HomeMy WebLinkAboutPermit Electrical 2018-09-07SPRINGFIELD
Building Permit
Residential Electrical
Permit Number: 81 1 -'18-002144-ELEC
IVR Number: 81 1058051047
Clty of Springfield
Development and Pubhc Works
225 Fifth Street
Springfield, OR 97477
541 126-3753
Email Address: permitcenter@spnogfield'or.9ov
OREGO
Web Address: wwr,y.spriogfi€ld-or.gov
Permit lssued: September 07, 2018
TYPE OF WORK
Category of Construction: Single Family Dwelling
Submitted Job Value: S0.00
Oegcription of Work: Reconnect Only
Type of Work: Other
JOB SITE INFORMATION
Worksite address
1063 C ST
Springfleld, OR 97477
MORTGAGE EOUITY
CONVERSION ASSET
TRUST
PO BOX 650043
DALLAS. TX 75265
Parcel
170335'1414800
Address
LICENSED PROFESSIONAL INFORMATION
Busingss name
OWNER - Primary
LicEnse numbsr
000000
Phono
INSPECTIONS
lnspection
4999 Final Electrical
4200 Reconnect Service
lnspection group
Elec Res
Elec Res
lnspEction status
Pending
Pending
SCHEDULING INSPECTIONS
Various inspections are manimally required on each project and often dependent on the scope of work. Contact the issurng
jurisdiction indicated on the permit to determine required inspections for this project.
Schedule or track inspectioos at www.buildingpermits.oregon.gov
Schedule by phone call 1-888-299-2821 use IVR number: 811058051047
Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store
Permits must be postgd in clear view on the worksito. Permits sxpire if wo* is not startod within 180 Days of issuanc€ or if work is
susponded for 180 Days or longsr depending on the issuing agency's policy.
All provisions ot laws and ordlnancss governing this type ot work will be complied with whothor sp€cified h6r6in or not. Granting ot
a pormit does not presumo to giv6 authority to violato or cancel the provisions of any other state or local law rogulating construction
or tha porformance of constructlon,
ATTENTION - CALL BEFORE YOU DIG: Oregon law requirgs you to follow .ul6s adopted by tho Oregon Utility Notitication Centgr.
Thoso rul€s a16 set forth in OAR 952{01-0010 thro!gh OAR 952{01-0090. You may obtain copies o, the rules by calling the Center at
(877) 668-4001 ordial 811.
All porsons or entilies performlng work under this permit aro required to bo licensocl unless exempted by ORS 701.010
(Structural/M€chanical), ORS 479.540 (Electrical), and ORS 693.010{20 (Plumbing).
Prinled on: 9/7/T8 Page 1 ol2 std auildingPemil_p.
Owner:
License
ccB
Permit N umber: 81 1-18-002144-ELEc Page 2 ol 2
Fee Description
Balance of minrmum permit fees - electracal
Service reconnect only
Technology Fee
State of Oregon Surcharge - Elec (12o/o of applicable fees)
Quantity
Total Fees:
Fee Amount
$ 13.00
$86.00
$4.95
$ 1r.88
$ 115.83
std-8urld ngPerm I pr
1
Pa1e 2 oI2
PERMIT FEES
u Transaction Receipt
81 1-18-0021rl4-ELEC
Roceipt Numb€r:467958
Roceipt Date:9/7/'18
Cry of Spnnolield
OeveloPme.t and Public Works
225 Ffth Street
50nn9fierd, oR 97477
541 126-3)53
oe.m'tcenter@sonn9neld-or qovww spnngneB-or.gov
Worksile address: 1063 C ST. Springlield. OR 97477
Parcel: 1703351414800
F€es Paid
9Ft1A
9ntla
UnitE
1.00 Ea
1.00 Ea
224{0000-426102-1 033
224-0000G426102-1 033
82 r {000G21 5004{000
186.00
113.0o
111.88
s86.00
s13.00
s11.88
Seryice reconnect only
Slat€ o, Oregon Surcharge - Elec (12% ol
applicable fees)
Balance otmrnim!m permil tees - eleclric€l
917t18 1.00 Aulomatic Technology Fee 100-00000325605,0000 s4 95 s4 95
Paymenl Melhod Cash s115 83
Cash er: Kalnna Anderson 1115.83
FrN-TEn$dDnR.@'pu)r
Electrical Permit Application DEPARTMENT USE ONLY
Permit no (&2qY
225 Fiftb Srreer. Spritrgfi€ld. OR 9747r. PH(5411726'3753. FAr(541 )725-3689
This permit is issued utrder OAR 918-309-0000. Permits are nortransferable. Permits expire if *ork is Dot started I{ithin 180
da1's ofissuance or if $ork is suspeDded for 180 da1,s.
LOCAL GOVERNMENT APPROVAL FEE SCHEDULE
Zonin \umber ofiospectiolrs per irem ( )Qtt-Cosr Totel
costea.CATEGORY OF CONSTRUCTION
ResideDaial. per unit. senice included
n Commercial
g approvai verified? E t'es E No
idential j E Go,,"-rn"nt
lob sire address
I i-000 so. fl. or less (4)s181.00 ls
tach aoorlonal )uu sq It or port,on
thereof
Limited energ (l)
Signal cjrcuil or a limited-energl panel.
ailerarioL or exension (:l
s 35.00 5
Cifl'Srare ZIP:Q s +s.oo I s
s 99.00
Ta,ilot.
BCD license no
CITY OF SPRINGFIELD, OREGON
JOB SITE INFORMATION AND LOCATION
DESCRIPTION OF WORK
PROPERW OWNER
State ZP
N
Address
ciq'
Phone Fai
E-mail
This installatioo is being made on residential or farm proper$.
ov,aed by me or a member of m)'immediate famiJy. This
properq,is not intended for sale. exchange. lease, or rent. OAR
479.540(1I and 479.560( l ).
s isnaru,e,t h$lr*f,NA 4)t $ft 4\al+
CONTRACTOR INSTAL : ON
Busiress name
.4ddress
Ciry:
Fax
E-maii
CCB license no
Sienine supen,isor's iicense nc
Print name ofsignire supen,isor:
Sigaature of signing supen isor:
s 86.00Each nanufacured home oi moduiai
dwelling se^,ice or feeder (2)S
Services or feeders: instaliation, aLreranon. relocation
200 arEps or less (2)s 109.00 !
201 10 400 amps (2)s127.00 S
s215.00 s
601 to 1,000 amps (2)s277.00
Over I.000 amps or volts (2)$535.00 s
Reconnecl onl) (2)i 5 86.00 s
TeEporarJ services or feeders: installation. akeration. relocstion
200 amps or less (f)s 86.00 !
201 to 400 amps (2)s 118.00 S
401 to 600 amps (:)s172.00 S
Over 600 afirps or I.000 volts. see services or feeders section above
Braoch circuits: nellr aL@ration. exrcnsion per panel
a- Fee for branch circuiE with purchase ofa service or feeder fee
Each branch circuit s 7.12 s
b. Fee for braach circuits \^rithour purchase ofa service or feeder fee
Firsr branch ctcuil (2)s 86.00 5
Each additional branch circuii $7.42is
Miscellaneous fees: rervice or lbeder not incltded
Each pump or irrigation circle (l)I s es.oo s
Ea.h sign or outljne lietuiDg (l)s 99.00
s
DEPARTMENT USE
(A) Enter subtolal ofabove fers
(MiDimurE PerEir Fee 599.00)
t??
Lsst edited 7/lD0t8 BloDes
Dare:
Reierence:
401 ro 600 amps (2)
I
Phone:
Stare:ZIP:
I I
l
Each additional inspection: (l) I I $99.00 | s I
@i Entsr llo,o surcharge (.12 x [-{]l is
: rC)Tecbnolog, Fee (50/o oflA]r ' 5