HomeMy WebLinkAboutPermit Electrical 2006-1-11 (3)
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225 FIFTH STREET. SPRINGFIELD, OR 974770 PH:(541)726-3753 . FAX: (541\~ ~9' .
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ELECTRICALK.fj~Wl'UCATION., ~"e~~~:~, ~/
City Job Number \'Aa '\\,\.'~ Date " '!.~1'1'\0" ,!-o"'"
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LEGAL DESCRIPTION A. 1!1"\\*~}R-m&\\ta~~gm:tfliMlfitiwa1'i'iji'~':'~d*'1jiu:.'l:\1ffi'i~~
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\ 1 O~ 34 '?f2.. ('/) \ D \ Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof .
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CITY OF SPRINGFIELD, OREGON ' . .
200 Amps or less l $ 63.00
201 Amps to 400 Amps $ 75,00
Address ~~31 -\-\U)~ F1 "Z 401 Amps to 600 Amps $125,00
601 Amps to 1000 Amps $163.00
City .c '~Ql-v\e...-OC Phone -=t 2(,0f.0 7:J" Over 1000 Amps/Volts $375.00
--G . Reconnect Only $ 50,00
~ 3d C. '1~<1:.TENTION' Oreg~n '. -~~="'''''''''''- """'''''''8'~.1i!.''~~U,1j
~ Supervisor License Number ., ., o{, .1 " c. ,ell! !:'!9'~"er;ylC~!9r<F.eeilersr,",""~,1= ',"I!i<>l
IUIlUVY IUlC."'J o.dopted y lilt;: Iv~VI Ju".,
Expiration Date I ^{ 11280 ::1-~otificatlon Center, ThfD~fu[i~t'i'O'n~Ait~~Z~\I~tQr Relocation
~ ~. III v"n "",,'uu1.0010t:%8~ah OA~ 952.0U1. $ 50.00
:~ ,., A 3 ";,'23.0. You may obtain Mp,EffiP8ffli~s~ules by $ 69,00
vv"To( Constr. Contr. Number d U- <:>I'~ j<....:.. (20] Amps to 400AmP,f
, ~ "'''"II\,! III" "enter. ~61t~J;'~tbe6~WA~' $100.00
'ti D t :::t I \ I 200~ number for the Oregon lJlIlIPy I~Ulill(;d1l8fl
xp,ra on a e. v<:Hlltlr is 1.8L0Y~er..(i0\1:~..or 1.000 Volts see ".B" above,
D. iit'-;;h~ei'#uirg'~'.!I!I;'W$l'i"~~~""'-'t.~~I~
Signature of Supervising Electrician __.,,'__. ~"._,~"'-"""5._ ~"'...~'~
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. OwnersN~~ \riXi T~.rt ~ct
Address \.{) \tJrx lO~ 0 E. f}ii~~~~1!(~tYi!1i~~~r~~~-~~i~~i~"t!lJ~~~~
City ~ ~ Phone ~~?~ .1olW
OWNER INST ALLA nON
JOB DESCRIPTION
p~;en:t~I~~~I~~?
not started within 180 days of~:ce or if work Is
Suspended for ]80 days.
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2 CO, . crOR'INST...' TIONfONh ~
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Electrical Contractor LL:l ht;z EJ~-fn'(,.
$106,00
$19.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50,00
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B. ep'ic~es~o~rlt:eooe~.l.l ,~stilllatiol}~J\I!e~tiQ!iSr~~~eloCa: lOn:
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43,00
( $ 3.00
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Pump or inigation $ 50,00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
NgU~Signature: ' 4. F(J~t).8fAli~vlt~~JlI \.0\ (j)
THIS PERMIT SHALL EXPIRE IF THE WORK ~ "''''''''''''~~~',,",,~'i~ ' , .. ,. '-", 0 ~I'l
AUTHORI7Fn IINf1f:i:l TI-lIl: o:[)',1IT IS tl3f 8,.?o/., State Surcharge f":~
COMMENCED OR IS ABANDONED FOr \. ~~ 10% Administrative Fee v.llJO
A~Xs~~cqi.HAi'e~~IP916-3769 ~ <{ ~~' , ~OT AL ll. M
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The installation is being made on property I own which
is not intended for sale, lease or rent.
.
. CITYOF~rKli~ul'lJ!.L1J
Building/Combination Permit
PERMIT NO: COM2006-00044
ISSUED: 01/11/2006
APPLIED: 01/1112006
EXPIRES: 0711112006
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
,: 541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3550 Franklin Blvd Bus Stop
ASSESSOR'S PARCEL NO.: 1703343200101
Eugene
TYPE OF
ElectrIcal Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Electrical Service and One Circuit to Bus Stop
Commercial
Owner: LANE TRANSIT DISTRICT
Address: PO BOX 7070
EUGENE OR 97401
Phone Number: 541-682-6]00
I CONTRACTOR INFORMATION'
Contractor Type
ElectrIcal
Contractor
LANTZ ELECTRIC
License
84679
Expiration Date
07/14/2006
Phone
541-726-0659
I BUILDING INFORMATION.
.:# of Units:
Primary Occupancy Group:
Secondary Occupancy
Primary 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 DEVELOPMENT INFORMATION'
Front yard Setback:
Side 1 Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dlst:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
:
IPUBLIC IMPROVEMENTS'
. Street
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains
Notes:
I Valuation Descrintion 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: COM2006-00044
ISSUED: 01/11/2006
APPLIED: 01111/2006
EXPIRES: 07/11/2006
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Value of Project
Ff'f'~ taW
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
Amount Paid
Date Paid
$6.60
$5.28
$3.00
$63.00
1/11106
1/11106
1/11/06
1/11/06
Receipt Number
2200600000000000047
2200600000000000047
2200600000000000047
2200600000000000047
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 E]ectric: 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 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
2 of 2
225 Fifth Street
.~ Springfield, Oregon 97477
541-726-3759 Phone
.
~
J(lb/Journal Number
COM2006-00044
COM2006-00044
COM2006-00044
COM2006-00044
Payments:
Type of Payment
C,editCard
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1/11/2006
RECEIPT #:
2200600000000000047
Description .
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
LANTZ ELECTRIC
Check Number
Batch Number
Received By
Ilh
Page I of 1
.....ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Date: 01/11/2006
Item Total:
Autborlzatlon
Number How Received
04728B Phone
Payment Total:
]] :35:44AM
Amount Due
63,00
3,00
5,28
6.60
$77.88
Amount Paid
$77.88
$77.88