HomeMy WebLinkAboutPermit Electrical 2014-6-5 1
SPRINGFIELD - 225 Fifth St
hii CITY OF SPRINGFIELD Springfield,OR 97477
44a�
!lt � Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
• PERMIT NO: 811-SPR2014-01234
www,springfield-or.gov permitcenter @springfield-ocgov
PROJECT STATUS: Issued ISSUED: 06/05/2014 EXPIRES: 12/01/2014
STATUS DATE: 06/05/2014 APPLIED: 06/05/2014
SITE ADDRESS:. 6112 MAIN ST,APT#3,Springfield,OR 97478 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1702343103503 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Partial garage conversion-two off-street parking remains for unit 3-216SF converted to •
dwelling portion
OWNER: DOOLAN MALCOLM R&KAY J Phone Number:
ADDRESS: PO BOX 340
CHILOQUIN OR 97624
CONTRACTOR INFORMATION
Contractor Type Contractor Name • Lic Type Lic No Lic Exp Phone
OWNER COB 000000 08/01/2025
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
• NOTICE: THEWORK onto
THIS PERMIT SHALL EXPIRE IF. requireon Utility
follow rules adopted by the Oregon
AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth
ABANDONED FOR In OAR 952 10 through OAR 952-001-
COMMENCED OR IS
ocrt-oo
ATTENTION: Oregon law
es of the rules y
ANY 180 DAY PERIOD. 0090. You may obtain copi
calling the center. (Note: the telephone
•
number for the Oregon Utility Notification
Center
• 1-800-332 2344).
Springfield Building Permit 6/5/2014 2:55:26PM Page 1 of 1 •
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SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
` E�oN TRANSACTION RECEIPT Spdngfield.OR97477
541-726-3753
811-SPR2014-01234
www.springfield-or.gov 6112 MAIN ST.APT 3 permitcenter @springfield-or.gov
RECEIPT NO: 2014001241 RECORD NO:811•SPR2014-01234 DATE:06/05/2014
..� -i;: t ri kY'.JZ. .47'AC60UNT o o A o p x _n•..='Ca<AMOUNS DUES,
Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 13.00
Branch circuits without service or feeder- 1st circuit 224-00000-426102 1004 - 62.00
Branch circuits without service or feeder-each additional 224-00000-426102 1004 7.00
Electrical Continuing Education fee 224-00000-425606 1032 2.50
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.84
Technology fee(5%of permit total] 100-00000-425605 2099 4.10
TOTAL DUE: 98.44
PAYMENT;M E PAY,OR ,caSHiER:,ccA"r "RP,ER i COMMENTS W-:" 'r? '^'AMOUN IND 'P•' '
Credit Card Dewayne Smith _ 98.44
144890
TOTAL PAID: 98.44
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