HomeMy WebLinkAboutPermit Electrical 2010-7-6
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. ,ciTY OF, SPRING.F) ELD, OREGON
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225 Fifth Street.Springlield, OR 9747H PH(541)726-3753. FAX(S41)726-3689
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Pennit no.:
Date: '7 - t:- - ( 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 180 days. I
LOCAL GOVERNMENT APPROVAL
Zoning approval verified? DYes D No
CATEGORY OF CONSTRUCTION
o Residential 0 Government 0 Commercial
..JOB SITE"INFORMATIONAND LOCArlON
Job site address: 0).. y; 'Ow . J
City: :5 . 113 ZIP:
Reference: Taxlot.:
of,. "DESCRIPTION OF WORK
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NOTICE:
THIS PERMIT SH
AUTHORIZED UN
COMMENCED OR
ANY 180 DAY PERIOD.
". FEE SCHEDULE ,-
I " ' (1" Q ::['(;ost ",Total
Number of inspections.p~r ite,m( '. ' ty; +e'a; ';,;,:~ost
Residential, per unit, service included:
1,000 sq. ft. or less (4) $134.00 $
Each additional SOD sq. ft. or portion $ 25.00 $
thereof
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Limited energy (2) $ 32.00 $
Each manufactured home or modular $ 63.00 $
dwelling service or feeder (2)
Services or feeders: installation. alteration, relocation
200 amps or less (2) Ii $ 81.00 $<;(/~
20 I to 400 amps (2) $ 95.00 $
40 I to 600 amps (2) $158.00 $
60 I to 1,000 amps (2) $205.00 $
Over 1.000 amps or volts (2) . $469.00 $
Reconnect only (2) $ 63.00 $
Temporary services or feeders: installation, alteration, relocation
200 amps or less (2) $ 63.00 $
20 I to 400 amps (2) $ 87.00 $
rj f.4!l,I;tp,"~9~':'R\P?..G.l, ,,_. $126.00 $
~ t~e~90d"ainPSlqr~611Q(\.mlfivsee services or feeders section above
EO ',J.1:i~ifchecij.j!,\'jfsr&M@ItJMMln. extension per panel
t! e1rreo1'9f~a&~~~tUl - purchase of a service or feeder fee:
~ . (t~61\!bi'W tirl$j)hone 11/ $ 6.00 $ 'II'!!:!!
0 ~H1'fH.....~~'l~~n~lliaat~lout purchase ofa service or feeder fee:
First branch ci;~uit (2) $ 55.00 $
Each additional branch circuit $ 6.00 $
Miscellaneous fees: service or feeder not included
Each pump or irrigation circle (2) $ 63.00 $
Each sign or outline lighting (2) $ 63.00 $
Signal circuit or a limited-energy panel, $ 63.00 $
alteration, or extension (2)
Each additional inspection: (I) $58.00 $
'-:.... " . 'APPLICANT USE" ".' '. ",
.
(A) Enter subtotal of above fees $/05"'"
(Minim~m .~er~i!.f.~~ $58.00)
,(ll).Ei)!erI12'*!tu't"ffirgf.\~!12"!I[A ]) $ /7.' <ro
J' ..., , . "....
;Wfif~'- sl!i:1'II:1'P $ il,)..)
; ~lf~e~l~n\l1S~IJ~.arges (A through C): $1'1.3-;;::
This installation is being made on residential or fann property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent..OAR
479.540(1) and 479.560(1). ',N: I)
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.' '~.:CONTRACTOR~INSTAL,"ATION 0
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Signature of signing supervisor:
440-2584-J (9/08/COM)
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00897
ISSUED: 07/06/2010
APPLIED: 07/06/2010
EXPIRES: 01/06/2011
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 802 HARLOW RD Bus Station
ASSESSOR'S PARCEL NO.: ROW-MISC
SPRINGFIETYPE OF WORK: Electrical Work Only
Commercial
TYPE OF USE: New
PROJECT DESCRIPTION: Service and circuits for GuyLee westbound L TD/EMX station
Owner:
Address:
LANE TRANSIT DISTRICT
'PO BOX 7070
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Contractor
CAMP CREEK ELECTRIC LLC
License
164877
BUILDlN,G,INFORMA T10N I
"l'-'!1 ',';\;.7'.":;' >,
# of Units: ,# "of Stories:' ,
Primary Occupancy Group: Height of Structure
Secondary Occupancy Group: "';rype of Heat:
Primary Construction Type Water Type:
Secondary Construction Type: Range Type:
# of Bedrooms: EnergyP~thi(1u 10
, _,_' 'T,('H C\egon\ES~r~ri~~i~~Nil.I\inllj n/a
t"l~ci"') lIJ!~:$ i?~;j"',:DE~E-.i;eP-M' 8.MATION
n~lii\e"li~~~~~'_001 0 I , 01 Ihe rules
in OAR 90- a" oblain CRPle:'...,,~IP,phone,
Frontyard Setback: 90 'Iou rn J l\'My~r,"""lmr; , ' f n
Side 1 Setback: 00 ' , Ihe cenler, ti Qt.~~...N.\l~VIRaq~9
calling oregon"'" ""I" r ) .
Side 2 Setback: nurnber lor lhe. 1_8cKPllljd-G1li% Rqd:
Rearyard Setback: center IS ' %of Lot Coverage:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Phone Number: 541-682-6100
Expiration Date
06/09/20 J J
Phone'
541-746-1471
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:
Sidewalk Type:
Downspouts/Drains:
Notes:
Description
Paee I of2
I. .\
Value
Date Calculated
!:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
'r:
"':'::r~tal:Value of Project
l'~Fees p'aid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
Amount Paid
$19.80
$8.25
$84.00
$81.00
Total Amount Paid
$193.05
Date Paid
7/6/10
7/6/1 0
7/6/10
..7/6/10
"-I fIan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00897
ISSUED: 07/06/2010
APPLIED: 07/06/2010
EXPIRES: 01/06/2011
VALUE:
Receipt Number
1201000000000000800
1201000000000000800
1201000000000000800
1201000000000000800
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.
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Redtiired,lrisnections ~
Rough Electric: Prior to Cover
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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 certity that all
information hereon is true and correct, and I further certify that any ~nd 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.
Uurther certify that only contractors and employees who ardn ,compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections:are'j-eqilestc'cfat the proper time, that each address is readable from the
street, that the permit card is located at the fro'ilt'M,'the propertY, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
:,.
Page 2 of2
Date
225 Filith,Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000800
Date: 07/06/2010
3:19:25PM
Job/Journal Number
COM20 10-00897
COM20 I 0-00897
COM20 I 0-00897
COM20 10-00897
Payments:
Type of Payment
Check
cRcceintl
Description
Penn Serv/Fdr 200 amps or less
. Add, Alter, Extend Circ Ea Add
+ 12% Slale Surcharge
+ 5% Technology Fee
Paid By
CAMP CREEK ELECTRIC
Amount Due
81.00
84.00
19.80
8.25
$193.05.
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
djb
In Person
Payment Total:
$193.05
$193.05
6363
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