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Home My WebLink AboutPermit Electrical 2018-10-24ORiGON Web Address: w!!w.springfleld-or.gov Building Permit Residential Electrical Permit Number: 81 1 -18-002523-ELEC IVR Number: 81 1079619877 City of Springfield Development and Public works 225 Fifth Street Springfield, OR 97477 541-7 26-37 53 Email Address: permitcenter@springfield-or.gov SPRINGFIELD b Permit lssued: Octobet 24,2018 Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Wort: Re-wire house Type of Work: New Worksite address 6345 MAIN ST Springfield, OR 97478 Parcel 1702344300902 Owner: Address: COVERT DENNIS 979 N 66TH ST SPRINGFIELD, OR 97478 Business name MODERN DAY ELECTRIC INC . Primary License License number 222052 Phone 541 -520-2't32 lnspection 4999 Final Electrical 4999 Final Eleclrical 4500 Rough Electrical 4225 Service or Feeder 4250 Branch circuits lnspection group Elec Res Elec Res Elec Res Elec Res Elec Res lnspection status Pending Pending Pending Pending Pending Various anspections 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 IAAA-299-2821 use IVR number: 811079619877 Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store Permits must bo posted in clear view on the worksite. Permits expire it work is not started within 180 Days of issuanc6 or if work is suspended for 180 Oays or longer depending on the issuing agency's policy. AllprovBion3 of laws and ordinances goveming this type of work will be complied with whether specified herein or not. G6nting of a permit does not presume to give authority to violate or cancal the provisions oI ahy other state or local law regulating construction or the peatormance ol construction. ATTENTION - CALL BEFORE YOU OIG: Oregon law requires you to Iollow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952{014010 through OAR 952-0014090. You may obtain copi* of tho rules by calling the Center at (877) 668{001 ordiar 81'1. All peBons or entitiB Ferfoming work under this pennit are required to be licensod unless exempted by ORS 7Ol.01O {Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.0lO-O2O (ptumbing}. PdnH on: t0l2,1/18 page 1 d Z std_Bujtdingpennit_pr TYPE OF WORX JOB SITE II{FOR ATION LICENSED PROFESSIONAL INFORI{ANON PENDING INSPECTIONS Permit Number: 81 1 -1 8-002523-ELEC Page 2 at 2 Fee Description Residential wiring Technology Fee State of Oregon Surcharge - Elec (12olo of applicable fees) Quantity 900 Total Fees: Fee Amount $ 181.00 $9.0s $2L.72 $211.77 Printed on: 1o/24l18 Page2d2 std B!rldingPeftnt pr SPR'NGFIELD 0nEG0r{ www.springf ield-or. goV Worksite address: 6345 MAIN ST, Springfield, OR 97478 Parcel: 1702344300902 Transaction Receipt 811-18-002523-ELEC Receipt Number: 468417 Receipt Date: 10/24118 Development and Public Works 225 Fifth Street Springfleld, OR 97477 54r-726-3753 permitcenter@springfield-or.9ov City of Springfield Fees Paid Tranaaction date 10t24t1A Units 900.00 SqFt Description Residential wiring State of Oregon Surcharge - Elec ('12% of applicable fees) Fee amount $181.00 Paid amount $18't .00 $21.72 $9 0510t24t18 'r.00 Ea 1.00 Automatic Technology Fee 821-00000-21 s004-0000 1 00-00000-425605-0000 $21.72 $9.05 Paymenl Method: Credil card authorization 05393q Payer jeremy cooper Paymenl Amount $211.77 Cashier: Katrina Anderson Receipt Total $211.77 Prinled 10/24118 940am FIN_TlansactionReceipU)r Account code 224-00000426102-1033 10t24t18 Electrical Permit Application 2:5 fifrh Strecla Spritrgfield. OR 9?47t. PH(S,I1 )726-3?5f. fAX(541)726-3689 DEPARTMENT USE ONLY ,*,l'.rmi'. n( t_- This permit is issued under OAR 918-309-0000. Permits are nootransferable. Permits expire if r+ork is lot started withir I80 days ofissuance or if work is suspeaded for 180 da1's. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE CATEGORY OF CONSTRUCTION fi Residennal Resid€ntial. per uDit. terUice included j Zoning approval verified? [ Yes ! No I Covemment ! Commercral 1.000 sq. ft. or less (4)L $r81,oo i $/gl Job site address: fta{( Me,ru ar:Each addironal 500 sq. fl. or po(ion s 35.00 S CITY OF SPRINGFIELD, OREGON i ci,i INGF(E Srare ZW Ta)iiot. B Limired ene.g tlr s 4:J.00 $ Reference Each manufactxred home or moduiar s 86.00 Sdwelling sen ice or feeder (1)DESCRIPTION OF WORK Services or feed€rs: lnstallaion. aheraaion. relocatroh PROPERTY OWNER 200 amps oi Iess (l)$ 109.00 201 !o 400 amps (2)s127.00 s Name: ( Address: L .4/-t- Fax 401 !o 600 amps (2) 601 ro l-000 amps (:) r $215.00 $ 00s277 I O-ver l-000 ainps or vol$ (:)00s635 ] Reconnect onh (l)s 85.00 E-maii This instailation is being made on residential or farm propenl ouned bl me or a member of m1 immediate famill. This properb is not intended for sale. exchanee. lease. or rent. OAR 479.540(l ) and 479.560(1). CONTRACTOR INSTALLATION Business name: MoOegn, DAq ELesrg{L Temporary services or r*dersi ikstaliation. aLeration relocation s 86.00 5I 200 amps or less (l) s 1'18.00 ! 401 to 600 amps (:l s 172.00 BreDch circuits: ner+. aircration. extenston per panel ] a. Fee for branch circuits with puchase ofa service or feeder fee gnalLreS S Over 600 amps or 1.000 volls. see services or feeders section above Phones( E-mail CCB license no Address Sr \(. €, B+;-- ul\re Srate: Qf,{o Each branch circuil s 7.12 5 b. Fee for branch circuits withour puchase of a service or feeder fee F[si branch circuii (: r 5 86.00 S s 7.12 sA-ar}l Each additional branch circuil BC Iicense nq!3Rs Miscellaneous fees: service or feeder not included Far [- os I Sigaing supen'isor's iicense no.: $ Prinl name of srgning supervisor Each pump or irrigation circle (: r s 86.00 s Each siEo or outiine lightine (:)$ 99.00 S gnalure oi stgnlne suDea\1so Sienal circuir or a iimired-energl parel alteration. or extellsion (:) Each additional inspection: il r DEPARTMENT USE s 99.00 s s r--^-- \Ja',\-D( (A) Enter submEl ofabove fees (Minimun PerEil Fee 599.00)B C (B) Enrer 129i, surcharge (.12 x [A])S (C) Technolos'Fee (5% of[A]) s2\1.?7 , Llst edited ?/1,/2018 Blones TOTAL fees and surcharges (A through D) i I rumber or insnccdotrs p€r irem ( ) lor l *, | ,it$ JOB SITE INFORMATION AND LOCATION Rc-,^rnn-e, sF exrgn {ve SF'b. 101 Io 400 amps (:) crq :I State: Phone Cit):F-U\-@eNe s99.00 s \