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Home My WebLink AboutPermit Electrical 2006-1-11 (3) Supervisor License Number 3'49 ~:'fYFJ\ITlml' OregS"1 t#p~~s,~~o~~It~di,~m~Jf~1'mt'~ ~I follow rules adopted hv th'l Qreg0n Utijitv . Expiration Date If?: ex:J ::7..'ntifj,...~ti,...n ("'onter Thlnstallatlon, J\]teration or Relocation .- , " . OSt; rUles dre sel TOrIn n 3 )r1 OAR 952-001-001 0 t~9M,To!'t,~,lf~52-001- $ 50.00 onstr. Contr. Number de - 6J~~ Vrlll m';l~' obtain t'G\:l~t.'!l~lt'?I'tlO?~JfJy S 69.00 .. "I I '1r'10/- calling the center. (1~~A0.'!1Pe \'CR9SI~ml'f $100.00 Explral10n Date :::t, \ LJ./ 'P", ,~h-:" '-::" ''1e Oregloveri6ol)' Amps6rJ1000 Volts see "B" above. Signature of Supervising Electrician Center is 1-i)}~~~~~~I~t~~_i~~~;mt~'1t11~ ~~~~~ OwnersName ~.\m~\+ tJi~tri:tServiceorFeederpennit l $ 3.00 .2J.UU Address f\ () -. "-,' () E. ~i~<gilliil1~~"(srAA;wfe~d~~~~ih1ir-J\'f.;E;i~:r{~li:!fo~ 'fJ 'l ) ~>;~W"nd .....",,' ~.r.~~ U'l...;l.....~~,..~~ ,....."-"v....,,'G.; .... . ,.~ City f I ytena..- 'Phone lDM...l.a.lCi) . I..~~~~ LEGAL DESCRIPTION 11 D~ 3~3'd.. r1J!.1Cl) JOB DESCRIPTlOJo{ ~r~on~bl~ex~o~;OP not started within 180 days :~~ance or if work Is Suspended for 180 days. 2. Electrical Contractor .1-.a nt;z Ele.ctn'c:.. Address 3J-l~31 -\-\w~f;n ity 6AAlN\1' ",Of.. Phone ~2&()f.,~ '1 'V . OWNER INST ALLA nON 3. _-"''iifli;",...~,.....~..."",,=...1t~>.'''''.-.I'''''''g A. ~Rem.pj!ltl:ll'':f<S.~!!g~~~4!~J.E~mil er. lIlYr>till!-'ig}!ID.! ~ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 ""'"~'~~-'t6''''''''''-''I'.\'-''''''''~'''"'~'-il:!: B. . e jc_es!o'r;F.ee(lersrf,rnstallalio~;;Xlll?tion~Wr~elocation,~~~ to3. 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 Amps/Volts Reconnect Only .\ $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with $ 43.00 Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 The installation is being made on property I own which is not intended for sale. lease or rent. Minimum Electric Permit Inspection Fee Is $45.00 + Surcharges N,(l,y;ue~. 0 ignature: 4. 'tSiYBT'8"iJi.rYfJF.Jf1j, '0, ,VJf1L . ~1~r~~~~" I A Lo (j) U II"I:~ ~~~~;'Jp:n~~~':;%,,~~'3 ..it..." LV . THIS PERMIT SHALL EXPIRE IF THE WORK g;r'!. State Surcharge ~:l.ca Au I HUHlltU UNUtH I HI::; t-'tHMll I::; NU 1 10% Administrative Fee . ,- ,loU COMMENCED OR IS ABANDONED FOR {\(\ N/7 . ~~a At#'1'6Ulfm'l-'flfRroa~6-3769 M \Jj \\ \h..V'" TOTAL \ ~. VO ~;~ -,\..;> ,~"""",,,,"..'_~ _'^"n~ ,~~ . . CITY OF SPRINGFIELD Status: Issued , 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . Building/Combination Permit. PERMIT NO: COM2006-00045 ISSUED: 01/11/2006 APPLIED: 01/11/2006 EXPIRES: 07/11/2006 VALUE: SITE ADDRESS: 3535 Franklin Blvd Bus Stop ASSESSOR'S PARCEL NO.: 1703343200200 Eugene TYPE OF Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: Electrical Service and One Circuit to Bus Stop Commercial Owner: Address: LANE TRANSIT DISTRICT PO BOX 7070 EUGENE OR 97401 Phone Number: 541-682-6100 . I CONTRACTOR INFORMATION I . Contractor Type Electrical Contractor LANTZ ELECTRIC License 84679 Expiration Date 07/14/2006 Phone 541-726-0659 I BUILDING INFORMATIONI # of Units: Primary Occupancy Group: Secondary Occupancy P'rimary Construction Type Secondary Construction # of Bedrooms: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENTINFORMATION I ., Front yard Setback: Side 1 Sethack: Side 2 Sethack: . Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: IpUBLIC IMPROVEMENTS I Street Storm Sewer Available: Special Instrnction: Sidewalk Type: DownspontsIDrains Notes: I Valuation Descriotion I Description Tvpe of Construction SPerSq Ft or multipUer Square Footage or Bid Amount Value Date Calculated . 1 of 2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00045 ISSUED: 0111112006 APPLIED: 0111112006 EXPIRES: 07111/2006 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 F~~s Pairll - Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend C1rc Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid $6.60 $5.28 $3.00 $63.00 1111/06 1/11106 1111/06 1/11106 Receipt Number 2200600000000000046 2200600000000000046 2200600000000000046 2200600000000000046 Total Amount $77.88 I Plan Reviews I . To Request an inspection caD the 24 hour recording at 726-3769. All inspection requested before 7:00 , a.m. will be made the same working day, inspections requested after 7:00 a.m. wiD be made the following . work day. 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, I state and agree, !hat 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 wID 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 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 wID remain on the site , at all times during construction.' , Owner or Contractors Signature Date f 2 of 2 225 Fiftto Street ~ Springfield, Oregon 97477 541-726-3759 Phone . J(lh/Journal Number COM2006-00045 COM2006-00045 COM2006-00045 COM2006-00045 Payments: Type of Payment CreditCard " , ~. ob :c . , " 01> :c 'j , .. .~ 'lU :r 1/1112006 RECEIPT #: ~~ 2200600000000000046 Description Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By LANTZ ELECTRIC Received By llh Check Number Batch Number Page I of I MJy of Springfield Official Receipt .velopment Services Department Public Works Department Date: 01111/2006 Item Total: Authorization Number How Received 8804B Phone Payment Total: 1l:33:18AM Amount Due 63.00 3.00 5.28 6.60 $77.88 Amount Paid $77.88 $77.88