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HomeMy WebLinkAboutPermit Electrical 2013-7-22 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01661 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/22/2013 EXPIRES: 01/17/2014 • STATUS DATE: 07/22/2013 APPLIED: 07/22/2013 SITE ADDRESS: 3738 MAIN ST,Springfield,OR 97478 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1702314202406 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Water heater replacement OWNER: BRAZIEL DANNY D&SARAH L Phone Number ADDRESS: PO BOX 7894 SPRINGFIELD OR 97475 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone - Electrical Contractor OWNER CCB 000000 08/01/2025 Plumbing Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED III Inspections 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 constr tion. Owner or Contractor Signature Date • • ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NIORK Notification Center. Those rules h OAR 952-001- (�$(�T�CE; EXPIRE IF THE in OAR 952 001-0010 through of the rules by IT SHAT E �T IS NOT 0090. You may obtain cop ciao THIS PERM THIS PERM calling the center. (Note: the teleph BANpONED FOR number for the Oregon Utility Notification AUTHORIZED UOR ES A COMMENCED Center is 1-800 332 2344). Springfield Building p.,14\(1 SD DAY PERIOD. 7/22/2013 1:44:21 PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD +1 we 225 Fifth St N,!14414-91 EGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-SPR2013-01661 wvw.springfield-or.gov 3738 MAIN ST permitcenter©spnngfield-or.gov RECEIPT NO: 2013001603 RECORD NO:811SPR2013-01661 DATE:07/22/2013 •DESCRIPTION 2da d 3 _"l x' n >. `ACCOUNT CODE/TRANSeCODE,I I.II ;> %'°AMOUNTEngtlill Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 19.50 Branch circuits without service or feeder- 1st circuit 224-00000-426102 1004 60.50 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 93.60 :=PAYMENT TYPE PAYORF`'4w" 't"titCOMMENTS12au i 4.1 .w.;,71:.ai t, AMOUNTP"AID". w',{,'te41: 'y Check OWNER 93.60 1031 TOTAL PAID: - 93.60 • • • • • • Electrical Permit Application DEPARTMENT: USE ONLY .: ' ziki.i<,14' ,iiztL-v Ws'E<iraJ4C4pFAP. ri !i4—4 4i~'=1€04t u y I CITY,7,OE SPRIN HELD 4REGHON t �- C .'"--< ”ASk x,.. yp4 4 nt+W ^. -[' i -*�k "�ii ..y Permit no,: �( 1 Lorca i t_, 225 Fifth Street•Springtield,OR 97477•PH(541)726-3753•FAX(541)726-3689 Date: 7/ Z 2 (/ 3 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. w, ,,+LOCAL,;,GOVERNMENT, APPROVAL : : ; , , .g1,4 ,i .t FEE,SCHEpULE 1 ; i`;+„i ,` 1 Zoning approval verified? ❑ Yes ❑No Nubef ins hons'P er rtni )A Qk X k Cost ' Totalt: v -,: _,4, ,: