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Home My WebLink AboutPermit Electrical 2006-8-22 Status: Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2006-00945 ISSUED: 08/22/2006 APPLIED: 07/27/2006 EXPIRES: 02/22/2007 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1000 Beltline Rd ASSESSOR'S PARCEL NO.: ROW-POWER Springfield TYPE OF WORK: Electrical Work Only TYPE OF USE: New Public PROJECT DESCRIPTION: Temporary Power Pole West Bound Beltline on North Side of on Ramp Owner: ODOT Address: 355 CAPITOL ST NE SALEM OR 97301 Phone Number: 503-726-2552 I CONTRACTOR INFORMATION I Contractor Type Electrical Contractor LANTZ ELECTRIC License 84679 BUILDING INFORMATION. Expiration Date 07/14/2010 Phone 541- 726-0659 # 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 1 st 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 Street Improveme.MOnCE: Storm Sewer Avaiit~~$. PERMIT SHALL EXPIRE IF THE WORK SpeciallnstructiOlAUTHORIZED UNDER THIS PE . RMIT IS NOT Notes: COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Total: Handicapped: ATTENTION:Oregon<iawlile$ires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set fortt 'I' ~ I",n ~o~-vu I-UU I U mrougn UAH ~O~-UUl I PUBLIC IMPROVEMENT~o. You may obtain copies of the rules b\ - callilSJ.tl~~~e; (Note: the telephone . numbsbws !6\\tQ~RR:Utllity Notification Cen er is 1-800-332-2344). cJ0\':>?J Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Front yard Setback: Side 1 Setback: . Side 2 Setback: Rearyard Setback: Solar Setbacks: I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 of 2 Status: Issued CITY OF SPRINGFIELD" Building/Combination Permit PERMIT NO: COM2006-00945 ISSUED: 08/22/2006 APPLIED: 07/27/2006 EXPIRES: 02/22/2007 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 + 8% State Surcharge Temp Power 200 amps or less Amount Paid Date Paid Receipt Number $5.00 $4.00 $50.00 8/22/06 8/22/06 8/22/06 2200600000000001178 2200600000000001178 2200600000000001178 Total Amount Paid $59.00 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. Reouired Insoections I 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 Page 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00945 COM2006-00945 COM2006-00945 Payments: Type of Payment Check cReceintl c;+-. of Springfield Official Receipt L lopment Services Department Public Works Department RECEIPT #: 2200600000000001178 Date: 08/22/2006 Description Temp Power 200 amps or less + 8% State Surcharge + 10% Administrative Fee Paid By ~ ncrlt\ Item Total: Check Number Authorization Received By Batch Number Number How Received IIh 26353 By Mail Payment Total: Page 1 of I 12:31 :28PM Amount Due 50.00 4.00 5.00 $59.00 Amount Paid $59.00 $59.00 8/22/2006