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Home My WebLink AboutPermit Electrical 2006-3-29 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00251 ISSUED: 03/29/2006 APPLIED: 03/02/2006 EXPIRES: 09/29/2006 VALUE: Status 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: PPE & 1-105 Eastbound Ramp ASSESSOR'S PARCEL NO.: ROW-TRAFC-SIG Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Public PROJECT DESCRIPTION: Traffic signal at Pioneer Parkway EAst and the 1-105 Eastbound onramp, Owner: CITY OF SPRINGFIELD Address: 225 FIFTH STREET SPRINGFIELD OR 97477 Phone Number: 541-726-3753 ~ I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor LANTZ ELECTRIC License 84679 BUILDING INFORMATION I Expiration Date 07114/2006 Phone 541-726-0659 # 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 NOTICE: F~ontyard ~"jl,l?~c/lERMIT SHALL EXPIRE IF THE QY.H!~)' Dist: S.de I setbi,'HORIZ H'flmlk Trees Rqd: Side 2 Setb"" , EO UNDER THIS PERMIT ll\aM~rive Rqd: Rearyard W~:-NCED OR IS ABANDONED Fan of Lot Coverage: Solar Setbatll!~ 180 DAY PERIOD. I DEVELOPMENT INFORMATION' REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: . I PUBLIC IMPROVEMENTS' AI IL!'III\,...d'. L" .. ' -80" Icl'V re'-jUtr0v vu~ldewalk Type: follow rules adopted by the o. ) '''' Notification Center Th , .egon UtlDownspoutslDrains: . . ose ru es are set fo' . .~ In OAR 952-001-001C through OAR 852-00: Cc.O~ 0090. ,You ,may obtain copies of the rules b {J \21? ~~::'~~~ !ne.~en!er. (Note: the telephone . - .,.;-. ...... . .. -~..... . .....:~. :';,:'ificalion I-v ~ii{afiJnSfiescriotiili111 Notes: Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa~e I of 2 . . CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2006-00251 ISSUED: 03/29/2006 APPLIED: 03/02/2006 EXPIRES: 09/29/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project F..... P"id I Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Amount Paid Date Paid Receipt Number $4.60 $3.68 $43.00 $3,00 3/29/06 3/29/06 3/29/06 3/29/06 1200600000000000368 1200600000000000368 1200600000000000368 1200600000000000368 Total Amount Paid $54.28 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. 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 Pa~e 2 of2 225 Fiftlr Street ~pri~gneld, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2006-0025I COM2006-0025I COM2006-0025I COM2006-0025I Payments: Type of Payment Check J :1 :4 ;, - " I :, -4 - " i :1 " 3/29/2006 RECEIPT #: -~'.'. ~ JiijJy of Springfield Official Receipt .velopment Services Department Public Works Department 1200600000000000368 Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 8% Slate Surcharge + 10% Administrative Fee Paid By LANTZ ELECTRlC Received By llh Page 1 of I Date: 03/29/2006 lIem Total: Cbeck Number Autborlzatlon Batch Number Number How Received 25495 By Mail Payment Total: 12:35:33PM Amount Due 43.00 3.00 3.68 4.60 $54,28 Amount Paid $54.28 $54.28