Units:- Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Ene.rgy Path:,. 'OOIH3r.1 ,,\:fa o~ ~r\PJher: Sprmkled Bu"dm~: nznO'''N.occup,n\l1 Lond: un~ m~lnm.I\iS1\i <::I}.ill 'd ~V~V\IUJ I DEVEUWPM:EN_1J/INE()RM\4.1l10NI~r 03ZIHOHIA\:f ~HOM dril' ~I ~tlld)\;IIVH::' 1lll'JH3d SI~lREQUIRED PARKING Overlay Dist: :3::l1l0NTotnl: # Street Trees, Rqd:, Handicnpped: Paved Drive Rqd: Compnct: % of Lot Coverage: Frontyard Setback: Side I Setbnck: Side 2 Setback: Renrynrd Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer A vailnble: Special Instruction: Sidewnlk Type:, DownspoutslDr"ins: Notes: I V aluationpesc,riot!on I Description Type of Construction $ Per Sq Ft or multiplier Squnre Footage or Bid Amount Value Date Calculated Pn~e I of 2 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2009-00917 ISSUED: 07/27/2009 APPLIED: 06/25/2009 EXPIRES: 01127/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726"3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fee~ Pai~J Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Inspections - Not On Sched Ele Perm ServlFdr 200amps or less Amount Paid Date Paid Receipt Number $26,76 $11.15 $84.00 $58.00 $81.00 ' 7/27/09 7/27/09 7/27/09 7/27/09 7/27/09 3200900000000000551 3200900000000000551 3200900000000000551 3200900000000000551 3200900000000000551 Total Amount Paid $260.91 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. Rem ired JnsneetioJ1s ~ 1'1111 II IIIII rl ,III Underground Electric: Prior to cover By signature, I state and agree, that I have carefully examined the completed applicatiou 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 Cil)' of Springfield and the Laws of the State of Oregon pertaining to the w.ork described herein, and' ; that NO O€CUP ANCY will he made of any structure without permission of the Communi!)' Services Division, Building Safe!)', I further certify that only contractors and employees wholare in compliance with ORS 701.005 will be used on this 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. ~Ant2A--o<J- ~. ow0r Contractors Signature -;/- 27-0'7 , Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00917 COM2009-00917 COM2009-00917 COM2009-00917 COM2009-00917 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 3200900000000000551 Date: 07/27/2009 Description Inspections - Not On Sched Ele Penn Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By CAMP CREEK ELECT Item Total: Check Number Authorization Received By Batch Number Number How Received cjc 437519 In:Person Payment Total: Page 1 of I 12:02:lIPM Amount Due 58,00 81.00 84,00 11.15 26,76 $260.91 Amount Pai~ $260,91 $260.91 7/27/2009