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HomeMy WebLinkAboutPermit Electrical 2013-7-1 ,SPRINGFIELD 225 Fifth St lira: CITY OF SPRINGFIELD 225Fifield,OR 97477 ` Phone: 541-726-3753 REGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01427 www.springfield-or.gov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/01/2013 EXPIRES: 12/27/2013 STATUS DATE: 07/01/2013 APPLIED: 06/27/2013 SITE ADDRESS: 1033 F ST,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703351402100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: 5 new circuits OWNER: LANE COUNTY Phone Number: ADDRESS: PROPERTY MANAGEMENT EUGENE OR 97401 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor BRYAN L HURLEY CCB 149937 12/26/2013 541-606-2797 L INSPECTIONS REQUIRED Inspections 4500 Rough Electrical Rough Electric: Prior to Cover 4999 Final Electrical 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 or 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. bcQ6 Jr..rl' 1- EZZIWAL, 7—/—/3 Owner or Contractor Signature Date ATTENTION: Oregon law requires you to NOTICE: follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephutlo ANY 180 DAY PERIOD. number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 7/1/2013 12:35:26PM Page 1 of 1 ,SPRINGFIELD - 225 Fifth St CITY OF SPRINGFIELD i4 d ..ea.-. i '>+ TRANSACTION RECEIPT Springfieltl,OR97477 I'' OREGON 541-726-3753 811-SPR2013-01427 www,springfield-or.gov 1033 F ST permitcenter©springfieltl-or.gav RECEIPT NO: 2013001399 RECORD NO:811-SPR2013-01427 DATE:07/01/2013 tDESCRIPTION , '. ACCOUNT_CODE/TRANS:CODE____' __,.. _.zAMOUNT;DUE-.y• Branch circuits without service or feeder- 1st circuit 224-00000-426102 1004 60.50 Branch circuits without service or feeder-each additional 224-00000-426102 1004 26,00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.38 Technology fee (5%of permit total) 100-00000-425605 2099 4.33 ---�— — --.�_.---- TOTAL DUE: 101.21 AMOUNT PAID" ` �,.,PAYMENTTYPEPAYOR CASHIER:_____&ARSON - COMMENTS_„F;`�;�._ __ Credit Card David Evanson 101.21 411073 TOTAL PAID: 101.21