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Home My WebLink AboutPermit Electrical 2007-8-6 ,. '. '; . ,_.._", ,h. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 0 FAX: (541)726-3689 -.'.., '. City Job Number ("OW' Zoo 7 - 0 I , S cg;- 1. - ,-~-.;r:T :_"'! ~l' :".~,_~~' :'~._...... 'J~~;::/I.,r "3 \-10 ( LM L \c.. S- /L ~~y LEGAL DESCRIPTION ~t..J - Tl2A-I:C - SIt- JOB DESCRIPTION 5C1lV'I.U=' .k C.ri:'"J~VVlrl~.s Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. L':(J;~r '{',~-{/\ LVi. lLtJ< .tIV/:(i:/it/f..A 'tA{)!}; ,{~F\/ ~'.]' - Electrical Contractor lLLvrl-c Ele.ctn'G Address 3LfS31ii W~ S'8 cityE~ Phone 1;).hlX,S4 Supervisor License Number 3Lfq~S Expiration Date 'D I D II ;l DO =t Constr. Contr. Number g 41'0 "=1LJ Expiration Date -:t( ILl l~ ')1J ID ;ft Date f~b 3. l/-'j";,,~ '!.-.,:[:7'~'~, {<,~~_c;.!; ~,:3_CJ{i':.:'=:~:J~"~:;:~' J;'_;':::~~,~"-~> A. '"">;4 .;,;i~.";~:;-l::i11"iL'..~-~ ..j,'''''' "~. .'~; .~-:;.~ -.. ~'....;';.:\.;!:., '. Service Included 1000 sq. ft. orIess Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 B. Ser~,'il'es or 1,lfeticr~, --~ !iif.~it'id!h~-~on1 .\~;?~raZi~'t~13 or ~<f~~~'P~:~~;.~ ., 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only z ?It? $)100 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 IC/O c. Tl'lnpurary Services or Fceders Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. $ 50.00 $ 69.00 $100.00 Signature of Supervising Electrician D. tirllncH! Cirtllits ,,'-'_L_~ " ..D~\s....,. New Alteration or Extension Per Panel ,,_,...V'(~ ...... _ NOTICE: One Circuit $ 43.00 THIS PERMlii&I-M1I1Iti~Pd:Riu\FoTij6hWOftK $ 1.00 B OW",,, Nam.:." S +-:.1[ ~+-fF~~~H~:~~~~~;j';'I!~SIR~IO:lT'~'ldO ,If,;n,,...,' _, ".I't.". Address c--c-,:> ....:> . ~ ANY 180 JAYPERfuu:"'" 'I'''' . ..~, .,-,~. I" ",.1.:1'" ~t.J -, ,1, ," ,.]" ' '" .0' , City <;;.?,....~ Phone '72' - 375:1 Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 OWNER INSTALLATION Limited Energy/Residential $ 25.00 !he in.stallation is being made on property ~'1,ttl~I0N: OregdriqjWdle~ial _ $ 45.00 IS not mtended for sale, lease or rent. follow wles al1~,itddlN tM~~'.ction Fee is $45.00 + Surcharges Notification Center. Those rules are sa 0 Ownc" Sign'IDre ~o~;,:~~:~~=!~' I ~;;" number for the OreQi3l' lJjilin'JiC!!lt'ffl~ I C( 8 D Center Is 1..a((~~'23'4'4). i en o~ ,1{0 Inspection Request: 726-3769 TOTAL I 0.... .;;.-;-- Shared Drive(T:)/Building Form IElectrica! Permit Application I-06.doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01158 ISSUED: 08/06/2007 APPLIED: 08/06/2007 EXPIRES: 02/06/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3401 Martin Luther King Jr Pkwy Springfield ASSESSOR'S PARCEL NO.: ROW-TRAFC-SIG TYPE OF WORK: Electrical Work Only TYPE OF USE: New Public PROJECT DESCRIPTION: Service for crosswalks Owner: Address: CITY OF SPRINGFIELD 201 SOUTH 18TH STREET SPRINGFIELD OR Phone Number: 541-726-3761 I ~NTRACTOR INFORMATION I Contractor Type Electrical Contractor LANTZ ELECTRIC License 84679 Expiration Date 07/14/2010 Phone 541- 726-0659 I ~ILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height of Structure: Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: . flOT~f.t I DEVELOPMENT INFORMMWUMIT SHALL E>m!~fiifl:npWOMG . AUTHORIZED UNDER T;PERMIT IS NOT Overlay Dlst: COMMENCED OR IS AS lJ,; # Street ~rees Rqd: ANY 180 DAY PERIOD H;lJ)l~gefiPR Paved DrIve Rqd: . Compact: % of Lot Coverage: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: AIIl:N follow r tility Notification Center. Those rules are set fortt~idewalk Type: In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules bi>ownspouts/Drains: calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Notes: I Valuation Description' Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!:e 1 of 2 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01158 ISSUED: 08/06/2007 APPLIED: 08/06/2007 EXPIRES: 02/06/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Ea Add Perm Serv/Fdr 200 amps or less Amount Paid Date Paid Receipt Number $14.80 $7.40 $11.84 $8.00 $140.00 8/6/07 8/6/07 8/6/07 8/6/07 8/6/07 2200700000000001243 220070000a000001243 2200700000000001243 2200700000000001243 2200700000000001243 Total Amount Paid $182.04 I Plan Reviews I 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. Reouired Insoections . 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 Pal!:e 2 of2 225.Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200700000000001243 Date: 08/06/2007 1 :29:56PM Paid By LANTZ ELECTRIC INC Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 140.00 8.00 7.40 11.84 14.80 $182.04 Job/Journal Number COM2007-01158 COM2007-01158 COM2007-01158 COM2007-01158 COM2007-01158 Description Perm Serv/Fdr 200 amps or less Add, Alter, Extend Circ Ea Add + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Payments: Type of Payment Check Amount Paid djb 5386 In Person Payment Total: $182.04 $182.04 cReceintl Page 1 of 1 8/6/2007