HomeMy WebLinkAboutPermit Electrical 2018-12-14SPRIN6FIELD
O{EGON
Web Addressi www.springfleld-or.gov
Building Permit
Commercial Electrical
Permit Number: 81 1-18-00291 1-ELEC
IVR Number: 8'11M6939467
City of Springfield
Development and Public Works
225 Flfth Street
Springfield. OR 97477
541-) 26-37 53
Email Address: permitcenter@sprinqfield or.9ov
Permit lssued: December 14, 2018
Category of Construction: Commercial
Submitted Job Value: $0.00
Description of Work: Replac€ panel in unit 12
Type of Work: Replacement
Worksite address
1725 5TH ST APT 12
Springfield, OR 97477
Parcol
1703264200600
Owner:
Address:
FOUNTAIN COURT
APARTMENTS LLC
2677 WLTAKENZIE RD
STE OO3
EUGENE, OR 97401
Business name
ALEXANDER JOHN STAPLETON -
Primary
License
CCB
License number
41371
Phone
541484-7274
lnspection
4999 Final Electrical
4225 Service or Feeder
Inspection group
Elec Com
Elec Com
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 l-888-299-2821 use IVR number: 811046939467
Schedule using the Oregon ePermitting lnspeclion App, search 'epermitting" in the app store
Permits must be posted in clear view on the worksite. Pemits erpire if work is not started within 180 Days of issuance or if work is
suspended for 180 Oays or longer alepending on the issuing agency's policy.
All provisions ot laws and ordinances goveming this type of work will be complied with whether specifiod hercin or not. G6nting of
a permit does not presume to give aulhority to violale or caflcel the provbions oI any other state or local law regulating construction
ot the peaformance of con3truction.
ATTENT1ON - CALL BEFORE YOU OIG: Oregon law requires you to follow rules adopled by the Oregon Utility Notification Center.
Th066 rules are set forth in OAR 952401{010 through OAR 952-0014090. You may obtain copies of lhe rules by calling the Center at
(877) 668-4001 or dial 8'l l.
All p€Bons or entities performing wo* under this permit are required to be licensed unless exempted by ORS 701.010
(Structuraullechanical), ORS,l79.54O (Electrical), and ORS 693.010{20 (Plumbing).
Pnnted on: 1211,1/18 Page 1 of 2 std_BuildingPermit_pr
TYPE OF WORK
JOB SITE INFORJUATION
LICENSED PROFESSIONAL INFORMATION
PENDING INSPECNONS
SCHEDULING INSPECTKINS
Page 2 ol2Permit Number: 8l l-18-0029't I -ELEC
Fee Description
Services 200 amps or less
Technology Fee
State of Oregon Surcharge - Elec (l2o/o of applicable fees)
Quantity
1
Total Fees:
Fee Amount
$109.00
$5.45
$13.08
$1.27 .53
Printed onr 12l14l18 Page 2 ol2 std_BuildingPermil_pr
PERMIT FEES
SPRINGFIELD
b
OREGON
www.springfield-or. gov
Worksite address: 1725 sTH ST, APT# 12, Springfield, OR 97477
Parcel: 17032M200600
Transaction Receipt
81 1-18-002911-ELEC
Receipt Number: 468868
Receipt Date:'12114118
City of Springfield
Development and Public Works
225 Flfth Street
Springfield, OR 97477
541 726-3153
permitcenter@springfield-or.gov
Fees Paid
Transaction date
12t14t18
Unlts
1.00 Ea
Descrlptlon
Services 200 amps or less
State of Oregon Surcharge - Elec (12olo of
applicable fees)
Account code
224-00000426102-1033
Fee amount
s 109.00
Paid amount
$109.00
12t14t18
12t14t18
1.00 Ea
1.00 Automatic Technology Fee '1 00-00000-425605-0000
$13.08
$5.45
$13.08
$5.45
Payer: Alexander Stapleton Payment Amounl;$127.53
Cashier: Thayne Smith Receipt Total $127.53
Ptinled, 1Z 1 41 1 I 1 :32 pn Page 1 of 1 FIN_TmnsectionReceiptjr
821-00000-21 5004-0000
Payment lvlethod: Credit card authorization:
033225
CITY OF SPRINGFIELD, OREGON
Electrical Permit Application
225 Fifth Street. Springfi€ld, OR 97477 . PH(s4 t)726-3753. F L]li541) 726-:{,E9
This Permit is issued urder OAR 918-309-0000. Permits are Dortransferable. Permits expire if *ork is not started llithitr 180
days ofissuance or if work is suspended for 1E0 days.
LOCAL GOVERNMENT APPROVAL
Zoning approval verified? ! Yes n No
CATEGORY OF CONSTRUCTION
I Residential E Govemment ! Commercial
JOB SITE INFORMATION AND LOCATION
Job site address: \ Z aZ * . EIU -lF 1L'-
cit..: ,P ?L4l starc: DIL-zrP,q1(f+
I t*tor.
OESCRIPTION OF WORKWvNZ i.:iz{}\op ofz-
Lt?-t"ttt P"ee:h4)i;il ? /-YrJgL
PROPERTY OWNER
Nanafe c-.t,-J T-lar1 FJ Z--{ fx{ i9
Address:'1,'(Zt1) tsJl t^-k1l.tz2t'Z tt2 +TE, DO,
City: VU C{Pe State:o [\-y q-++Dl
Phone Foi
E-mail
This installation is being made on residential or farm properq
owned b,v me or a member of m) immediate family. This
property is not intended for sale. exchange, lease, or rent. OAR
a1 9.540( I ) ar'd 47 9.560(l).
Sienature:
CONTRACTOR INSTALLATION
Business name ffiL4e i;lptC
eaaress:L|,O burf- +(
city, 1/!{@E Stzte: |lil,--ztP:c)'196i
Phone: lQl -!4&-1LVL Fax
E-maii
CCB license no.: ifl BCD licerse rro.:'lO L 1
7 aSigning supewisor's license no
\4-I*
Over 600 amps or 1.000 vohs. see services or feeders section above
Branch circuits: reut alteration. extension per panel
a. Fee for branch circuits with purchase of a service or feeder fee
Filsr branch circuit (:)
MiscellaDeous fees: service or feeder nor included
Print name ofsigning supenisor:
Sigllal cicuit or a limired-energ) panel
alteration. or extensio! (2)
(A) Enrcr subroral ofabove fees
(Midmum Permit Fee 599.00)
(B) Emer 12% surcharge (.12 x [A])
(C) Technoiog) Fee (5olo of[A])
TOTAL fees and surcharges (A through D)$ l?tt"fg
@,tfK
DEPARTMENT USE ONLY
Permit no lg-oal2sil - e€(
Date: lZ- | 4 - 2-OlA
s
s
S
$
s 86.00 s
S
s 99.00 s
s
S
S**P
5
S
FEE SCHEDULE
Number of inspections per iteD ( )Qlv Cost
e&
Total
cost
Residential, per unit, senice included
1.000 sq. ft. or less (4)s 181.00 S
Each additional 500 sq. ft. or ponion
thereof $ 3s.00 S
Limired ener$ (:)
Each manufacored home or modular
dwelling service or feeder (2)s 86.00
Services or feeders: installation. aheration. relocation
200 amps or less (2)s 109.00 S
201 lo 400 amps (2)s127.00
401 to 600 amps (2)s21s.00
601 to 1,000 a.rnps (l)s277.OO S
Over 1,000 amps or vohs (2)$635.00 $
Reconneq onl) (:)s 86.00
TeEporary services or feidetsi installotion. aheration. relocotion
200 amps or less (2)s 85.00 S
201 10 ,+00 amps (l)$ 118.00 s
401 Io 600 amps (2)$'t 72.00 S
$ 7.42F.ach branch circuii
Each additional branch circuir s 7.42
Each pump or irrigation circle (2)s 86.00
s 99.00Each sigr or outiine lighring (3)
Erch additional inspection: (1)5i99.00
DEPARTMENT USE
Last edited 7/lr0l8 BJones
I s +e.oo ls
I b. Fee for bianch circuits withoul purchase ofa service or feeder fee:
Reference:
s
Sigrature of signing supervisor: