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Home My WebLink AboutPermit Electrical 2018-09-28SPRINGfIELD b 0!tEG0 N web Address: ww.springfield'or.qov Building Permit City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 s41-7 26-31 53 Email Address: p€mitcen!€r@springf ield-or.9ov Residential Electrical Permit Number: 81 1 -18-002315-ELEC-01 IVR Number. 8'1 1008365950 Permit lssued: September 28, 2018 Category of Construction: None Specified Submitted Job Value: $0.00 Description of Work: Move Panel/Meter Base Worksite address 5681 IVY ST Spnngfield, OR 97478 Parcel 1802031002800 Owner: Addresg: CHANEY NICHOLAS 6681 r\l/ ST SPRINGFIELD, OR 97478 Business name SEE PROPERTY OWNER INFORMATION - Primary License Owner (Property) License number OWNER 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: 811008365950 Schedule using the Oregon ePermitting lnspection App, search 'epermitting'an the app store Fee Description Services 200 amps or less Technology Fee State of Oregon Surcharge - Elec (12olo of applicable fees) Quantity 1 Fee Amount $109.00 $5.45 $13.08 $127.s3Total Fees: Permib must be posted in clear view on the worksite. Permits expire if work is not sta.ted within 180 Oays of issuance or iI work issusponded for '180 Oays or longer depending on lhe issuing ag€ncy.s poticy_ All provisions of laws and ordinances goveming lhis typo ol work will be complied with whether specified herein or not. cranting oI a permit doe3 not p7€ume to give authorily to violate or cancel the provisions of any other state or locat taw rcgulaling construction or the pedonhance of con3truction. ATTENTION _ CALL BEFORE YOU DIG: Oregon law requires you to follow rules adopted by the Oregon Utitity Notification Center. Those rules are 3et foth in OAR 952{0'l-0010 through OAR 952-OOl-OO9O. You may obtain copies of the rul* by calling the Center at(877) 658-4001 o. dial 811. All peBons or entities performing work und6r lhis permit a.e rcquired to be licensed untess exempted by ORS 701.OlO(StructurdUMechanical), ORS 479.5,tl) (Etectricat), and ORS 693.0lO{20 (ptumbing). Printed on: 9/24/18 Page 1 of I dd_BuiEingpermit_pr TYPE OF WORK Type of Work: None Specified JOB SITE INFORMATION LICENSED PROFESSIONAL INFORMATION PENDING INSPECTIONS SCHEDULING INSPECTIONS PERMIT FEES SPilNGTIELD $ OR€GO( www.springf ield-or.gov Worksite address: 6681 IVY ST, Springfield, OR 97478 Parcel:'1802031002800 Oevelopment and Public Works 225 Fifth Street Sprlngfield, OR 97477 54L-726-3753 permitcenter@springfield-or.gov Transaction Receipt 81 1-18{02315-ELEC-01 Receipt Number: 468186 Receipt Date: 9/28/18 City of Springfield Fees Paid Transactlon date 9t28t18 Units 1.00 Ea Descriptlon Services 200 amps or less State ofOregon Surcharge - Elec (12% of applicable fees) Account code 224-00000426102-1033 Fee amount $109.00 Paid amount $109.00 9128t18 9t28l1a 1.00 Ea 1.00 Automalic Technology Fee 821-00000-215004 0000 1 00-00000-425605-0000 $ 13.08 $5.45 $13.08 $5.45 Payer: Nicholas Chaney Payment Amount:$127.53 Cashier: Tosle Muniz Receipt Total:$ 127.53 Pinled 9/28/18 2 00 pm Page 1 ol 1 FIN_TransactionReceipt-pr Payment Method: Credit card authorization: 322896 CITY OF SPRINGFIELD, OREGON Electrical Permit A lication 225 Fifth Stre€t. Sp.itrgfield. OR 97477. PH(s4l )726-l7sl. fAX(541)726-3689 This permit is issued under OAR 918-309-0000, Permits are notrtransferable. Permits expire if work is Dot st8rted $ ithin 180 days ofissuance or if work is suspended for 180 days. FEE SCHEDULE Job site address s 35.00 S Cit\ or feeders: instal lation. aheration. rclocation s215.00 S s277.O0 s 5 ?-t t ^?9e ffi t- Fa-l: This installation is being m tial or farm propen)e on resl ovned by me or a member of m1, immediate family. This propen] is not intended for yde. exchange. lease. or rent. OAR 4't9.540\l ) and a'79.5601U:-t--ftSignature Business name Pbone a. Fee for branch circuits with purchase ofa service or feeder fee I Each addldonal branch circuit s 7.42 S Each pump or irrigation circle (2)s 86.00 s s s Each sign or outline lighring (?) Signal circuil or a llmited-energl panel. allemtion. or exlension (2)9g-oo l Fai: Signing supen isor's iicense no Prilt name of si8:nm8 supenrsor: s s99.00 s DEPARTMENT USE 5 s DEPARTMENT USE ONLY t5. aDate: t x I LOCAL GOVERNMENT APPROVAL Zoning approval verified? .frT"t n No CATEGORY OF CONSTRUCTION ! Residential n Govemment JOB SITE INFORMATION AND LOCATION State 6 Refer"nce:f $:OJ' O3. I O Taxlor.: O2&\O DESCRIPTION OF WORK q, PROPERTY OWNER |//( Name Addrcss ECit) Phone State /,(L ztP9x{}t L (-L.ok TOR I TALLATIONco TotalcostNuEber ofinsp€ctions per iteE ( ) 1,000 sq. ft. or less (4)$181.00 $ Each additional 500 sq. fi- or portion thereof Each manufactured home or modular dwelling service or feeder (2) 200 alnps or less $ 86.00 S 5201 to 400 amps (2)s127.00 401 ro 600 ahps (2) 601 to 1.000 amps (2) Over 1-000 afips or volts (2)s635.00 Reconnect only (l)s 86.00 s Temporan servic€s or feedeasa installation. aheration. relocation s 86.00 S200 amps or less (2) s Ss172.00 201 to 400 amps (2) 401 to 600 amps (2) s 118.00 Brsnch circuits: rehr alteration. ertension per panel SEach branch circuit s 7.42 b. Fee for bralch circuits withoul purchase ofa service or feeder fee First branch circuit (2)s 86.00 5 Miscellaneous teesi rervice or fee.ier not included 5 99.00 (B) Entei l2% surcharge (.12 x [A]) (C) Technolo$ Fee (5ol" oflAl) Signature of signing supewisor: Lrsr €dited 7/1,'2018 Rto.es (A) Erller subroEl ofabove fees (Minimum Permit Fee $99,00) fi Permit no.: loo.l s Residetrtial, per unit, service itrcluded: I Limted energy (2)$ €.oo ls J- l)( ]E-mail: So a-e -5 o b-r,,4; s 10s.00 I s I Over 600 amps or 1.000 volts. see services or feeders section above I L-.1 ( ommercral T ZIP: lAddress: lcr,y'Sr4e: I ztY, E-mail CCB license no.:BCD license no.: Elch additio[rl iNpection: (l) ] TOTAL fees and sucharges (A througlr D):$ F i'e p=*i", ewn =r State m s nt Regarding Csnstruct!on Responsibiiities I r:c,-.n -:w.:lui-es -:s1:=iiiat t3rsi- -.ra:ran pe.rlii :!plicalis :f i,c :r= r'ct ircsi:3: r\:-:r::.a Consir-.:crjon Coniiecrcrs Soaii i: sign irie fallowina si:iemefii "leiore a buiicing pernii cen D€ ,<<:,=.r , t^,Ea :ni it: /r1\ t cv,in, reside in or w:lj resid= in tne con-,pl=i-: :iilrar..ri: :r,i iT."- e.=.eral cciiiiecior s Narae CCS#Expirarion Date I will inform my generai coniractor that all subcontractors who work on the structule must be licsnsed with i']e Construction Contractors Board. or lwill be performing work on properly I own, a residence that I reside in, or a residence that lwill reside in. if I hire subcontractors, I wiil hire only subcontractors licensed with the Constructjon Contractors Board. lf I change my mind and hire a general contractor, i wiil select a contractor who is ljcensed with the CCB and will immediately give the name of 'rhe corjtractor to the offlce rssuing this Burlding Permit. I have read and understand the lnformation Notice to Homeowners About Construction Responsibilities, and I hereby certiry that the information on this homeowner statement is true and accuEte. IVLL C Pnnt Name of Permjt Applicant Signature oi Pennit Applicant lzzQe t6 Date Permii ff Address: iB* J?tSk{a9t lvy ST lssued by:q This Copy ior Pennit Oific5 I Ilr& I I I ?-Date: