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Home My WebLink AboutPermit Electrical 2019-01-07Oilf 60i.i Web Address: www.springfield or.gov Building Permit Residential Electrical Permit Number: 8't I -19-000035-ELEC IVR Number: 81 1052742478 City of Springfield Development and Public Works 225 Fifth Street Sprinqfield, OR 97477 541-726-3753 Email Address: permitcenter@springfield-or.gov SPRItiG'IELD & Permit lssued: January 07, 2019 Category of Construction: Manufactured Dwelling Submitted Job Value: $0.00 Description of Work: Reconnecl Type of Work: New Worksite address 4475 DAISY ST SPC A Springfield, OR 97478 Parcel 1702323406500 Owner: Address DEDRICKSON DUANE 4475 DAISY ST SPACE A SPRINGFIELD, OR 97478 Business name OWNER - Primary License ccB License number 000000 Phone lnspection 4999 Final Electrical 4200 Reconnect Service lnspection group Elec Res Elec Res Inspection status Pending Pending Various inspections are minimally required on each project and often dependent on the scope of work. Contact the issuing jurisdiclion indicated on the permit to determine required inspections for this poect. Schedule or track inspections at www.buildingpermits.oregon.gov Schedule by phone call 1-888-299-282'l use IVR number: 811052742478 Schedule using the Oregon ePermitting lnspeclion App, search "epermitting" in the app store Fee Description Balance of minimum permit fees - electrical Service reconnect only Technology Fee State of Oregon Surcharge - Elec (12o/o of applicable fees) Quantity Total Feesi Fee Amount $ 13.00 $86.00 $4.9s $11.88 $115.83 1 Pe.mits must be posted in clear view on tho worksite. Pe,mits oxpire if work is not started within 180 Days of issuanco o. if work is suspended for 180 Days or longsr depending on lhe issuing agoncy's policy. All provisions of laws and ordinancos governing this type of work will be compliod with whether sp€cified herein or not Granting of a permit does not presume to givo authority to violate or canc6l tho provisions of any other statg or local law regulating construction or tho performanco of construction. ATTENTION - CALL BEFORE YOU DIG: Oregon law requires you to follow rules adopted by the O.ogon Utility Notification Center. Those rules are sot forth in OAR 952-001-0010 through OAR 952401-0090. You may obtain copies ot tho rules by calling the Center at (877) 668-4001 or dial 811. All persons or entitios performing work undsr this polmit are required to be licens€d unless exemptgd by ORS 701.010 (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010{20 (Plumbing). Prinled on: 1/7/19 Page 1 of 1 sid-BuildingPermLt-pr TYPE OF WORK JOB SITE INFORMATION LICENSED PROFESSIONAL INFORMATION PENDING INSPECTIONS SCHEDULING INSPECTIONS PERMTT FEES SPRINGFIELD 0RiGo( www.springfield-or.gov Worksite address: 4475 DAISY ST, SPC# A, Springfield, OR 97478 Parcel:'1702323406500 Transaction Receipt 81 1-19-000035-ELEC Receipt Number: 469036 Receipt Date: 1/7/19 City of Springfield Development and Public Works 225 Fifth Street Sprinqfield, oR 97477 54t-726-3753 permitcenter@springfield or.gov Fees Paid Transaction date 1t7119 1n t19 1t7l'19 Units 1.00 Ea 1.00 Automatic 1.00 Ea Account code 224-00000426102-1033 224-00000- 426 1 02- 1 033 82 1 -00000-2 1 5004-0000 Description Service reconnect only Balance of minimum permit fees - electrical State ol Oregon Surcharge - Elec (12ok ot applicable fees) Technology Fee '1 00-00000-425605-0000 Fee amount $86.00 $13.00 $1 1.88 $4.95 Paid amount $86.00 $13.00 $11.88 $4.951t7t191.00 Automatic Credit card authorization 03460c Payer: duane dederickson $1 15.83 Cashier: Katrina Anderson Receipt Total:$115.83 Prinled 1/7/19 1:11pm Page 1 of 1 F lN_Tran saction Receipl_pr Payment Method:Payment Amount: CITY OF SPRINGFIELD, OREGON Electrical Permit Application 225 Fifth Strerr. Springfield. OR 9747i. PH(s.r1)726-3?51. FAx(54I )726-3689 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if $'ork is rtot started within 180 days of issuance or if work is suspended for 180 days. FEE SCHEDULE Number ofiDsp€ctions per item ( )Qt"v Cost ea. Total cost Residential, per unit, service included: 1,000 sq. ft. or less (4)s181.00 S Earh addidonal 500 sq. fl. or ponion thereof s 35.00 s Limited energ],(2)s 43.00 S Each ma.ufactured home or modular dwelling service or feeder (2)s 86.00 s 200 alnps or less (2)s 109.00 5 201 to 400 amps (2)s127.00 s 401 to 600 amps (2)s21s.00 s 601 to 1.000 amps (2)s277.00 S Over 1,000 amps or volls (2)s635.00 $ Reconnect only (2) 200 amps or Iess (2) s 86.00 s 86.00 S s 201 to 400 amps (2)$ 118.00 401 to 600 amps (2)s172.00 5 Ovea 600 amps or 1,000 volts. see servjces or feeders section above Branch circuits: ,eui alteration, eatension per panel a. Iee for bnnch circuits with purchase ofa senice or feeder fee Each brancb circuil Firs! b$nch crcuil (21 $ 7.42 s 85.00 $ s 7.42 3}ErrOr|ELO Ei L_}*-&d:,i:'*:;e, Afiq Job site address: L) t/ J t Phone ,tt - lit< oa 7t E-mail "d Business name Address Cit-v E-mail I ccB li""nr" no I Signing supervisor's license no. tr 4ecc. cd4 BCD license no TemporerJ services o. feederst installation. aberation. relocation b. Fee for branch circuilr withoul purchase ofa sewice or feeder fee S Each addidonal branch circuil S S Print name ofsigning supervisor Miscellrneous fees: rerwce or feeder not included Each pump or irigalion circle (l) F-ach sign or outline lighting (2) Sierai circuil or a limited- ahemrion. or extension (: I enerp panel. I s 86.00 S s 99.00 s . s 99.00 s Each additioDal inspcction: (l r i (A) Enrer subtoral ofabove fees i (Ivlinimum Permit Fee $99,00),qq \)-5 S r (B) Enter 129i, surcharge (.12 x [A]) \|!"(C) Technolos/ Fee (5olo of [A]) DEPARTMENT USE ONLY Permit no l1-oooo J5 ,",", t l? [lq LOCAL GOVERNMENT APPROVAL Zoning approval verified? [ Yes D No CATEGORY OF CONSTRUCTION sidential ! Govemment JOB SITE INFORMATION AND LOCATION Citr uC nr,. .. {State: f, ft ni:?lq 7 { Reference i_I I axlot DESCRIPTION OF WORK I , o5 ta Ilc1 !,"tm P tName: O ERTY OWNER lt Address; ,/,/ lg Do,,.,n Sr 5rfr Citv: !f: "t.\State: C'n ztPt 9 74) t This installation is being made on residential or farm properB, owned by me or a member of my immediate family. This propen]." is not intended for sale, exchange, lease, or rent. OAR 479.540( I ) and 479.560(i ). Signature: +'..^- f--- Fa)i CONTRACTOR INSTALLATION Stare ZIP s99.00 s DEPARTMENT USE S fi Lasl edited ?/l/201E &)ones TOTAL fees and surcharges (A through D) ! Commercial Services or fe€dersi r nsral lotion- aheration, relocation L Phone:Far: RO I Sianature of signing supervisor: rt- I\\\ t-N'$