HomeMy WebLinkAboutPermit Electrical 2018-07-06 (2)OREGO i{
Web Address: www.springfield or.qov
Building Permit
Residential Electrical
Permit Number: 81 1 -1 8-001 328-ELEC
IVR Number: 81 1044263693
City of Springfield
Development and Public works
225 Fifth Street
Springfield, OR 97477
541-7 26-37 53
Email Address: permitcenter@springfield or.gov
SPRINGFIELO
*i
Permit lssued: July 06, 2018
Category of Construction: Single Family Dwelling
Submitted Job Value: $0.00
Description ol Work: Master bedroom remodel
Type of Work: Alteration
Worksite address
707 58TH ST
Springfield, OR 97478
RAMOS GUZMAN
IIIANUEL ISMAEL &
GERMAN PASTRANA
MARIA E
707 58TH ST
SPRINGFIELD, OR 97478
Owner
Address:
Business name
HARDING ELECTRIC INC - Primary
License
CCB
License number
132089
Phone
54'1-688-5006
lnspection
4999 Final Electrical
4250 Branch circuits
lnspection group
Elec Res
Elec Res
lnspection status
Pending
Pendang
Various inspections are minimally required on each project and often dep€ndent 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.buildangpermits.oregon.gov
Schedule by phone call 1-888-299-2821 use IVR number: 8'11044263693
Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store
Perm its m ust be posted in clear view on the worksite. Permits expire it work is not sta.ted within 180 Days of issuance or il work is
suspended Ior 180 Days or longer depending on the issuing agency's policy.
All provisions of laws and ordinances governing this type of workwill be complied with whether s pecilied herein or nol. Granling oI
a permit does not presume to give authority to violate or cancel the provisions of any other gtate or local law regulating con3truction
or the pedorrnance of construction.
ATTENTTON - CALL BEFORE YOU DIG: Oregon law requires you to follow rules adopted by the Oregon Utility Notilication Center.
Those rutes are set forth in OAR 952-001-0010 through OAR 952-001{090. You may obtain copies of the rules by calling the Center at
(877) 668-(001 or di.l 81'1.
All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.0'10
(StructuraUMechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing).
Pinted o. 11/1/18 Page 1 of 2 std-BuildingPennil-pr
:TYPE OF WORK
JOB SITE INFORMATION
Parcel
1702342300300
LICENSED PROFESSIONAL INFORMATION
SCHEDULING !NSPECNONS
Permit Number: 81 1 -1 8-001328-ELEC Page 2 at 2
Fee Description
Branch circuits without service or feeder
Services 200 amps or less
Technology Fee
Continuing Education fee
State of Oregon Surcharge - Elec ( 12% of applicable fees)
Quantity
Total Fees:
Fee Amount
$9s.00
$109.00
$12.43
$2. s0
$29,82
$24A.75
3
1
1
Page 2 ol 2 sid_Burld ngPermit_pr
PERMTT
SPRINOFIETD
OREGON
www.springfi eld,or. gov
Worksite address: 707 58TH ST, Springfield, OR 97478
Parcel: 1702342300300
Transaction Receipt
811-18-001328-ELEC
Receipt Number: 468496
Receipt Oate: 11/1/18
Development and Public Works
225 Fifth Street
Sprlngfield, OR 97477
541-726-37 53
permitcenter@sprangf ield-or. gov
City of Springfield
Fees Paid
Transaction dat6
11t1t18
Units
't 00 Ea
D€scription
Services 200 amps or less
State of Oregon Surcharge - Elec (12% of
applicable fees)
Account code
224 -OOO00 - 426 1 02 - 1 033
11t1t't8
11t1t18
Fee amount
$109.00
$29.82
$12.43
Paid amount
$92.85
$29.82
$12 43
1.00 Ea
'1.00 Automatic Technology Fee
821,00000-215004 0000
1 00-00000-425605-0000
Payment Method Credit card authorization
004913
Payer nector gomez ignacio Payment Amount $135.10
Cashier KatrinaAnderson Receipt Tota I $135.10
Pdntedr 11/1/18 10:50 am Page 1 ol 1 FIN_TransactionRecerpU)r
#
Electrical Permit Application DEPARTMENT USE ONLY
.:,1.I Perrnir no tb 32b)t
225 Fifrh Srreer. SpriDg{ietd. OR 9 147ir PH(511 )jt6-3 ?53. F-{(s4t )726-3689 a
This permit is issued under O,A.R 91&309-0000. Permits are oontransferable. Permits expire i, s orh is Dot starred s ithitr 180
da1's ofissuance or if work is suspended for 180 dal,s.
LOCAL GOVERNMENT APPROVAL FEE SCHEDULE
ZoniDg approval verified? ! \-es n lo \umher ofinspections per itern ( ) Qt]Cost Total
cost
CITY OF SPRINGFIELD, OREG'ON
nResidenrial | [Govemmenr
Cin :
CATEGORY OF CONSTRUCTION Residendal. per utrit. sen ice iDcludedn Commercial
JOB SITE INFORMATION AND LOCATION
-lob site address <7-
1.00C sq. ft or less (41 008
I tach addrfional :uu sq. ]1 or poflron
thereoi .00\
L
Lrmited ener$ (ll
Firsr branch circuit (2)
MiscellaDeous [ees: sen\ce or ieeder not included
Siglal circuil or a limired-eners! panel.
altelation. or e\lension (:)
s +a.oo I s
s
Sigaature of signrng supen,isor
to ON (A) Enter submral ofabove fees
(Minimum Permit Fee S99.00)
: @) Emer 129; surcharge (.1: x [A])
n
u-x
w S
s
'=znh,th.,z/Srare ZiP
Ta)ilot._ --/r /Retere6ae: /
OESCRIPTION OF WORK
.\
PROPERTY OWNER
Address
ciR,ZD
Phone Fo'
E-mail
This installatio! is being made on residential or farm properS,
ou,ned bl me or a member of ml immediate famil\,. This
propefil is not intended for sale. exchange. lease, or rent. OAR
479.540( I ) and 479.560(1).
Signatue:
CONTRACTOR. INSTALLATION nL
IU,
Fal:
license no
's Ii
(
0 ti
e b(,l.
U /l
I
fr L
srut.,Sf
Busiless name;
ZIP
U
CCB iicense no
Sig ng
Address
E-mail
Phone
Cin,
Print name ofsigaing supen,i
Each manufactured home or modular
dwelling sen,ice or feeder (:l
Services or feedersi instaliarion. aberation. relocation
200 amps or less (2)l s 10s.00 $ tcfi
201 ro 400 amps (2)
401 ro 600 arirps (2)s215.00 S
601 to 1.000 anps (2)s277.00 s
s635.00Over 1.000 amps or volts (2)S
Reconnect onl] (2)s 86.00
Temporarl seryices or feedersi installation. aheration, relocation
200 amps or less (l)s 86.00 $
201 ro 400 amps (2)$ 118.00 S
401 to 600 amps (l)$172.00 s
Over 600 amps or 1,000 volts- see seryices or feeders seclion above
BraDch circuits: ne't. alrcration. e ension per panel
a- Fee for branch circuits with purchase ofa service or feeder fee
Each bmnch crcuir (o s 7.12 s
b. Fee for branch circuits withour purchase ofa sen,ice or fee{ier fee
s 86.00 s
Each additional branch circuil
s 86.00Each pump or imgation circle (:J
s
$
Each sign or outline lighung (ll I s ss.oo s
DEPARTMENT USE
TOTAL fees and surcharges (A t}roug} Dl 5
Last edited ?,/12018 BJoDes
(C) Technolog Fee (s% of [A])
r
Date :
s 86.00 5
s127.00 s
s 99.00 S
ii".t raai.ioo"t iorp""rioo', t, I sss.oo s ]
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