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Home My WebLink AboutPermit Electrical 2019-01-07SPIINGfIELD & City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753OREGON Web Address: www.springfi eld-or.9ov Building Permit Commercial Electrical Permit Number: 81 1 -19-00003'l -ELEC IVR Number: 81 101 8296798 Emall Address: permitaenter@springfreld-or.9ov Permit lssued: January 07, 20'19 Category of Construction: Commercial Type ot Work; Repair Submitted Job Value: $0.00 Description of Work: Rewire lobby area of Taco Time due to fire damage (6 branch circuits). JOB SITE INFORMATION Worksite address 265 N,4AIN ST Springfield, OR 97477 Parcel 1703353205300 Owner: Address VERITAS INCON,lE PROPERTIES LLC PO BOX 40031 EUGENE, OR 97404 LICENSED PROFESSIONAL INFORMATION Business name DOUG MANSFIELD ELECTRIC LLC - Primary Liconse ccB Phone 503-428-7993 PENDING INSPECTIONS lnspection 4999 Final Electrical 4999 Final Electrical 4500 Rough Electracal lnspection group Elec Com Elec Com Elec Com lnspection status Pending 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 LBAS-299-2821 use IVR number: 81 1018296798 Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store Pormits must be posted in clear view on the worksite, Permits expire if work is not started within 180 Oays of issuance or at work is suspended (or 180 Days or long6r deponding on the issulng agency's policy. All provisions of laws and ordlnances governing lhis typ6 of work will be complied with whethor specifiod hersin or not. cranting of a pgrmit doss not presumg to give authority to violate or cancel the provislons o, ady other stat6 or local law regulating construction or lhe perfoamance ot construction. ATTENTION - CALL BEFORE YOU DIG: Oregon larv requir6s you to follow rules adoptod by tho Oregon Utility Notification Csnter. Those rulos are sel fonh in OAR 952.001-0010 through OAR 952-001{090. You may obtain coples ot the rules by calllng tho Center at (E77) 668{001 or dial 81'1. All persons or entitiss perrorming work under thls permlt a.e requlred to bo llcensod unless oxompted by ORS 701.010 (Structural/Mochanical), ORS 479.540 (Electrical), and ORS 693.010.020 (Plumbing). Prinled on: 1/7/19 Pagelof2 std Eurtdrngpermrt pr TYPE OF WORK License number 167025 Permit Number: 81 1-19-000031-ELEC Page 2 ol 2 Fee Description Branch circuits without service or feeder Technology Fee State of Oregon Surcharge - Elec (l2o/o of applicable fees) Quantity 6 Total Fees: Fee Amount $ 123.10 $6.16 $L4.77 $1.44.03 P.inted onr 1/7/19 Page 2 of 2 std BuildingPermrl pr PERMIT FEES SPRINGFIELD ,h OR€GON www.springlield-or. gov Worksite address: 265 MAIN ST, Springfield, OR 97477 Parcel: 1703353205300 Transaction Receipt 811-19-000031-ELEC Receipt Number: 469031 Receipt Date: 1/7/19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 permitcenter@springf ield-or. gov Fees Paid Transaction date 1t7t19 Units 6.00 Qty 1 .00 Ea 1.00 Automatic Technology Fee Description Branch circuits without service or feeder State of Oregon Surcharge - Elec (12% of applicable fees) Account code 224 - 00000 - 426 I 02-',t 033 Fee amount $123.10 $14.77 $6.16 Paid amount $'123.10 1t7t19 '17t19 821 -00000-21 5004-0000 1 00-00000-425605-0000 $14.77 $6.16 Payment Method Credit card authorization 092728 Payer: Douglas Mansfield Payment Amount:$144.03 Cashier: Thayne Smith Receipt Total:$t/14.03 Printed:'ll7/19 11:03 am Page 1 ol 'l FIN_TransactionReceipt pr Electrical Permit A lication Permil no 22s Firth Street.SpnrsfiGld. OR 97477.PH(541)726-37s3.FAX(511)726-3689 This permit is issued uoder OAR 918-309{000. Permits are notrtransferable. Permits expire if work is trot started ltithin 180 days of issuance or if work is suspended for 180 days. 8.r,xcFrcL. -! i1---Al.af66ql,i5}" rf,\i CLG< Zoning approval verified? ! Yes ! No Si Sra ZIP This installation is being made on residential or farm properq' owned bv me or a member of ml immediate famiiy. This properq is not intended for sale, exchange, lease. or rent. OAR 479.540(1) and a79.560(l ). Each branch circuit b. Fee for bmnch cicuits without purchase ofa service or feeder fee Firsl branch ctcuil (:) Each additional branch circuir Miscellaneous fees: ser\)ice or keder not included Si€nal circuit or a limired-energ) panel,s 9s.00 si alteration. or extension (2) Erch additional inspectiorl: (] l ( Cin State Phone {a '7?i Far Signing supervisor's license no. Signature of signing supervisor (A) Enter subtotal ofabove fees (Mitrimum PerEir Fee 599.00) zt t (B) Enter 12% surchaige (.12 x [A]) S j9 DEPARTMENT USE ONLY / ol /rDate E-mail CCB license no TeZr BCD license no a/aZ Print name ofsigning supervisor LOCAL GOVERNMENT APPROVAL CATEGORY OF CONSTRUCTION E Residential | ! Govemment D Commercial JOB SITE INFORMATION AND LOCATION Job site address: 2L S mo1, S-l Taxlot.Refer Cit-r' DESCRIPTION OF WORK a€.rlel 'r.€ PROPERW OWNER Name \tlr-ox r- Pna pra,r-r e.s l..LC .{odrgss: City: g:c, --- 5.r.,'Stateb, fr ZIP:-1A{4 Phone Fa-ri E-mail CONTRACTOR INSTALLATION Business name: D>n. ..t /^ I t ,v /1 X-/.. r l/c eaaress:Q, 2. $2/y-4 FEE SCHEDULE Number ofinspections per it€m ( )Qb--Cost Totalcost Residential, per unit, sen'ic€ included I,000 sq. ft. or less (4)ss 181 00 Each additional 500 sq. ft. or ponion thereof s 35.00 s Limiled energ) (2)s 43.00 5 Each manufactured home or modular dwelling service or feeder (2)s 86.00 s Services or feeders: installation aheration relocation 200 amps or less (2)s 109.00 S 201 ro 400 amps (2)s127.00 S 401 to 600 amps (: )I szrs.oo S 601 to 1,000 amps (2)s277.O0 S Over 1,000 amps or volls (l)5 Reconnect onl) (2)s 86.00 S s 86.00 S 201 to 400 amps (2)l'118.00 s 401 to 600 amps (2)\172.OO S Over 600 arnps or 1,000 volts, see services or feede$ section above Branch circuits: ,er1 alleration. eiension per panel a. Fee for bGnch circuits with purchase ola service or feeder fee s 86.00 $ 7.42 $86- s s37 sEach pump or irrigation crrcle (2)s 86.00 (- Each si$ or outline lighring (2)$ 99.00 S ] $ss.oo s DEPARTMENT USE 0 l,,sr edited 7/I/2018 B.lones ] (C) Technolog/ Fee (5olo oflAl)S l23.to _l $635.00 j Temporar.r services or feeders: msrallation alrcratton retocarion 100 amps or less (2) 5 7.42 CITY OF SPRINGFIELD, OREGON ] TOTAL fees and surcharges (A through D):$ l.l'l