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