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Home My WebLink AboutPermit Electrical 2009-9-4 Electrical Permit Application 225 Fifth Street+Springfield, OR 97477.PH(541)726-3753. FAX(541)726-3689 I permitno.:{E'1-/31L( 9/Yt1 :; This permit is issued under OAR 918-309-0000. Permits are nontraosferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ' Ift~ff::f~1.10.CAl!'i~OVERNMENiTiARRROVALilll~f~!~1:ii1 Zoning app'oval ve,ified? 0 Yes 0 No I 1~~~::~;~;JEGr~~~~:~~:~iTRPr~O~~::~:~: II Reside.tial, per unit, service included: I 1~~~OBlfSliTEi[INFcORM.A.TIC:>N1t"ANDJl!C:>OATIONi!l!Wli~1 1.000 sq. 1\. or less (4) $ I I . d 1/ '"T; I I I Each additional 500 sq. ft. or portion I Job SIte a d,ess: / J..~J..""",,- L,..i..."" thereof . $ I City: Sp,inglield I State: OR 1 Zlp7'" I I Limited energy (2) $ I I Reference: Taxlot.: I I Each manufactured home or modular $ I dv.'elling service or feeder (2) I I Services or feeders: insta!lation, alteration, relocation I I I 200 amps or less (2) $ 81.00 81.00 I I 20 I to 400 amps (2) $ 95.00 $ I I I 401 to 600 amps (2) $158.00 $ I I I 60 I to 1,000 amps (2) $205.00 $ I I lOver 1.000 amps or volts (2) $469.00 $ I I I Reconnect only (2) $ 63.00 $ I I I Temporary services or feeders: ins/qllation, alteration, relocation I I 200 amps or less (2) $ 63.00' I 20 I to 400 amps (2) $ 87.00 $ I I 401 to 600 amps (2) $126.00 $ I lOver 600 amps or 1,000 volts, see services or feeders section above I I Branch circuits: new, alteration, ,extension per panel I a. Fee for branch circuits with purchase of a service or feeder fee: I Each branch circuit 114 I $ 6.00 184,00 I' h. Fee for branch circuits without purchase of a service or feeder fee: r 1 I I I I I I I Install Elect,ical Service and b,anch ci,cuits 10' International I Way East L TD EMX bus station. I Name: Lane T,ansit Dist,ict I Add,ess: 3500 East 17th Avenue I 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: 11';:~:~::~;~~':C{,~:;~~:c;~cl1~{IONj;~l'';~~!t~Eiil I Add,ess: 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: rnike@campc.eekelect.ic.com I CCB license no.: 164877 I BCD license no.: C81 I Signing supervisor's license no.: 30235 I Print name of signing supervisor: Dave Feiereisen I Signature of signingsupervisor: P"~;;,.;-? ~ r '""'-- ~ ~ CA..\.\ \9' ~~ 440-2584-J (9/08/COM) $134.00 $ 25.00 $ 32.00 $ 63.00 I I I I First branch circuit (2) I I $ 55.00 I $ I I Each additional branch circuit $ 6.00 $ I I Miscellaneous fees: service or ft~der not included 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 lirnited.energy panel, I $ 63.00 alteration, or extension (2) . I Each additional inspection: (I) I I $ I $ I $ $58.00 I $ (A) Enter subtotal of above fees (Minimum Permit Fee.$58.00) (8) Enter 12% surcha'ge (.12 x [A]) (C) Technology Fcc (5% of[A]) TOTAL fees and surcharges (A through C): $165,00 $19.80 $8.25 $193,05 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2009-013I4 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 SITE ADDRESS: 111 INTERNATIONAL WAY Bus St SPRINGFIETYPE OF WORK: Accessory Building ASSESSOR'S PARCEL NO.: ROW-MISC TYPE OF USE: New Commercial PROJECT DESCRIPTION: Elect, Svc for bus station Owner: Address: LANE CO TRANSIT DIST Contractor Type Electrical r :' ~'I^~!: r\__,~"., 1."'Jj reQJ.iires you to f '..,. j1JJ .!:;. ~r hd t"~..... n..,....~,...~ Il"':!:~._ NUt"r:~<~(}n Cpnlpr Thn~"~ >"IIb~ ,,;,.... ,........#.l.-~-~fh in O,LIC0N'FRAeTORINFORMAnON ;1)1- . 008D. YOU may obtain copies of the rules by Contractorcall~ng t,he center. (Note: thehi~J;-')~jhe Expiration Date CAMP CREEK EIIJEe'l1IU€ m:€l'egon Utility IM87,7ation 06/09/2011 ,,,-,"......-, ,,.., J ~"",,_... ~..._.....".., BUILDING INFORlVlATlONl Phone 541-746-1471 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: NOTICE: Energy Path: THIS PERMrr~';'I!f~tdEW\W~~:F THI' \M~~I( AU I ;i~DEVEloPNiENT~NFORMWTlON~t I COMI~'~I'tVL.L.J un 10 MDMI\lUUI\JtU rUM. ANY 180 DAYoPEp.I,on. t ver ay'Dls : # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Lot Size: S.q Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occup~nt Load: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 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 Pa2e 1 of 2 -"f!!i~~Sr!l~~:~~.,)Ic:'i%J~<4;-;\?;: ior, ;.\,_' :<~';" -;.,,' ';.,;r~ Status Issued CITY OF ~t'KH~l>FIELD Building/Combination Permit PERMIT NO: COM2009-0J3]4 ISSUED: 09/04/2009 APPLIED: 09/04/2009 EXPIRES: 03/04/20]0.. VALUE: 225 Fifth Street, Springfield, OR. 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fee~ P",ill I . Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid $19.80 $8.25 $84,00 $81.00 9/4/09 9/4/09 9/4/09 9/4/09 Receipt Number 1200900000000001031 1200900000000001031 1200900000000001031 1200900000000001031 Total Amount Paid $193.05 I Plan Reviews I' To Request an inspection call the 24 hour recording at 726-3769, All inspection~ 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 ~e{'l'~ired I ~S\?~ct.!.~n.~ 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 appIication and do herehy certify that all information hereon is true and correct, and 1 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 w~rk descrihed 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 a'lIdress 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. ~b/7':"/J~ ~er or Contractors Signature J'- tf--09' Date Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Developme.nt Services Department Public Works Department --, .....RECEIPT #: 1200900000000001031 Date: 09/04/2009 IO:59:4IAM Item Total: Amount Due 81.00 84.00 8.25 1980 $193.05 Job/Journal Number COM2009-01314 COM2009-01314 COM2009-01314 COM2009-01314 Description Penn Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add . + 5% Technology. Fee . + 12% State Surcharge Payments: Type of Payment C,editCard Paid By . CAMP CR ELECT Check Number Authorization Received By BafchNumber Number How 'Received CJC 096087 In Pe,son Payment Total: Amount Paid $193.05 $193.U5 cReceintl Page 1 of 1 9/4/2009