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Home My WebLink AboutPermit Electrical 2006-1-11 (2) "'\~~ . ~'^ f..:~~S0 ,- . . . I .. . \\\~~~E '(0 ~ . 225 FIFTH' STREET . SPRINGFIELD, 6R 97477 . PH:(541)726-3753 . FAX: (54\.ldl!'~""; . . . \{'IQ 0'0 ELECTRICAL PN~tf.#f1-!..CATION . \0\\O"'0~6 60 ./ CitiJob Number \.'A1C11 tJ"t\Jl Date ~;:~\~~~0\' "~~./ - ,,\lv'':) 1-0~ 3. t~i1m~i~e~~~~ t~\. ....'" . <'l..\\\~ A.II7~~1~r~&if!~tfp.'\1fu~e1r~!t~4~tr~ Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Supervisor License Number 3'-/ Ii Q.:') c. tltt~1Y:$e~lt~i'4it~td~~~~:r,;:~~m*__ .~ Expiration Date I^'l' Z80::+,~;:rEN~'ON: OregOJlli$tllUlill:olir~tjol'llti!lP or Relocalion -4..) '1' ~ I~~':;" '.uo,,~ c:dopted ~lfa(6"ffu~8f;lessUtility $50.00 i:onstr. Contr. Number :;J () - 3~~~~~~ ~:nter. Th2O'FAlTIps~tBrw()',^,mpsth $ 69.00 ..., ~.." vv~-uvI-0010t~bflA1Rp~t~I6605.Rn\'ps1_ $100.00 Expiration Date ::t I \ ! 200~O:~:;:~~, ::tl~~~i~~~~~;1~m!itlJj~1lVolts;ee "B" ab~ve. .",. ' . . Signature or Supervising Electrician number for the Ore~~:t'l!B!!'~(!ir,C,UJ,~~~~W~,\\\\'f~~fa .~f -A. -e~ Center IS 1-80iNO\Y~ljeraiiOn or Extension Per Panel ~ "-= ~ -.::-y _ . One CIrCUIt $ 43.00 '---'C Each Additional Circuit or with I " 00 ownersN~e D. TmJ\<;\t \)\~cr Service or FeederPermit .' $ 3.00 ;.,. "'D1 ~ E. ~7M&cWI~tt.(S::AJr~~r~~l:r~~lii~J\w~Ea"Th~i~~It:ti~ Address ,U ~""=-___u" ,.,.__.r~J"'1.~..~;>'\.....n~....~..:~~.K\Hr=~.._.....,~1] City f.1 ~N .n 0;' Phone ~ Pump or irrigation $ 50.00 ~ Sign/Outline Lighting $ 50.00 OWNER INST ALLA nON Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges oV . ~.1i> -, Jf. ~og 1. ~~.!t€!~S.:!~t:~i~~1V..i.'it .~().. \~ (\ r\XhJ0 LEGAL DESCRIPTION \ i. t)~?A"\-~ \t),\DO @ JOB DESCRIPTION ~) c{ ~JJ\L: ~ '&.t.D S\op Permits are non-transferah il.nd expire If work Is not started within 180 days glssuanee or if work Is Suspeuded for 180 days. If"~---~'''~~=>~~ 2. ~.' ',W.2,R,IINS~ ' '^ 'FIO,~J;9lf,P " Electrical Contractor L.a hT;z EJe.cfn'c... ~ Address 3t-I ~3 I -\-\ 1A,)\..4 F./\ '-J Phone -:r Z{'OG,. ':> i. The installation is being made on property I own which is not intended fOT sale, lease or rent. NeilCfjanature: THIS PERMIT SHALL EXPIRE IF THE WORK ~~~~:~~~ ~~~\:BU~~;ri~~~~~~q . ~~ I{~P.tRW~3~6~~ bt.D\O '0^!., \~ ~~ $106.00 $19.00 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 !\,W;l~~~;w.~;m"~'~~"'~'<e!1.tJ!., . B. ')~t:Vi~es:oJ:Ul:eeders~Jn~tallation:rA1Jer-t)tigns~or.Reloca ion: 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only \ $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 TOTAL Shared Drive(T:YBuilding Fonns/Electrical Pennit Application 1-03.doc ':"'_S~f.lIl;'~:~ .. -' ~ ~ . - - :#,- ~ . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00046 ISSUED: 01111/2006 APPLIED: 01111/2006 EXPIRES: 07/11/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3975 Franklin Blvd Bus Stop ASSESSOR'S PARCEL NO.: 1703344310700 Eugene TYPE OF Electrieal Work Only TYPE OF USE: New PROJECT DESCRIPTION: Electrical Service and One Cireuit to Bus Stop Commercial , Owner: LANE TRANSIT DISTRICT Address: PO BOX 7070 EUGENE OR 97401 Phone Number: 541-682-6100 " 'CONTRACTOR INFORMATION I Contractor Type Electrical Contractor LANTZ ELECTRIC License 84679 Expiration Date 07/1412006 Phone 541-726-0659 I BUILDING INFORMATION I . #ofUnits: : Primary Occupancy Group: Secondary Occupancy l'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: Oceupant Load: ,- nla I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Sethack: Side 2 Setback: Rearyard Setback: Solar Sethacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handleapped: Compact: ;:J IPUBLlC IMPROVEMENTS I . Street Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains Notes: I Valuation Descriotion , ~:! Description Type of Construction $ perSq Ft or multipUer Square Footage or Bid Amount Value Date Caleulated 1 of 2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00046 ISSUED: 0111112006 APPLIED: 0111112006 EXPIRES: 07/1112006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project Fees tlWU Fee Description + 10% Adminislrative Fee + 8% State Surcharge Add, Alter, Extend Clrc Ea Add , Perm ServlFdr 200 amps or less Amount Paid Date Paid $6.60 $5.28 $3.00 $63.00 l/ll/06 l/ll/06 l/ll/06 l/ll/06 Receipt Number 2200600000000000045 2200600000000000045 2200600000000000045 2200600000000000045 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 Eleetrle: Prior to Cover Eleetrie Servlee: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all Information hereon Is true and correct, and 1 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. 1 further agree to ensure that all required Inspections are requested at the proper time, that each address Is readable from the street, that the perinit card is located at the front of the property, and the approved set of plans will remain on the site at all times during constructlolL Owner or Contraetors Signature Date 2 of 2 . ~ 225 Fifth Street Springfield, Oregon 97477 d41-726-3759 Phone ;.~ Job/Journal Number CpM2006-00046 COM2006-00046 COM2006-00046 COM2006-00046 Payments: Type of Payment CreditCard , ~. . 1 " :0 , :( ". _.l. ""'" .- i' \ 0, :~ , :( j L. ~~. -"'1' ;1 r '( 1/1112006 RECEIPT #: 2200600000000000045 Descripdon Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Paid By LANTZ ELECTRJC Check Number Batch Nnmber Received By Ilh Page 1 of 1 .ty of Springfield Official Receipt Wevelopment Services Department Public Works Department ;; Date: 01111/2006 Item Total: Authorization Number How Received 00745B Phone Payment Total: 1l:30:59AM Amount Due 63.00 3.00 5.28 6.60 $77.88 Amount Paid $77.88 $77.88 ,