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HomeMy WebLinkAboutPermit Electrical 2020-01-28OREGON Web Address: www.springfi eld-or.gov Building Permit Commercial Electrical Permit Number: 811-2O-OOO168-ELEC IVR Number: 811098107815 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 54L-726-3753 Email Address: permitcenter@springfield-or. gov SPRINGFIELD tb Permit Issued: January 28, 2O2O Project: Tops Weyerhaeuser Category of Construction: Industrial Submitted Job Value: $0.00 Description of Work: Master Electrical Permit Type of Work: Repair Worksite Address 785 42ND ST Springfield, OR 97478 Parcel 1702320000105 Owner: Address: IP EATTHREE LLC PO BOX 2118 MEMPHIS, TN 38101 None Specified Inspection 4999 Final Electrical 4920 Miscellaneous Electrical Inspection Group Elec Com Elec Com Inspection Status Pending Pending Various inspections are minimally required on each project and often dependent on the scope of work. Contact the issuing jurisdiction indicated on the permit to determine required inspections for this project. Schedule or track inspections at www.buildingpermits,oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811098107815 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Fee Description Electrical master permit (one time fee) Technology Fee State of Oregon Surcharge - Elec (t2o/o of applicable fees) Total Fees: Permits expire if work is not started within. 180 Days of lssuance or if work is suspended for 18o Days or longer depending on the issuing agency's policy. All provisions of laws and ordinances governing this type of work will be complied with whether specified h€rein or not. Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulatinO construction or the performance of construction. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-OO9O. You may obtain copies of the rules by calling the Center at (503) 232-1987. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O (StructuraUl,lechanical), ORS 479.54O (Electrical), and ORS 693.01O-O2O (Plumbing). Printed on: L/28/2O Page 1 of 2 C:\myReports/reports//production/01 STANDARD Quantity 1 Fee Amount $ 109.00 $s.45 $ 13.08 $t27.53 Ir \ TYPE OF WORK JOB SITE INFORMATION LICENSED PROFESSIONAL INFORMATION PENDING INSPECTIONS SCHEDULING INSPECTIONS PERMIT FEES Permit Number: 81 1-20-OOO168-ELEC Printed on: 1/28/20 Page 2 of 2 Page 2 of 2 C :\myReports/reports//production/01 STANDARD SPRINGFIELD n6 Transaction Receipt 81 1-20-000168-ELEC IVR Number: 81 109810781 5 Receipt Number: 473647 Receipt Date:1128120 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 permitcenter@spri ngfi eld-or.govOITEGON www.springf ield-or. gov Worksite address: 785 42ND ST, Springfield, OR 97478 Parel: 1702320000105 Fees Paid Account codeTransaction Units date 1t28t20 1.00 Ea 'U28t20 1t28t20 '1 .00 Ea 1.00 Automatic Technology Fee Description Electrical master permit (one time fee) State of Oregon Surcharge - Elec (12o/o ol applicrble fees) 821 -00000-2 1 5004-0000 204-00000-425605-0000 Fee amount $109.00 $13.08 $5.45 Paid amount $'109.00 $13.08 $5.45 Payment Method: Credit card Payer: Robert Zentgraf authorization: 072837 Transaction Commenl: via email from Norman Slater Payment Amount:$127.53 Cashier: Katrina Anderson Receipt Total:$'127.53 Ptinted. 1128120 9:27 am Page 1 of I Fl N_TransactionReceipl_pr [r-r. 224-00000-4261 02-1 033 CITY OF SPRINGFIELD, OREGON zzsrIBIESIBEET .. SPRINGTIELD, OR97477 t PEtga!)flzG.fliT5a .FrlX: (541)72G5659 or {a.r For OfficeUse Only Rec', l- 2o<tqs lG6-€ I I I I I I I \ 6,t -75\Phone: 0nmer: Fa:r: I or<'frP: ?z.{r{ Addnebs rtsE all orowuer rogter ofapplicalthcshowiognunberandofolcctuicaltlpcItlwo*uada alland olec&ioaltslcenoutthc drintrastors whosobyoroI9naroperatio!Ihemtragor.befics'tertuust at &efiled s:uno timo as tLo of ContractoyEhcfricienName orGrht 0pe)IlccnsaNo.' .r.-plraflon date lo 'f,ot.3?q P5 AGREEMENT Ibave thatthe are I Ze I tDetoagtee tarEs Ildastc'r toIicensedctrurntly mwork the StatB ofOregon App**dt ' ContactDate:- I) i 't I t I ! i I I