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Home My WebLink AboutPermit Electrical 2018-11-29SPRINGFIELD 0f,€s0N web Address: www.springfi eld-or.9ov Building Permit Residential Electrical Permit Number: 81 1-18-002775-ELEC IVR Number: 81 1048752327 City of Springfield Development and Public Works 225 Fifth Street Springfleld, OR 97477 547-7 26-37 53 Email Addr€ss: p€.mrtcente.@springfield-or.9ov Permit lssued: November 29, 2018 Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Replace existing panel Type of Work: Replacement Worksite address 4377 E 20rH AVE Eugene, OR 97403 BIERSDORFF KEVIN RAN D 60 W 22ND AVE EUGENE. OR 97405 Parcel 1803031103001 Owner: Address: Business name OVVNER - Primary License License number 000000 Phone lnspection 4999 Final Electrical 4225 Service or Feeder 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 inspections for this project. Schedule or track inspections at www.buildingpermits.oregon.gov Schedule by phone call 1-888-299-2821 use IVR number: 811O4A752327 Schedule using the Oregon ePermitting lnspection App, search 'epermitting" in the app store Fe€ Description Services 200 amps or less Technology Fee State of Oregon Surcharge - Elec (l2o/o of applicable fees) Total Fees: Permits must be posted in clear view on the worksile. Permits erpire iI wo.k is not started within 180 Oays of issuance or if work i3 suspended for '180 Days or longer depending on the issuing agency'3 policy. Quantity 1 Fee Amount $109.00 $5.45 $13.08 $727 .53 All provisions of laws and ordinances governing this type of wortwill be complied with whether specified hercin or not. Granting of a permil does not presume to give authority to violate or cancel the prcvisions of any other state or local law regulating con3truction or the perfomance o{ construction. ATTENTION - CALL BEFORE YOU DIG: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are sel forth in OAR 952{01{010 through OAR 952-001-0090. You may obtain copies of the r!les by calling the Center at (877) 658.4001 or dial81'1. All persons or entities perrorming work under this permit are required to be licensed unless ex6mpted by ORS 70,'.010 (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing). Printed onr 11/29118 Page 1 of 1 std-BuildingPermit_pr TYPE OF WORK JOB SITE INFORiIATION LICENSED PROFESSION,AL INFORMATION PENDING INSPECTIONS SPRINGFIELO ,b OREGOII www.springfield-or.gov Worksite addressi 4377 E 20TH AVE, Eugene, oR 97403 Parcel: 1803031103001 Transaction Receipt 81 1-18-002775-ELEC Receipt Number: 468714 Receipt Date: 11l29l18 Development and Public Works 225 Flfth Street Sprlngfleld, OR 97477 541-7 ?6-37 53 permltcenter@sprln9f ield-or. gov City of Springfield Fees Paid TranEaclion date 11t29t18 Units 1.00 Ea Description Services 200 amps or less Slate of Oregon Surcharge - Elec (12% of applicable fees) Account code 224 -OOOOO - 4261 02 -'t 033 Fee amount $109.00 Paid amount $109.00 11t29t1A 1.00 Ea 1.00 Automatic Technology Fee 821 00000 215004-0000 1 00-00000-425605-0000 $13.08 $5.45 $ 13.08 $5.45 Payer: kevin biersdorff Payment Amount.$127.53 Cashier: Katrina Anderson $127.53 Printed: 11/2sl18 4:30 pm FIN_TransactionReceipl_pr 11t29t18 Payment Method: Credit card authorizationi 263822 Receipt Total: Electrical Permit Application DEPARTMENT USE ONLY r'e:::1,. r.. 225 Fifth St'eer. Springfietd. OR 97477. PH(541 )726-3753. rAX(541)726-3689 Zoning approval verified? ! \es E fo JOB SITE INFORMATION AND LOCATION , Job site address Date [\4.1 lB This permir is issued under OAR 918-309-0000. Permits are trontransferable. Permits expire if work is not started rrithitr 180 davs of issuance or if n ork is suspetrded for 180 da!'s. FEE SCHEDULE Total costCATEGORY OF CONSTRUCTION Residential. per unit. sen'ice incloded: Residential r E Govemment E Commercial 1.000 sq. ft. or less (4)00 s 35.00 81! 4271 e, "?-0Tv1,Each additional 500 sq. ft. or ponion rhereof ztPt41 cb Limited energ] (2 r 0043 i R.f"r"n".Taxlot. BCD iicense no Each manuiactured home or modular dwelling service or feeder (2)s 86.00 ! L wt-l-<Y. €r. attel- ut z0o 4 Services or feeden: insrallation. aheration. rclocation 200 amps oi less (:l 601 ro 1,000 amps (:) Over 1-000 amps or vol$ (l) s 109.00 s o s127.00 S s215.00 s s277.00 S ' $635.00 1lo PROPERTY OWNER \ame L ev iirr €rsdotl L'21-LA ?r".' starc, U7L ZIP 201 to 400 amps f2) 401 to 600 amps (2) "l 0q s Phone:Q(/7 t- E-maii e.fe.l w , Uv4 | This insaliation is being made on residential or farm propertl ouned bl me or a member of m r rmmediate familr . This propeq is not intended for sale. exchange. lease. or rent. OAR 479.540(1) and 47 Reconneq onl) (ll 5 86.00 S Temporar.r services or feeders: installation, aheration relocation 200 amps or iess (l)s 86.00 S s 118.00 S 401 to 600 amps (2)$172.00 s Over 600 amps or 1.000 volls- see services or feeders section above BraDch circuits: neu: olrcradon extension per panel Fee for branch circuhs v',ith purchase ofa service or feeder fee Citr ffiWbA,tSig:narure i Business name Address CONTRACTOR INSTALLAT N z. Each bmnah clrcuir s.42! ZIP Fu r". r- ur*"t ";t"ulrs witiroui purctrase ofa service or fee<ier fee s 86.00 sFirsr branch circuit (li Eacb addilional branch crrauil I lsz.lzls Miscellaneous fees: semice or feeder not includetiCCB iicense no Sienins suoen'isor's license no P nt name ofsignlng supervisor Each pumF or irrigation circle (: I s 85.00 5 s 99.00Ea.h sign or oullire iighting (:) Silnai circuir or a iimiEd-energ) panel akeration or ex:lension (:)s 99.00 s Eacb additional inspectiotrr (l I s DEPARTMENT USE I' s 5 $ ,.--l : (A) Enter subrolai ofabove fees (Minimum Permit Fec S99.00) i (B)Enter llol" surcharge (.12 x [A]) (Cl Technolo$ Fee (59" oflAl) CITY OF SPRINGFIELD, OREGTON LOCAL GOVERNMENT APPROVAL Number ofinsp€ctions per item ( )loo Cost ea Cn\'t {/Ct A?We,Srate: Q YL DESCRIPTION OF WORK 201 to -100 amps (:) 5tate Lasr edited 7,/1/2018 BJones TOTAL fees and surcharges (-A throuCl D) t' .{ddress: Citr': Fa:i I Dh^n. I I Far E-maii: Signarure of signing supenisor: s Hroe€fty O,*rn er _etatem snr H eg a i"d ! n g eonstr-ir cijo n R *.spons ib j litiescr=con L:'^v i:cl'ir'=s r3sic-nTi= i. a3l is r ,rc.ia n ge,.irii ?sriicaiis +..ha :i= nci jicenseS l,,,iiir:i€Const;-..:crion Contr:ctci: Soarc io sicn the i_.i)oi.r,ing J;.;;r, ie;or" a :L.,iicr;,c per_,ir cei.r beiss-.eC (0RS iA1'j.2: i2:) i';is sia:eiii€ni is: l-rc 3nsai = i-cn;i:c:a.,-^ -:' :a:su5n];: inis siai:rt:.i.'i,,ris si:i-r:efii,riil be iiec wi = reese ale:k i5e:!r.:c.:al:]a: I cwn, i:side in, ct will iest,le in Lne coi-i..tplaial slr-Lrciur: :nd ; \,. csre i:l conrrsc.iot is Name Expiraijon Date I will inform my general contractor tiat all subcontractors who work on the shucture must be Iicensed wiih trle Construction Coniractors Board. 0r lwiil be performing work on property I own, a residence that I reside jn, or a residence that lwill reside in. lf I hire subcontractors, I will hire only subcontractors licensed with the Constructjon Contractors Board. lf I change my mind and hire a general contractor, I will select a contlactor who is licensed with the CCB and will immediately give the name of the contractor to the ofFlce issuing this Building Pemit- I have read and understand the lnformation Notjce to Homeowners Aboul Consiuction Responsibilities, and I hereby cediry that the information on this homeowirer statement is true and accurcte. \z+u, a T3 t qz< rz o rz-t+---. nt Name of Permit Applicant L.{,(( Permit #: Address: l8 - OJ}1V75- L|LL . 2oe- g- 1'\.1P7 lssued by: qb-rT Irl ralte This Copy ior Permit Oifices | ill'ttur{fuv.Itr I I (__