HomeMy WebLinkAboutPermit Electrical 2018-12-12SPRINGFIELD
,b
OR€6ON
web Addressi www.springrield-or.9ov
Building Permit
Residential Electrical
Permit Number: 81 1 -18-002891 -ELEC
IVR Number 81 1085725641
City of Springfield
Development and Public works
225 Fafth Street
Springfield, OR 97477
s41-726-3753
Email Address: permitcenter@spfl n9fie d-or.qov
Permit lssued: December 12,2018
TYPE OF WORK
Category o, Construction: Single Family Dwelling
Submitted Job Value: $0.00
Oescription of Work: Replac€ service
Type o, Work: Replacement
JOB SITE INFORMATION
Workslte address
1489 A ST
Springfield, OR 97477
Owner:
Address
SMITH KARLA RAE
85161 N HIDEAWAY
HILLS RD
EUGENE. OR 97405
LICENSED PROFESSIONAL INFORMATION
Business name
EASTSIDE ELECTRIC INC - Primary
License
CCB
License number
1'17770
Phone
541 -7 41 -1 499
PENOING INSPECTIONS
lnspection
4999 Final Electrical
4999 Final Electrical
4500 Rough Electrical
4225 Service or Feeder
4250 Branch circuits
lnspection group
Elec Res
Elec Res
Elec Res
Elec Res
Elec Res
lnspection status
Pending
Pending
Pending
Pending
Pending
SCHEDULING INSPECTIONS
Various inspections are minimally required on each prorect and often dependent on the scope of work Contacl 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 1-88A-299-2821 use IVR number: 81'1085725641
Schedule using the Oregon ePermitting lnspection App, search 'epermitting' in the app store
Permits must be posled in clear view on the worksite. Permits expire if work is not started within 180 Days of issuance or if work is
suspended for '180 Days or longer depending on the issuing agency's policy.
All provisions of laws and ordinances governing this type of workwill be complied with whether specified herein or not. Granting of
a permit does not pr€sum6 to give authority to violate or cancel the provisions of any other state or local law regulating construction
or the performance of construction.
ATTENTION " CALL BEFORE YOU OIG: Oregon law requires you to follow rules adopted by the Oregon Urility Notification Center.
Those rules are set forth in OAR 952-00140'10 through OAR 952-0014090. You may obtain copies of the rules by calling the Centet at
(877) 668-{001 or dial811.
All persons or entities perfominq work under this permit are required lo b€ licensed unless exempted by ORS 701-010
(Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing).
Pnnted o^:12t1211a Page t ol2 sld-BurldingPerm I Pr
Parcel
1703363202401
Perm it Number: 81 1- l 8-002891 -ELEC Page 2 ol2
Fee Description
Branch circLrits with service or feeder each circuit
Services 200 amps or less
Technoloqy Fee
State of Oregon Surcharge - Elec (12olo of applicabl€ fees)
Pn ed on 12l12hA Page 2 ol2
Quantity
3
1
Total Fees:
Fee Amount
$22.26
$109.00
$6.s6
$ 15.75
$ 153.57
sld_B'rildingPermil_pr
PERMIT FEES
kffi
Transaction Receapt
Et t-18{02891-ELEC
Rscsipt Number: 468848
Receipt Oate: 12l12l18
Cily ot SpnngneE
www sPringfield-or gov
Worksite address: 1489 A ST, Springfield OR 97477
Parcel: 1 70336320240'l
Fees Paid
12t1/14 100 Ea Servies 200 amps or less 224,000@-4261 02- 1 033 s109 00 sr09 00
12112t18
12t12t14
12i1211A
3 O0 Oty
100 Ea
1 0O Aulomalrc Technology Fe€
Eranch orcuis wilh seNice or le€oer each
State ot Oregon Surcharge - Etec \12% ot
224-00000-426102 1033
100-0000G425605-0000
$22 26
$15 75
$6 56
$22 26
$15 75
56 56
Crcdil card authorizationl
09129d
$153 s7
Cash'er Karrina Anderson
Pnnt d:12121A 2:2a 9r
t153.57
FrN T6Nad/onR.c.'pr_p.
o€veropm€nr and Pub c works
225 Frfth Stre€t
spr nqneb, OR 97477
54t 126 3153
permtcenter@spnn9fleld or 9ov
E21 -0000G2 1 5004,0000
Electrical Permit Application
225 Filth Str€€r. Springlield. OR 9?477 r PH(541)726-3?53. FAX(541)i26-3689
DEPARTMENT USE ONLY
r..i
:--L.*eu:5.:#.1[s&- Gf q,
Date l
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started lIithitr 180
days ofissualce or if work is suspended for 180 days.
LOCAL GOVERNMENT APPROVAL
Total
costCATEGORY OF CONSTRUCTION Residential. per unit. senice ircluded:
esidential
Zoning approvai verified? E t'es E tln
1.000 sq. ft. or less (4)5181.00
s
s
ss 3s.00xSzEacb additional 500 sq. fi. or ponion
thereof
Ciq': 3?8LD
Name
Address
I Stare: 0
Srate
IL ztP: 17 f 7
zlP
Limircd ener$ (217 s 43.00
Reference Ta)iior
?-eerlcc eLesRlc ^L 5e&v/(€
\oo ( rftcu, TJ FbiI 5To!€
Each manufactured home or moduiar
dwelling ssrvice or feeder (:l 86.00 S
Services or feedersi ins,aliation. alteratwn relocaton
l.t( tri.(il rtrlC A
200 arnps or iess (:)
201 to 400 arnps (21
401 rc 600 amps (2)
s 109.00 $,c8
S
s215.00
s277.00
s635.00
601 to 1.000 arnps fl)
Over I.000 amps or volts (2)i Cin
Reconneo onll (l)$86.00 sPhone
E-mail
This installation is behg made on residential or farm propen,'-
owned bl,me or a member of m1 immediate familr. This
properq is not irtended for sale. exchange, Iease. or renr. OAR
a79.5a0(l ) and 479.560(ll.
Signature:
CONTRACTOR INSTALLATION
Business name: € FSTIDC G,L€<rt((
I Add."r,
Temporery services or feedersi instaliation. aheration. relocation
200 amps or less (2)s 86.00 s
201 Io 400 amps (2)s 118.00 S
Over 600 amps or 1.000 volls- see sen'ices or ieeders section above
BraDch circuits: /,eu aiteration. eatenson per pane!
a- Iee for branch circuits with purchase of a service or feeder feej8lsl Bos(AG6 LN Each branah circurl 3 $ 7.12isf,L.)6
I cin', 7 ?Q lO i b. Fee for brdnch circuits witbou! purchase of a service or feeder fee
Fi$l branch circui! (ll $ s5.00 , $
E-mair: RDK t.16/ G-'l All 6(/.<ot.n Each additional brancr circuit $ 7.42 r$
CCB license no I I 11 ?0 I BcD li""nr. no.,) 0 - YOSc i Miscellsneous fees: sen;rce or feeder not included
CITY OF SPRINGFIELD, OREGON
Cost
ea-
! Govemment E Commercial
JOB SME INFORMATION AND LOCATION
DESCRIPTION OF WORK
PROPERTY OWNER 5;127.00
401 m 600 amps (2)s172.00
Phone: SY , -9rS-9 tf,I r",,, -736 V 9e tr
I Srpning supervisor's license no.: I7 ll S i Each pump or imgation circie (:)s 86.00 I s
oG€R Krr" 6 Each sig! or outline liehting (:l 5 99.00 SPrint name ofsigning supen'isor
Silmatue of signrng supen isor Signal circuir o. a iimited-eners panel.
alrcradon- or extension fl r
Each additional irspection: i1
DEPARTMENT USE
s 99.00 s
s99.00 S
s
(A) Enter subtotal of above fees
(Nlitriourn PerEit Fee 599-00)
(B) Emer 129i, surcharge (.1: x lA])s
{C r Technolog, Fee (59" of[Al,
st(i
Lasr editeC 7/l/2018 BJones
TOTAL fees and surcharges (A through D)
lU ^a.'t )t1 I
Permr: no.: / U -UU A C}1 t
I FEE SCHEDULE
Joh srte address: I
I Nuober of insncctions pcr irem ( ) l*'.1
Fai
Stare: O& zrP.a1Y78
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