HomeMy WebLinkAboutPermit Electrical 2018-09-28SPRINGFIELO oR6GON Web Address: www.spriogrieE or.90v Building Permit Rssidential Electrical Permit Number: 81 1 -18-00231 2-ELEC IVR Number: 81 1097926541 City of Springfield Development and Publrc works 225 Fifth Street Spnngfreld, OR 97477 547-126 3153 Email Address: permitcenter@springfleld or.gov Permit lssued: September 28, 2018 TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Oescription of Work: New service Type of Work: New JOB SITE INFORMATION Parcel '1703351414800 MILLER ANGELA 330 NORTH FREMONT SAN IUATEO, CA 94401 LICENSED PROFESSI RMATION Businass name GREEN ELECTRIC LLC - Primary Licens€ CCB License number 208771 Phone 541-28545/.7 PENDING INSPECTIONS lnspsction 4999 Final Electrical 4225 Service or Feeder lnspection group Elec Res Elec Res lnspection status Pending Pending SCHEDULING INSPECTIONS 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 Schedule by phone call 1-888-299-2821 use IVR number 81'1097926 1 Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store PERMIT FEES Fee Description Services 200 amps or less Technology Fee State of Oregon Surcharge - Elec (12olo of applicable fees) Total Fees: Quantity 1 Fee Amount $109.00 $5'45 $ 13.08 $127 .53 All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Granting oI a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating constructaon or the performance oI construclion. ATTENTION - CALL BEFORE YOU DIG: Oregon la\fl rcquires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952{01{010 through OAR 952{01-0090. You may obtain copies of the rules by calling the Center at (877) 568{001 or dialS'll. All p€rsons or entities performing work under this permit are requir6d to be licensed unless exempted by ORS 701.010 (Structural/Mechanical), ORS 479.540 (Elect.ical), and ORS 693.010{20 (Plumbing). Pnnled on 9/28/18 Page 1 ol 1 sld_BuildingPemil_pr , t,z Worksite address 1069 C ST Springfield, OR 97477 Owner: Address: Permits must be posted in clear view on the worksite. Permits expire if work is not staned within 180 Days of issuance or if work is suspended for 180 Days or longer depending on the issuing agency's policy. ffi 8r r-t 8{02312-ELEC Receipt Numberi 468'183 Receapt D.te: 9/28/t8 oeve opment and P!blrc lrorks 225 Fifth str*t spn.9neld, oR 97477 a4t-726 3753 perm tcenter@span9ne d-or qov Transaction Receipt Cily of Springfield www.spnnqaeld-or 9ov Worksile address: 1069 C ST, Springfield OR 97477 Parcel 1703351414800 Fees Paict 912U1A Services 200 amps or less 224-00000-4261 02-1 033 s109 00 $109 00 9t2a11A 9t28t1A 100 Ea 1 0O Aulomali€ Technology Fee Stats ol Orggon Surcharge - Etec 11216 ol 821,00000,215004-0000 10G000001125605 0000 $13 08 $s 45 $13 08 $s 45 Paymenl Method Cash TransacrDn commeni $r40 cash change S12.47 E127 53 Cashler KatrinaAnderson $127.53 FN-T6.s.c1pnRe€lpi-,1 1.00 Ea CITY OF SPRINGFIELD, OR.EGON Electrical Permit Ap lication Address: ! lo Citv b w-n"wt tl Fa)i BCD license no 3 Over I,000 amps or volts (2) pump or irrigation circle (2) s63s.00 s 86.00 ! s 99.00 S S ffi225 Fifth Street. SpriDgfield. 0 R 97,177 a PH(541 )726,3 753 t FA X(54 I ) 726-3689 This permit is issued uoder OAR 918-309-0000. Permits are nontransferable. Permits expire if work is trot started withitr 180 days ofissuaoce or if work is suspended for 180 days. Residential. per uDit. senice included: Services or feeders: insrallation. alteration relocation s S 15 S s s E-mail This installation is being made on residential or farm properq owned by me or a member of my immediate family. This propenv is not intended for sale, exchange, lease. or rent. OAR 479.540(l ) and 479.560(l). Signature: Business name Address h/ statet O{-ZD Temporar] services or feeders. installation. aheration. rclocation 200 amps or less (2)s 86.00 5 s Over 600 amps or 1.000 volts. see services or feeders section above Branch circuits: ne,i alteration extension pet panel a. Fee for branch circuits witb purchase ofa senice or feeder fee Each branch circuir ! First br"nch circuil (2)! Each addidonal branch circuit Miscelleneous fees: s€nice or feeder not included $ 86.00Phon i Siening supervisor's license no I Print name of signmg supervrsor Signatue of signing superv . Lach Signal circuir or a limired-energ) panel altemlion. or extension (:l Each additiotral insp€ctiotr: (l ) DEPARTMENT USE (A) Enter subrcral ofabove fees (Minimum Permit Fee 599.00)1,1 \2-t? DEPARTMENT USE ONLY LOCAL GOVERNMENT APPROVAL Zoning approval verified? ! Yes E No CATEGORY OF CONSTRUCTION E{esidential ! Government I Commercial JOB SITE INFORMATION AND LOCATION Job site address: lQ[ ( L (+ City: !17n'yy[;7.[/State: dh ztPt qtt++ Reference lTaxlot. I DESCRIPTION OF WORK PROPERW OWNER \rame 'lLer ZrP:Qaq ICitr5n^ Art ctko State: (rt Phone: 6tO ttto GLI-L Fa>( t'{a),LdttE-mail71+€.,5 CCB license no CONTRACTOR INSTALLATION FEE SCHEDULE Total costNuEber of itrsp€ctiors per ite6 ( ) 1,000 sq. ft. or less (4) Qtr' s181.00 Cost ea. s 3s.00Each additional 500 sq. ft. or ponion Limted energ) (2)s 43.00 Each manufactured home o, modular dwelling service or feeder (2)s 86.00 200 amps or less (2)$ '109.00 201 to 400 amps (2)l 5127.00 401 to 600 amps (2) 601 to 1.000 arnps (:) Reconnect onl) (2) $277.00 S $ 1,18.00201 to 400 arnps (2) s172.00401 to 600 amps (2) s 7.42 s 7.42 s 5 99.00Each sign or outline lighting (2) s99.00 S(B) Enrcr l2% surcharge (.12 x [A]) $lD.<1TOTAL fees and sucharges (A through D) Lesr edited 7/l/201E Blones (C) Technolos Fee (5% of [A])S Permit no.:/I rc?\D- 1""., ,rli El t e I $ $ s2is.oo ls $ 86.00 b. Fee for branch circuits without purchase ofa service or feeder fee: S