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HomeMy WebLinkAboutPermit Electrical 2006-3-29 "'" 1Iat~~1:~~_~" " ,. .~, . . .~-- ~ .' ". "". -. .-.CITY OF ~rK1r'lut<lJ!,LD Building/Combination Permit PERMIT NO: COM2006-00252 ISSUED: 03/29/2006 APPLIED: 03/02/2006 EXPIRES: 09/29/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR . 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: Franklin Blvd at South A ASSESSOR'S PARCEL NO.: ROW-TRAFC-SIG Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: Repair Puhlic PROJECT DESCRIPTION: Traffic Signal at Franklin Blvd at South A just west of the bridge on the SE corner. Owner: CITY OF SPRINGFIELD Address: 225 FIFTH STREET SPRINGFIELD OR 97477 Phone Number: 541-726-3753 I l-U" lAACTOR INFORMATION I 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 Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: NOTICE: I HIS PERMIT SHAI I DEMELOP.MENT INFORMATION I AUTHORIZED UNDER T -.." ,,- Hunl\ COMM HIS PERMit ,~ /.10 Frontyard Setback: ENCED OR IS ABANDj:/r,~rla Dist! T Side 1 Setback: ANY 180 DAY PERIOD ifgf,.Q, tlfl,es Rqd: Side 2 Setback: . Paved Drive Rqd: Rearyard Setback: % of Lot Coverage: Solar Setbacks: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: ATTENTItP.UBLIC,IMPROv,EMENTS,110 follow rules aauplGd by the Oregon Utility Sidewalk Type: Notification Center. Those rules are set fortr in OAR 952-001-rJ01 C through OAR 952-001 Downspouts/Dralns: 0090. You may cutain copies of the rules b} calling the canter. (Note: the telephone 'lumber for the Oregon Utility Notification - . \'15\ ~cP Notes: "'.......... '-" .-......-.......-.....__. I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated PaeeloI2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00252 ISSUED: 03/29/2006 APPLIED: 03/02/2006 EXPIRES: 09/29/2006 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 ~.p,.irll Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Alter, Exteud Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $6.90 3/29/06 1200600000000000369 $5.52 3/29/06 1200600000000000369 $6.00 3/29/06 1200600000000000369 $63.00 3/29/06 1200600000000000369 Total Amount Paid $81.42 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. 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 certiIy that any and all work performed shall be done in accordance with the Ordinances 01 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 Iurther certiIy 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 2 012 - " 225 Fifth Street .:> .." Springfield, Oregon 97477 541-726-3759 Phone . Wir..~~-- i ~) .' .00-" '.. " . J';b/Journal Number COM2006-00252 COM2006-00252 COM2006-00252 COM2006-00252 Payments: Type of Payment Check " :1'" ; ~ ., 01' ',' :1 :,... ;, - , 11!' ',' :1 '. , :1"'. 'i ,. If I' " 3/29/2006 RECEIPT #: 1200600000000000369 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 llh Page I of 1 ~ty of Springfield Official Receipt .velopment Services Department Public Works Department Date: 03/29/2006 Item Total: Authorization Number How Received 25495 By Mail Payment Total: 12:36:06PM Amount Due 63.00 6.00 5.52 6.90 $81.42 Amount Paid $81.42 $81.42