HomeMy WebLinkAboutPermit Electrical 2005-12-20 (2)
r/
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01643
ISSUED: 12120/2005
APPLIED: 1112812005
EXPIRES: 06120/2006
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3530 Game Farm Rd
ASSESSOR'S PARCEL NO.: 1703154003100
Springfield TYPE OF
Electrical Work Only
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Electrical Service for Gate
;"Owner: PATRICIAN MOBILE HOME PARK
Address: A TTN: SCOTT WRIGHT 1170 PEARL ST
EUGENE OR 97401
I CONTRACTOR INFORMATION I
Contractor TYlle
Elcl'trical
Contractor
LANTZ ELECTRIC
License
84679
Expiration Date
07/14/2006
Phone
541-726-0659
I BUILDING INFORMATlONI
# uf Unifs:
Prill1ar~' O('('lIp.IIll'~' Croup:
Sl'(,ol1d:Jr~' ()lTUP:lIll'Y
Pdlllar~' CUlIstrul'lion Type
S('('o IId:1 r~' COIl~1. I'll ction
# of Ih.-droorlls:
# of Stories:
Height of
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
FrlllllY:lrd Selhack:
Side I Scilla!.:":
Side: 2 Sc/had..::
He:! r~'a rd Sl'dJ<H:k:
Solar Sc:lbarli..~:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
, . IPI.JBLlC IMPROVEMENTS I
ATTENTION: Oregon law reqUire , .
SIn'''' follow rules adopted by the Oregon Utility
S ",. ... ..., -'1' b-I-~ter Those rules are set forth
form .,cwer.rfl.,":u n e: I .
Spc'ejai ihl(WIi\1I\)uf:-00l-001 0 through OAR 952-001-
0090. You may obtain copies of the rules by NOTICE:
,,"otes: calling the center. (Note: the telephone THIS PERMIT SHALL EXPIRE IF THE WORK
n, 'mhm for the OreQon Utility Notification AUTHORIZED UNDER THIS PERMIT IS NOT
Center is 1.800-;J;J~-~;j4'1'; ",MMENCED OR IS ABANUUNt:U rUH
, Valuation Descrintion'IlY 180 DAY PERIOD. ~\t '1
$ Per Sq Ft Square Footage
Type of Construction or multiplier or Bid Amount Value Date Calculated
Sidewalk Type:
DownspoutsiDrains
IksCI'iption
I of 2
_~PAINO"'''LO. i'.
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.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01643
ISSUED: 12/2012005
APPLIED: 11/28/2005
EXPIRES: 06/20/2006
VALUE:
Status:
Issucd
223 Fiflh Sl n'l'!. Springfield, OR
54 t-726-3753 !'holle
54 t-726-3676 Fa,
.S-tI-726-:l76<) 111,,::pI:I.'linn Line
Total Value of Project
Fees Paid I
Fcc Dcsrripliull
+ IOlY" Adlllini!rltrali\'c Fl'e
+ 7lY" Stall' Surl'~l.I1"'.1;
Perlll SCn'/Fdr 2.,1[1 :llllpS or less
Amount Paid
$6.30
$4.41
$63.00
Date Paid
12/20/05
12/20105
12120/05
Receipt Number
1200500000000001832
1200500000000001832
1200500000000001832
Tol:!1 :\111011I1t
$73.71
I Plan Reviews I
To /{cqllcsl ;: . ;1::Jcction call the 24 hour recording at 726-3769. All inspection requested before 7:00
a.m. \,;i:1 bc l1~a::~ ~hc same working day, inspections requested after 7:00 a.m. will be made the following
"'01'1; day.
Ek('lrir S('rl'ire: Approval required prior to utility company energizing service.
B). si~II"llIre. I "Ial(' ,,,or "~ree, tbat I have carefully examined the completed application and dn hereby certify that all
ill 1'0 rlllal iOIl her'.'o'l .,. 11'1:(' alld correct, and I further certify tbat any and all work performed shall be done in accordance
. ",ilh Ihl' Ordill,olCl'S III' Ihe City of Springfield and the Laws oftbe State of Oregon pertaining to tbe work described herein,:
"lid Ihal :'\0 OCn::'A.'\CY wID be made of any structure witbout permission ofthe Community Services Division,
Bllildillg Said).. I 1'111'11,('1' certify tbat only contractors and employees who are in compliance witb ORS 701.005 will be used
011 I his projl'\,:l.
I ,I I'll 1'1 her a~l-CC I" ellsllre that all required inspections are requested at the proper time, tbat each address is readable from
Ihe sln'l'l. I h::; ('", I'lTlllit card is located at tbe front of the property, and tbe approved set of plans wiD remain on the site
al all Ii 111 l'S during fOllstrllctiolL
O\\lll'l" Ill' COllir'''', .... Siglllllurc
Date
2 of 2
225 Fifth Street
Springfield, Oregon 97477
54'r-726~'3759 Phone
Joh/Joornal Number
COM2005-0 1643
COM2005-0 1643
C.OM2005-0 1643
P:iYllll'l1tS:
Type of Payml'nt
Check
~{
,
,":>,
'.
"
-,
'!
12/20/2005
.
RECEIPT #:
8
1200500000000001832
Description
Perm ServlFdr 200 amps or less
+ 7% State Surcharge
+ 10% Administrative Fee
l'aidBy
LANTZ ELECTRIC
Received By
Ilh
I of I
MY of Springfield Official Receipt
'-velopment Services Department
Public Works Department
Date: 12/2012005
Item Total:
Lheck Number AuUlOrizatiOD
Batch Number Number How Received
24585 By Mail
Payment Total:
12:49:22PM
Amoo nt Due
63.00
4,41
6.30
$73.71
Amount Paid
$73.71
$73.71