HomeMy WebLinkAboutPermit Electrical 2014-08-11SPRINGFIELD-
225 Fifth St
CITY OF SPRINGFIELD
Springfield,OR97477
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Phone: 541-726-3753
OREGON
Building / Residential Permit
Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01737
v .springfieldocgov
permltcenter@spangfield-or.9ov
PROJECT STATUS:
Issued ISSUED: 08/11/2014
EXPIRES: 02/06/2015
STATUS DATE:
08/11/2014 APPLIED: 08/11/2014
SITE ADDRESS: 1483 DELROSE AVE, Springfield, OR 97477
SCOPE: Electrical Only
ASSESOR'S PARCEL NO:
1703243306900 TYPE OF STRUCTURE:
Residential
PROJECT DESCRIPTION:
electrical only
OWNER: DUTTON KEIVAN J & REBECCA R
Phone Number:
ADDRESS: 1493 DELROSE AVE
SPRINGFIELD
OR 97477
CONTRACTOR INFORMATION
Contractor Type
Contractor Name Lie Type
Lic No Lie Exp Phone
Electrical Contractor
GARNER ELECTRIC CO CCB
121159 03/14/2016 503648-4552
INSPECTIONS REQUIRED
Inspections
4500 Rough Electrical Rough Electric: Prior to Cover
'999 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
Springfield Building Permit 8/11/2014 4*23:24PM Page 1 of 1
1MGFLM'0 CITY OF SPRINGFIELD
225 Fifth St
TRANSACTION RECEIPT Springfleld,OR 97477
811-SPR2014-01737 541-726-3753
wvaY.spdngfield-or.gov 1483 DELROSE AVE pernfilcenter@spdngfield-or.gov
RECEIPT NO: 2014001741
RECORD NO: 811-SPR2014.01737
DATE: 08111/2014
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ACCOUNT COD, TRANSTANS, zAMOUNT
-
DUE=
Balance of Minimum Electrical Permit Fees
224-00000426102
1004
20.00
Branch circuits without service or feeder - 1 at circuit
224-00000A26102
1004
62.00
Electrical Continuing Education fee
224-00000A25606
1032
2.50
State of Oregon Surcharge (12% of applicable fees)
821-00000-215004
1099
9.84
Technology fee (5% of permit total)
100700000A25605
2099
4.10
TOTAL DUE:
98.44
Credit �Card- -chuck -GARNER 96.44
511134
TOTAL PAID: 98.44