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Home My WebLink AboutPermit Electrical 2018-10-15SPRINGFIETO City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-725-31530(r€0N Building Permit Residential Electrical Permit Number: 8 l 1 -18-002440-ELEC IVR Number 81 1088092497 Web addressi www.springfreld or.gov Emarl Address: permrtcenter@spr nqfreld-or qov Permit lssued: October 15, 2018 TYPE OF WORK Type oI Work: New JOB SITE INFORMATION Worksite address 2182 FIRESIDE CT Springfield, OR 97477 Parcel 17 03252107 500 BRANNAN HERA J & MARK 2182 FIRESIDE COURT SPRINGFIELD OR 97477 LICENSED PROFESSIONAL INFORMATION Business name OWNER - Primary License ccB License number 000000 Phone PENDING INSPECTIONS lnspection 4999 Final Electrical 4999 Final Electrical 4500 Rough Eleckical 4250 Branch circuits lnspection group Elec Res Elec Res Elec Res Elec Res lnspection status Pending Pendrng Pending Pendrng SCHEDULING INSPECTIONS Various rnspections 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 kack inspeclions at www.buildingpermits.oregon.gov Schedule by phone cal IAAA-299-2821 use IVR number 811088092497 Schedule using the Oregon ePermitting lnspection App, search "epermitting" In the app slore Permits must be posled an clear view on the worksite. Permits expire if work is not started wilhln 180 Days of issuance or if work as suspended for 180 Days or longer depending on the issuing agency's policy. All Provisions ol laws and ordinances govehing this type of work will be complied with whether specified herein or nol. cranting of a permit does not presum€ to giv6 authority to violale or cancel the provisions of any other state or local law regulating conslruction or the performance of conslruction, ATTENTION - CALL BEFORE YOU DIG: Oregon law requires you to follow rules adopted by the Or69on Utility Notification Center. Those rules are set forth in OAR 952{01-0010 through OAR 952-00'1-0090. You may obtain copies of the rules by callang the Center at (877) 668-4001 or dial 811. All p€rsons or entities performing work under this p6rmit are required to be licensed unless exempted by ORS 70l.O1O (Structural/Mechanical), ORS 479.540 (Electracat), and ORS 693.010-020 (Ptumbing). Prinred on 10/15/18 page 1 ot 2 sld_EurldrngPermrl,pr Category of Construction: Single Family Dwelling Submitted Job Value: S0.00 Description o, Work: Rurlning electrical to the shed Owner: Address: Permit Number: 81 1-1 8-002it40-ELEC Page 2 of 2 Fee Desc.iption Branch circuits without service or feeder Technology Fee State of Oregon Surcharge - Elec (12olo of applicable fees) Qua ntity l Total F€es: Fee Amount $ 130.52 $6. s3 $ 15,66 $152.71 sld B! drngPermit_prPnnred on 10/l5/18 Page 2 ol2 PERMIT FEES ffi 81t-18-002440-ELEC Receipt Number:,168332 Receipt Oate: 10/15I18 Eteveropment and P!bhc works 225 Frlth Street Spirnqneld, OR 97477 541-726 3753 ,ermrlcenter@spnnef e d-or oov Transaction Receipt C y ol Spnngneld www spinqlield-or 90v Worksite address:21E2 FIRESIOE CT, Springlield, OR 97477 Parcel: 1703252107500 10/15718 7 0O Qiy Fees Paid Branch crcuits without se.vrc€ or leeder 22,1-0OOOG4261 02- 1 033 $130 52 s130 52 I0/ I5/18 10,15r18 100 Ea 1 0O Aulomaiic Tecnnobgy Fee Siaie ol Oregon Surcharge - Elec {12% oi 821 00000 2r500,10004 10G00000,42560'0000 s15 66 s6 53 s15 66 $6 53 Payment Melhodr Cred( €rd aulhorizalion: h30273 Payer: mark brannan $152 71 Cashler Kalrna AndeGon il52.7l CITY OF SPRINGFIELD. OREGON Electrical Permit A lication 225 Fifth Streer. Spritrglicld. OR Ha77.PH(541)726-3753. FAX(541 )726,3689 E-maii CCB license no BCD license no Print name ofsigning supervisor: Signaare of signing supewisor: Over 600 amps or 1.000 vohs. see services or feeders section above i"'""**:h:3+&4El+tiii&Li. ffi*q DEPARTMENT USE ONLY Permlt no IB-uorY Yo Date o E ? s S ]0) This permit is issued under OAR 918-309{000. Permits are nontransferable. Permits expire if work is not started *ithin 1E0 days of issuance or if work is suspeoded for 180 days. Reference Ta\lot. 401 ro 600 amps (2) Ad&ess l<+601 m 1.000 amps (?) Cix CRr.r CaFt D State: DB-ZIP 11 Over 1.000 amps or volts (:)s635.00 s Fa;i Reconnecl onh (2) Temporsr! s€rvices or feeders: installation alteration relocation i This installation is being made on residential or farm propen] I owned bv me or a member of mr immediare familr Thrs I propeqjis nor intended for salel exchange, Iease. 6r rent. oAR 479.s40(l ) and 479.560(l ). sisrarwe: ffl Efclaanz*zrL*' CONTRACTOR INSTALLATION Business name Each branch circuil late ZIP b. Fee for bianch circuits withou! purchase ofa selvice or feeder fee Phone Firsl branch circull f: l s 86.00 ] Each additional branch circuit s LE S 5 .i t- Miscelloneous fe€s: service or feeder not inclu.ded Each pump or irrigation circle (2) Each sig, or outline liefiting (2) I Silnal circuit or a limired-energv panel. I alleration. or exaension (: r Lach additional inspeclion: 1 l (A) Enter subtotal ofabove fees (Mitrimurn Permit Fee $99.00) S LOCAL GOVERNMENT APPROVAL Zoning approval verified? E yes E No CATEGORY OF CONSTRUCTION /Residenrial ! Govemment E Commercial JOB SITE INFORMATION AND LOCATION Jobsiteaddress: tl$l 6Q.g.SrOt. Ct:De-I ciqv: SPRJ r.ice\ VL r> DESCRIPTION OF WORK \an rnaf PROPERW OWNER FEE SCHEDULE Numbcr of iNpectioDs per ireD ( )Qty.C03t e& Total cost Residentiel. per utrit. service included: 1.000 sq. fl. or less (4)s't8l.o0 S Each additional 500 sq. ft. or portion thereof s 35.00 s Limited energ-v (2)s 43.00 s Each manufactured home or modular dwelling service or feeder (2)s 86.00 S€rvices or feedel:s: installation olterarioh relocarion 200 amps or iess (2)! 109.00 201 ro 400 amps (2)s127.00 5215.00 5 s277.00 s 200 arnps or less (:)s 86.00 S S 86.Cr0 | $ 201 to 400 amps (:)s 118.00 Brtocb circuils: nev'. aheration. ertension per panel .l0l ro 600 amps (l )5172.00 s a. Fee for branch circuits with purchase ofa service or feeder fee s 7.42 S s s 86.00 S s 99.00 S s 9s.00 s s93.00 DEPARTMENT USE (B) Enter I2% surcharge (.12 r [A]) (C) Technology Fee (59i, of IA])S TOTAL fees and surcharges (A thiough D)S Cin' Last edited 7/l/2018 BJones srate:OP. Izrp, q'}-t* I Name: ffi@({11 P:€a-lr-.lAn) Phone:{tg1 E-mail: Address: b $ 7.12 | $ L{'q U lr* ] Sigaing supervisor's license no.; Propetv O,ir;i r Stat=r::: l',=..3, r ^ -., A - - RsgHTdi-n g Cc nstru eti a n Res po ns i b i i iii-^s : t=:,-.!: L:w i:c,-I-?s r:s,C:^-.=.:a-:::i-c:::t^:i.--r.:f tf::::..-: : : r' .::a.i:t al:.-:-: -.:'s-.i-c:c' :Jni;=c:l,i =:=-: i: :,in:.-: '- i-,"..- t tt:-.ifii-l :-.: - a:,!i-i:i ri.-r:it ti-r:€ :."'- :.:-:: I , -:a:: --: t.t-|:.:I:-,__ -:-:- - -:,, : , : -z +,lwill be performing work on property I own a resjdence that I reside in, or a residence that lwill ieside in. lf I hire subcontractors, I will hjre cnly subcontractors licensed with the Cor:structjon Contractors Board. lf I change my mind and hire a general contractor, lwill select a contractor who is licensed with the CCB and wiil immediately give the name of the contractor to the otflce issurng this Building Permit. I have read and undersiand the Information Notice to Homeowners About Consi.uction Responsibilitjes, and I hereby certiry that the information on this homeownel statement ls true and accurate. {^nP\R}( ?>(-cl^f".-t Name Expiraiioo Date I wiil inform my general contractor that all subcontractors who work on the structure must be Iicensed with lle Construction Contractors Board. !r a r-l Print Name of PermitApplicantw\&\C \5 )z(ct,,t . Signature of Pennit Applicant Dare t0-)q,toPermii # 6)ssued by: CJI Io Dafe:CrlI 6 This Copy for Pernit Offic3s tr ) r.t l ii:ioi'ma:ic,'r i'iot:Lr3 to Cwne;'s Aboui . fir--,-ef i'r rr:tinr: R6qRRReihilif iee\rE-ir-sbi e- Frvr Errrarrr.G'\rE, ,nla:-, .ri rai, Orago,,-'s l.Viihholding Tax La\,v: -mpioyers mijst \,!,iihholi income iaxes ficm emplo;re= wag6s at the tjme employe€s are paid. You will be liable ior the tax payments even if you don't actuaily wjthhold the tax from your employees. For more jnformatjon, call the Department of Revenue ai 503-378-4988. Unemployment lnsurance Tax: Employers are required to pay a tax for unemployment insurance purposes on the wages of all empioyees. For more informatjon, call the Oregon Employment Depa,imeni at 503-947-1488. Oregon's Business Identification Number (BlN): is a combined numbei'for both Oregon Withholding and Unemployment lnsurance Tax. To file for a BlN, call 503-945-8091 or go to htlo://www qlegqn.oov/DOR/BUS/docs/211-055. odf fcr the appropriate forms. Workers Compensation lnsurance: Employers are subject to the Oregon Workers Compensation Law, and must obtain Workers Compensation Insurance for their employees. if you fail to obtatn Workers Compensation Jnsurance, you could be subject to penalties and be liable for all ciaim costs if one of your workers is tn1ured on the.job. For more information, call the Workers Compensatjon Dlvision. at the Department of Consumer and Business Services at 5A3-947-7815. Tax Withholding: Employers must withhold Sociai Security Tax and Federal lncome Tax from employee wages. You may be Iiable for the tax payment, even if you didn't actually withhold the tax. For a Federal EIN number, cali the IRS ai 1-800-823+933 or visit their website at www.irs.oov. CONSTRUCTION CONTRACTORS BOARD 700 Summer St NE, Suire 300 PO Box 14140, Salem, OR 973095052 Telephone: 501378-4621 - Fax: 503-3732007 Website Address: www orecon-qov/ccb Other Responsibilities of Homeo\ /ners: code compliance: As the permit holder for a constructjon project, the homeowner is responsible for notirying building ofilcials a1 the appropriate times, so that the required inspections can be performed. Homeowners are also responsible for resolving any faiiure to meet code requiiements that may be found through inspections. Property Damage and Liability lnsurance: Homeowners acting as their own contractors should contact their insurance agent to ensure adequate insurance coverage for accidents and omjssions, such as falling lools, paint overcpray, water damage from pipe puncfures, fire, or work that must be redone. Liabiiity lnsurance must be sufficient to cover injuries to persons on the job site who are not otherwise covered as employees by Workers Compensation Insurance. Expertise: Homeowners should make sure they have the skills to act as their own general contractor, and the expertise required to coordinate the work of both rough-in and fnish trades. i/DroDerW owner adopted 9-23-08 This Copy for Per'nit ApPlicaot I I I /