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Home My WebLink AboutPermit Electrical 2006-1-24 (2) SPRIN 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~" ~ -' ~~ '- ~ ELECTRICAL PERMIT APPLICATION . ~"'~ City Job Number Cc::.u-t 2.006. - 000 8'} Date l-;o(,~<Gj- n\V' ~t::t r /' 3. rCOMPl..EliFFEES6l!.lgffJii!EBE~/.'.. . -:;';'-'..,. "'-// ~,<,f6 .;....:; ~ ~~ -" ,,"....-.1....0 p. A. [" New Resi;{e~tial :':singr~or M~Iv--falJijt?~er dwellinguJ;it: /' ':)-- ~e .,,> Q?> \\(,..... ,j " ('J 1. ItOCAl1.oN-'.oF INSi'ALLATION -I \3(11.1 1..{'30( ~ r-I"" "'""- ~ I;....... LEGAL DESCRIPTION e>c>OO~ c:::>~ c:::.c:::. c::. Service Included JOB DESCRJPTION 1000 sq. ft. or less / I _ (\ '\?.... Each additional 500 sq. ft. or SeY!..vl<..E:f" ~ C-l.r'--.:" ~ (-wt. p u...:> portion thereof Permits are non-tra~sferable and expire if work is S+.? ~ach Manufact'd Home or not started within 180 days of issuance or If work is Modular Dwelling Service or Suspended for 180 days. Feeder $106.00 $ 19.00 $50.00 2. 190ivTlfACioRIN.sT1-r.i:4TION OfolL~1 B.I'S~rvice~. \'~f~e~~-~~;i~stall~tion, Alterations ~~:R~ii>~~ti~n: r i . ~) ~ _~i~ ~" '~,' ':. .. - ~ Oregon UtI\\1Y /" ""7 Electrical Contractor (l Mp (fU.X ~ Ek.l-:..w-,lG a200'Amps)(jrtl~gsl ale set forth / $ 63.00 t::>;> , L-. ,- , "fi"l('\<;P.rlleS PD I ~ \ ~'\ Ce20ll'Ampno 400.Amps~ 952~001- $ 75.00 f:l. ./ "10. N oJ '. ~- - :\r.;H\ H"}rQ"flll v." Address , . OOk. '"t -, ") - ";,, 952-0C401/Amps to 600 Amp'sle rules by $125.00 ". .... . _ ......t~rlin cOOle~ VI ~, ~ Q .I om.lO. You ma601 fV'P1N"0W?9,~n)p.s~phone $163.00 City ~ ,140'1 Phone /4Lo-1 tl;1,[ing the ~~~9JW(~r1Jl!&(?ltSotificatlOn $375.00 number for Rec.onnectoOrUY32_2344), $ 50.00 Center IS 1-ll u v Supervisor License Number SO.J. 3. S C. I Tcmporary S~..~ices orFcedcrs : Expiration Date \ 0 ( 0 \ \ 0 I Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. D. l.Ilranch Circuits ./ Constr. Contr. Number !loll <611 tJ\o I lJl1I "L-()[)/ $ 50.00 $ 69.00 $100.00 Expiration Date Signature of Supervising Electrician ..0 ~ (l... ------.., NotiCE: New AItera~~~~'f-"'RW~lI1\Inel I 11115 PERMtlnSl:lm n1~I~J~~~,M\11S NOT $ 43.00 AU1HOR\Zro<\!l.t!!aMl.~d"i!hR I z... $ 3.00 r.OMMENdU'$~. 707 aNY 180Jl{'tKs~'ancous (Service/feeder nol iflcI~dcd) ..,Each Installation I C(J '3b J Ct \:. Address ? C> t!:: 0 X- City bJ-.~ f:!" Phone Owners Name brat- blOC> Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45,00 + Surcharges 4, I S!JBTOTAL.oF AB.oVE I -JilZ 11 S-b _Lif. ZO / 67_~ s6 ~ State Surcharge 10% Administrative Fee OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 TOTAL Shared Drive(T:)/Building FonnsIElcctrical Permit Application ~-03.doc . . CITY OF ~rKlNGFIELD - Building/Combination Permit PERMIT NO: COM2006-00089 ISSUED: 01123/2006 APPLIED: 01123/2006 EXPIRES: 07/23/2006 VALUE: Status Issued .225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspectlon Line SITE ADDRESS: 4301 Franklin Blvd ASSESSOR'S PARCEL NO.: 0000000000000 Eugene TYPE OF WORK: Electrical Work Only TYPE OF USE: New Commercial PROJECT DESCRIPTION: Electrical Service and 13 circuit to bus stops at west end of bridge intersection of Franklin and Old Franklin Owner: Address: LANE TRANSIT DISTRICT PO BOX 7070 EUGENE OR 97401 ATTENTION: Oregon law~~~I!..~r~~,?81irlb 541-682-6100 follow rules adopted by the Oregon Ulility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- I CONTRACTOR,INFORMAUON'Il copies of the rules by calling the center. (Note: the telephone Contractor b frLicense, lCxpiration Date Phone num er ,-" .. ''-' .....,.....gOna""""".".y ,..v.",C:::\.l.uv,1 LONNIE LEROY JENKINS cE1~~~~~ 1-800<~32.l!.~Q6/~007 541-746-6441 BUILDING INFORMATION I Contractor Type Electrical ., . # of Units: Primary Occupancy Group: '" Secondary Occupancy Group: Primary Construction Type Secondary 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 , DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # Street Tr;e'01. Rqd: Handicapped: PavNtQ)t.l~qd: CQJDpact: % oTJj18e~M~:SHALL EXPIRE IF THE WOKI\ AUTHORIZED UNDER THIS PERMIT IS NOT ~..--f - l~ \""'II"m,[ncno nt:n\rnC.j .. . .:,. ....... Ci._.. - - . I PUBLIC I 100. Sidewalk Type: Frontyard Setback: : Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: . Street Improvements: Storm Sewer Available: Special Instruction: DownspoutslDrains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 . . CITY OF SPRINGFIELD . Building/Combination Permif PERMIT NO: COM2006-00089 ISSUED: 01/23/2006 APPLIED: 01/23/2006 EXPIRES: 07/23/2006 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 ~ Fee Description Amount Paid Date Paid Receipt Number + 100/0 Administrative Fee $14.20 1/23/06 3200600000000000025 + 8% State Surcharge $11.36 1/23/06 3200600000000000025 Add, Alter, Extend Circ $43.00 1/23/06 3200600000000000025 . , Add, Alter, Extend Clrc Ea Add $36.00 1/23/06 3200600000000000025 Perm ServlFdr 200 amps or less $63.00 1/23/06 3200600000000000025 Total Amount Paid $167.56 I Plan Reviews I To Request an inspection call 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. will be made the following work day. I Rf'l1uirf'rl In'?f'''t~ 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, 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 will 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 will remain on the site at all times during construction. Owner or Contractors Signature Date Pal!e 2 of2 2~5, Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . ., J~b/Journal Nnmber " COM2006-00089 COM2006-00089 COM2006-00089 COM2006-00089 COM2006-00089 RECEIPT #: ~ Mty of Springfield Official Receipt .velopment Services Department .- Public Works Department 3200600000000000025 Description Perm Scrv/Fdr 200 amps or less Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% Slate Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By CreditCard CAMP CREEK ELECTRJC !;~ j , 4 l - :1 .I;~ ) ri ".I 'J ';.,f ~ 1/23/2006 Received By djb Page I ofl Date: 01123/2006 Item Total: Check Number Authorization Batch Number Number How Received 279927 In Person Payment Total: 11:47:03AM Amount Due 63.00 43.00 36.00 11.36 14.20 $167.56 Amount Paid $167.56 $167.56