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Home My WebLink AboutPermit Electrical 2010-6-1 City Of Springfield 225 Fifth 5t. Springfield, OR 97477 Phone: 541.726-3753 Emai!: pennitcenter@ci.springfield.or.us {j/(}. fp91 Commercial Electrical Authorization To Begin Work 69600-BEL-10-00235 Approval Code: 055010 6/112010 9:53 am E-mailedTo:tahalbrook@comcast.net D 1 or 2 family dwelling 0 Multi-family 00 Commercial 0 Accessory i3-~," '", .:~~,y,;JOB,SITE'ItiF;ORMATlottANjjlLOCATION;'+ ,:E]t;E"" 3-:~j Job Address: 3520 GATEWAY ST City/StatelZlP: SPRINGFIELD, OR 97477 SuitelbldgJaptno.: Project Name: Gateway/Beltline Temp Signal Cross Street/directions to job site: Gateway at Beltline Tax map/parcel no.: 1703153301400 Fax: 541-741-3447 Elec lie. no.: 2G-323C 84679 ceB lie. no.: Business Name: LANTZ ELECTRIC INC Contact Address: 34531 HWY 58 City/statelZlP: EUGENE, OR 97405 . . :;,\',""~;':~;?" '. Phone: 5417260659 1"EJ@lRE IF 1 Emall: TIFFANY@LANTZEL~ ~ 0 UNOER THIS Me'" lie. no.: r.OMMENCHl.p,a ~ Supervising Electrician's lie. ~o~!y 1 8 Q4 Supervising Electrician's Name: TIM LANTZ Number of inspections included in paid services: Residential Service: 4 Reconnect Only: 1 All Other Services: 2 Upon review IInd approval by your local jurisdiction, your penntl: will be e-malled or faxed within one busIness day, with instructions on howto schedule your InspectIon. N07E: This Authorization To Begin Wort! expires within 180 days If a pennlt Is not obtained. The local building department may detennlne that an Authorization To Begin Work Is null Bnd void If It does not meet applicable land use IlIws and local ordinances. Please check all that apply: o A service or feeder beginning at 400 Amps where the available fault current exceeds 10,000 Amps at 150 Volts or less to ground exceeds 14,000 Amps for all other o Fire pumps D Emergency systems D Addition of a new motor load of 100 HP or more o Six or more residential units in one structure o Health care facilities Subtotal State surcharge (12% of permit total Tedmclogy fee (5% of permit total) TOTAL PERMIT FEE t\ 0 - lDC19 o Hazardous locations o A service or feeder rated at 600 amps or more o Buildings more than three stor o Marinas and boat yards o Floating buildings o Commercial-use agricultural buildings o Installationofa150KVAor larger seperately derived sys o "A", "E", or "1-2" or "1-3" o Recreational Vehide Parks o Supply voltage for more than 600 supply volts nominal $63.00 $7.56 $3.15 $73.71 ILL ldl \\D ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notlficatlon Center is 1-800-332-2344). ~ ~~ Q .~~V V--~ rt9.~~~ ~~ Inspections Phone: 541-726.3769 This Authorization To Begin Work must be posted at the job site until replaced by a Pennit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: C0M2010-00699 ISSUED: 06/0112010 APPLIED: 06/01/2010 EXPIRES: 12/0112010 VALUE: 225 Fifth Street, Sprinl:field, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3520 GA TEW A Y ST ASSESSOR'S PARCEL NO.: 1703153301400 SprinJ:field TYPE OF WORK: Use Initials TYPE OF USE: New PROJECT DESCRIPTION: Temporary service for temporary traffic sil:nal at GatewayfBeltline Commercial Owner: Address: CITY OF SPRINGFIELD 255 5TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Coutractor Type Electrical Coutractor LANTZ ELECTRIC License 84679 BUILDING INFORMATION ~ Expiration Date 07/14/2010 Phone 541 -726-0659 , # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Heil:ht 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 Garal:e/Carport Sq Ft Other: Occupant Load: ~ ......... ~~ __... nla I DEVELOPMENT INFORMATION I , "., .... .'. REQUIRED PARKING Frontyard SetbackNOT\CE: ~All EXPIRE IO~YmJ}~ ... ~;:~~=~~~res you to Side I Setback: THIS PERMIT ~NOER THIS p6'l\WlJSilWs'Rqd: NotIfication Center. 11llMi9IHB6S~on UtIlity Side 2 Setback: AUTHORIZED BANDOO6Ii1<fORve Rqd: In OAR 952'{)0I-OOI~OAAesetfortft Rearyard Setback: COMMENCED OR IS A % of Lot Coverage: 0090.. You may obtain COpies of the ~1. Solar Sethacks: ANY 180 DAY PERIOD. n~~lng the center. (Note:. ~he te'ep~:e by I PUBLIC IMPROVEMENTS I Center is 1-800-332-2344). ca Street Improvements: Sidewalk Type: Storm Sewer Available: Special Instruction: DownspoutslDrains: Notes: I Valuation Description I Description TVRe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e I of2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Surchal"2e + 5% TechnololO' Fee Temp Power 200 amps or less Total Amount Paid Total Value of Project ~. Amount Paid $7.56 $3.15 $63.00 $73.71 I Plan Reviews ~ Date Paid 6/1/10 6/1110 6/1/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00699 ISSUED: 06/01/2010 APPLIED: 06/01/2010 EXPIRES: 12/01/2010 VALUE: Receipt Number 1201000000000000589 1201000000000000589 1201000000000000589 To Request an inspection call the 24 hour recording at 726-3769. All inspections 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. ~eouirelJJnsnec~ Temporary Electric: Approval required prior to Utility Company enerj!;izing pole. By signature, I state aud agree, that I have carefully examined the completed application and do hereby certiry 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 ofthe City of Springfield and the Laws ofthe State of Oregon pertaining to the work descrihed herein, and that NO OCCUPANCY will be made of any structure without permission ofthe Community Services Division, Building Safety. I further certiry 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 constructioD. Owner or Contractors Signature Pal!e 2 of2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone '"f'.~.'...'~.~...~..!!l... ~~J...CC........C...... ~C. . . . ~'nn '",' ! "-~", . ";, ..,'.' .".., City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000589 Date: 06/0112010 JO:28:49AM Job/Journal Number COM20 10-00699 C0M20 I 0-00699 C0M20 I 0-00699 Description Temp Power 200 amps or less + 12% State Surcharge + 5% Technology Fee Payments: Type of Payment ONLINE CHGS Paid By Received By ONLINE PERMIT CHGS KR Item Total: Check Number 'Authorization Batch Number Number How Received Amount Due 63.00 7.56 3.15 $73~7J Amount Paid ONLINE LANTZ Online ELECTRIC Payment Total: $73.71 $73.71 cReceintl Page I ofl 6/1/2010