HomeMy WebLinkAboutPermit Electrical 2013-6-19 (2) SPRINGFIELD
-ir-,' „' 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
Phone: 541-726-3753
--d2ecoN Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01322
wwwspringfield-or.gov pe rm itcen ter @s p ringfield-or.gov
PROJECT STATUS: Issued ISSUED: 06/19/2013 EXPIRES: 12/15/2013
STATUS DATE: 06/19/2013 APPLIED: 06/19/2013
SITE ADDRESS: 1650 GLENWOOD BLVD, Eugene,OR 97403 v SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1703343300800 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Extend 100 amp
OWNER: SANIPAC INC Phone Number:
ADDRESS: 10001 WOODLOCH FOREST DR STE 400
THE WOODLANDS TX 77380
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor NORMS ELECTRIC INC CCB 55960 01/12/2015 541-466-5328
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.
Owner or Contractor Signature Date
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Springfield Building Permit 6/19/2013 10:26:29AM Page 1 of 1
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SPRINGFIELD CITY OF SPRINGFIELD
ir2 25 Fifth St
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� ; TRANSACTION RECEIPT Springfield,OR97477
OREGON 541-726-9753
811-SPR2013-01322
v.wwspringfield-or.gov 1650 GLENWOOD BLVD permitcenter@springeeld-or.gov
RECEIPT NO: 2013001482 RECORD NO:811SPR2013-01322 DATE:07/10/2013
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Branch circuits without service or feeder-each additional 224-00000-426102 1004 13.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 1.56
Technology fee(5%of permit total) 100-00000-425605 2099 0.65
TOTAL DUE: 15.21
OPAYMENTstTYPPE P,AYOR cnseiER:i6EZ Ed7ER ' COMMENTS 4 oinnE41D r .
Check NORMS ELECTRIC INC 15.21
19885 .
TOTAL PAID: - 15.21
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