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Home My WebLink AboutPermit Electrical 2010-1-11 ;' .' 225 Fifth Street+Springfield, OR 97477. PH(541)726.3753+ FAX(541)726-3689 ~:~:~~;~~~~~~~~I . I Date: I - tf- , 0 I Electrical Permit Application This permit is issued under OAR 918-309~OOOO. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 1':;,iIi;;.-i;m:lE1fI:.QCAlilGQVERNMENTc7A~PRQVAG';;'ij!I!!;'-:lI'.{:fu:r:llll I Zoning approval verified? 0 Yes 0 No I li~~~::i~~;~IMEG~R~~~~~r~~:~TRUr~0~~::::~;~: II Residential, per unit, service included: 1:1'::!1ii;j\;JOB':r:SITEIi.I~ORMATION~ANOIi.UOCA'I'ION~llfInl 1,000 sq. ft. or less (4) i $134.00 $ I b. d <7) J. / _.L. . I'vi I Each additional 500 sq. ft. or portion $ 25.00 $ Jo SIte a dress: ,JFO/ 3//0 V"\Te'....... .5htYr ~ ~. I thereof I City: Springfield . I State: OR' I ZIP: ,~ II( I 1 Limited energy (2) $ 32.00 $ i~~~i~if~~R~,~~~JiiwJ~~~~:_iil!'~'li.i I ~~~71:~~ns~~~~~r~~ ~e~~:r~;)odular $ 63.00 $ II t II EI t. IS' d b h' . f P I I I Services or feeders: instailation, alteration, relocation ns a ec rica ervlce an ranc cirCUits or osta Way I Northbound and Southbound L TD EMX Stations. 1 1 200 amps or less (2) $ 81.00 81.00 1 20 \"to 400 amps (2) $ 95.00 $ I Name: Lane Transit District I I 401 to 600 amps (2) $158.00 $ Address: 3500 East 17th Avenue I I 601 to 1.000 amps (2) $205.00 $ City: Eugene I State: OR I ZIP: 97403 I lOver 1,000 amps or volts (2) $469.00 $ I Phone; 541-682-6100 I Fax: I I Recoonect only (2) $ 63.00 $ I E-mail: . I .1 Temporary sen'ices or feeders: installation, alteration, relocation This installation is being made on residential or farm property 2200 am s or less (2) $ 63.00 owned b~ me or a member of my immediate family. Th~' UlCIu! r !tIl1laJ amps (2) $ 87.00 $ property IS not mtended for sale, ex-"hlllllt>~~e@~ . Ii Or 19 "J 479.540(1) and 479.560(1). p.,iitoN', ~dopted'l:l'/ ,...e.1 _~amps(2) $126.00 $ \IOW YU eS ....058 lU ". ""'''..l'''t!tro . Signature: 1~ .' . ncente~. '11 h ~1ffit':l~psor 1.000 volts, see services or feeders sectlon above 1l!!."'eliI~lti: ~:CON:rRACTOR~~B:Cr~jmi~a\Ar-::inOle$: . arcuits: new, ahera/lOn, exlenslOn per panel I Business name: Camp creek~~Gf1~OU~a~~llr. O-lot8.:.,!, t ~anch circUits With purchase of a service or feeder fee I Address: PO Box 41909 ~r th8 018g00 ~"'J. ~J:aeh branch circuit 128 I $ 6.00 1166.00 I City: Eugene I ~~t~~l5Fl:;en\,tzt,:1~4 I b. Fee for branch circuits without purchase ora service or feeder fee: Phooe:541-746-1471 I Fax: 541-741-6208 I First.hranchcircuit(l) I' I $ 55.001 $ I E-mail: mike@campcreekelectric.com . _J .' ,. Each additional branch circuit I $ 6.00 $ "I eeB license no.: 164877 I BC-D license no.: C81....-, - I I Miscellaneous fees: service or feeder not included I Signing supervisor's license no.: 3023S I 1 Each pump or irrigation circle (2) $63.00 $ I Print name of signing supervisor: Dave Feiereiser1> I 1 Each .sign or outline lighting (2) $ 63.00 $ I Signature of signing supervisor: ~ ........s/ " I I Signal. circuit' or a li!llited-energy panel. $ 63.00 $ . . ~ altei~tl<?!:'l/)r.l:~xte.n~;)on (2) ". ~:';~:"r);;;';i;I:'~;lh"~~~b~~:nsp_;~t~~: (I~ . ~ I, $58.00 L$ I : ' .." . \?-t. ~i~~iF"~"fi~;ARRlJiICANFUSE' ~J''-'- ~'~Ji JB[1;;~:ii~i~ i I ~01\Cf.. WI\i S~t>,\-\.. fJ.,? S ? ~~~t~'ysttt?ta! ~fabove fees $24900 I i\-\I'2> PER Ell \I\'111ER i\i\ ~ll ~I\i~ pefniit Fe. $58.00) t>,\I1\-\ORIICEll OR \'2> t>,\)JI; (B).~nter'l2% surcharge (.12 x [A]) $2988 1 COWlWlE\'Illfll'{ PERIO I (e) Technology Fee (5% of [A]) $12.45 flIN'i '\ 8Q I TOTAL rees and snrcharges (A through C): $291 33 ~~~ ~~ ~" ~~ 440.2584.J (9108ICOM) ~~~ ~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00931 ISSUED: 0l/ll/2010 APPLIED: 06/25/2009 EXPIRES: 07/11/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3101 GATEWAY ST Bus Station ASSESSOR'S PARCEL NO,,: ROW-MISC SPRINGFIETYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Electrical and electrical conduit for L TD Station Commercial Owner: LANE TRANSIT DISTRICT Address: PO BOX 7070 EUGENE OR 97401 Phone NU"mber: 541-682-6100 I CONTRACTOR INFORMATION' Contractor Type Electrical Contractor CAMP CREEK ELECTRIC LLC License 164877 Expiration Date 06/09/20 \I Phone 541.746-1471 " I" B"U1LDlNG INFORMATION I # of Units: # of ~\O: Primary Occupancy Group: ~~~Mfture Secondary O.ccupancy"Group: '-" ~o,ilfl9g\." Primary Construction Type t\' o,e~ ~ ""~I~ 'o't Secondary Construction T~enO '~IIJ ~o'"~ R "l)nM'O . # of Bedrooms: ~~\-ce~.\O",,\O\l, Bf~\O\\ " \0\' ~~O(\ .cil~(\ eO~~f(\Iftl fil.\ir8llding: n/a ,,- tf-~ \V' . IrO_ J l:~\W -\\ . ~"'Q\):' "~E~NTINFORMATION I ~\\~ $It \l\' \....Jl ' . - ~~ ~'lfo" . ~ O. Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Front yard Setback: , Side I Setback: . Side 2 Setback: Rearyard Setback: Solar Setbacks: . Total: Handicapped: Compact: -" ....';.;";.f.:,~J:~~';.:.:>...: .,'!!"?-iiF"'''; 'l\~"'~"t~ . ,,;;r:;]~'$i(!" ,\",,,, ~ ~~ .. i,;ji~ Sldewal~:~,'i\ '\ <l.['~",\\;,,):. "o,\~~~",,~~~~~;;l0\' ,,\"0--\":> "0--IJ",\tS x.$ IJ'" ",\IJ\)' ,\\"\ -f~C,,,., O;>S ,,' ~i\~:"'- ~ \)1"" I Va"Iuation DescriqtlOrt '10 , I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description " Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 , , :i CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00931 ISSUED: 01/11/2010 APPLIED: 06/25/2009 EXPIRES: 07/11/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fee~ Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid $29.88 $12.45 $168.00 $81.00 1/11/10 1/11/10 1/11/10 1/11/10 Receipt Number 1201000000000000031 1201000000000000031 . 1201000000000000031 1201000000000000031 .I ~ Total Amount Paid $291.33 I 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. Reouired Insoe~tion~ I Underground Electric: Prior to cover Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service, Sign Final: After all required inspections are couducted and approved and tbe sign installation is completed, By signature, I state and agree, that I 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 1 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. Owner or Contractors Signature Date Paee 2 of2 225 Rifth'Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0093\ COM2009-0093I COM2009-00931 COM2009-0093I Payments: Type of Payment CreditCard cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 1201000000000000031 Date: 01/11/2010 (:l8:40PM Item Total: Check Number Authorization Received By Batch Number Number How Received djb 330412 In Person Payment Total: Amount Due 8100 168.00 29.88 12.45 $291.33 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By CAMP CREEK ELECTRIC Amount Paid $29133 $291.33 Page 1 of 1 1/11/2010