HomeMy WebLinkAboutPermit Electrical 2010-7-22
City Of Springfield
225 Fifth 5t
Springfield, OR 974n
Phone: 541.726-3753
Email: permitcenter@ci.springfield.or.us
Commercial Electrical Authorization To Begin Work
69600-BEL-10-00340
Approval Code: 103153 7/22/2010 10:56 am
E-mailedTo:rob@campcreekelectric.com
o New Construction
IRl Addition/alteration/replacement
Please check all that apply:
o A service or feeder beginning
at 400 Amps where the
available fault current exceeds
10,000 Amps at 150 Volts or
less to ground exceeds
14,000 Amps for all other
o 1 or 2 family dwelling
o Multi-family 00 Commercial
o Accessory
I~'~.~ "~~':" "!J6ii:SrrEINI:ORMATiON'AND'LOCATION.,'i''':''Y
Job Address: 305 5 A ST
City/StateJZlP: SPRINGFiElD, OR 97477
o Fire pumps
o Emergency systems
o Addition of a new motor load
of 100 HP or more
o Six or more residential units in
one structure
o Health care facilities
SultelbldgJaptno.:
Project Name: Springfield Station Remodel
Cross Street/directions to job site: South 5th
Tax map/parcel no.:
1703353113700
(]/O.tf73
D Hazardous locations
D A service or feeder rated at
600 amps or more
D Buildings more than three stor
D Marinas and boat yards
D Floating buildings
D Commercial-use agricultural
buildings
o Installation of a 150 KVA or
larger seperately derived sys
D "A", "E", or "1-2" or "1-3"
D Recreational Vehide Parks
D Supply voltage for more than
600 supply volts nominal
Description
,
~A~N' 0."," "w"q""~ ,00 \0
\9 follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility NotificatIOn
Center is 1-800-332-2344).
. ~t\D
C\.q,~
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Relocate one pole light at south east comer of station, relocate four post mounted
signs on west end of station at platform, add circuit for new sign in planter along
South A.
Branch circuits without service or
feeder
Branch circuits each additional
circuit without service
Fax: 541-741-6208
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
Elec lie. no.: C81
TOTAL PERMIT FEE
cee lie. no.:
164877
Business Name: CAMP CREEK ELECTRIC LLC
CJO-~'l3
Contact:
Address: PO BOX 41900
Clty/StatelZlP: EUGENE, OR
Phone: 541-74~114' t
97404
ORK
Ema", LDNNIE~~~~ IS PERMIT IS NOT
Metro Ii.. no.' r.OMMENCEO OR IS AAAN.QQNED
Supervising EI~~'a~'~Ik!. ~y PEFU~~.
Supervising Electrician's Name:
DAVID A FEIEREISEN
Number of inspections included in paid services:
Residential Service: 4
Reconnect Only: 1
All other Services: 2.
~~~
~~
~
Upon l'\'!v1ew and approval by your local Jurisdiction, your pennlt will be e-malled or fued
wtthln one business day, wtth InstnJctlons on howto schedule your Inspection.
NOTE: This Authorization To Begin Work expires wtthln 180 days If a pennlt is not obtained.
The lacill building department may detennine that In Authorization To Begin Wol1t is null and
void If It does not meet applicable land use laws and local ordinances.
$55.00
$55.00
5
$6.00
$30.00
$85.00
$10.20
$4.25
$99.45
~ '11'031 \0
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Pennit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: C0M2010-00973
ISSUED: 07/23/2010
APPLIED: 07/23/2010
EXPIRES: 01123/2011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 305 S A ST
ASSESSOR'S PARCEL NO.: 1703353113700
SPRINGFIETYPE OF WORK: Electrical Work Only
TYPE OF USE: New Commercial
PROJECT DESCRIPTION: Relocate one pole light at south east corner of station, relocate four post mounted signs
on west end of station at platform, add circuit for new sign in planter along South A.
Owner: LANE TRANSIT DISTRICT
Address: PO BOX 7070
EUGENE OR 97401
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Contractor License
CAMP CREEK ELECTRIC LLC 164877
BUILDING INFORMATION ~
Expir~tion Date
06/09/2011
Phone
541-746-1471
# of Units:
Primary Occupancy Group:
Secoudary Occupaucy Group:
Primary Coustructiou Type
Secoudary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
Frontyard Sethack: Overlay Dist:
Side J Setback: # Street Trees Rqd:
Side 2 Sethack:NOTlCE: '. P~~~".arire Rqd:' .
Rearyard Setha,'1~lS PERMIT SHAll EXPIRE IF T~o'f'll\;l/f~overage:
Solar Sethacks:AUTHORIZEO UNDER THIS PE~MIT IS NOT
CUIVIIVI
ANY 180 DAY PERIOD.'
Street Improvements:
PUBLIC IMPROVEMENTS
REQurRED PARKING
ATTENTION: Oteg~TOw1 r!i.Q!~dlls you to
follow rules adopte f! 'i~~~regon Utility
Notification Center. ~1!'M~s are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
l~. I ne
number for the Oregon Utility Notification
SideJ./fj[1T'.yJt\': 1-800-332-2344).
Storm Sewer Available:
Special Instruction:
DownspoutslDrains: . .
Notes:
I Valuation Description ~
Description
Type of Construction
S.Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00973
ISSUED: 07/23/2010
APPLIED: 07/23/2010
EXPIRES: 01123/2011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phooe
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Amount Paid Date Paid Receipt Number
$10.20 7/23/10 1201000000000000835
$4.25 7/23/10 1201000000000000835
$55.00 7/23/10 1201000000000000835
$30.00 7/23/10 1201000000000000835
Total Amount Paid
$99.45
I Plan Reviews ~
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.
l....JleouiredJnsnections ~
Rougb Electric: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I 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 sball be done in accordance with
the Ordinances oftbe City of Springfield and the Laws of the State of Oregon pertaining to tbe work described herein, and
that NO OCCUPANCY will be made of any structure witbout permission ofthe 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 tbis project.
I 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 tbe front of tbe property, and the approved set of plans will remaio on the site at all
times during construction.
Owner or Contractors Signature
Date
Pal!e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000835
Date: 07/23/2010
9:06:57AM
Job/Journal Number
COM20 I 0-00973
COM20 I 0-00973
COM20 1 0-00973
COM20 1 0-00973
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
Add, Alter, Extend Circ
Add, Alter, Extend Clrc Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Amount Due
55.00
30.00
10.20
4.25
$99.45
Item Total:
Check Number Authorization
Recei~ed By B~tch Number Number How Received
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Page 1 of 1
Amount Paid
ONLINE CAMP Online
CREEK
ELECTRlC
Payment Total:
$99.45
$99.45
. .
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7123/20 I 0