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Home My WebLink AboutPermit Electrical 2018-11-30SPRINGFIELD ORaG0rl web Address: www.sprinqfield'or. gov Building Permit Residential Electrical Permit Number: 81 1 -18-002783-ELEC IVR Number: 811056062308 City of Springfield Development and Public wo.ks 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Address: permitcenter@springfield-or.qov Permit lssued: November 30, 2018 Category ofConstruction: Single Family Dwelling Type ofWork: Replac€ment Submitted Job Value: $0.00 Description of Work: Reconnect electrical to replac€ Furnace & Air Conditioner Worksite address 610 67TH PL Springfield, OR 97478 WESTCHESTER INVESTMNET GROUP LLC 3367 i.4URRY DR EUGENE, OR 97405 Parcel 1702341 401700 Owner: Address: Business name OVVNER - Primary License ccB License number 000000 Phone lnspection 4999 Final Electrical 4200 Reconnect Service lnspection group Elec Res EIec 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 inspectaons for this project. Schedule or track inspections at www.buildingpermits.oregon.gov Schedule by phone call 1-888-299-2821 use IVR number: 811056062308 Schedule using the Oregon ePermitting lnspeclion 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 issuance or if work is suspended Ior 180 Days or longer depending on the Esuing agency's policy. All provisions oI laws and ordinances goveming this type o, work will be compli€d with whether sp€cified herein oa not. Granting ot a permit does not presume to give aulhority lo violate or cancel the provisior6 ol any other state or local law regulating construction or the performance of construction. ATTENTION - CALL BEFORE YOIJ DIG: Oregon law requircs you to tollow rule3 adopted by the Oregon Utility Notilication Cenler. Those rules are set fonh in OAR 952-001{010 th.ough OAR 952{0'l{090. You may obtain copies of the rules by calling tho Center at (877) 668.4001 ordial 811. All persons or entities pertorming wo* under this pemit arc required to be licensed unless exempt6d by ORS 701.0'10 (StructurauMechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing). Pnnted on: 11130/18 Page t of 2 std_BuildingPermrt_pr TYPE OF WORK JOB SITE INFORMATION LICENSED PROFESSIONAL INFORMATION PENDING INSPECTIONS Permit Number: 81 1.1 8-002783-ELEC Page 2 of 2 Fee Description Balance of minimum permit fees - electrical Service reconnect only Technology Fee State of Oregon Surcharge - EIec (12olo of applicable fees) Quantity Total Fees: Fee Amount $ 13.00 $86.00 $4.95 $11.88 $ 115.83 1 Pn.ted on: 11l30/18 Page 2 o12 std_BuildingPennit_pr PERMTT FEES SPRINCTIELD ,% ORIGON www.springfield-or.gov Worksite address: 610 67TH PL, Springfield, OR 97478 Parceli 170234140'1700 Development and Public works 225 Flfth Street Springfleld, OR 97477 541-1 26-37 53 permltcente.@sprln9fl eld-or.gov Transaction Receipt 811-18{02783-ELEC Receipt Number: 468724 Receipt Date: 11/30/18 City of Springfield Fees Paid Tranaaction dato 11130t18 f i/30/18 11t30118 UnitE 1.00 Ea 1.00 Automatic 'r.00 Ea Account code 22 4 -OOOOO - 426 1 02 - 1 0 33 224-00000-426102-1033 821-00000-21 5004-0000 Fee amount $86.00 $13.00 $11.88 Paid amount $86.00 $13.00 $11.88 DeEcription Service reconnect only Balance of minimum permit fees - electrical State of Oregon Surcharge - Elec (12% of applicable fees) '11t30t18 1.00 Automatic Technology Fee 1 00-00000-425605-0000 $4.95 $4.95 Paymenl Melhod Credit card authorization 4'10392 Payer: matthew dombrowsky Payment Amount:$1 15.83 Cashier: Katrina Anderson $115.83 Prinled 1'l/30/1E 12:10 pm F lN_Tra nsacl on Rec€ipl_pr Receipt Total: CITY OF SPRINGFIELD, ORDGON Electrical Permit A plication 225 FiIth Srr€€ta Springfie)d. OR 97,t77. PH(541 );26-3 75f. FAX(541)726--1689 DEPARTMENT USE ONLY Permit no b-bT+n 4 This permit is issued under OAR 91E-309-0000. Permits are noutransferable. Permits expire if $ ork ir Dot started n'ithitr 180 days of issuance or if work is suspended for 180 da,vs. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE TotalcostCATEGORY OF CONSTRUCTION ResideDtial. per unit. sen ice inclrded Residemial Zoning apprcval verified? ! \ es E No E Covemmenr E Commerciai 1.000 sq. ft. or less (4)s181.00 SJOB SITE INFORMATION Job, site adciress Eachrdditional 500 q. ft. or ponion Limiled energ) (: ) L TION s 35.00 5 s 43.00 s Reference Slatg ZI Taxlot.Each manufacrured home or modular 0086I dwelling sen'ice or feeder (l)DESCRIPTION OF WORK PROPERW OWNER Services or feeders: instaliarioh aheratior relocatioh 200 arnps or less (:l s 109.00 s 201 m 400 amps (l)s127.00 s s215.00 s| 401 ro 600 amps (:)\ame Address 601 ro 1.000 arnps (?)s277.00 s cill This instaiialion is being made on sidential or farm properq ber of immediate iamil Over 1.000 amps or volls (l)s535.00 s 100 amps or less (:l s 86.00 s : i, .1!i arr:. :s 118.00 5'172.00 ! s401 lo 600 amps (:) Over 600 amps or i.00() vohs. see services or feeders seclion above BraDcb circuits: n?\1. aiteration, extensDn per panei a. Fee for branch circuirs wirir purchase ofa service or feeder fee Each branch circurl s 7.12 S First branch ciJcuit (ll s 7.42 S Miscellsneous fees: scnrc? or feeder hoi incl ded Each pump or inigadon circle (2)s 86.00 t 99.00 s Each sisr or outline liehrine (?)s 99.00 Si$al circuil or a limited-energ-.r' panel alteration. or exlension (: ) Each additioEal inspectioD: a I I s99.00 s DEPARTMENT USE (A) Enler subtotal ofabove fees (MiDiEuE Peroit Fee 599.00) Phone I t-mall ,t7 <)Fa>i Recomecl onl) (:)I ' s E6.oo I sg.p Telrporrn' sendces ot feede$ instollation. aheration. relocation \ otned br me or a propert\IS not ln ed .179.540(1) Business name E-maii CCB license no e\ce. l 11.. This or rent. OAR State Fa\ BCD license no 'ZIP b. Fee for branch circuirs *'ithout purchase of a service or feeder fee s 86.00 S Each additional branch circuil Signing supervisor's license no i Print name of srgnng supe rsor Signature of silning supervisor ! CostNuEber ofiDspectiotrs per iterD ( )Qt]. Cin t<-,' State ZlP C i:\ Phone (C) TechnoioB Fee (59i, oflAl)S 7TOTAL fees and surcharges (A throueh D)s Lasl edited 7,/1,'2018 BJonei (B) Enter I2% surcharge (.l: r [A])$ qq lru,., rtlzoltz-., I I *{- L"-^ ^- "-Y r\..!--ra Addressi P i'opeft,v" C',vn= r Statem = nt Regarding eonsti'uetion Rssponsibilities C,r=gon L:w i=cr.]ires r:siC=nriai ccnsir,.:c::cn pemii :polica,.is + 5: ei: T,ci lice rs=d n iii :i: Consii-'':ctjon Ccntr-acici': Soaid io srgn rhe iollowing st:remeii be;or= a cuiicing perinii can oe i cwn, aesice in, ,r will r:side in ine compl:i=i :iri.]:i-j: 36,5 r.r ,-=lreral coniiacior is Name Expiratioo Date I will inform my general contractor that all subcontiactors who work on the structure rnust be licensed with the ConstrLction Contractorc Board. or lwiJl be performing work on properly I own, a residence that I reside in, or a residence that lwill reside in. lf I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. lf I change my mind and hire a general contractor, i wijl select a contractor who is ljcensed with the CCB and will rmmediateiy give the name of the contractor to the otflce issuing this Building Permit. I have read and undersiand the lnformation Notice to Homeowners Aboul Construction Responsibilities, and I hereby certiry that the information on this homeownat statement is true and accurate. Pnnt N Appl aiure iicani Pennit #: Address: tB lssued b O Date \$\so lrB This Copy tor Permit Oifices u l---1,/ LL4 -i' ,"o- '€ U;IE b?+-Qtc(