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Home My WebLink AboutPermit Electrical 2009-11-10 Electrical Permit Application 225 ."ifth Streett Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 -) 12 L1 ' 2- Permit no,: i: '7 - /2 , I Date: 11/;0) 0 / 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"..."'WM!JI!':OC.A.':;V;G.OVERNM EN",wA.PPRO V ". ,.~ :I;::"+:w:, :~~:~:f~;~~o~al v::ifiCd? []~e: ,.,.., . .. b,"~*7a4:i:~"1 !pllij,:,,s;:::::i:'ifCA1iEGc:lRW1l0F:.CO.. NS1iRUC1iIONijElii;fEj:::::ilIi!if;0'1 ;H;LAi:Y0fuf,,"'i,'SJf!~ . .. ..,__"..'.____.0L._____ _",,_. ___ _ ___ ,_ __ .__., _ __ km"",Nt,ihwpjl)4fty]8 I 0 Residential I Kl Government I 0 Commercial 1~~~~~:;:I;1iE~N;~~:::~:;:C~~~~~~~ I City: Springfield 4tate: OR l ZIP: I I Reference: ~D\!}I Taxlo\.: I tC&f0Gli'1\i-,ye,,; ',' _ _', ':'. .!ce_'. S~"-P'-''''C''''''hfiffi~ 1i!::!!ilj.:!~4iliii:R,,:"I!DESCRlfl;nONi!.OF:I::WOR~'i.~JI!:1l'1::!i1:il1db:::: Ilnst~1I Electrical Service and branch circuits for F Street I EMXbus station, I Name: Lane Transit District I Address: 3500 East 17th Avenue I City: Euge~e 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( I) and 479.560(1). Signature: .1i~~2fi:~iICQNir,RACJJ)RicilNSTA11l2ATI()N~::9~~~t:rtl Branch circuits: new, 'alteration, ext~nsion per panel Business name: 'Camp Creek Electric LLC I a. Fee for bnmchcircuils with purchase of a service or feeder fee; Address: PO Box 41900 I Each branch circuit 114 I $ 6,00184,00 I City: Eugene I State:'OR I ZIP: 97404 I b. Fee for branch circuits without purchase of a service or feeder fee: I Phone: 541-746-1471 1 Fax: 541-741-6208 I Firstbranchcircuj'(2) I 1$55,001 $ r 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 Miscellaneo.us fees: service or feeder not included I Signing supervisor's license no.: 30235 I I Each pump or irrigation circle (2) $ 63.00 I Print name of signing, supervisor: Dave Feiereisen I I Each sign or outline lighting (2) $ 63.00 I S' f" '. ,,,..-- -....-.-' ?- -~ I I Signal circuit or alimited-energy panel,. $ 63.00 $ Ignature 0 slgnmg supervisor. I?"-" alteration, or extension (2) I Each additional inspection: (1) ~ ~}\-\\ 440.2584.J (9/08/COM) ~ I (A) Enter subtotal of above fees (Minimum Permit Fee S58.OO) -<1\...., I (B) Enter 12% surcharge (12 x [A]) %~ tf : ~~~:~n;~:::::es~~:::;'~ (A through C); ~~ I ZIP: 97403 I Residential, per unit, service included: I 11,000 sq, 1\, or less (4) $134.00 $ I, I Eacn additional 500 sq. ft. or portion $ 25.00 $ I thereof I Limited energy (2) $ 32,00 $ I I Each manufactured home or modular $ I dwelling service or feeder (2) $ 63.00 I Services or feeders: installation, alteration. relocation I 1 200 amps or less (2) $ 81,00 81.00 I I 20 I to 400 amps (2) $ 95,00 $ I I 401 to 600 amps (2) $158,00 $ 1 I 6lJllo J,OOOamps (2) $205,00 $ I Over 1,000 amps or voils (2) $469,00 $ I Reconnect oniy (2) $ 63,00 $ I Temporary services or feeders: installation, alteration, reiocation -I 200 amps or iess (2) $ 63,00 I I I 1 1 I I I ! I I I I I 20 I to 400 amps (2) 40 I to 600 amps (2) $ 87,00 $126,00 $ $ Over 600 amps .~r I :000 volts, see services or fee?ers section above $ $ $58,00 $ $165,00 $19.80 $8,25 1$193,05 ..........., CITY OF SrKlJ"Ild'lJi.,LU' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 In,~pection,Line" Building/Combination Permit PERMIT NO: COM2009-00922 ISSUED: 11/10/2009 APPLIED: 06/25/2009 EXPIRES: 05/10/2010 VALUE: Status , Issued ". ,., SITE ADDRESS,: ." 650 PIONEER P ARKW A Y WEST B ASSESSOR'S PARCEL NO.: ROW-MISC ". ,"'T. .'1 SPRINGFIETYPE OF WORK: Electrical Work Only " TYPE OF USE: New Commercial PROJECT DESCRIPTION: Electrical Conduit for LTD Station Owner: Address: LANE TRANSIT DISTRICT POHO)!:7070 ..;" .': 1 law requIres you to EUGENE OR 97401 ATTENTION: rtOretgodnbv the Oregon Utility ._II",~u .VI~\.~,,,,C}o e , ~ ','. ' \. . Notifl"I'.linn Center. I n~~~~~~~L~:~-' ~ ''''." ~~ifol' YQ""HDOOlRt,~~'r . '- \. InO '7i, ,..liii'r;~ro:.H'tJ"!1 ~'_:I" by .. 0090. ou maY'>".:in tele= Contractor calling the center. (NO~i.t~6ti Expiration Date CAMP CREEK ~()J!lLttP~e~~~_~~~~t77" 06/09/2011 ,..".,,\-. .~ I BUILDING lNFORMA TION I Phone Number: 541-682-6100 Contractor Type Electrical Phone 541-746-1471 ,!, ,', ". ':~. # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: , E Energy Path: ': ~~%I~I=;M~~~t'\. ~~~ 1~Y'E.W:m~ Au1 ~1Y\iEWl!ME~~ ~Nllbli~&~~r.t . COMlVit:~Gt:U Uh 1(,' .-lJI\,vff- . ANY 180 Db~e~iS~\9.R: ;' # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Lof Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Frontyard Setback:" .' Side 1 Setback: ' Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: '..' ;; Street Improvements: Storm Sewer Availa~le:\:, Special Instruction: I PUBLIC I~PROVEM~NTS I Sidewalk Type: DownspoutslDrains: Notes: ..".' !:~ ; f~ ~.i! I V~luati~n DescriDtion I Description " Type of Construction .. ' . , $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of 2 . , " 225 Fifth Street, Springfield, OR: , 541-726-3753 Phone: "',~,, ..:~': 541-726-3676 Fax. i',-,"", 541-726-3769 hispection Line ~;. CITY OF ~n~l1~tJl'IELD Building/Combination Permit PERMIT NO: COM2009-00922 ISSUED: 11/10/2009 APPLIED: 06/25/2009 . EXPIRES: 05/10/2010 VALUE: Status Issued c~. r_:, .~ ' Total Value of Project (, Fees P,aid , Amount Paid Date Paid $19.80 $8.25 $84,00 $81.00 11/10/09 11110/09 11110/09 11110109 Receipt Number 2200900000000001273 2200900000000001273 2200900000000001273 2200900000000001273 Total Amount Paid '$193.05 , Plan Reviews I it', . ~;... j ,'J t.. 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\. Re?"ired Insllections' . I" I .,,, , Underground Electric: Prior to cover By signature, I state and agree, that I bave 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 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 furfher certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensur~ 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/~g~ own7Cont7~c~0:;s~gn~~ure.~ .~: 1. : ,'. ~ ~ . . /J- /0 - 0"1 Date i' ,[ Paee 2 of2 . ", ~ 225 Fifth Street Springfield, Oi-egon-97477- .. 541-726-3759 Phone '" Job/Journal Number, COM2009-00922 COM2009-00922 COM2009-00922. COM2009-00922 Payments: Type of Payment CreditCard cReceint 1 ,'. ~ RECEIPT #: .ru~."<~~~ J;l1!LO._ ......> .','111' .... Ilk. .. ~ '; :' C.,,-_.. ", .. ,_ ..J'" _ , .... - .. ~ City of Springfield Official Receipt Development Services Department Public Works Department Date: 11/10/2009 10:06:18AM ,2200900000000001273 J?esc~jptio~ .:~{. .:~l:-';' "Perm Serv/Fdr 200 amps or less , ,. 'Add, Alter, Extend Circ Ea Add /".. :.;1- 5.% Technology Fee ,': ,. '+ 12'i'o Sta!.e'Surcharge ;, ~ .;, . Paid By :.CAMPC;R ELIOc:Ft,_ . 'i~ . ':: .r::~:~?~. ;." .::;: i:'.t:,i~,.:'f . .::1. ,"", .~~ . !f-'i.:.:;'- ','. ,.... .~ -. ' .' '. ~~ ..::.I;:i. ", c j' .... I, , .:~,.,..... .: . '~ ,~f .'.. : ;.1- , " ., " Received By cjc " Page I of I Item Total: Check Number Authorization Batch Number Number How Received Amount Due 81.00 84,00 8.25 19.80 $193.05 Amount Paid 561711 In Person Payment Total: $193,05 $193,05 II II 0/2009