HomeMy WebLinkAboutPermit Electrical 2019-09-17OR'GON
web Address: www.spriogfield or.gov
Building Permit
commercial Electrical
Permit Number: 811-19-O02148-ELEC
IVR Number: 811055228r35
City of Springfleld
Development and Public Works
225 Fifth Street
Springfleld, OR 97477
54t-726-37 53
Email Address: oermitcenter@sgrinqfi€ld-or.qov
SPRINGFI€LD
'b
Permit Issued: September 17, 2019
TYPE OF WORK
Category of Constructioni Commercial
Submitted .rob Value: $0.00
Description of Work: Kitchen remodel
Type ot Work: Alteratjon
IN FORMATI ON
Owner:
Addressi
BREILA LLC
3289 WINTERCRE€K DR
EUGENE, OR 97405
LICENSED PROFESSIONAL INFORMATION
Business Name
DAVID STUCK ELECTRIC LLC .
Primary
License
CCB
License Number
1581.77
Phone
541-485-8855
PENDING INSPECTIONS
Inspeqtion
4999 Final Electrical
4999 Final Electrical
4500 Rough Electrical
4250 Branch Carcuits
Inspection GrouP
Elec Com
Elec Com
Elec Com
Elec Com
Inspection Status
Pending
Pending
Pending
Pend ing
SCHEDULING
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: 811055228136
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Perhits exptre it work is not Etart€d withlh 1aO O.yE of issuance or it work ls suspend€d lor l8O DaYs o. longer depending on
the issuing .gency's policy.
Alt pmvisions ot lawE and ordinances govemlng thi5 type ot work will b€ complied with whether speclflcd h.r.in or not.
cr.nting of . p€rmtt does not presume to givc authority to viol.te or c.ncel the provislon6 ot.rly other 5t t or local l.w
r€gulatin9 constructlon or the pertormance o, construction.
ATTEttTIOi: Or€9o. taw req'rires you to tollow rules adopt€d by the Oregon Udlity Notlflcrtion Center. Those rules arc 5et
torth in OAR 952-OO1-OOrO through OAR 952-OO1-OO9O. You may obtain copiGs ofthe rule. by calling thc Cc.ter at (503)
232-L947,
Att pcrsons or €ntitiE performing work und.r this psmit a.e requircd to b€ llcens€d unl.tt €xemPted by ORS 7O1 OlO
(structural/ltlechahical), oRs 479.540 (Electric.l), and oR5 693.o1o-o20 (Plumbin9).
x6te4 on: 9/t7 t79 p.qe ! ot 2 c : \myReport5/reports//producno./o 1 STANOAR O
worksite Address
521 MAIN ST
Springfield, OR 97477
Parcel
1703353110600
Permit Number: A1r.-19-OO214a-ELEC Page 2 of 2
Fee Description
Branch circuits without service or feeder
Technology Fee
State of Oregon Surcharge - Elec (12o/o of applicable fees)
Quantity
10
Fee Amount
$ 161 .00
$8.05
$ 19.32
$ 188.3 7Total Fees:
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PERMTT FEES
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CITY OF SPRINGFIELD, OREGON
Electrical Permit Application
225 Fifih srreet a Springfield, OR 97477a PH(541)?2G3753. FAX(541)726-3689
DEPARTMENT USE ONLY
.",,,,,no.,1q-00 2l'18
Date qtrr 1"1
$;
This permit is issued under OAR 9lE-309-0000. Permits are nontransferable. Permits expire if work is not started within 1t0
days of issuance or if work is suspended for lt0 days.
LOCAL GOVERNMENT APPROVAL
Zoning approval verified? n Yes E No
CATEGORY OF CONSTRUCTION
! Govemment ElCommercial
JOB SITE INFORMATION AND LOCATION
Job site address: S?- I ,,4.i/H sz--
City: SPpt/./E t-'tEz Z State: C;f?ZIP Q1a 77
Reference
DESCRIPTION OF WORK
l2E5 r4-?a.r4 ktro/{*-rz/ t2z-zzoarz 1412141
l:atl ctr2L,,/7s .l€ /4eaPss4r27
PROPERW OWNER
Address
Cily ztP
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 int€nded for sale, exchange, lease, or rent. OAR
4?9.540( I ) and 479.560(l ).
Signature:
CONTRACTOR INSTALLATION
Business name: A.tutg S"fUC< Elletlp. L Lk
Address: /)o 6LF Zt'a'Z
Cttyt EOeE-lg Starc: OY?ztY?7402
plrons {|tt s-?J -c-g t I Fax
E-mail s;*c'<-lc 2SEi2 6 octflq,k-c c:t-t
CCB license rc.: /1817 7 BCD license no.: B 2,- -ft?c
Signing supervisor's license no.: 4.f ?z S
Print name of signing supervisor: .?fl,A .d ';ft4
Signature of signing supervisor: f T--*-/s&
FEE SCHEDULE
Number of itrspectlons per item ( )Qtv Totrl
cost
Residentirl. per unit, serrice included:
l,U)o sq. ft. or less (4)s186.00 $
$
Each additional 500 sq. ft. or portion
th€reof $-16.00
Limited energy (2)s44.00 S
Each manufactured home or modular
dwelling service or feeder (2)$89.00 s
Services or fecders: lnstallation. alteration, relocalion
$l r2.00 $200 amps or less (2)
$201 to 400 amps (2)
$401 to 600 arnps (2)s221.00
601 to 1,000 amps (2)$285.00 $
SOver 1,000 amps or volts (2)s654.00
sReconnecl only (2)$E9.00
Temporrry services or feedersi installation. aheralion. relocation
s89_00 $200 amps or less (2)
$r22.00 $201 to 400 amps (2)
$177.00 s401 to 600 amps (2)
Over 600 amps or 1,000 volts, see services or feeders section above
Branch clrcuits: ,rex,, aheration, extension per panel
a. Fee for branch circuits with purchase of a service or feeder fee:
s8.00 sEach branch circuit
b. Fee for branch circuits witiout purchase of a service or feeder fee:
s89.00 s97.."First branch circuit (2)
s 72.tu,/$8.00Each additional branch circuit
Miscellsrcous fees: service orfeeder nol included
s$89.00Each pump or irrigation circle (2)
sEach sign or outline lighting (2)
sSignal circuit or a limited-energy panel,
alteration, or extension (2)
$102.00 $Erch additional inspection: (l )
DEPARTMENT USE
(A) Enter subtotal of above fees
(Minimum Permit Fec $102.00)
$(B) Enter l2% surcharge (.12 x [A])
$(C) Technolos/ Fee (5% oflAl)
9Bg. 3'TOTAL fees and surcharges (A through D)
Last edited 7/l/2019 BJotres
E Residential
Taxlot.:
Name:
State:
Cost
ea.
$131.00
$r02.00
st 02-00
$