HomeMy WebLinkAboutPermit Electrical 2014-2-20 SPRINGFIELD 225 Fifth St
' CITY OF SPRINGFIELD Springfeld,OR97477•
=(�C Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00378
ww.springfield-or.gov permitcenter @springfeld-or.gov
PROJECT STATUS: Issued ISSUED: 02/20/2014 EXPIRES: 08/19/2014
STATUS DATE: 02/20/2014 APPLIED: 02/20/2014
SITE ADDRESS: 5190 FRANKLIN BLVD, Eugene,OR 97403 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1803034000600 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: RR Signal Repair
OWNER: OR DEPT OF TRANSPORTATION Phone Number: ,
ADDRESS: 4040 FAIRVIEW INDUSTRIAL DR SE
SALEM OR 97302-1142
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No . Lic Exp Phone
Electrical Contractor BEAN ELECTRIC LLC CCB 114103 04/14/2014 541-672-6550
INSPECTIONS REQUIRED
Inspections
4220 Electrical Service Electric Service: Approval required prior to utility company energizing service.
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
ATTENTION: Oregon law requires you to .
follow rules adopted by the Oregon Utility NOTICE: ....,-,::,; :-..,•,;...-,
Notification Center: Those rules are set forth
in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK
0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT •
calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR -
number for the Oregon Utility Notification
Center is 1-800-332-V44). • Is • ANY 180 DAY PERIOD.
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Springfield Building Permit 2/20/2014 10:25:49AM Page 1 of 1
SPRINGFIELD - CI'T'Y OF SPRINGFIELD
225 Fifth St
{„ TRANSACTION RECEIPT . Springfield.OR 97477
OREGON 541-726-3753
811-SPR2014-00378
vw.nv.springfield-ar.gov 5190 FRANKLIN BLVD permitcenter @springfield-or.gov
RECEIPT NO: 2014000363 RECORD NO: 811-SPR2014-00378 DATE: 02/20/2014
[DESCRIPTION _ :,, ACCOUNTCODE/TRANSCODE_4__ __AMOUNT_DUE__
Services 200 amps or less 224-00000-426102 1004 89.00
State of Oregon Surcharge (12%of applicable fees) 821-00000-215004 1099 10.68
Technology fee (5% of permit total) 100-00000-425605 2099 4.45
TOTAL DUE: 104.13
PAYMENT TYPE' .. PAYOR CASHIER JLARSON "; .; - COMMENTS AMOUNT PAID - =
Credit Card BEAN ELECTRIC LLC 104.13
00469J
TOTAL PAID: 104.13
2/20/2014 9:53 AM FROM Fax TO 1-541-726-3689 PAGE: 002 OF 002
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