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Home My WebLink AboutPermit Electrical 2006-3-29 (2) . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00257 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: 0 Gateway at Bestbuy Driveway ASSESSOR'S PARCEL NO.: ROW-TRAFC-SIG Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New PROJECT DESCRIPTION: New signal at NW Corner of Bestbuy's Driveway. Public 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 Expiration Date 07/14/2006 Phone 541-726-0659 I BUILDING INFORMATION I # 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: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Overlay Dist: Side 1 Setback: NOTI CE' # Street Trees Rqd: Side 2 Setback:' Paved Drive Rqd: Rearyard Setback:THIS PERMIT SHALL EXPIRE lo/.1Jtj[cllJocWhrage: Solar Setbacks: AUTHORIZED UNDER THIS PERMIT IS NOT liUMMtNGtU UK I~ Atlill\hU.;1clM~lioVEMENTS' ANY 180 DAY PERIOD. Street Improvements: Sidewalk Type: Storm Sewer Available: ATTENTION"Uregor1law rerjUlreS YDuu tu /D' . db the 0-e90n ,!~~spouts rams: ?J) Special Instruction: follow rules adopte Y . ~ '.". Notification Center. Those rules are s_et fOI' I: Q.O \. Notes: in OAR 952-001-001 C through OAR 9::>2-00 I "(,; nnQn You may obtain copies of the ~ule~ L" ." ~--~-- "...,,~ "._"~"""""'r-"'~"- n~I~v.~I~~ti~~;D~~c~ipdon;tl Notification Center IS l-tllIU-,,,,cc.344). $ Per Sq Ft Square Footage or multiplier or Bid Amount Total: Handicapped: Compact: Description Type of Construction Value Date Calculated Pace I of2 . . CITY OF SPKll~\.d<mLD Building/Combination Permit PERMIT NO: COM2006-00257 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~~~, PaW Fee Description + 10% Administrative Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm ServlFdr 200 amps or less Amount Paid Date Paid $6.90 $5.52 $6.00 $63.00 3/29/06 3/29/06 3/29/06 3/29/06 Receipt Number 1200600000000000370 1200600000000000370 1200600000000000370 1200600000000000370 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. I ~~~r~d Tn.n~ 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 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 on 225 Fifth Street S~ringfield, Oregon 97477 541-726-3759 Phone . 8"..~JRlINQFI """... ....' Wit,", "..... I '. I -."....r ,- "~~ , ,.. . '~...,' -- ~ty of Springfield Official Receipt .velopment Services Department. Public Works Department RECEIPT #: 1200600000000000370 Date: 03/29/2006 12:36:29PM Job/Journal Number COM2006-00257 COM2006-00257 COM2006-00257 COM2006-00257 Description Penn ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 8% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batcb Number Number How Received Amount Due 63.00 6.00 5.52 6.90 $81.42 Amount Paid Check LANTZ ELECTRIC lIh 25495 By Mail Payment Total: $81.42 $81.42 '. ~p :4 A . h~ 4 :; " 'Il 4 3/29/2006 Page 1 of 1