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
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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:
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