HomeMy WebLinkAboutPermit Electrical 2018-11-13SPRINGFIEID
/3
City of Springfield
Development and Publrc Works
225 Fifth Street
Springneld, OR 97477
547-726-3753OR'GON
web Address: www.sprinqreld-or.9ov
Building Permit
Residential Electrical
Permit N um ber: 81 1-18-002656-ELEC
IVR Number 81 109881 3534
Email addressr permitcenter@spri^9rield-or.9ov
Permit lssued: November 13,2018
TYPE OF WORK
Category of Construction: Single Family Dwelling
Submitted Job Value: $0.00
Desc.iption of Work: Rewire after house fire
Type ot Work: Repalr
JOB SITE INFORMATION
Parcsl
1703364205600
Owner:
Address
SCOTT RONDA S
1950 2ND ST APT 8104
SPRINGFIELD, OR 97477
LICENSED PROFESSIONAL INFORMATION
Business name
THORNTON ELECTRIC INC - Pnmary
License
CCB
License number
116329
Phone
541-686-1628
PENOING INSPECTIONS
lnspection
4999 Final Electrical
4999 Final Electrical
4500 Rough Electrical
4250 Branch circuits
lnspection status
Pending
Pendang
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 1-888-299-2A21 use IVR number: 81 1098813534
Schedule using the Oregon ePermattang lnspection App, search "epermitting'in the app store
Permits must be posted in clear view on the worksite. Permits expire il work is not started wathin 180 Days of issuance or if work is
suspended tor 180 Days or longer depending on the issuing agency's policy.
All provisions or laws and ordinances governing this type of work will be complied with whether specified h6rein or not. Granting of
a permil doss not presume to give authority to violate or cancel the provisions of any othor slate or local law regulating consttuction
or the performance of con3lruction.
ATTENTION - CALL BEFORE YOt DIG: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those rul6s are set fonh in OAR 952{01-0010 through OAR 952-O0l-0090. You may obtain copies of the rules by calling the Center at
(877) 668-4001 or dial 811.
All persons or entities perrorming work und€r this permit are requared to be licen3ed unless exempted by ORS 701.010
(Structural/Mochanical), ORS 479.540 (Electrical), and ORS 693.010.020 (Plumbing).
Printed onr 11/13/1a Page 1ol2 sid-Bt ldingPermn-Pr
Worksite address
160 S 22ND ST
Springfield. OR 97477
lnsp€ction group
Elec Res
Elec Res
Elec Res
Elec Res
Pe.m it Num be.: 81 1 -',8-002656-E LEC Page 2 ol2
Fee Description
Branch circuits without service or feeder
Technology Fee
State of Oregon Surcharge - Elec (l2o/o of applicable fees)
Pinied on 11/13/18 Page 2 ol 2
Quantity
4
Total Fees:
Fee Amount
$108.26
$5.41
$12.99
$126.66
nd_BuildrngPermii pr
PERMIT FEES
kff Transaction Receipt
811-18-002656-ELEC
Recelpt Number:468577
Roceipt Oate: I I/13/18
Cly of Springfe d
www springfield or gov
Deve opment and P!blrc works
225 Fifth Stre!
spflngfield, oR 97477
54t 726 3753
permrtcenter@spnnq,leld-or 90v
Wo.ks e address 160 S 22ND ST. Springfield OR 97477
Pa.cel: 1703364205600
11/13t/18 ,{.00 Qty
1.00 Ea
Foes Paid
Branch circ!,ts wilhoui service orreeder 224-0000G.4261 02- 1 033 sroS 26
11t13t14
I l/13/18
State of Oregon Surcharge - Elec 112% ol 821 00000 215004 oo00
100-00000 42560t0000
t106 20
$12 99
$5 411 00 Automallc Technology Fee 55 41
Credit erd authorizalion
213154
Payer rock n lhornion $126 66
Cashrer KainnaAnderson
Pr^r6d 11/13X310 46 3m
s126 65
FrN IransaclonRece pr pr
Electrical Permit Application DEPARTMENT USE ONLY
Permit nc (.
5181.00 S
s 35.00 s
s 43-00 s
(.
ll5 Fifth streer. spring,ield. oR 97.1:r. PH(sl l )?26-3153. F{\(511)116-36t9
This permit is issued under OAR 918-309-0000. Permits are trotrtratrsferable. Permits expire if work is Dot started withfu 180
days of issuance or if work is suspended for 180 days.
Zoning approval verified? ! Yes ! Xo
FEE SCHEDULE
Number ofinspectioDs per item ( )Q1]Cost
ez-
Total
cost
Residestial. per utrit. sen ice includedCATEGORY OF CONSTRUCTION
Residenlial
i Job site address: ..rb C, I
n GoYemment I Commerciai I.000 sq. ft. or less (41
tr""ofz IzLPrr?t l
Ta)ilor.
I Each additonal 500 sq. ft. or ponion
i thereof
Limired energ) (:l
Name
Address
ciq
Phone
Each manufactured home or modular
dwelllng sen,ice or feeder (2)s s6.00
DESCRIPTION OF WORK
PROPERTY OWNER
State
s
Services or feeders: instollanor. aiteratDn reiocatbn
200 amps or less (ll
201 to 400 amps (:l
s 109.00 s
lsrzz.oo is I
401 ro 600 amps (: )5i21s.00 s
E-mail
Ttus hstallation is being made on residential or farm propenl
orned b1 me or a member of my immediate famiil. This
propenl is not intended for sa1e. exchanse. iease. or rent. OAR
479.540(i ) and 4?9.560(l)
Signature:
CONTRACTOR INSTALLATION
I Address (j O
601 to 1.000
200 amps o. less (l s 86.00 S
201 ro 400 amps (:)s 118.00 5
401 ro 500 amps (11
Over 600 amps or 1.000 volts. see services or feeders section above
i Brabcb circuits: nev. aheration. extension per panel
a. Fee for branch circuils with purchase ofa service or fee<ier fee
Each branch circuil s 7.42
I b. Fee for branch circuits without purchase of a seflice or feeder fee
First branch circuil (2)s 86.00 :
Zt'
amps (:)s277.00 s
Over 1,000 arnps or volE (:)
Temporar.v services ol feedersi mstaliation. aheranon, relocaton
' Fa-x
Srate
i Fa*
BCD Iicense no
ZrP: / 7/o e+
E-maii
CCB iicense no
Signing supen isor's iicense no.r ---
J $22Each additionai branch circuii
MiscellaDeous fees: rm^rce or feeder nor included
36tz S Each pump or irrigation circle (2 |s 86.00 s
Each sipn or outline liglting (l)r$,a"ooTs
Print name ofsigning supervisor I crr4o,-
Sigrar crcurl or a llmrled-enerpl panel.
aherarior, or extensron (: r
0099
Each additiotrel iDspection: (1 r s99.00 5
(A) Enler subrolal ofabove fees
(Mitrimum Permit Fee $99.00)
s(B) Enter ll% surcharge (.12 x [A]l
(C) Technolog. Fee (5% of[A])
L
LOCAL GOVERNMENT APPROVAL
JOB SITE INFORMATION AND LOCATION
Reconnecl only (:)s 86.00 5
$172.00 S
\J
Lasr edited 7./1,/2018 &lones
TOTAL fees and surcharges iA throu€h D)S
Date: lllt3lre
cmY oF SPRTNGFIELD, OREGON
cirl j/2f4 j
Reference
s535.00 s
I Business na-e, fZ"bR
!t:r.
Phone:
Signatue of signins supenisor: zO ^.ru\-""y'*,/ ,/DEPARTMENT USE