The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2019-07-26Building Permit Residential Electrical Permit Number: 811-19-001259-ELEC IVR Num ber: 811006846361 City of Springfield Developm ent and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Web Address: www.springfield-or.gov Email Address: permitcenter@springfield-or.gov Permit Issued: July 26, 2019 Category of Construction: None Specified Submitted Job Value: $0.00 Description of Work: Addition 1659sqft Type of Work: None Specified Worksite Address 390 BLA CK STONE ST Springfield, OR 97477 Parcel 1703233407700 Owner: Address: GRIFFIN BRADLY D PO BOX 70718 SPRING FIELD, OR 97475 Business Name OW NER - Prim ary License CCB License Number 000000 Phone Inspection 4999 Final Electrical 4500 Rough Electrical Inspection Group Elec Res Elec Res Inspection Status Pending Pending Various inspections are m inim ally required on each project and often dependent on the scope of work. Contact the issuing jurisdiction indicated on the perm it to determ ine required inspections for this project. Schedule or track inspections at www.buildingpermits.oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811006846361 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Fee Description Branch circuits without service or feeder Technology Fee State of Oregon Surcharge - Elec (12% of applicable fees) Quantity 4 Total Fees: Fee Amount $108.26 $5.41 $12.99 $126.66 Permits expire If woril Is not started within 180 Days of Issuance or If woril ls suspended for 180 Days or longer depending on the Issuing agency's policy. All provisions of laws and ordinances governing this type of woril will be complied with whether specified herein or not. Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001-0090. You may obtain copies of the rules by calling the Center at (503) 232-1987. All persons or entitles performing work under this permit are required to be licensed unless exempted by ORS 701.010 (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing). Printed on: 7 /26/ 19 Page 1 of 1 C: \myReports/reports//production/01 ST AN OARD "O ~~~friEj - Q ) C <O C1> .•.. <O co ~ o.._str-..CI ::::, N C1> v co Cl. ~ <O _, Cl 3': vi S; ":I ls 0 . N '° co E ~ co Cl. C ~.CCX~,:, .•.. ~ N ·1 ·c: Ill .••. ~ N •.. Q. :o~or;-v "Cl ~ .•.. tit Cl) ~ 0:: =,LL ... ,....c.:: ·; C - C.Ln:E!stCI 0 0 "O N cu LI') E Q . ~ <.) ~ C N <.:: L. •• C'O Cl a. •• u C UI C ~ ·;:: @ I! cu a. •.. I- E vi 2l z' Q. C t u: 0 cu - u i ~ ~ ::, 0 ~ ~ li; E a. < - a. - "i C - Ii u C <O C1> .•.. ii! ::::, N C1> v 0 . N LO E ~ .•.. ~ Ill .••. ~ CD ~ CD LL - C. "i CJ Cl) a::: C 0 ~ CJ ca fA C ca ••• I- 0 w ..J w 31 N .•.. 0 c;, en .•.. I .•.. .•.. co > 0 Cl ..: 9 "O Q ) ~ Cl C ·c Q . i ,:, ·; ll. Cl) CD CD IL (") (") 0 .•.. c-:, 0 .•.. CD <O "Cl N 0 "f uo -o C 0 ::::, 0 oc;> u '<t c'il~ ... QI "O QI J!! 0 j >, C - ::, 0 0 0 '<t s Ill "Cl C 0 :;:i u C1> =~ C <O t!~ I- r-- 0 0 ~ 0 ll ) .•.. ~ 8 0 9 .•.. N (X) - 0 ~ N 0 0 9 ll) 0 l8 N "f 0 8 0 9 0 0 3l LL >, Cl .Q 0 C 13 ~ 0 :; E ~ < ~ .•.. 0 ~ 0 ~ m z u:: LL ii: (!) ~ co a.. -0 0 .c al ~ c QI E >, co a.. E l e c t r ic a l P e r m it A p p lic a t io n CITY OF SPRINGFIELD, OREGON 225 Fifth Streett Springfield, OR 97477tPH(541)726-3753+FAX(541)726-3689 T his perm it is issued under O A R 918-309-0000. Perm its are nontransferable. Perm its expire if w ork is not started within 180 days of issuance or if w ork is suspended for 180 days. *1llf~ii@tili~D1%t'\so·. · "-n::R N ME. . . loJT •' A;ftDRou::...1 .. , ·).{;,•: :, 'A .>: °Y-.K~fe~NWP:ifr,JMl~Y~~~~~:.' YA;;.. . . ~··• i\~r~, · ·. ·1r~'./:-:l~~-=:'-:~"'<;/1'fS-/'', :·~'~) Zoning approval verified? D Yes D No ~Ali$~FiYt:OF,.::C QNS"J:;RUCl'JDtf:s11ltl,: This installation is being m ade on residential or farm property ow ned by m e or a m em ber ofm y im mediate family. This property is not intended foJ,.SaJe, exchange, lease, or rent. OAR _.,:~~~ .. ,. .... ~QlnRAG!J"O)tW1SJ:AJ"1"AT110ffx Business name: Address: City: ZIP: Phone: E-m ail: CCB license no.: BCD license no.: Signing supervisor's license no.: Print nam e of signing supervisor: Signature of signing supervisor: ·{':,;!? ···'""··,t\1'&'·,, ¾1··· fEE'SCHEDtiUE''"····· '·' · · ··'" ""·· .. · ~~,b ;:4J'.-"'t .· _ -«~ - _ - .- ;;;>/½~'.~~",(-_ .>'.";;,:. --;>{,~~-~-Z~--=t\"'~-:: ~~--~ --:<,<"". ·:.,:, . . . . . , .. _;-'.':~,o.<;/-i[' ,:> ·. '"> .. :,.\=1.2'::\-·''i'/-:f-<,; t'i:U..~"~~~l~!;!twft;i,i ~; .,:,r~ "'· }\~r,1 Residential, per unit, service included: 1,000 sq. ft or less (4) ~ $181.00 $ Each additional 500 sq. ft. or portion / thereof ~ $ 35.00 $ Lim ited energy (2) $ 43.00 $ Each m anufactured hom e or m odular $ 86.00 $ dw elling service or feeder (2) Services or feeders: installation, alteration, relocation 200 am ps or less (2) $ 109.00 $ 201 to 400 am ps (2) $127.00 $ 401 to 600 am ps (2) $215.00 $ 601 to 1,000 am ps (2) $2TT.00 $ O ver 1,000 amps or volts (2) $635.00 $ R econnect only (2) $ 86.00 $ Tem porary services or feeders: installation, alteration, relocation 200 am ps or Jess (2) $ 86.00 $ 201 to 400 am ps (2) $ 118.00 $ 401 to 600 am ps (2) $172.00 $ O ver 600 am ps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extension per panel a. Fee for branch circuits w ith purchase of a service or feeder fee: Each branch circuit $ 7.42 $ b. Fee for branch circuits w ithout purchase of a service or feeder fee: First branch circuit (2) I $ 86.00 $ Each additional branch circuit ~ $ 7.42 $ M iscellaneous fees: service or feeder not included Each pum p or irrigation circle (2) $ 86.00 $ Each sign or outline lighting (2) $ 99.00 $ Signal circuit or a lim ited-energy panel, $ 99.00 $ alteration, or extension (2) Each additional inspection: (1) $99.00 $ - (A ) Enter subtotal of above fees $ (M inim um Permit Fee $99.00) (B ) Enter 12% surcharge (.12 x [A ]) $ (C ) Technology Fee (5% of[A ]) $ TOTAL fees and surcharges (A through D ): $ Last edited 7/1/2018 B.Jones P ro p e rty O w n e r S ta tem e n t R e g a rd in g C o n stru c tio n R es po n s ib ilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be I issued. (ORS 701.325 (2)) This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit this statement This statement will be filed with the pennit. Please check the appropriate box: D I own, reside in, or will reside in the completed structure and my general contractor is: N a m e C C B# E xpiratio n D ate D I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information Notice to Homeowners About Construction Responsibilities, and I hereby certify that tlie information on this homeowner statement is true and accurate. D a te Issued by: CfYt: D~ '} f )J .Q If j This Co py for Perm it Offices