HomeMy WebLinkAboutPermit Electrical 2018-12-24SPRINGFIELO City of Springfield
Development and Public Works
225 Fifth Street
spflngfleld, oR97477
541-7 26-37 53OREGOdBuilding Permit
Commercial Electrical
Permit Number: 81 1 -18-002969-ELEC
IVR Number; 81 1073046'133
web Add.ess: www.springfield or.gov Email Address: permitcent€.@spnngfield-or.gov
Permit lssued: December 24, 2018
TYPE OF WORK
Category o, Construction: Residential
Submitted Job Value: $0 00
Description of Work: Temp power for apartment construction
Type of Work: New
JOB SITE INFORMATION
Wo,ksite address
11OO Q ST
Springfield, OR 97477
Parcal
1703261403808
WECHERT BRUCE &
JOANNE
3073 SKYVIEW LN
EUGENE, OR 97405
ED PROFESSIONAL INFORMATION
Business name
SEE PROPERTY O\^/NER
INFORMATION - Primary
License
Owner (Property)
Phone
. -1,.r;_. PENDING INSPECTIONS
lnspection
4999 Final Electrical
4000 Temporary Power Service
lnspection group
Elec Com
Elec Com
lnspection status
Pending
Pending
SCHEDULING INSPECTIONS
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 811073046133
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 it work is not started within 180 Days of issuance or if work is
susp€nded for 180 Days or longer depending on the issuing agency's policy.
All provisions of laws and ordinances governing this type of worft will be complied with whether specified herEin or not. Granting oI
a p€rmit does not presume to give aulhority to violate or cancel the provisions of any other state or local law aegulaling construclion
or the pearormance of construction.
ATTENTION . CALL BEFORE YOU DIG: Oregon law requires you to tollow rules adopted by the Oregon Utility Notification Center.
Thos6 rules are set Iorth in OAR 952{01-0010 th.ough OAR 952{01-0090. You may obtain copies of the rulos by calling the Cente. at
(877) 668.4001 or dial 811.
All peBons or entities performing work unde. this permit are rcquircd to be licensed unle3s exempted by ORS 701.010
(StructuraUMechanical), ORS a79.540 (Electrical), and ORS 693.010{20 (Plumbing).
Pinred on tV24t1E Page 1 o12 sld_BurldrngPermi_pr
tt
Owner:
Address:
License number
O\A/NER
Perm it Num ber: 81 1-18-002969-ELEC Page 2 ot 2
Fee Description
Balance of minimum permit fees - electrical
Temp services 200 amps or less
Technology Fee
State of Oregon Surcharge - Elec (12olo of applicable fees)
Pti ed on 1212411A
Quantity
Total Fees:
Fee Amount
$13.00
$86.00
$4.9s
$11.88
$115.83
sld_BuildrngPermil_pr
1
PERMIT FEES
ffi 811-18-002969-ELEC
Recelpt Number:468954
Receipt Oate: 12l24l18
Develooment and Public Works
225 Frfth Sket
Springlierd, oa 97477
54r-726,3753
D€rmrt@nter@5Dn.qfreld-o..oov
Transaction Receipt City of Springtield
wwv sPingneld-or.gov
Worksile address: 1100 O ST, Springfield, OR 97477
Parcel: 1703261403808
Fees Paid
1Z21t1A
1AUt18
12t24t14
100 Ea
!.00 Aulomalic
1.00 Ee
224-00000-426102,1033
224-0000G426102- 1033
821-00000-21 5004-{xrco
t66 00
$13.00
511 EE
s86 @
s13 0o
$1188
Balance of minimum p€rmil lees - el€clrical
stato ol oregon Surcnarge - El6c (12r d
Temp servrces 200 amps or less
12t24t18 100 00000 425605 0000 s4 95 $4 95
Credil c€rd authorization
o9732d
s11583
Cash€r Chris Calpenier
Pn t d 12i241511a3an
i115.83
FIN_I.anracre^R.4'pr l).
CITY OF SPRINGFIELD, OREGON
Electrical Permit Application
225 Fifth Street. Springfield. OR 97477. PH(541)?26-3753 r FAX(511)725-3589
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started withiD 180
days of issuance or if xork is suspended for 180 da]''s.
sPrNcrrllD rr.rq.
l^t,+_&!if;b,i*a ,f qd
This installation is being made on residential or farm propert-v
owned by me or a member of m) immediate famil). This
not intended for salpropert] rs
479.540(r )479.560(
, exchange, lease, or reot. OAR
-----
FEE SCHEDULE
1,000 sq. fl. or less (4)
Qtv Cost Total
costea-
s181.00 s
Each additional 500 sq. fl. or ponion
thereof $ 35.00 $
Limjled ener$ (2)s 43.00 5
Each manufactured home or modular
dwelling service or feeder (2)s 86.00
Services or feeders: rrstollation. alteration relocation
200 amps or less (2)| | s ros.oo $
201 to 400 arflps (2)| | srzz.oo S
401 to 600 ainps (2)| | szrs.oo S
601 to 1,000 amps (2)s
Over 1,000 amps or volts (2)I sers.oo S
s 86.00 s
Temporary services or leederv insrallation. aheration. reloca,rcn
200 arnps or less (2)s 86.00 s tL.o
201 to 400 amps (2)s 118.00 S
401 to 600 arnps (2)s172.00 S
Over 600 amps or 1,000 volts. see services or feede$ section above
Branch circuits: r?eHl aberation. extension pet panel
Residential. per uDit. s€nice included
RecoDnect onl]- (2)
a. Fee for branch circuits with purchase ofa service or feeder fee
Each bra.nch circuit s 7.42 s
ZIP
S
UJ ct)
Phone: j
Sienature
Business name
Address
Phone
E-mai1
CCB ticense no.: fO I
,t i-u
l)
V
1 BCD license no
Each additional branch clrcuil
Signing supen,isor's license no
MiscellaDmus fees: rerr(e or./eeder not incLuaed
Each pump or inigation circle (2)
Each sign or outline lighting (:)
Si8nal circuil or a limited-energ) panel.
alteration. or exlension (2)
Each additional inspection: ( I )
] (A) Enler subtotal ofabove fees
Print name of signing supervisor:
Sigaature of signing supervisor s 99.00 s
DEPARTMENT USE ONLY
Permit no -,/f - 276 7
Date: i Z
LOCAL GOVERNMENT APPROVAL
Zoning approval verified? E Yes E No
CATEGORY OF CONSTRUCTION
fl Residential ! Govemment ! Commercial
JOB SITE INFORMATION AND LOCATION
Job site address I 0o
Srate
TarilolReference
OESCRIPTIOI,I OF WORK
PROPERW OWNER
Name
Address
Far
TOR INSTALLAT'ON
Cin Slate
Ffu$ bmnch circuit (2)$ 86.00 |s
s 86.00 s
s 7.42 is
s 99.00 1 s
$99.00 s
DEPARTMENT USE
$
s
S
Last edit€d 7/l/2018 BJones
(Minimum Permit Fee S99.00)S
Citv:
Number of inspections per item ( )
Srate:ZIP
js277.00
Cin :
E-mail:
ZTP:] | b Fee for branch circuirs wlrhout puchase ofa service or feeder fee:
I
Fari
(B) Enter 12% surcharge (.ll r [A]l
(C) TechnoloB/ Fee (5% oflAl)
TOTAL fees and surcharges (A through D): $ l V