HomeMy WebLinkAboutPermit Electrical 2014-3-25 SPRINGFIELD - 225 Fifth St
kCITY OF SPRINGFIELD Springfield,OR 97477
f ( Phone: 541-726-3753
' OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00623
www.springfield-or.gov pe rmitcenter@springfield-or.gov
PROJECT STATUS: Issued ISSUED: 03/2512014 EXPIRES: 09/21/2014
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STATUS DATE: 03/25/2014 APPLIED: 03/25/2014
SITE ADDRESS: 7620 MCKENZIE HWY,Springfield,OR 97478 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1702354101402 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: E-Garage conversion,Bedroom and bathroom,compliance for work performed without
permits
OWNER: SOCIETY OF MARY&JOSEPH INC Phone Number:
ADDRESS: PO BOX 41028
EUGENE OR 97404
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor OWNER CCB 000000 08/01/2025
Plumbing Contractor OWNER CCB 000000 08/01/2025
Plumbing Contractor OWNER CCB 000000 08/01/2025
Electrical Contractor OWNER CCB 000000 08/01/2025
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 .
perm and is located at the front of the property, and the approved set of plans will remain on the site at all times during
co tru.•ion/
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Owner or Contractor Signature Date
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ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
N OTICE: Notification Center. Those rules are set forth •
THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001-
•AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by
calling COMMENCED OR IS ABANDONED FOR number the the Oregon on Utility the telephone
number for the Oregon Utility Notification
ANY 180 DAY PERIOD. Center is 1-800-332-2344),
Springfield Building Permit 3/25/2014 11:20:23AM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD .
225 Fifth St
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co EGON TRANSACTION RECEIPT S pringfield,oR 97477
541-726-3753
811-SPR2014-00623
www.springfield-or.gov 7620 MCKENZIE HWY permitcenter @springtield-or.gov
RECEIPT NO: 2014000637 RECORD NO: 811-SPR2014-00623 DATE:03/25/2014
;DESCRIPTION - . -' ..._.-__ - —:,_u,.:_.,;,ACCOUNT_CODE/TRANS_CODE_.:.__--: _ AMOUNT.„DUE,,:`-f
Electrical Inspection For Which No Fee is Specifically Indicated 224-00000-426102 1075 80.00
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
7. AMOUNT -• _
PAYMENT TYPEPAYOR_�_ CASHIER:CCARPENTER -__ :COMMENTS-___s.` '_ ,___'_ AM. 0 PAID`-.` • __. _ `Z
Credit Card Charles Kneisler 93.60
08578B
TOTAL PAID: 93.60
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