HomeMy WebLinkAboutPermit Electrical 2014-7-7 -
SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
j,_( `�� Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01455
www.springfield-or.gov permitcenter @spdngfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/07/2014 EXPIRES: 01/02/2015
STATUS DATE: 07107/2014 APPLIED: 07/07/2014
SITE ADDRESS: 3130 GAME FARM RD,Springfield,OR 97477 SCOPE: Heating System
ASSESOR'S PARCEL NO: 1703221317700 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: E-Install ductless HP
' OWNER: PLUEARD JEFFREY JUDSON 8 WENDY Phone Number:
ADDRESS: 3130 GAME FARM RD
SPRINGFIELD OR 97477
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Electrical Contractor OWNER CCB 000000 08/01/2025
Mechanical 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
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 Co tr tor Signature Date
A�EN'i►ON:Oregon la the Oreg n Ut 1 tY
follow rules adopted pSt rules are set forth
h OAR 952-001-
Notiiicat�+52 001 0010 through of the rules by NOTICE; ,}.;,;,
in OAR a obtain copies hone THIS PERMIT SHALL EXPIRE IF THE'WORK
0090. Yo he Winter. (Note:the Notification AUTHORIZED UNDER THIS PERMIT IS NOT
calling for the Oregon Uh2t2244).
Center is 1-aoo-33 COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Springfield Building Permit 7/7/2014 11 07:27AM Page 1 of 1
SPRINGFIELD—, CITY OF SPRINGFIELD
A 1 225 Fifth St
�c� , TRANSACTION RECEIPT Springfield.OR97477
a' OREGON 541-726-3753
811-SPR2014-01455
www.springfield-or.gov 3130 GAME FARM RD permitcenter @springtield-or.gov
RECEIPT NO: 2014001454 RECORD NO: 811-SPR2014-01455 DATE:07/07/2014
tDESCRIPTION _ , s ACCOUNT CODE/TRANS CODE_-Y ._ ,AMOUNT DUE..
Balance of Minimum Electrical Permit Fees 224-00000-426102 1004 20.00
• Branch circuits without service or feeder- 1st circuit 224-00000-426102 1004 62.00
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 TYPE • PAYOR CASHIER:ccARPENTER -COMMENTS _ , : ; ' AMOUNT PAID 1 Tj
Credit Card PLUEARD JEFFREY JUDSON&WEN 98.44
005719
TOTAL PAID: 98.44