HomeMy WebLinkAboutPermit Electrical 2010-1-11
225 Fifth Street t Springfield, OR 97477tPH(541)726-3753tFAX(541)726-3689
I Permit no.: CIO -000 3.. ~
I Date: J-({ -/0
_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 t 80 days.
1:]1il!!:4~::j';IlIif%1l[OCAI!';:1(3(;)YERNMEN;rilF~eeROV~I:."i!;~~~~1l1
I Zoning approval verified? 0 Yes 0 No I
l"z~i:1tj:'iCA;rEGORYjOF#1CONSTRUC]IONf'i:1t\~'ll1 I R'd . I ' " I d d
I I I I eSt entia, per urut, servIce IDC u e ;
o Residential _ Kl Government 0 Commercial I .
1;I~Ii?jOB~SI]E"INFORMA;rION_i[AND,"I.!OCA]ION~~~, ',000 sq ft or less (4) $134_00 $
I "? , ( 6- <l. ,.. L., . , A- \.'1 Each additional 500 sq ft. or portIOn $ 25.00 $
Job Site address: .l> "10 iT' r;...vv I ''-/ I thereof
I City: Springfield I State: OR I ZIP( L. I I Limited energy (2) $ 32.00 $
lif~;l:;~~~f:v~~~e~~~~Rl.wJJ~~~~ii':llmill ~~~71~:ns~~i~~~~ ~e~d;r(2)odular $ 63.00 $
II II EI . IS' db" f K I I Services or feeders: installation, alteration, relocation
nsta ectnca ervlce an ranch circUits or ruse Way '
and Southbound L TD EMX Stations. I I 200 amps or less (2) 1, $ 8.1.00 81.00
201 to 400 amps (2) $ 95.00 $
I Name: Lane Transit District ~ \\ S~ 1l..(>Il;qamps (2) $158.00 $
I Address: 3500 East 17th Avenue _" \e-'l'll~ C \e~ro'I'!.B.\ \~~mps (2) $205.00 $
I City: Eugene I State. OR 9W..J~~~llOO_'-~'~.s'~~'~~~s or volts (2) $469.00 I $
I Phone: 541-682-61 00 L..-~~\ '- s e.OVy~. "i,\\v.ouQ \ ~1\~nM:cI'.I\'llY (2) $ 63_00 I $
f.","": ~e ('ltA_ - \'t\t 1 S ~'T'lo.o\0Jf ',n\\
I E-mail: ~\O'fll 'O'{\v'O'o\J::J:J,,\v. CoQ\ ~ .,\\.E!....l}J~~\-~~icesorfeeders: installatIOn, alteratIOn, relocatIOn
\0 .._,,\\ ~\ ''1,(\ 'I" '- ~U"..
This installation is being made on~a'D .6)'ii/r, IlIIpt~~~M~U"')\I ~'lv~^~s or less (2) $ 63.00
ownedbymeoramemberofmyi~ at"l~(~n.;~r;p,~ ~2f,Tt04DOamps(2) $ 87.00 $ 1
property 1$ not Intended for sale, ex .Ie: r \~. 't'? ~O
479.540(') and 479.560(1)_ ~\\-r>: et \ot ~0t 'Ii I 40lto 600 amps (2) $126.00 $ I
Signature. (\U~'O Ce{\ lOver 600 amps or 1.000 volts, set: services or feeders section above I
1;~~!lh:';2r:;XC<DNm~E:rr~OR~INSTA'lZlEATI()Nt~~~~!ii~~11 I Branch circuits: new, alteration. extension per panel I
I Business name: Camp Creek Electric LLC, I I a. Fee for branch circuits with purchase of a service or feeder fee; I
I Address: PO Box 41900 I I Eaehbraneheireuit 128 I $ 6_001168.00 1
I City: Eugene 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 I I Firstbraneh cireuit (2)' I I $ 55.001 $ I
E-mail: mike@campcreekelectric,com I I Each additional branch circuit $ 6.00 $ I
I ces license no.: 164877 I SCD license no.: C81 I I Miscellaneous fees: serVice or feeder not included 1
/Signing supervisor's ricense no.: 30238 I I Each pump or irrigation circle (2) $ 63.00 $ J
I Print name of signing supervisor: Dave Feiereisen I I Each sign or outline lighting (2) $ 63.00 $ I
I S. f" . j-::.;:/ I I Signal circu.it.o.r a. limited-energy panel, $ 63.00 $ I
Ignature 0 Signing supervISor: ~''- " - alteratioo, O["Hen.!ion (2~ .
I Ea,,~:addmS~.iw.~RfiJi~ (I) I $58,00 I $ I
~ I~H"WWdJjW'-I"'~i'''',,~r,:-- - '~~"'i?-' .=~g'~t" '1
~ .\ ,U!~'G:i\\'90,?''''I~=, cICAN'Ii USEl'..;~ ",",,'8,"".1"1,/4 ':",
.l) ~. ~.~Yt~~~}U~~vef~~s' 1$249.00
(\/\ Q-j \S3A"J.\.~~' ~'\\ S\\~~ ~~'-i~~~it F~c $58.00)
'0f \ ~fI\~ \\~~~~~~~6?-h~:n:~::~::;;~~;~~t]) l:~:::
,,\lJ ~~~~~\) ~~ "1' TOTAL rees and surcharges (A through C): 1$291.33
\J" f>,~'l "\
440-2584-) (9/08/COM)
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
:\
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2010-00038
ISSUED: 01/11/2010
APPLIED: 01/11/2010
EXPIRES: 07/11/2010
VALUE:
Status
Issued
SITE AD[)RESS: 3401 GATEWAY ST Bus Station
ASSESSOR'S PARCEL NO.: ROW-MISe
SPRINGFIETYPE OF WORK: Electrical Work Only
TYPE OF USE: Addition
Commercial
PROJECT DESCRIPTION: Service and Circnits for Bus Station
Owner: LANE CO TRANSIT DIST
Address:
I.CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
CAMP CREEK ELECTRIC LLC
License
164877
Expiration Date
06/09/20II
Phone
541-746-1471
BUILDING INFORMATION I
# of Units: #of St~ri~s:
Primary Occupancy Group: Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary C~nstruction Type ~~9';i f:
Secondary Construction Type: 1I l0.>H te~ ~ \\'I
# of Bedrooms: .""'O~', 0le90 0 'el':/ \ne 1 f3'tY\ I\~
/I."IiE\'l' ,as 0.Oop\e ,.nose luledJl-f\~; ~ding: n/a
,...",.:'" ,u \' ::...,,~t. v ~,.~...\\~~ "~ t:.:";~e'J"'~
~O\i'iCe.\~~z_oO\-o~~0.itl ~~U~i*'.Q\FORMA T10N I
III Or>.? ~OU {lI0.'! 0 let. \P'iJ\ili\'! ~lM . ,
0090. \ne cell gOll no""''''''')'
Front yard Setback: Ce,\li1l9 01 \\'Ie ,Ole.\300.'.)3<uverlay Dist:
Side I Setback: _ lIU{lI'oeIC' lI\el \5 \ . # Street Trees Rqd:
Side 2 Setback: - e Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Description
Type of Construction
.",. ..!~;:;;.., " .
. Downspouts/Drairi"S:' 'c' n,r
.: . . . ,."M" I~t \}lO"1
" '2f-.?\'?t. \'r \J\\I \'0 ~O
;; :~O\\ct.. '~\I S~f>.\.\. \~\S ?t.rr; x.U rO'? .
, . ,n 0':\'-1'1 ".'"t.'? . ,,"\)\\
\..{,~ :V\:.v J '01>>01"
I Valuation DescHllf'i'.vi\c\:.o O~~\OU.
\jv"'" Ufi-'(?
$ Per Sq Ft ~q\fh'\Wootage
or multiplier or Bid Amount
Value
Date Calculated
Notes:
Paee I of 2
_",~R'!'l13I!Uill;.D: .
-t~
"
"
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676'Fax
541-726-3769 Inspection Line
Total Valne of Project
Fees P~i~ ,I
Fee Description
+ 12% State Snrcharge.
+ 5% Technology Fee
Add, Alter, Extend Orc Ea Add
Perm Serv/Fdr 200 amps orless
Amonnt Paid
Date Paid
$29.88
$12,45
$168.00
$81.00
\/1\/10
\/1\/10
\/1\/10
\/11/10
Total Amount Paid
$291.33
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20]0-00038
ISSUED: 01/11/2010
APPLIED: 01/] 1/2010
EXPIRES: 07/11/20]0
VALUE:
Receipt N nmher
1201000000000000032
1201000000000000032
1201000000000000032
1201000000000000032
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.
Renllired Tnsnectinns I
".'. ". J,
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 1 have 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 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 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
J further agree to ensure that all required inspections are requ~sted at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, an'd the approved set.of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
";:d;
Paee 2 01'2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-'3759 Phone
"
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000032
Date: 01111/2010
1:19:45PM
Job/Journal Number
COM20 I 0-0003 8
COM20 1 0-0003 8
COM20 I 0-0003 8
COM2010-00038
Description
Penn Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 12% State S.urcharge
+ 5% Technology Fee
Payments:
Type of Payment
ereditCard
Paid By
CAMP CREEK ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
81.00
168.00
29.88
12.45
$291.33
Amount Paid
djb
330412 In Person
Payment Total:
$291.33
$291.33
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cRccciotl
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1111/2010