HomeMy WebLinkAboutPermit Electrical 2019-01-22SPRINGFIELD
ORE6ON Building Permit
Residential Electrical
Permit Number: 81 1 -19-0001 30'ELEC
IVR Number: 81 1090641 187
web address: www.springf reld or.gov Email Address: permitcenler@sprinqfield'or.gov
Permit lssued: January 22,2019
TYPE OF WORK
Category of Construction: Townhouses
Submitted Job Value: $0.00
Description of Work: Reconnecl only - due to fire
Type of Work: Repair
JOB SITE INFORMATION
Parcel
1703262402800
Owner:
Address:
CHASE INVESTN,IENTS
LLC
455 CASCADE DR
SPRINGFIELD, OR 97478
LICENSED PROFESSIONAL INFORMATION
Business name
BEAM ELECTRIC LLC - Primary
License
ccB
License number
192844
Phone
541-968-1962
PENDING INSPECTIONS
lnspection
4999 Final Electrical
4200 Reconnect Service
lnspection group
Elec Res
Elec Res
lnspection status
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 1-888-299-2821 use tVR number: 81'1090641187
Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store
PERMIT FEES
Fee Amount
$ 13.0 0
$86.00
$4.95
$ 11.88
$ 1 15.83
std_BurldingPerm{_pr
{i
CitY of SPringfield
Development and Public Works
225 Fifth Street
SPringfield, OR 97477
541-726-3753
Worksite address
1S14 sTH ST APT 26
Springfield, OR 97477
Fee Description euantity
Ealance of minimum permit fees - electrical
Service reconnect only 1
Technology Fee
State of Oregon Surcharge - Elec (tzo/o of applicable fees)
Total Fees:
Permib must be postsd in clear view on the worksite. Permits expire if work is not started within l80 Days of issuancs or it work issusp6nded fo l80 Days or longgr deponding on tho issuing agsncy's policy.
All provisions of laws and ordinances govsrning this type ofwork will be complied with whsthsr specifisd her6in ornoL Granting ofa permit does not prosumg to givs authority to violate or cancsl the provisions of any othor stato or local law regulating constructionor th6 peaformanco of conslruction.
ATTENnoN - CALL BEFORE You DIG: oregon law rsquiros you to tollow rulos adopted by the oregon Utitity Notification center.Those rules are set forth in oaR 952{01-OOIO through OAR 952-oo1-oO9O. You may obtain copies of the rules by caIin9 the Cent€r at(877) 6684001 or diat 811.
All po.sons or entitios porforming work under this permit are required to be liconseal unloss exempted by ORS 701.OjO(Structural/Mechanical), ORS 479.540 (Etectricat), and ORS 693.OlO-O2O (ptumbing).
Ptinled on 1122119 page 1of 1
SPRINGTIILD
?&
ORIGON
www.sprin gfleld-or. gov
Worksite address: 1914 sTH ST, APT# 26, Springfietd, OR 97477
PatcP-l: 1703262402800
Transaction Receipt
811-19-000't 30-ELEC
Receipt Number: 469168
Receipt Date: 1/22119
Fees Paid
City of SPringfield
DeveloDment and Public Works
)25 Fifth Street
Sorlnqfield' OR 97477
541'126'3753
permitcenter@springfield-or'gov
Transaction date
1122t19
112?,19
1t2U19
Units
1.00 Ea
1.00 Automatic
1.00 Ea
Description
Service reconnecl only
Balance of minimum permit fees - electrical
State of Oregon Surcharge - Elec (12o/o ol
applicable fees)
Account code
224-00000426102-1033
224-00000-426 1 02- 1 033
821-00000-215004-0000
1 00-00000-425605-0000
Fee amount
$86.00
$13.00
$1 1.88
Paid amount
$86.00
$13.00
$1 1.88
$4.95
$115.83
$115.83
1t22119
Payment Method
Cashier: Katrina Anderson
1.00 Automatic Technology Fee
Credit card authorization
094112
Payer: sean quinlan
$4.95
Payment Amount
Receipt Total:
Pinred 1122119 942am Page 1 of 1 Fl N-TransactlonRecerPt-Pr
DEPARTMENT USE ONLY
Electrical
1.25 fifth Streeit SPritrEfield'
Permit plication
On qrllZ rttt(S'r t lzZo_:z 5r. rAx(541)726_368q
sPit'.cFrELo @
.j-€s{l}SlE&- th'a Ped l no
Thi! Dermil is issued under OAR sl8-30s-0000 Permi
ir',,.'"i it-""r"" * if r ork is suspeDded for 180 dals'
ts are DoDtransferable' Permits erpire if nork is not started \r ithiB 1E0
FEE SCHEDULE
Residetrtial' per uoit. sen'ice included
Total
coslL
Zoning aPProval verifi eCl ! Yes E tlo
CATEGORY OF coNsrRUCrtor.t
IResidentiai ! Govemmenl I Commercial
JOB SITE INFORMATION AND LOCATION
oclt- oovenxn Err appRovlt-
r +26 ] E ch additional 500 sq. ft. or Pomon
I thereof
-1q1,
$r81.OO s1.000 sq. ft. or iess (4)
Cil)Ft EI-D t ^r",6lrl Limired energ) (l)s 43.00 S
i Each manufacnrred home or modular i $ E6.oo $
dwellilg service or feeder (l)
Sen'ices orfeeders: installalion olrcrariok relocation
f00 amps or Iess (2)s 10s.00 i s
401 to 600 arnps (2)
601 to 1,000 amps (l)
s 35.00 s
s215.00
s277.00
$635.00 s
s E6.00 !
Reierence
€l
Name
Ad&ess
Ta)ilot.
ZI.P
Fr-z
Cir*
Phone
E-mail
PROPERW OWNER
State
Fax
Over I.000 amps or volts (:)
200 amps or less (l I
Reconnecr onl) (l)s 86.00
Temporan' services or lerlders installation alrcration. relocation
This installation is being made on residential or farm properq
owned by me or a member of m1 immediate famill. This
propert) is not intended for sale. exchange. lease. or rent. OAR
479.540(l ) and 479.560(1 ).
Signature
.EE:ryTqqs. :EEz.". EL{c:rtu, L
201 ro 400 amps (2)s 118.00
BrsDch circuits: ,7ev. aheraion. etension per panel
a Fee for bEnch circuits with purchase ofa service or feeder fee
Each branch circuil
s
401 to 600 amps (2)s172.00 s
i over 600 amp5 or 1.000 vohs. see services or feeders section above
Address ?O. -Bs* ?ro
CITYOF SPRTNGFTELD,OREGON
Costea.QtvNumber of irspcctions P€r item ( )
Fo ORKWONPTIESCRID
s127.00201 to 400 amps (l)
Ctrr 4. s-ttlflS "q iState: 6x- | ZIP:17'b. Fee for branch circuts *ithou! Durchase ofa se,'vice or feeder fee
I First branch circuit (2 r $ 85.00 I s
E-mail: 6, U r.-r r-n-r-r- S d- 4Q!ryar C .( o::: t Each addirional branch circuir $ 7.42 1s
i cce tl."nk o. l "ZTaq i BcD ii".,r.. no L-t l4 Miscellaneous fees: Jcrvice or ieeaer noi mciuaeti
Signing supen rsor's license no.: S S( 3 S Each pump or irrigarion circle (:)s 86.00 S
Pnnt name of si glrng supervlsor
Signarure of si;rning supenisor
, Each sign or ouliine iiehting (: )s 99.00 s
i Sisnal circuil or a limited-enersr oanel
I alierarion. or exrension (l)S0093
Eech rdditioEal i[spectioBi il ]$99.00
DEPARTMENT USE
(A) Enrer subrctal ofabove fees
(Minimum Permir Fee S99.00)
t,
S
q?,
@)Enter lf% surcharge (.12 x [A])
(C) Technolos Fee (59o oflAl)5
t. U
Le.t edite.t 7/1/2ot *
TOTAL fees and swcharyes (A tlrough D)5
t2 C0-m
E r i'.2-l l1 i
I
Job site address:t9 Jq SJ5
ZIP
CONTRACTOR INSTALLATION
s 7.42 r$