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Home My WebLink AboutPermit Electrical 2018-08-28ORIGON Building Permit Residential Electrical Permit Number: 811-18-002060-ELEC-o1 IVR Number a1 1 0427277 33 City of Springfield Development and Public works 225 Fifth Street Springfleld, OR 97477 54t-7 26- 31 53 Email Address: pemitcenter@springf ield-or.gov SPNiNGFIELO b Permit lssued: August 28, 2018 Category of Construction: None Specilled Submitted Job Value: $0.00 Description of Work: E-Converted master closet to a master bath Type of Work: None Specified Worksite address 822 S 71ST ST Springfleld, OR 97478 Parcel 1802022402900 Owner: Address: MARTINSONDAVIDL&E J 822 S 71ST ST SPRINGFIELD. OR 97478 Business name SEE PROPERTY OWNER INFORMATION - Primary License Owner (Property) License number OWNER Phone lnspection 4999 Final Electrical 4500 Rough Electrical lnspection group Elec Res Elec Res lnspection status Pending Pending 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 anspections for this project. Schedule or track inspections at www.buildingpermits. Schedule by phone call 1-888-299-2821 use IVR nu 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 issuancG or if work is suspended for 180 Days or longer depending on the issuing agency's policy. All provisions of larys and ordinances governing this type of work will be complied with whether specified herein or not. Granting of a permit does not presume to give authority to violate or cancel lhe provisions of any other state or local law reguleting construction or the performance of construction. ATTENTION - CALL BEFORE YOU DIG: Oregon law requires you to follow rules adopted by the Oregon Utility Notilication Centor. Those rules are set forth in OAR 952{01-0010 through OAR 952{0'14090. You may obtain copi6 of the rules by calling the Cenler al (877) 568-{001 or dial 81'1. All persons or enlities perfo.ming wo* under this permit are required to be lic€nsed unles €xempted by ORS 701.0'!0 (Structural/irechanical), ORS 479.540 (Electrical), and ORS 593.010{20 (Plumbing). Pnnted on: 9/28/18 Page 1 or 2 std-EurldingPermit-pr 110427277 Web Address: www.springfi eld-or.gov TYPE OF WORX JOB SITE INFORMATION UCENSED PROFESSIONAL INFOR]TIATION PENDING INSPECTIONS SCHEDULING INSPECTIONS Pe.mit Number: 81 'l -18-002060-ELEC-o1 Page 2 of 2 Fee Description Additional branch circuits without service or feeder Balance of minimum permit fees - electrical Branch circuits without service or feeder Technology Fee State of Oregon Surcharge - Elec (12olo of applicable fees) Quantity 1 Total Fees: Fee Amount $7.42 $s.s8 $86.00 $4.9s $11.88 $115.83 1 Page 2 al2 sld_BuildingPerm(_pr PERMIT FEES Pdnted onr9/28118 5pRlr.l0allLD "t&0lt€G0rl www.springf ield-or. gov Worksite address: 822 S 7'lST ST, Springfield, OR 97478 Parcel: 1802022402900 Development and Public Works 225 Fifth Street Springfield, OR 97477 541-7 26-37 53 permitcenter@springfield-or.gov Transaction Receipt 81 1 -1 8-002060-ELEC-01 Receipt Number: 468175 Receipt Date: 9/28/18 City of Springfield Fees Paid Transaction date 9t28t18 Units 1.00 Qty 1.00 Ea 1.00 Automalic Technology Fee Additional branch circuils withoul service or feeder 224-00000426102-1033 1 00-00000-425605-0000 Descrlptlon Eranch circuils wilhout service or feeder Balance of minimum permit fees - electrical State of Oregon Surcharge - Elec (12olo of applicable fees) Account codo 224-00000426102-1033 FEe amount $86.00 Paid amount $86.00 9t2At18 9t28118 1.00 Automatic 1.00 Ea 224-00000426102-1033 82't -00000-21 5004-0000 $s.58 $11.88 9t28t18 9128t18 $7.42 $4.95 $7.42 $5.58 $1 1.88 $4.95 Payer. David Martlnson Payment Amount $1 15.83 Cash er: Toste Muniz Receipt Total:$115.83 P fled 9/28118 9145 am Page 1 of 1 FIN_TransactionReceipl_pr Payment Method: Credit card authorization: 02814R CITY OF SPRINGFIELD, OREGON Electrical Permit A lication 225 Fifth Stre€r Springfield, OR 97477. PH(541)726-3753 i rAX(541)726-36E9 This permit is issued uoder OAR 91E-309-0000. Permits are nontransferable, Permits expire if work is trot started withi.tr 180 days of issuance or ilwork is suspended for 180 days. FEE SCHEDULE Number ofiDspectioas per item ( )Qt-Y Cosl ea. Total cost Residetrtial, per unit, service iDcluded 1.000 sq. ft. or less (4)s181.O0 S Each additional 500 sq. ft. or ponion thereof s 35.00 S Limiled ener$,(2)s 43.00 S Each manufactured home or modular dwelling service or feeder (2) Services or feedeas: installation. oherat ion. relocat ion 200 amps or less (2)s ros.oo I S 201 to 400 amps (2)s127.00 S s215.00 S 601 to i,000 amps (2)s277.OO S Over 1.000 arnps or volts (2) Reconnect onl) (2)s 86.00 s Temporslr services or Ieedersi installatton, aheration relocation 200 amps or less (2)$ 86.00 S 201 to 400 amps (2)3 118.00 I SI 401 !o 600 amps (2)s172.00 s Over 600 amps or 1,000 volts. see seFices or feeders section above Brrncb circuits: rlelr: aheration. extension per ponel Each bra,rch circuil 5 1.42 5 b. Fee for branch circuirs withou! purchase ofa service or feeder fee Firsr bEnch circuit (2)(5 86.00 S t S 7.42 5 cin.: <'tt2 Relerence rB. ciq Phone CCB license no Sigming supen,isor's license no Print name ofsigning supervisor: Signatwe of sigring supervisor State Fai BCD Iicense no ZIP I tach adclrtlonal branch clrcult I MiscellaDeous fees: service or feeder not includel s 86.00 Signal circuil or a limited-energ) panel. aheration. or exension (:)s 99.00 s (A ) Enrer subroral of above fees (Mioimum Permit Fee 599.00) (C) Techrolory Fee (5oZ oflAl) DEPARTMENT USE ONLY Permit no IE t9Dale LOCAL GOVERNMENT APPROVAL Zoning approvd verified? E Yes I Xo CATEGORY OF CONSTRUCTION desidentiat U Government E Commercial JOB SITE INFORMATION AND LOCAT}ON Jobsitead&ess: .6)) -' )i6f2S zrdiJLl?$ Tax)o.:Ofi DESCRIPTION OF WORX L 11fl+ PROPERTY OWNERv sl* ) ili'tName Address 5. -l ( Cttyt ' 9?R/46 tat ELt')state:(-,,1 zrY:Q 7 q13 FaxPhone Q(/ 732_ l5 1 ) ^la, This installation is being made on residential or farm properry owned by me or a member of my immediate famili'. This properq is not intended for sale. exchange, lease. or rent. OAR a79.5a0( I ) and 479.560( l). Siglature: CONTRACTOR INSTALLATION Address E-mail Each pump or irrigation circle (2) 5Each sig, or outline lighting (2)s 99.00 s99.00Each additional inspection: ( 1 ) DEPARTMENT USE (B) EnEr 12% surcharge (.12 x [A])S j! s I Last edired 7/L2018 BJotres TOTAL fees and surcharges (A through D) S ,x s 86.00 $ 401 to 600 amps (l) Business name: A f, rvl-r,a lssrs.oo ls l a. Fee for b.anch circuils with purchase ofa seruice or feeder feei E-maii: /