HomeMy WebLinkAboutPermit Electrical 2018-09-14SPRINGfIELO
ORE6ON
Web Addressr www.springfield'or.9ov
Building Permit
Residential Electrical
Permit Number: 81 1 -'18-002203-ELEC
IVR Number 8'1'1073825004
City of Springfield
Development and Publlc Works
225 Fifth Street
Spnnglield, OR 97477
541-7 26- 37 53
Emarl Addressr permitcenter@sp ngfield or. gov
Permit lssued: September 14,20'18
Category of Construction: Manufactured Dwelling
Submitted Job Value: $0.00
Description of Work: Reconnect only
Type of Work: Other
JOB SITE INFORMATION
Worksite address
1263 MAIN ST SPC 14
Springfield, OR 97477
Parcel
1703354108700
Owner:
Address
SPRINGFIELD MOBILE
HOME PARK
PO BOX 2567
EUGENE OR 97402
LICENSED PROFESSIONAL INFORMATION
Business name
MY ELECTRICIAN INC - Primary
License
CCB
License number
87506
Phone
u1-729-1454
PENDING INSPECTIONS
lnspection
4999 Final Electrical
4200 Reconnect Service
lnspection group
Elec Res
Elec Res
SCHEOULING INSPECTIONS
Various inspections are minimally 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 inspections at www buildingpermits oregon.gov
Schedule by phone call 1-888-299-2821 use IVR numbe. 811073825004
Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store
PERMIT FEES
Fee Description
Balance of minimum permit fees - electrical
Service reconnect only
Technology Fee
State of Oregon Surcharge - Elec (12olo of applicable fees)
Quantity
Total Fees:
1
Fee Amount
$ 13.00
$86.00
$4.95
$ 1 1.88
$ 1 15.83
Permits must be posted in clear view on the worksite. Permits oxpire if work is not started within 180 Oays of issuance or if work is
suspended for't80 Days or longer depending on the issuing agency's policy.
All provisions of laws and ordinances goveming this type ofwo.k will be complied with ryhether specified herein or not. Granting of
a permit does not presume to give authority to violate or cancel lhe provisions of any other slale or local law regulating construction
or th6 performance of constructaon,
ATTENTION - CALL BEFORE YOU DIG: Oregon law rcquires you to follow rules adopted by the Oregon Utility Notification Center-
Those rules are set forth in OAR 952'00l-0010 through OAR 952-00l{090. You may obtain copies ol the rules by calling lhe Center at
(877) 668-4001 or dial 811.
All persons or entities pedorming work under this permit ar€ required to be licensed unless exempted by ORS 701.010
(Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010{20 (Plumbing).
Pnnr€d on: 9/14/18 Page 1 of 1 srd_BuildingPermit_pr
N3
TYPE OF WORK
lnspection status
Pending
Pending
ffi Transaction Receipt
811-'t 8-002203-ELEC
Rec6ipt Number:468044
Receipt Date: 9/14/18
Cdy oi SpnngneE
ww sprinqfield-or.qov
OeveloDment aad Publc Works
225 Frlth Stret
Spn gtietd, OR 9747?
54t-726-1753
permitcenter@spr nglield-o. gov
Wo.ksite address 1263MA|NST.SPC#14 Sp ngfied, OR 97477
Parcel: 170335410E700
Fees Paid
9l1411A
9t14t1A
9t14t18
100 Ea
1.00 Ea
224-0@0&126142-1033
224,0000G426102-1033
821-0000G21 5o(N,OOOO
s06 00
s13.00
lr1 88
s60 00
113 0o
s]188
Ealance ot mnrmum pemn fees - eleclrical
State ol Orsgon Su.charge Elec (r2% of
Servrce reconnecl only
9t1411A 1 00-00000-425605-0000 s4 95 s4 95
Paymeni Melhod: Check nlmber 4316 s|563
Cashier KatnnaAnderson $115.83
F N, Lansacl onRece,pl_p,
Electrical Permit Application DEPARTMENT USE ONLY
, Pemril no
l:5 Fifrh SEeet. Sp.itrgfield. OR 9;1i;. PH(5411726,3?53. F.{\(311)726,3689
Daie q q
This permit is issued under OAR 918-309-0000. Permits are troDtransferat le. Permits expire if $ork is Dot srarted $ithitr 180
davs of issuance or if s'ork is suspended for 180 da1's.
LOCAL GOVERNMENT APPROVAL FEE SCHEDULE
CATEGORY OF CONSTRUCTION
Cost I Totde& i cost
Residential. per unit. s€nice itrcluded
Res)dei[ia]
Zomng approval verified? ! \'es E Xo
i ! Govemment ll Commercial
..r)lr(sq. ft. or iess (,1)s18't.00 sJOB SITE INFORMATION AND LOCATION
Job site address 6a a{b <t Each additional 500 sq. fi. or ponion
thereof
q77 Limired ener$'(:)
Eech additioBal itrspection: (l)
(B) Entlr 1:% surcharge (.12 x [A])
s 35.00
s 43.00 i $ZLP
lo
S
CITY OF SPRINGFIELD, OREG'ON
\umber ofinspections per irer, ( )Qq
ciq, Srri\r( \i@6\ , s,",., p
a-lT
Refere nce Ta).lor.
oESCRTPTTON OF WORK /a
bJt\o
PROPERTY OWNER
Ir\ame
Address
Cin Slate NP
Phone,5(l-ftr- 6')3 bj Fali
This installation is beine made on residential or farm property
owned bl me or a member of m)'immediate family. This
properB, is not intended for sale. exchange. lease, or rent. OAR
479.540( 1) and a79.560( l).
Signature:
CONTRACTOR INSTALLATION
ZP
t
a(} l(,L
Stare
Business name
City:
-Address: 3
Phone3l[ -Fa)i
BCD iicls0CCB ticense no
\SJ
Signature of signing supen,
Sisnins suoen isor's Iicense no
Print name of signing supen isor:
s 86.00IEach manufacrured home or modular
dwelling sen ice or feeder (2)s
Services ot feeders: installatian. altera|on. relocation
200 amps or less (2)s 109.00
201 ro 400 amps (2)s127.00 5
401 rc 600 amps (2)s2'15.00 s
601 rc 1,000 a.rnps (2)s277.oo ]s
Over 1.000 amps or volls (2)s635.00 s
I $€(^Reconnea onl) (2)
Temporan' services or feedersi installation. aheration, relocation
200 amps or less (2)$ 86.00 5
201 to 400 amps (2)s 118.00 5
401 ro 600 amps (?)s172.00 5
Over 600 amps or 1,000 volts. see services o, feedels section above
BBDch circuits: neu. aheration. extension per panel
Each branch crcuit s 7.42 $
b. Fee for branch circuits withour purchase ofa sen ice or feeder fee
Firsr branch circuir (:l s 86.00 s
Each additional branch c;cLrit I S 7.42
MiscellaDeous fe€s: s.,rvice or feeder nor included
Each pump or irTigarion circle fl)s 86.00 s
Each sign or outlire lighting (:)I s ss.oo
Sigral circuit or a limiled-energl panel.
altel"rioL or exlension (:)I
s 99.00 5
s
DEPARTMENT USE
(A) Enter subtoral ofabove fees
(Minirnult Permk Fee 599,00)'q1
(C) Technolos Fee (5% ofl{l)
TOT-AL fees and surcharges (A through D): I St
Last edited ?/1n01E BJones
t
I
E-mail:
s 86.00
a. Fee for bEnch circuits with purchase ofa serYice or feeder fee: ]
I
E-mai1;
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