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Home My WebLink AboutPermit Electrical 2009-9-4 .' Electrical Permit Application 225 Fifth Strect+Springfield, OR 97477+ PH(541)726-3753+ fAX(541)726-3689 a. q - / '3 IS: '7/f;<J Pennit no.: I Date: This permit is issued under OAR 918-309-0000, Permits are nontransferahle. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. rl~ij-!*lj-j:~l!OCAl~G:OYE~NI\IIE:N;UiAep'~oVAl!;5;.'::,;~1 . \~~~~4~;~~:~~~~~~~Ol:j[C~N~~~UC;rIO~~~~J'&L~i Residential, per unit, scn-ice inclU(l~d: :ig;;~~~~~,;rEi'N~~~c:~r;~~~NDi~~C~;;~;i~~i I 1,000 sq. ft.orl~ss(4) $134.00 $ I. . ( , ^^ ^ I I Each additional 500 sq. ft. or portio"n I $ 25.00 $ Job site add,ess: . SOl "];,~;,.,.., W~ thereof I City: Sp,ingfield I State: OR r ZIP: I 1 Limited energy (2) $ 32.00 $ f~:-;;;'T~'f~~~II~;rIONl!Ol;ffiWJJK:~.~i~ji I ~~~~I~:n~~~~~~~ ~c~~:r '(s)'odular $ 63.00 $ II tll EI . IS' d b h' . f Mid I I Services or feeders: instal/ation, alteration, relocation ns a ectnca ervlce an rane CIrcuits or aple Is an I. .. . L TO EMX bus station. I 200 amps or less (2) $ 81.00 81,00 I 201 to 400 amps (2) $ 95.00 $ I I 401 to 600 amps (2) $156.00 $ I I 60t to 1.000 amps (2) $205.00 $ I lOver 1,000 amps or volts (2) $469.00 $ r / Reconnect only (2) $ 63.00 $ I I Temporary services or feeders: installation. alteration, relocation I 200 amps or less (2) $ 63.00 I 20 I to 400 amps (2) $ 87.00 $ I 40 I to 600 amps (2) $126.00 $ lOver 600 amps or 1,000 volts, see services or feeders section above I Branch circuits: new, alteration, extension jJer [ianei 3. Fee for branch circuits with purcha'se ofa service ~Jr feeder fee: 1 Each branch circuit 114 1 $ 6.00 184,00 I I b. Fee for branch circuits without purchase of a service or feeder fee: 1 1 First branch circuit (2) .1 I $ 55.00 I $ J J "Each additional branch circuit :1 $ 6.00 $ I I Miscellaneous fees: .~ervice orfeeder not i~ciuded I I Each pump or irrigation circle (2) $ 63.00 I I Each sign or outline lighting (2) $ 63.00 I I Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) I Each additional inspection: (I) I Name: Lane T,ansit Dist,ict I Add,ess: 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 afmy 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: 1~/.fIidil~cONJ"RA.CJ"b~%INSJAI!I!'AJ"IONif,llimf"ls'h1~l!j!.;.'ilJ!j I Business name: Camp C,eek Elect,ic LLC I Add,ess: PO Box 41 gOO I City: Eugene I State: OR. I ZIP: 97404 I Phone: 541-746-1471 I Fax: 541-741-6208 E-mail: mike@campc.eekeJect.ic.com CCB license no.: 164877 I BCD license no.: C81 I Signing supervisor's license no.: 30238 I Print name of signing supervisor: Dave Feiereisen I Signature of signing supervisor: # ~ "-L.~. -""'"ll ~~\sJ~ ~ 440,2584-J (9/08/COM) $ $ $58.00 $ I (A) Enter subtotal of above fees (Minimum. Permit Fee $58.00) 1 (B) Enter t2%surcharge (.12 x [Aj): I (C)Technology Fee (5% of [A]) I TOTAL fees and surcharges (A through C): 1$165.00 $19.80 $8.25 $193.05 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01315 ISSUED: 09/04/2009 APPLIED: 09/04/2009 EXPIRES: 03/04/2010 VALVE: 225 Fifth Street, Springfield, OR 541-726-3753 Pbone . 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 501 INTERNATIONAL WAY Bus St SPRINGFIETYPE OF WORK: Electrical Work Only ASSESSOR'S PARCEL NO.: ROW.MISC TYPE OF USE: Commercial PROJECT DESCRIPTION: Elect svc for bus station Owner: LANE CO TRANSIT DIST Address: Contractor Type Electrical I CONTRACTOR INFORMATION I t ATTENTION: oregon \i;v:h, V,;;",re~X~ili~V' Contractor 101l0w rules adopted ni_c!~~e re~e~~P,Ui~,~ion Date CAMP CREEK ELECT~~:1Wion Center.. ~tXii'!.871~e~~l'< q~2._QIj/09)201l BuiLDINGlNFORMkTIONlles 01 the rules bY _ - - ' , ,\,,. the telephone c~l1ino the center. (NO '.. N !"fic..3,tion # of Stories: r the Oregon Utility 0 I Lot Size: ' "~II"Uv' .v . . 800332.-2.344). Height of@!rl!cturei- - Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq FtOther: Sprinkled Building: n/a Occupant Load: Phone 541-746-1471 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION' NOTICE: WORK THIS f:>"'~Fi\~fI"Dj~t:\LL EXPIRE IF THE ' T AUTH~\~ftl'lJTl'j~~~~(jd;HIS PERMIT IS NO . Pav,elfDriveli,Rqd:"BANDONED FOR COM"t'." t:1J 'J ",,, % of'I;ot Coverage: ANY 180 DAY t-'tRlvu. REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type:' DownspoutslDrafns: Notes: I V aluatio~ Descrilltion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount " '-I Value Date Calculated Pa2e I of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: €OM2009-01315 iSSUED: 09/04/2009 APPLIED: 09/04/2009 EXPIRES: 03/04/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726"3676 Fax 541-726-3769 Inspection Line Total Value of Project . Fe~~ Paid' Fee Description + 12% State Surcbarge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid Receipt Numher $19.80 $8.25 $84.00 $81.00 9/4/09 9/4/09 9/4/09 9/4/09 1200900000000001032 1200900000000001032 1200900000000001032 , 1200900000000001032 Total Amount Paid $193,05 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 Relluired Insnections , 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, 1 state and agree, that I have carefully examined the completed application and do h:ereby 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 ofthe 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 further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, thatthe permit card is located at th.e front of the. property, and the approved set of plans will remain on the site at all times during construction. c/~0:/'l~. Owne?or Contractors Signature " '1-'(--0'11 Date Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1315 COM2009-01315 COM2009-013 15 COM2009-0 1315 Payments: Type of Payment CreditCard cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000001032 Date: 09/04/2009 II :06:32AM Item Total: Check Number Authorization Received By Batch Number Number How: Received cjc 579571 In Pe,son Payment Total: Amount Due 81.00 84.00 8.25 19.80 $193.05 Description . Perm Serv/Fdr 200 amps 0' less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 12% State Surcharge Paid By CAMP CREEK ELECT' Amount Paid $193.05 $193,05 Page I of I 9/4/2009