HomeMy WebLinkAboutPermit Electrical 2019-08-20Building Perm it
Residential Electrical
Permit Number: 811-19-001926-ELEC
IVR Number: 811048222691
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
Web Address: www.springfield-or.gov Email Address: pennitcenter@springfield-or.gov
Permit Issued: August 20, 2019
Category of Construction: Single Family Dwelling
Submitted Job Value: $0.00
Description of Work: Service change
Type of Work: New
Worksite Address
384 UST
Springfield, OR 97477
Parcel
1703262105507
Owner:
Address:
TEO ZACCHARY T & SARAH
384 UST
SPRINGFIELD, OR 97477
Business Name
GO ELECTRIC INC - Primary
License
CCB
License Number
136371
Phone
541-912-2957
Inspection
4999 Final Electrical
4999 Final Electrical
4220 Electrical Service
Inspection Group
Elec Res
Elec Res
Elec Res
Inspection Status
Pending
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
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811048222691
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Perm its expire If w ork Is not started w ithin 180 Days of Issuance or If w ork Is suspended for 180 Days or longer depending on
the Issuing agency's pollcy.
All provisions of law s and ordinances governing this type of w ork w lll be com plied w ith w hether specified herein or not.
G ranting of a perm it does not presum e to give authority to violate or cancel the provisions of any other state or local law
regulating construction or the perform ance of construction.
ATTENTIO N : O regon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth In OA R 952-001-0010 through OA R 952-001-0090. You m ay obtain copies of the rules by calling the Center at (503)
232-1987.
All persons or entitles perform ing w ork under this perm it are required to be llcensed unless exem pted by ORS 701.010
(Structural/M echanlcal), ORS 479.540 (Electrical), and ORS 693.010-020 (Plum bing).
Printed on: B/20/19 Page 1 of 2 C: \myReports/reports//productlon/01 STANDARD
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Electrical Permit Application
C IT Y O F SP R IN G F IE L D , O R E G O N
225 Fifth Street•Springfield, OR 9747H PH(S41)726-37S3tFAX(S41)726-3689
DEPARTMENT USE ONLY
Date: oe
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
LOCAL GOVERNMENT APPROVAL
Zoning approval verified? D Yes D No
CATEGORY. OF CONSTRUCTION
Residential
Tax.lot.:
DESCRIPTION OF WORK
_OWNER
Name:
Address:
City: State: ZIP:
Phone: Fax:
E-mail:
This installation is being made on residential or farm property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1).
Signature:
Business name: f;y e_
Signing supervisor's license no.:
Print name of signing supervisor: W
Signature of signing supervisor:
, . .FEE SCHEDULE ~
Namber of lnpecdou per item () Qty. Colt Total
~ ea. cost
Residential, per unit, service included:
1,000 sq. ft. or less (4) $186.00 $
Each additional 500 sq. ft. or portion $36.00 $ thereof
Limited energy (2) $44.00 $
Each manufactured home or modular $89.00 $ dwelling service or feeder (2)
Services or feeders: installation, alteration, relocation
200 amps or less (2) $112.00 $
20 I to 400 amps (2) $131.00 $
40 I to 600 amps (2) $221.00 $
601 to 1,000 amps (2) $28S.0O $
Over 1,000 amps or volts (2) $6S4.00 $
Reconnect only (2) $89.00 $
Temporary services or feeders: installation, alteration, relocation
200 amps or less (2) $89.00 $
20 I to 400 amps (2) $122.00 $
401 to 600 amps (2) $177.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: new, alteration, extension per panel
a. Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit $8.00 $
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2) $89.00 $
Each additional branch circuit $8.00 $
Miscellaneous fees: service or feeder not included
Each pump or irrigation circle (2) $89.00 $
Each sign or outline lighting (2) $102.00 $
Signal circuit or a limited-energy panel, $102.00 $ alteration, or extension (2)
Each additional inspection: (I) $102.00 $
-~ DEPARTMENT U SE_
(A) Enter subtotal of above fees $
(Minimum Permit Fee $102.00)
(B) Enter 12% surcharge (.12 x [A]) $
(C) Technology Fee (5% of[A]) $
TOTAL fees and surcharges (A through D): $
Last edited 7/1/2019 BJones
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