HomeMy WebLinkAboutPermit Electrical 2014-7-7 SPRINGFIELD-, 225 Fifth St
• CITY OF SPRINGFIELD Springfield,OR97477
Via( extr Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01440
wwwspringfield-or.gov permitcenter @spnngfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/07/2014 EXPIRES: 01/02/2015
STATUS DATE: 07/07/2014 APPLIED: 07/03/2014
SITE ADDRESS: 5190 FRANKLIN BLVD, Eugene, OR 97403 SCOPE: Electrical Only
ASSESOR'S PARCEL NO: 1803034000600 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: RR Signal
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 04/14/2016 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
•NOTICE: follow rules adopted by the Oregon Utility
THIS PERMIT SHALL EXPIRE IF THE WORK In OAR 952-001-0010 Center. 0t ro rules are set 001- .
In OAR 952-001-0010 through OAR 952-001-
AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by
COMMENCED OR IS ABANDONED FOR calling the center. (Note:the telephone
MY 180 DAY PERIOD. number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit 7/7/2014 8:43:23AM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
p! -+-# 225 Fifth St
. ,---_. l� TRANSACTION RECEIPT Spdngfield,OR97477
”rzt-" ``OREGON 541-726-3753
811-SPR2014-01440
www.springfeld-or.gov 5190 FRANKLIN BLVD permitcenter @springfield-or.gov
RECEIPT NO: 2014001448 RECORD NO: 811-SPR2014-01440 DATE: 07/07/2014
IDESCRIPTION _ _-_.- ACCOUNT CODE/TRANS CODE _ ; _ AMOUNT DUE
Electrical Continuing Education fee 224-00000-425606 1032 2.50
Services 200 amps or less 224-00000-426102 1004 91.00
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 10.92
Technology fee (5%of permit total) 100-00000-425605 2099 4.55
TOTAL DUE: 108.97
PAYMENTTYPE PAYOR_ucASHIERJLARSON COMMENTS___-- _.. AMOUNT PAID
Credit Card BEAN ELECTRIC rid 108.97
085584
TOTAL PAID: 108.97
7/2/21119 4:59 PM FROM Fax TO 1-541-726-3689 PAGE 004..0.F. 001
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