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HomeMy WebLinkAboutPermit Electrical 2018-10-23OitEGON Building Permit City of Springfield Development and Public works 225 Fifth Street Springfield, OR 97477 54r-126-3753 Emarl Addressr permrtcenter@spnogfieid-or.9ov SPRINGfIELO tjb Residential Electrical Permit Number: 81 1-1 8-002514-ELEC IVR Number 81 1086925192 Permit lssued: October 23 2018 TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: New sub panel JOB SITE INFORMATION Worksite address 1295 MAIN ST Springfield, OR 97477 SOUTH VALLEY PROPERTIES LLC PO BOX 2567 EUGENE, OR 97402 Parcel '1703354'109000 LICENSED PROFESSIONAL INFORMATION Business name MY ELECTRICIAN INC - Primary License ccB License number 87506 PENDING INSPECTIONS lnspection 4999 Final Eleckical 49gg Final Electflcal 4500 Rough Electrical 4225 Service or Feeder lnspection g.oup Elec Res Elec Res Elec Res Elec Res lnspection status Pending Pending Pending Pending SCHEDULING INSPECTIONS Various inspections are minimally required on each proiect and often dependent on the scope of work. Contact the issurng jurisdiction indicated on the permit to determine required inspectaons for this project. Schedule or track inspections at www.buildingpermits oregon.gov Schedule by phone call l-888-299-2821 use IVR number: 811086925192 Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store Permits must be posted in clear view on the worksite. Permits expire if work is not started within '180 Days of issuance or if work is suspended for 180 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 sp.cified herein or not. Granting of a permit does not presume to give authori, to violate or cancsl the provisions of any other state or local law rcgulating construction or the p€rformance of construction. ATTENTION - CALL BEFORE YOU OIG: Oregon law requires you to follow rules adopted by the O169on Lrtility Notification Center- Those rul6s are set forth in OAR 952{01-0010 through OAR 952{01{090. You may obtain copies of the rules by calling the C€ntor at (877) 668-4001 or dial 81'1. All persons or entiti€s p€rtorming work under this permit are r6quired to be licensed unl*s exemptsd by ORS 701.010 (Structu.auMechanical), ORS 479.r40 (Electrical), and ORS 693.010-020 (Plumbing). Pdnred on 10/23/1E Page 1 ol2 std-BurldrngPermir_pr Web Addressi www.springneld or.9ov Type o, Work: New Owner: Address: Phone 541-729-1454 Permit Number: 81'l -1 8-0025'l 4-ELEC Page 2 of 2 Fee Description Services 200 amps or less Technology Fee State of Oregon Surcharge Elec (12olo of applicable fees) Pdnred on 10/23118 Pase 2 ot 2 Quantity 1 Total Feesi Fee Amount $109.00 $s.4s $ 13.08 $127 .53 sld-BuildingPermit_pr PERMIT FEES ffi Transaction Receipt 811-18.0025 t4-ELEC Receipt Number: 468,106 Receipt Oate: 10/23/18 Cdy ol Spnngfield oevelopment and Pubrrc works 225 Frfth Svet Spnntneld, OR 97477 5.1-J 26-3) 53 p€.htcenter@s9.n9nerd-or.govwww springneb or gov Fees Paid 10t23t14 100 Ea Services 20O amps or less 22+0000G4261 02- 1 033 t109 @ s1o9 oo 10123118 10123/18 100 Ea 1 00 Auiomalic Technology Fee Slale ol Oegon Surcharge - Elec (12% of 821-0000G21 5004-0000 100-00000 425605 0000 $13 08 $5 45 s13 0E $5 45 Paymenl Melhod Check number: 4323 $127 53 Cashier Kairina Anderson Pnd.d 10234312:31pm 1127.53 FrN_InB.d6nR.6'pr-lrr Worksile address: 1295 MAIN ST. SpingneE. OR 97477 Parcelr 1703354109000 Electrical Permit A lication 225 Filrh Streei. Spritrgfield. OR 97477. PH (5.11 )726-3753. FAX(511 )?26-3689 DEPARTMENT USE ONLY & \[ >b 9^Date This permir is issued utrder O-AR 918-309-0000. Permits are Dotrtransferable. Permits expire if u'ork is not started n'ithin 180 davs of issuance or if work is suspended for 180 da1.s. FEE SCHEDULE \umber of iNpettiotrs per item ( )Total costCATEGORY OF CONSTRUCTION Residerltiel. per uril. service included Residential E Govemment E Commercial JOB SITE INFORMATION AND LOCATION l -000 sq. ft. or less (4)s'181.00 s Job sire address 5 Each additional 500 sq. li. or ponion thereof s 35.00 s Zoning approval verified? f] t'es E l.lo Reference Tali101 DESCRIPTION OF WORK PRO OWNER \ame Address I Each manufactured home or modular ] dwelling service or feeder (lt Limited ene€t (21 $l:.ool$ s0086 Services or f€eders: installaron ale.arion. reiocatioh 200 amps or less (l)I s 109.00 o15 401 ro 600 amps (2) 601 m 1.000 amps (ll s277.00 s i Over 1.000 amps or volts (: )s635.00 s Reconneq onl] (l)s E6.00 s Temporan services or feeders: nstallation. aberotion. reiocation Phone Fax This installation is being made on residential or farm oropeqr owned b) me or a member of m1 immediate famil1. Thisproper! is not intended for saie. exchange. lease. or rent. OAR 479.540(l) and 479.560(1 ). Business name 5 S Citl Addre Cin Phon E-mail 3a turegnaS 5tate ZP 200 amps or less (:) L 20t to 400 amps (?)s 11E.00 s 401 to 600 amps (l)s172.00 S I Over 600 amps o, 1,000 volls, see services or feedeE section above I Branch circuits: zev, aherotion extension per panel r..! I Each branch circuii L $ 7.42 1s b. Fee for branch circuits withoul ourchase oia service or feeder fee Fax Firsl branch circuit (l) Each pump o. irdgadon circie (?) s 86.00 s I S z.cz s s 86.00 Each addidonal bra.nch circuil Miscelleneous fees: seflice or feeder no. includedCCB license no Signing supervisor's [icense no Print name ofsigning supenrsor Sigrtature of signing supervrsor BCD Ii NQ .r) \{ 5 I Each sign or oudine liginhg (l)s 99.00 s SiEral circuir or a limited-energy panel alteBtion. or e$ension (:)s 99.00 s 5i99.00 SEach additional iDspection: I I i DEPARTMENT USE (A) Enler subtoEl ofabove fees (MiDimutn PerEit Fee 599.00)loq (B) Enre: l:0,. surcilarge { l: x iA]) (C) Technolos Fee (591, oflAl)S s >1.{'b CITY OF SPRINGFIELI}, OREGON LOCAL GOVERNMENT APPROVAL \dtCirvState ztPg.)q 71 Qr-Cost ea. 201 ro 400 amps (2)s127.00 s215.00 CONTRACTOR INSTALLATION Qclnlo)au State Lrst edited 7/l'2018 BJotres TOTAL fees and surcharges (A through D) "i:l--, t. |. I $ 86.00 s a. Fee for bmnch circuits with purchase oia service or feeder fe..i E-mail: I ZP