HomeMy WebLinkAboutPermit Electrical 2013-8-14 •
f. SPRINGFIELD— 225 Fifth St
`t CITY OF SPRINGFIELD Springfeld,OR 97477
;�ii'
Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01262
www.springfield-or.gov permitcenter @springtield-or.gov
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PROJECT STATUS: Issued ISSUED: 08/14/2013 EXPIRES: 02/09/2014
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STATUS DATE: 08/14/2013 APPLIED: 06/12/2013
SITE ADDRESS: 1368 WIMBLEDON PL,Springfield,OR 97477 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1703342200805 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Addition to bedroom and bathroom
OWNER: CRAWFORD RONALD HOWARD&DEBORAH J Phone Number:
ADDRESS: 1368 WIMBLEDON PL
SPRINGFIELD OR 97477
. L CONTRACTOR INFORMATION •
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Mechanical Contractor TECHNICRAFT HEATING 8 AIR CONDITIONING INC COB 131351 10/05/2014 541-461-2252
General Contractor MICA MCOMBER CONSTRUCTION INC COB 173599 12/27/2014 541-342-1140
Plumbing Contractor OREGON CUSTOM PLUMBING INC COB 191104 06/21/2014 541-434-1146
Electrical Contractor POLARIS ELECTRICAL INC COB 191946 09/27/2014 541-343-0824
L. INSPECTIONS REQUIRED
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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. gilt'
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Owner or Contractor Signature Date
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NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK ATTENTION: Oregon law requires you to
AUTHORIZED UNDER THIS PERMIT IS NOT follow rules adopted by the Oregon Utility
COMMENCED OR IS ABANDONED FOR Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
ANY 180 DAY PERIOD. 0090. You may obtain copies of the rules by
calling the center. (Note: the telephr:im
number for the Oregon Utility Notification
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Center is 1-800-332-2344).
Springfield Building Permit 8/14/2013 1:36:51 PM - Page 1 of 1
SPRINGFIELD -- CITY OF SPRINGFIELD� TRANSACTION RECEIPT Spnngfield.OR 97477
C� 0 541-726-3753
.oae�oH 811-SPR2013-01262
www.spnngfeld-or.gov 1368 WIMBLEDON PL permitcenter @spnngfeld-or.gov
RECEIPT NO: 2013001769 RECORD NO:811-SPR2013-01262 DATE:08/14/2013
DESCRIRTION #PAS;ILa—: 1 aZniri'IL:rSE `' KCCOUNT CODE/TRANSrCODE WAMOUNTDUE`=':
Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 6.50
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 • 13.00
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
IRAYMENTOIY WISINP.AYOR dSHIEP-JarAisT ` COMMENTS ", YAM PINT PAID=- _
Credit Card Rose&Company 93.60
422074 •
TOTAL PAID: 93.60
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