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HomeMy WebLinkAboutPermit Electrical 2019-09-12OREGON Web Address: www.springfield-or.9ov City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-7 26- 37 53 Email Addressi permitcenter@springfield-or.9ov SPRINGfIELD Permit Issued: September 12, 2019 TYPE OF WORI( Category of Construction: None Specified Submitted fob Value: $0.00 Description of Work: Ductless Heat Pump Type of Work! None Specified fOB SITE IN FORMATIOT{ Worksite Address 1131 1ST ST Springfield, OR 97477 Parcel 1703263301600 Owner: Address: KEELERCLAIREAS& MATTHEW P 1131 1ST ST SPRINGFIELD, OR 97477 LICENSED PROFESSIONAL INFORMATION Business Name OWNER - Primary PhoneLicense cc8 PENDING INSPECTIONS Inspection 4999 Final Electrical 4250 Branch Circuits Inspection Group Elec Res Elec Res Inspection Status Pending Pending SCHEDULI'{G 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. build ing permits. oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 8LLO76Oa2724 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store All provisions of laws and ordinances gove.ning this type of work will be complied with whether sp€cilied hereln or not, Granting of a permit does not presum€ to give authorlty to vlolate or canc€l the provisions ofany other state or local law regulating constructlon or the p€rformance of construction. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility ltotiflcatlon Center. Those rules are set forth in OAR 952-OO1-OO1O ttrough OAR 952-OO1-OO9O. Yoll may obtain copies of tl|e rules by calling th€ Center at (5O3) 232-L987 _ All p€rsons or entities pertorming work under this permit are requir€d to be licens€d unless exempt€d by ORS 701.O10 (Structural/uechanical), oRs 479.s40 (Electrical), and ORs 593.01o-o2o (Plumbing), C \myRepo.ts/repo.ts//productron/01 STANDARo tb Building Permit Residential Electrical Permit Numberr 81 1-19-OO2109-ELEC-01 IVR Number: 811076082724 License Numbea 000000 Permlts explre lf work is not started within 180 Days of issuance or if work is susp€nded for l80 Days or longer depending on the issuing agency's pollcy. Permit Number: 811-19-OO2109-ELEC-01 Page 2 of 2 Fee Description Balance of minimum permit fees - electrical Branch circuits without service or feeder Technology Fee State of Oregon Surcharge - Elec (l2o/o of applicable fees) Quantity Fee Amount $13.00 $89.00 $s.10 $t2.24 $119.34Total Feesi C;\myReports/report /prcductDr/o1 STANOARD 1 PERMIT FEES -l,6 I I z tr al oF CI E, o Y ,q o E oi E c) -9 B UJI L a trlE 3ot UJJulutY eq) o- o P EE()o !o = o- o ri 6 ooo Y o eo o t:o o N 9 a c.j c.r ; (a @ @ '6 o. to o \tf o o Ngoi (r N a l,} (A s, l! (.raro(o(.J0ooo o NN{ooo oos E I5Y Y qoo o o -o o oEO O O6e e go<. t F9N c\r c{<t c\l clJ @ o, o) :o ; 59'E',^a!: oi:6.o o Ho o) o)P= = S Fo, o) o, =Gc o(,oll- 9C{o= 3tr EE 3E =oE -^- ^OE RS '*b d9 I8 Efi EE eE E c, jJd OID U' I! F E c E :cG e tn oooooo;-; !o o, 'c o,a o o t--F F- to Iio ct)'- a at/) Fa d;- (sx EE 5r! FOthc)oi.iSllJ t\ 6lJ!lsuJ i: (DsEi, 9!=Oez:ora'r.i'6q ;8il .gooot o oootr G F p i z,o(, oaJ!.rI (9z e,4 $ :Y.tF.ols(,an r 5.9-!.dX+ngoNE d6!as' F^G- A; i 6 ;(,)P AE6dr { a CITY OF SPRINGFIELD, OREGON Electrical Permit A lication 225 Fifth Strerl.Springlield, OR 97{77rPH(541)726-3753.FAX(5,11)72G3669 DEPARTMENT USE ONLY Permir no.: lq- @ kl Date qlal>otlfr ( This permit is iss[ed under OAR 918-3094000. Permits are nonlransferable. Permits expire if work is not sterted $'ithi[ 180 days ofissuance or if work is suspended for lE0 days. LOCAL GOVERNMENT APPROVAL FEE SCHEDULE CostQtYea. $ $Job site address: ,/,/eft Number of itrspections per item ( ) R6idential, per unit, service included:CATEGORY OF CONSTRUCTION I Commercialn Residential E Govemment JOB SITE INFORMATION AND LOCATION s186.00 s36.00 Total cost Each additional 500 sq. Ii. orpo(ion Zonirg approval verified? ! Y". ! No City: fu,lXafigl State: /f,!ztP: 47./771 Limited energy (2) Reference: CONTRACTOR INSTALLATION /r Address City: a being made on member of nry immediate or farm properry family. This property rs not 479.540(l\ and intended for sale, exchange, lease, or rent. OAR $89.00 S st 12.00 s st 3l -00 S s22r.00 S s285.00 s $654.00 s s89.00 $ s122.00 S st ??.00 $ Taxlot PROPERTY OWNER Name tft ZI FaxPhor.ei1l {, /a trl Signature Brroch circuits: ,ew olteration, extension per panel over 600 amps or 1.000 volts, see services or feede$ section above Services or fe€ders: irstallation, aheralion, rclocation 200 amps or less (2) 201 to 400 amps (2) 401 to 600 amps (2) 601 to 1,000 anrps (2) Over 1,000 amps or volts (2) Reconnect only (2) Temporrr.v serviaes ot l*ders: irstallation, a|eration, relocatioh 200 amps or less (2)s89.00 S 201 to 400 anrps (2) 401 to 600 amps (2) This installation is owned by me or a Each manufactured home or modular dwelling service or feeder (2) a- Fee for branch circuits with purchase of a service or feeder feeBusiness nanrc $Addrcss b. Fee for branch circuits withoul purchase ofa service ot feedcr fce:ZIPCity s89.00 SFirst branch circuit (2)FaxIJPhone s8.00 SEach additional braoch circuitE-mail S S S Miscellaneous fees: se ice orfeeder not included $89.00Each pump or irrigation circle (2) s89.00Each sign or outline lighting (2) s89.00Signatue of signing supervisor: Print name ofsigning supervisor: CCB license no.: Signing supervisor's license no Signal circuit or a limilcd.cncrgy pancl. aheralioD. or extension (2) SEech edditional inspection: (l ) OEPARTMENT USE S S(B) Enter l27o surcharge (.12 x [A]) (C) Technology Fee (5% of [A]) $ i\q.9q Lest edited ?/l/2019 BJones 1,000 sq. ft. or less (4) s{4.00 DESCRIPTION OF WORK State: E-mail: $t.00Each branch circuit State: BCD license no.: sr02.00 (A) Enter subtotal ofabove fees (Nlinimum Permit Fee S102,00) s TOTAL fees and surcharges (A through D): F Propefi Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed wilh the Conitruction Contractors Board to sign the following statement before a building permit can b€ issued. (ORS 7O1.325 (2ll This statement is required for lesidential building, electrical, mechanical, and Plumbing Pormits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit this statement. This statemenl will be filed with th€ permit. :'] r own, reside in, or will reside in the completed structure and my general contractor ts Name CCB#Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board' or ru lwill be performing work on property I own, a residence that I reside in' or a residence that lwill--- reside in. lf I hire Jub"ontr""tor5, lwill hire only subcontractors licensed with the Construction Contractors Board. lf 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 unde6tand the ln,ormation Notice to anU t trereby certify that the information on this home ck lre k Homeowner€ About Construction Responsibilities, owner statement is tlue and acculate. a /2,/? Date .LK.- Print Name of Permit Applicanl gnalure ol Permit APPlicant Address \ZDatelssued =5 q Permil #\4 -@tcqrnrzrr+ H \rg Please check the aPProPriate box: r This CopY for Permit Offices lnformation Notice to Owners About Construction ResPonsi bi lities (oRS 701.325 (3)) CONSTRUCTION CONTRACTORS BOARD PO Box 14140, Salem, OR 9730$5052 Telephone: 503-378-4621 - Fa(: 50+3712007 Website Address: wwworeoon.oov/ccb Homeowners acting as their own general contEcto6 to constluct a new home or make a substantial imiprovement to an existing structure, can prevent many problems by biing aware of the following responsibilities: a Homeowners who use labor provided by workers not licensed by the Construclion Contractors Board, may be considered an employer, and the workers who provide the labor may be considered employees. As an employer, you must comply with the following: oregon,s withholding Tax Law: Employers must withhold income taxes from employee wages at the time employees are Paid. You will be liable for the lax payments even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503-378-4988. Unemployment lnsurance Tax: Employers are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information' call the Oregon Employment Department at 503-947-1 488. Oregon's Business ldentification Number (BlN): is a combined number for both Oregon Wthholding and Unempioymenl lnsurance Tax- To file for a BlN, go online to the Oregon Business Registry. For questions, cail 503945-8091 . Workers Compensation lnsurance: Employers are subject to the Oregon Workers Compensation Law, and musl obtain Workers Compensation lnsurance tor their employees. lf you fail lo obtain Workers Compensation Insurance, you could be subjecl to penalties and be liable for all claim costs if one of your workers js injured on the job. For more information, call the Workers Compensation Division at the Department of Consumer and Business Services at 800-452-0288. Tax Withholding: Employers must withhold Social Security Tax and Federal lncome Tax from employee wages. You may be liable for the tax payment, even if you didn't actually withhold the tax. a a a For a Federal EIN number, g o online to www.irs.oov Other Responsibilities of Homeowners: Code Compliance: As the permit hoider for a construction projecl, the homeowner is responsible for notifying building officials at the appropnate limes, so thal the required inspections can be performed. Homeowners are also responsible for resolving any failure to meet code requirements that may be found through inspections. Property Damage and Liability lnsurance: Homeowners acting as their own contractors should contact their insurance agent to ensure adequate insurance coverage for accidenls and omissions, such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be redone- Liability lnsurance must be sufficient to cover injuries to persons on the job site who are not otherwrse covered as employees by Workers Compensation Insurance. Expertise: Homeowners should make sure they have the skills to ac1 as their own general contractor, and the expertise required to coordinate the work of both rough-in and finish trades. a ^..,^6. ai^^f6.1 O_rni 6 This Copy for Permit