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Home My WebLink AboutPermit Electrical 2018-10-30SPRINGFIELD nt City of Springfield Development and Public Works 225 Fifth Street Springfleld, OR 97477 541-7 26-37 53mBuilding Per tOREGON Web Address: r4ww-springfleld or.gov Email Address: permitcenter@sprinsfi€ld-or.9ov Permit lssued: October 30, 2018 TYPE OF WORK Category of Construction: None Specified Submitted Job Value: $0.00 Description of Work: Temporary Electrical Pole -Lot '112 Type of Work: None Speciied JOB SITE INFORMATION Worksite address 6189 FOREST RIDGE DR Springfield, OR 97477 Parcel 1702343409300 Owner: Addressl 818 SJL LLC 2,I059 AVERY LN BEND, OR 97702 LICENSED PROFESSIONAL INFORMATION None Specified PENDING INSPECTIONS lnspection 4000 Temporary Power Service lnspection group Elec Res 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 cal lA88-299-2A21 use IVR number: 811050714830 Schedule using the Oregon ePermitting lnspection App, search 'epermitting" in the app store PERMIT FEES Fee Description Balance of minimum permit fees electrical Temp services 200 amps or less Technology Fee State of Oregon Surcharge - Elec (72o/o of applicable fees) Quantity Permits must be posted in clear view on the worksite. Pennits expire if work is not started wilhin 180 Days of issuance or if work is suspended tor 180 Days or longer depending on the issuing agency's policy. 1 Fee Amount $13.00 $86.00 $4.95 $ 11.88 $ 11s.83 All provisions of laws and ordinances governing this type of work will be complied with whether speciried herein or not. Granting of a permit does not presume to give authority to violate or cancel the provisions of any othe. state or local law regulaling construction or the performance of construction. ATTENTION - CALL BEFORE YOU DIG: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set torth in OAR 952-OO1-OO1O through OAR 952{01-0096. You may obtain copies of lhe rules by calling the Center at (877) 6684001 or dial 8l'1. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.010 (Structural/Mechanical), ORS 479.540 (Eleclrical), and ORS 693.OlO{20 (Plumbing). Printed on 10/30/18 paoe 1 of 1 std_BuidrngPerrnit pr Residential Electrical Permit Number: 81 1-1 8-001987-ELEC-01 IVR Number: 81 1 050714830 lnspection status Pend ng Total Fees: SPRINGFIELD OREGON \&vr'w.springfield-or.gov Worksite address: 6'189 FOREST RIDGE DR, Springfield, OR97477 Parcel: 1702343409300 Transaction Receipt 81 1 -1 8-001 987-ELEC-01 Receipt Number: 468344 Receipt Date: 10/15/18 City of Springfield Deve opment and Publ c Works 225 Fifth Street Springfield, OR 97477 541- 7 26- 37 53 permitcenter@springfield-or. gov Fees Paid Transaction date 10t15t18 10115118 10t15t18 Units 1.00 Ea 1.00 Automatic 1.00 Ea Account code 22 4 -OOOO O - 4 26 1 02 - 1 033 22 4 -O 0 000 - 4 26 1 02 - 1 033 821-00000-21 5004-0000 Fee amount $86.00 $13.00 $11.88 Paid amount $86.00 $13.00 $1 1.88 Description Temp services 200 amps or less Balance of minimum permit fees - electrical State of Oregon Surcharge - Elec (12% of applicable fees) Technology Fee 100 00000 425605-00001At15t1B1.00 Automatic $4 95 $4.95 Payer: Glen Hunt Payment Amount;$'1 15.83 Cashier: Toste Muniz $1 15.83 Printed: 10/15/18 4:18 pm nt Payment l\4ethod: Credit card authorization 01576R Receipt Total: F N TransaclonRece pt pr Electrical Permit A lication ?4 225 Fif.h Srr.rhSprlngti€ld, OR 97477.PH(5'4l)726-3753rFd((541)726-3689 Datc b This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if rvork is not startcd rvithin 180 davs ofissuance or if*ork is suspcnded for 180 days. DEPARTMENT USE ONLY LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoning approval verified? ! Yes E No Number ofinspections per iten ( )Qty.Cost 'fotal costCATEGORY OF CONSTRUCTION U Residential E Govemment E Comrnercial 1,000 sq. n. or lcss (4)JOB ITE INFORMATION LOCATION s181.00 s Job sitc addross:i Each additional 500 sq. &. or portion thcrcof $ 35.00 $ City: (p7.-"$,.12 State: 0',/'p, 4l4ltl I Lirnrterl energy r21 s 43.00 S Taxlot.:Each manufactured home or modular dwellinB service or feeder (2)s 86.00 S DESCRIPTION OF WORK Scrvices or feedersi r'16tallation. o\erotio , relocotio,t 200 amps or le$ (2)s 109.00 PROPERTY OWNER 201 to 400 amps (2)s127.00 \ Namc: C\ (o 401 to 600 amps (2)s215.00 S ,r 601 to 1,000 anrps (2)s277.00 S Over 1,000 amps or volts (2)s635.00 \Ciryb \\4 State: Ov,-ZIP ') t1 Phone 6q.L Reconnecl only (2)s 86.00 s E-mail;6u Tcnrporary services or fecde.si instalk ion, aherution. rch)(atio This installation is being made on residential or farm property owned by me or a member of my immediate family. This 200 omps or less (2)s 86.00 s c\ is not intended for sale, exchange, lease, or rent. OAR 201 to 400 amps (2)s 118.00 Sproperty 4't9.540(l)and 4 560(l 401 to 600 amps (2)sr72.00 S Signature Over 600 amps or 1,000 volts, see sewic€s or feeders section above coN R INSTALLATION Brrnch circuits: ,,elr, nlteration, e\tension per pufiel Business name I vf ri(a. Fec fbr branch circuits with purchasc ola service or leeder fce Address })tBr AvP Each branch circuit $ 7.42 s ciry: Fl.ll5boQ State: f A b. Fee for bIanch circuils witholr plrchase ofa service or feeder fee Phonc: 59/ )\ !,- ct Jl )Fax:First branch circui! (2)$ 86.00 s E mail: Ir.r,prllrr/ArHr tlocJtt , ( t, tt Each additional branch circuil 5 7.42 \ CCB license no.: l)ll.f 4 BCD licens€ bo.:Mlscellaneous fe€s: reflice otJeeder tbl includcd Signing isor's license no-7c> a Each pump or irrigation circle (2)s 86.00 S Priflt name ofsignin supeI!rsor ,-l v5 ,t<l?E ch sign or outline lighting (2) Signature of signing superv Signal circuit o. a limited^encrgy pancl,'altcralion, or extension (2) s 99.00 s $ 99.00 F:,ach additional inspectioni (li s99.00 S NT USE (A) Enler subtotal ofsbove fees (Mlnlmum Pcrmlt Fce $99-00)5 (B) Enter l2% surcharge {.12 x [A])s (C) Technology Fcc (5% oflAl)s TOTAL fees and surcharges (A through D)s Lrst €dited 7/l/2018 &loncs Address: I pemtno.: ira - D)l*7-t=l FL ZIP: I CITY OF SPRINGFIELD, OREGON Residcntial, pcr unit, servicc included: I Reference: Fax: