HomeMy WebLinkAboutPermit Electrical 2018-09-12ORfGOrl
web Address: www.spnngReld'or.9ov
Residential Electrical
Permit Number: 81 1 -1 8-002180-ELEC
IVR Number: 81 1007237538
City of Springfield
Development and Public Works
225 Frfth Street
Springfreld, OR 97477
541-126-3753
Ema il Add ress : oerm itcente r@sprinOfre ld -or, q ov
SPRINGFIELD
t3
Permit lssued: September 12 2018
TYPE OF WORK
Category of Constructjon: Single Family Dwelling
Submitted Job Value: $0 00
Description ot Work: lnstall 200 amp servrce with feeder
Type of Work: New
JOB SITE INFORMATION
Worksite address
1917 MARKET ST
Springfield, OR 97477
Parcel
1703253213100
Owner:
Address:
WLLIS MARY E
1915 CARTER LN
SPRINGFIELD, OR 97477
LICENSED PROFESSIONAL INFORMATION
Business name
RJF ELECTRIC INC - Primary
License
CCB
Lacense number
207 57I
Phone
54'1,514-9010
PENDING INSPECTIONS
lnspection
4999 Final Electrical
4225 Service or Feeder
lnspection group
Elec Res
Elec Res
ln6pection status
Pending
Pending
sc INSPECTIONS
Various lnspections are minimally required on each project and often dependent on the scope of work. Contact the issuing
jurisdaction indicated on the permit to determine required inspections for thas project.
Schedule or track inspections at www.buildingpermits.oregon.gov
Schedule by phone call 1-888-299-2821 use IVR numbe. 811007237538
Schedule using the Oregon ePermitting lnspection App, search "epermittrng" in the app slore
PERMIT FEES
Fee Description
Services 200 amps or less
Technology Fee
State of Oregon Surcharge - Elec (12olo of applicable fees)
Total Fees:
Permits must be posled in clear viev, on the wo*site. Permits expire if work is not started within 180 Days of issuance or al work is
suspended tor 180 Days or longer depending on the issuing agency,s poticy.
All provisions of laws and ordinances governing this type of work will bo com plied with whether specified herein or not. cranting of
a perlnit does not presume to give authority to violate or cancelthe provisions of any other state or local law regulaiing construction
or the performance of construction.
ATTENTION ' CALL BEFORE YOU DIG: Oregon law requires you io follow rules adopted by the Oregon Utility Notilication Center.
Those rules are set fonh in OAR 952-001-0010 through OAR 952-00't'0090. You may obtain copies ot the rutes by caling the Center at
(877) 668{001 or dial 811.
All persons or entities performing work under this permit are required to be licensed untess exempted by ORS 7O1.OlO
(Structural/Mechanical), ORS 479.540 (Etectricat), and ORS 693.OlO{20 (ptumbing).
Pdn\ed on:911211a Page r of 1 std_Buridi^gperm _pr
Quantity
2
Fee Amount
$218.00
$ 10.90
$26.16
$255.06
Building Permit
SPRINGFIELD
tn
OREGON
www.spnngfield-or.gov
Worksite address: 1917 MARKET ST, Springfietd, OR 97477
Parc€l: 1703253213100
Transaction Receipt
81 1-18-002180-ELEC
Receipt Number: 468001
Receipt Date: 9/12l18
City of SPringfield
DeveloPment and P!blic Works
225 Fifth Street
SPringfield' OR 97477
547"126-31 53
permltcenter@springfield_or' 9ov
Fees Paid
Transaction dato
9t12t18
9t12/18
9/12h8
Units
200 Ea
Description
Services 200 amps or less
State of Oregon Surcharge - Elec (12% of
applicable fees)
Account code
224 -OOOOO - 426 1 02 - 1 033
Fee amount
$218.00
$26 16
$10 90
Paid amounl
$218 00
$26 16
$10 90
100 Ea
'1.00 Automatic Technology Fee
821-00000-215004-0000
1 00-00000425605-0000
Payment [rethod Credit card authorization
017596
Payer Robert Fisher $255 06Payment Amount:
Cashier: Katrina Anderson Receipt Total:$2s5.06
Pnnied 9/12li8 io o7.m Fl N-'IransacitionRec€iPt_Pr
ONLYUSEENTARTMDEP
CITYO F SPRTNGFTELD,ORE GONElectrical
225 Fifth Strer. Spri'gfield' OR
Permit p Iication
97,r7? a PH(541)726-37 s3. rAX(541 )726-3689
Permr 1 n0.:
1.000 sq. ft. or less (4)
rhereof
Limiled energ) (2)
Each manufacrured home or modular
ffi @A\bo
)
LOCAL GOVE NTIUCXT APPROVAL
Zoning approval verifi ed?ENo
This Dermit is issued uDder OAR ql8-300-0000 Permits are notr
irr. Li i.ruro". o. if work is suspended for 180 days'
traBsferable. Permits expire if riork is not started within 180
iee scseoule
Total
cost
Residentiat, per uDit service i,cluded
s181.00 s
Each additional 500 sq. ft or ponion s 35.00
L,-l Y es
esidential I n Go,"-^"nt
Job site address
Cilt K, n,Srate
i ! Commercial
ZIP
s
s 43.00
s 86.00 sReference: \]P
?a 5>f-ez-+^
dwelling service or feeder (2)
Services or feeders: installation. alrcration relocation
Taxlor-: i .)OO
Crtr
R 200 amps or less (2)
201 to 400 amps (2)
401 to 600 amps (2)
)./-s 109.00 ?.
!
5
S
s
s635.00 S
$ E6.oo | $
S
\am.
Address: lJl/ 1qu'sl-"
21
5277
00
00
5
i 601 to 1.000 amps (2)
I Over 1.000 amps or volrs (l)
I Reconneq onl) (l)A(t*l I stur.ZP
E-mail
Fa\
. This installatron rs bemg made on residential or farm properqI owned br me or a member of m\ immedlale familr. This
properq'is nor inrended for sale. exchange. lease. or rent. OAR
I 479.540(l ) and 479.560i1 L
Temporary services or leedersi ns,allation. aberation relocation
200 amps or less (21 s 86.00 5
201 ro 400 amps (2)$ 118.00 s
401 to 600 amps (2),S172.00
,si 83lature
Over 600 amps or 1.000 vohs- see services or feeders section above
BraDch circuits: /]exr aheration extension Per panel
a- Fee for branch circuhs with puchase oia service or feeder fee
Each branch circuil
b. Fe€ for branch circuil( without purchase ofa service or feeder fee
CONTRACTOR INSTALLATION
Business name R3 F eE L-+
I Addr"..
Stare ZIP
First Dranch circuir (2)i$tlt-! l
E-mail
Miscellaneous fees: service o,.feedel not included
Sienirrg sup"..,i.o.', 1i""nr" no 3ztrr
Print name of signing supenlsori ft- 6*r.t D t t9 L.Each si!1r or outline iighring (2 r
i Sigrature of signing supervisor: \|.J*y ,P V.aC,-- ]
Sienal circuil or a limiled-energy panel.
aiteraiion. or extension (21
Each additiotrel inspection: (; )
DEPARTMENT USE
(A r Enter sublotal ofabove fees
(Miuimum Permir Fee 599.00J
Each pump or irrigation circle (: l ' I S ao.oo
t l e.h a.i.lrronal h'ech crrcu'r
(B) Enter 12% surcharge (. l: x [A])
I ri,.rz]s
s 9s.00 $
$ 99.00
s99.00 S
s
(C) TecimoloS Fee (59i, of[A])
CATE TIUC NoNoSTRl-FoRYo
Qt-\'Cost
ea.Number of insPections Pcr item ( )
TION OF WORKD
CATIATI o NoLDANONRMNoFSITEoJB
PROPERry OWNER
ss 7.42
L,st ediEd 7/t.20ta IIJ
TOTAL fees and sucharges (A through D)S
lDate:I)_
$127.00
Phone:
Cin :
Phone:F ar:
CCB Iicense no.:64 b Zg 71 _\CD license no.:
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