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Home My WebLink AboutPermit Electrical 2018-12-21Si'RINGFIELD OREGON Web Addr€ssr www.springfield-or.9ov Building Permit Residential Electrical Permit Number: 81 1-18-002964-ELEC IVR Number: 81 1044540550 Permit lssued: December 21, 2018 ryPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: 14 branch circuits for interior remodel Type of Work: Alteration INFORMATION Worksite addrsss 4024 E 16TH AVE Eugene, OR 97403 Parcel 1703344306800 Owner: Address: ROBERTSON BILL 744 VAN DUYN ST EUGENE OR S7401 LICENSED PROFESSIONAL INFORMATION Business name OREGON ELECTRIC COMPANY INC - Primary License ccB Llconse number 201643 Phone 541 -452-0570 PENOING INSPECTIONS lnspection 4999 Final Electrical 4999 Final Electrical 4500 Rough Electrical lnspection group Elec Res Elec Res Elec Res lnspection stalus Pending Pending Pending SCHEDULING INSPECTIONS Various inspections are minimally required on each poect and ofien dependent on the scope of work. Contact the issuing iurisdiction indicated on the permit to determine required inspections for this proJect. Schedule or track inspections at www.buildingpermits.oregon.gov Schedule by phone can 1888-299-2821 use IVR number: 811044540550 Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store Pormits must be posted in clea, viow on the wo*site. Permits expire if work is not stanod within 160 Oays of issuance or if wo* is susp€nded for 180 Oays or longer dopending on the issuing agsncy's policy. E.:tt City of Springfield Development and Public Works 225 Fifth Street Sprinqfield, OR 97477 541-726 3753 Email Address: p€rm tcenter@sprngfield-or.gov All provlsions ot laws and ordlnances govsrning this typs ol work tvill bo complied wlth whother spoclfisd hsreln or not. Granling ot a pormit does not presume to glvs authority to violate or cancsl thg provlglons of any olhgr state or local law regulatlng const,uction or thq performance of constructlon. ATTENTION - CALL BEFORE YOU OIG: Oregon law requires you to follow rules adoptod by the Orogon Utility Notitacation Centor. Thoss rules ars sot fo.th in OAR 952.001{010 through OAR 952{01{090. You may obtaln copies ot tho rules by calling the Centsr at (E77) 668-4001 or dial 811. All psrsons or enllliss pedormlng wo* under this permit ars roqulred to bo llcensed unless exemptod by ORS 701.010 (Structural/Mech.nical), ORS 479.540 (Electrical), and ORS 693.0r0-020 (Plumbing). Ptinled on: 12121118 Page 1 of 2 std-BurldrngPerm t_pr Permit Number: 81 1 -1 8402964-ELEC Page 2 ot 2 Fee Description Branch circuits without service or feeder Technology Fee State of Oregon Surcharge - Elec ( 12% of applicable fees) Quantity l4 Total Fees: Fee Amount $ 182.46 $9.12 $21.90 $213.48 ?t fied an 12121118 Page 2 ol2 sld_Bu ld ngPermrt pr PERMTT FEES SPRINGFIELD OREGON www.sprin gfleld-or. gov Worksite address: 4024 E 16TH AVE, Eugene, OR 97403 Parcel: 1703344306800 Transaction Receipt 81't -t 8-002964-ELEC Receipt Number: 468946 Receipt Date:'12121 118 Cily of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-?26-37s3 permitcenter@sprin gf ield-or.9ov Fees Paid Transaclion date 12t21t18 Units '14.00 Qty '1.00 Ea Description Branch circuits without service or teeder State of Oregon Surcharge - Elec (12% of applicable fees) Account cods 224-00000426102-1033 Fee amount $182.46 Paid amounl $182 46 $21.90 $9.12 12t21t18 12t21t18 1.00 Automatic Technology Fee 821-00000-215004-0000 1 00-00000-425605-0000 $21.90 s9.12 Payment i,4ethod:Credit card authorization 511231 Payer: Bryce Honer Payment Amount:$213.48 Cashier Thayne Smith Receipt Total:$213.48 Prinled: 12l21l'18 1:14 pln Page 1 of 1 FIN TransaclionReceipt-pr $ CITY OF SPRTNGFIELD, OREGON Electrical Permit Application Darc: \Z L This permil is issued unddr OAR 918-309-0000. Permits are nontransferable. Permits expire ilrvork is not started $ithitI 180 da1's of issuance or if work is suspended for 180 days. sPrrxcF ar.l - ir*'':| _a{...&.rir-, *1kffiu 6;e4 L13<_ Zoning approval verified? E Yes E Xo CATEGORY OF CONSTRUCTION flResidenrial E Commercial JO3 SITE INFORMATION AND LOCATION Cit!State 0_q 9a1 Reference: /Taxlot DESCRIPTION OF WORK +a SJob site address: t/6 L 6_irc-u,? o Address E-mail This installation is being made on residential or farm propeq owned by me or a member of m;- immediate famill. This properry is not intended for sale, exchange, Iease, or rent. OAR 479.540(1) and 479.560(l ). Signature i CONTRACTOR INSTALLATION Business name Phone os Fali E-maii 6 q Signing supen isor's license no Print name of signing supervisor: $a- Temporar.r' services or feeders: inslal Lation alteration relocation Services or fe€den: installation. alteration. telocation Fir$ branch circuil (21 Each additional branch circuit Each pump or irrigalion cfcle (2) | i s 86.00 I Each sign or oudine lighring {2)s 99.00 s sSignal circuit or a limited-energ] panel alterdtion, or exension (2)s 99.00 (Ai Enter subtotal of above fees (Minimum Permit Fee 599.00) (B) Enter 12% surcharge (.12 x [A]) Cn s s s S s S S rrtlfL S Vo Over 600 amps or 1,000 volts, see services or feeders section above b. Fee for branch circuits without purchase of a seNice or feeder fee s (C) Technologr Fee (5olo of[A]) DEPARTMENT USE ONLY 4-Permit no.: i PROPERTY OWNER Name ts,Lt Sobe^ FEE SCHEOULE Number ofirspcctions per item ( )Qn Coste&Totalcost Residential, per unit, sen,ice included: 1.000 sq. ft. or less (4)s 18'1.00I s F-ach addi onal 500 sq. ft. or ponion 5 35.00 Limited energy (2)s 43.00 S Each manufactured home or modular dwelling service or feeder (2) 200 amps or less (2) s E6.00 s 109.00 s 201 to 400 amps (2)s127.00 s 401 to 600 amps (2)s215.00 601 to 1.000 amps (2)s277.00 s635.00 SOver 1,000 amps or volts (2) SReconnect onlr" (2) 200 amps or less (2) s 86.00 s 86.00 201 ro 400 amps (2)s 1,8.00 s 401 to 600 amps (2).q172.00 S $Each branch circuit s 7.42 City: ( 4q -so,"1a€-ZIP: C, PhoneJ- Y// Address: @l Cir:-t Ct-a Sv\/Qr//state, d(-zIP: q7 YZ I Signature of si gning supervisor CCB license Lol 6 BCD Iicense no ;( | $ 85.00 s 7.423 MiscellaDeous fees: seruice or -lbeder not included S Each rdditional inspection: all s99.00 5 DEPARTMENT USE Last edited 7/l/2018 BJones 225 Fifth Streer. Spri ngfield. OR 97477. PE(541)726-3753. FAx(511 )726,3689 LOCAL GOVERNMENT APPROVAL ! Govemment Brrncb circuitsi ,ler: alterotion. eatension per panel I a. Fee for branch circurts with purchase ofa service or feeder fee: I ZIP: Fax: 3l .;-r'? ? 4, TOTAL fees and surcharges (A through D):