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Home My WebLink AboutPermit Electrical 2010-1-11 " 225 Fifth Strcet+Springlield. OR 97477. PH(541)726-3753+ FAX(541)726~J6X9 1~~~'[~~!Bt~:~~rL~~~~9:~'~~~I~;~'1 I Permitno. C1- /.1I.s I I Date 611111;"0 I 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 ]80 days. lij!'j\'::~~i'i,ii:'ll.iiLOCAL!i:!GOVERNMEN1H'AI?I?Rt)VAI1!:J~i~i:i'}i~i;;i!iWj I Zoning approval verified? 0 Yes 0 No I l~i!:i;;;ii;iiiD,;c:.CATEGt)RY;i"OF,iCONSTRlICTION!::";;!ii!["',fin!] !~:~~~~1~~'! ~iE~;~~I~~.,i I Name: WWH'_ 1Y7.\N1":> a.. 1) j s fnif I I Address~ ~ YO~ry.. \0-10 I City: t ~t\O... I State\..Q.(L.1 ZIP~IA.D\ I Phone: - ~ -.is"' - - I Fax: I Ewniail: Temporary.services or feeders: ins(aliation, alteration. relocation This installationisbeing made on residential or.fann property I 200 amps or less (2) I $ 63.00 $ . owned by me or a member afmy immediate family. This I 201 to 400 amps (2) r $ 87.00 $ property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). I 401 to 600anlps (2) 1$126,00 $ , Signature: lOver 600 amps or 1,000 volts, see services 01: feeders section above 1,!ii1f::;;~j;~[j~:i~ft,~,f;ONTRACTOR~INSJAIiI!ATION~j~~~;~~;j}t~:i:lii~~'j~~~~;\~; I Branch circuits: n~w, aileration, extension per panel Business'name: Wrrrz -F-'r'f 1rf"C- [ a. Fce for brm,lch circuits with purchase ofa service or feeder fee: Address: L Ji-/ 5;2,/ .j-J LJIA S'X' I I Each branch circuit .1 I I $ 6,00 1 $ (;, I City:F~.L I ~tate: O~ I ZIP: '-1~L/DS I I b. .~t:c fqr branch circuits without purchase ofa service or lecder fee: I Phondir- 1U::>O G:>5"'1 I Fax: ,,::>'iI i413LJ L/ =t First hranch circuil (2) I 1 $ 55.00 I. $ I E-mail: to.Jl\cJbVZlOk.@COVV1Co..st , ~ I Each addilional branch circuit I I $ 6.001 $ J CCB license no.: 5? q(o :t4 I BCD lic~rise no.: JlJ S2 ~ c-l J Miscella-neo1,ls fees: service or feeder not included I Signing supervisor's license no.: ".jL{ q::Ls j I Each plllnp or irrigation circle (2) $ 63.00 J Print name of signing supervisof:T VVl Lb.N1t:;z j I Eachsign or outline lighting (2) I $ 63.00 I Signature of signing s,upervisor: '\. ""1 - ..._~-I I Signal circuit or a limited-energy panel, I $ 63.00 $ '- J./vv"\ -". ..bJ~ alteration, or extension (2) V ~~ additional inspection: (I) ~ "o\A.:,-O ~~ ' ~~ .~ 440-2584-.1 (9108/COM) I Resideotia), per unit, service included: 1,000 sq. ft. or less (4) $134.00 $ I Each additional 500 sq. ft. or portion $ 25,00 $ thereof I Limited energy (2) $ 32.00 $ /- Eaeh manufactured home or modular $ 63.00 .$ dwelling service or feeder (2) J Sen,ices or feeders: installation, alteration, relocation r 200 amps or less (2) I I I $ 81.00 I $;>) I 120 I to 400 amps (2) 1.\ $ 95,00 $ 40 I [0 600 amps (2) I $158.00 I $ I 60 I to 1,000 amps (2) I $205.00 $ lOver 1,000 amps or volts (2) I $469.00 I $ Reconnect only (2) I $ 63.00 1 $ $ $ I (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) I (8) Enter 12% surcharge (.12 x [A]) I (C) Technology Fee (5% of [AI) I TOTAL rees and surcharges (A through C): $(j'~ $ 16441 $ 4,551 $ JDI,'I41 Status lss u ed 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: COM2009-013l5 ISSUED: 09/04/2009 APPLIED: 09/04/2009 EXPIRES: 03/04/2010 VALUE: SITE ADDRESS: SOl INTERNATIONAL WAY Bus St SPRINGFIETYPE OF WORK: Electrical Work Only ASSESSOR'S PARCEL NO,: ROW-MISe. TYPE OF USE: Commercial PROJECT DESCRIPTION: Elect svc for bus station Phone Number: 541-682-6100 Owner: LANE TRANSIT DISTRICT Address: PO BOX 7070 EUGENE OR 97401 uta follow rules adopted by t a regon tility Contractor Notification Center. Those rWil:efllleat loltttlpiration Date CAMP CREEK ElJECA1R95lMlQj-0010 througi1l&:lM952-001- 06/09/2011 . u~'~V~Ii;Ph~;el, , number for the Oragon Utility ~tillcatlon ' . #~il9:1-800-332'2344). Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft ind Floor: Water Type: ... - "--'-- ... Sq Ft Basement.: Range.Type:-';';';",~,., . -..~...~.,:. Sq Ft Garage/Carport 'Energy Path: . .,', Sq Ft Other: Sprfnkled Building: n/a Occupant Load: Contractor Type Electrical # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar'Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description. Tvpe of Construction Phone 54]-746-1471 NO~~!,::ELOPMENT INFORMATION I THIS PERMIT SHALL EXPIRE IF THE WORK '\UTHORIZt9lfJi~a~~is':HIS PERMIT IS NOT "()M'll'ENG~I~trfetl~''J\e~~9~DNED FOR . " I ," ' PavkdDnv.e Rqd: .' . ,\NY 180 Do/Y JflifollCl,verage: ".-" " REQUIRED PARKING Total: Handicapped: Compact: I PU~L1C IMPROVEMENTS I Sidewalk Type: Downspouts/Drains: I Valuation Description I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I 01' 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Tcchnology Fee Add, Altcr, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Ea Add . Perm Serv/Fdr 200 amps or less Amount Paid Date Paid $19,80 $8,25 $84,00 $81.00 $10.44 $4,35 $6,00 $81.00 , '-: . "~ 9/4/09 9/4/09 9/4/09 9/4/09 1/12/10 1/12/10 1/12/10 1/12/10 Total Amount Paid $294,84 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01315 ISSUED: 09/04/2009 APPLIED:, 09/04/2009 EXPIRES: 03/04/2010 VALUE: Receipt Number 1200900000000001032 1200900000000001032 1200900000000001032 120Q90000g000001032 2201000000000000029 2201000000000000029 2201000000000000029 2201000000000000029 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 Rrouired Tnsnections I Rough Electric: Prim' 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 application and do hereby certify that all information hcreon 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. I further agree to ensure that all required inspections are requested at the p'roper 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 Paee 2 of 2 Date 225 Fifth'Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1315 COM2009-01315 COM2009-01315 COM2009-0 1315 Payments: Type of Payment CreditCard cReceintl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000029 Date: 01/12/2010 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee Paid By TIFFANY LANTZ Item Total: Check Number Authorization Received By Batch Number Number How Received cjc 02598c In Person Payment Total: Page 1 of 1 II :31 :OOAM Amount Due 81.00 6.00 10.44 4.35: $101.79 Amount Paid $101.79 $101.79 1/12/2010