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Home My WebLink AboutPermit Electrical 2019-09-16OREGON Web Address: www.springfield-or. gov Building Permit Residential Electrical Permit Number: a1 l-19-OO2130-ELEC IVR Number: 811043742988 City of Springfield Development and Public works 225 Fifth Street Springfield, OR 97477 54L-7 26-37 53 Email Address: permitc€nter@springfield-or.9ov SPRINGFIELD $ Permit Issued: September 16, 2019 TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: New panel Type of Work: Replacement ]OB SITE II{FORMATION Worksite Address 821 E ST Springfield, OR 97477 Ownerr Address CROSSWHITE CURTIS & AMANDA 821 E ST SPRINGFIELD, OR 97477 LICENSED PROFESSIONAL INFORMATION Business Name OWNER - Primary PhoneLicense ccB License Number 000000 PENDING INSPECTIONS Inspection 4999 Final Electrical 4999 Final Electrical 4500 Rough Electrical Inspection Group Elec Res Elec Res Elec Res Inspection Status Pending Pending Pending SCHEDULIT{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. building permits.oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: ALlO437429Aa Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permlt5 explre If work is not started within 180 Days of issuance or if work is suspended for l80 Days or longer depending on the issuing agency's policy, All proyisions of laws and ordinanc€s goveming this type of work will be complied wlth whether specltied herein or not. Granting of a permlt does not presume to give authority to violate or cancel the provisions of any other state or local law regulating constructlon or the performance of constructlon. ATTENTIOT{: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are s€t forth h OAR 952-O01-O010 through OAR 952-001-OO9O. You may obtain copies of the rules by calling the Center at (5O3) 232-1987. All pe.sons or entities pedormlng work under this permit are required to be lic€ns€d unless exempted by ORS 701.O10 (structural/ echanical), oRS 479.540 (Electrlcal), and ORS 693,o1o-o2o (Plumbing). C :\myReports/reports//prcduction/0 1 STANoARD "/ Parcel 1703351304900 Permit Number! all-19-OO213O-ELEC Page 2 of 2 Fee Description Services 200 amps or less Technology Fee state of Oregon Surcharge - Elec (l2o/o of applicable fees) Quantity 1 Total Feesi Fee Amount $112.00 $s -60 $13.44 $131.04 c:\myReports/repo.ts//production/01 STANDARo PERMIT FEES -t.9 E Iztr o l! oF G, E q o E : q E o) E o- o = E (! oz = otrElo u,Fr =a U>odo o- N P (Jco ri q a co o o Yo o o o o)u- _q F E a l.lJ o oo N ooo 6t -q LIJ P o;c E'Po-q orE E= coo -9 o. E .RoF'1 i+s 6ah go 9N o. l! N -- (o -o €N 5 qE l!= F <r) 5 LrJ t-a- F do ! oa Fo LIJ o .oX ([x +3 =d; ;6h!5 .oEoF n 6P'A E',g ! o) o. <D o o o. ooot co oooco o p o o iI z.o(, oaJtrt LL(, z. d.4 -{t p i! o- o6'6'l! i-o9s,UJ.iEJi.(OlJJt= oio) EEfidrza 'rA.OE $,gt 1 I (o Electrical Permit Application 225 Fifth Streel. Springfield, OR 974771 P II(541 )726-375J. FAX(541)726-3689 p"r-ttro.,6-@ 2\1O Date q(lu((q qt This permit is issued under OAR 9lE-309-0000. Permits are nortransferable. Permits erpire if work is not started within 180 days of issuance or ifwork is suspended for lt0 days, FEE SCHEDULE Number of inspections per item ( )QE"Cost ea. Total cost Residential, per unit, service ilcluded; 1,000 sq. ft. or lcss (4)$186.00 $ Each additional 500 sq. ft. orporlion thereof $t6.00 Limited eoergy (2)$d4.00 { Each manufactured home or modular dwelling sen,ice or feeder (2)$89.00 Services or feeders: r,1stallatio,t. alte, atioh, relocalion 200 amps or less (2) I $l t2.00 S\\,L slJl.00 s s22r.01r S 601 to 1,000 amps (2)s Over I ,000 amps or volts (2)s RecoDnect only (2)s89.00 S Tedpor{qv servic$ ot feailera:. installation, aheration, ,elocptioh // 200 amps or less (2)s89.00 S K 201 to 400 amps (2)s122.00 ( 401 to 600 amps (2)s177.00 s Over 600 amps or 1,000 volts. see services or feeders section above Brarch circuits: ,c,ri alteration, extension per pafiel a. Fee for branch circuits with purchase ofa service or fceder fee: Each hranch circuil $8.00 S b. Fee for branch circuits without purchase ofa service or feeder fee Firsr branch circuit (2)s89.00 s F-ach additional branch circuit $8.00 Miscelhneous fees: sen ice or.feedcr nol ikchlded $89.00 s Each sign or outline lighting (2)s89.00 S Signal circuir or a limited-energy pancl. alteradon, or extcnsion (2)$89.00 s t}ch additional inspection: (l)$102.00 $ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fe{ $102.00} SEfr (B) Enter l2% surcharge (.12 x [A])$q3' (C) Tecbnology Fee (5% oflAl)$L\'1 - TOTAL fees and surcharges (A through D)stpd,lt LOCAL GOVERNMENT APPROVAL Zoning approval verifi ed?ENues CATEGORY OF CONSTRUCTION (Residential E Govemment D (lommercial. JOB SITE INFORMATION AND LOCATION Job site address:\ City Sla aPerl4-fl JReference DESCRIPTION OF WORK r/krrr .01 oo*<rLuq\ Ponel PROPERW OWNER Name b 0.SSri.h Sta 1+71 Address ZIPCity/r FaxPq for sale, exchange, Iease. or rent. OAR 0wr 5 l)41 I 4 Si This insta on ls owned bv me or a mem r of my immediate family. This E-mail ertvmade on residential or CONTRACTOR INSTALLATION Business name Address ,.) City Statc Phone BCD license no Signing supervisor's license no.: Print name ofsigning supewisor Signature of signing supervisor: $\3\-o'\ CITY OF SPRINGFIELD, OREGON DEPARTMENT USE ONLY \d S 201 to 400 amps (2) Taxlot.: 401 to 600 amps (2) $285.00 ZIP: Fax: sE-mail: CCB license no.: Each pump or irrigation circle (2) $654.00 ] Lest edited 7/l/2019 BJotres Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are nol licensed with the Conitruction Contractors Board to sign the foilowing statement before a building permit can be issued. (ORS 701.325 (2ll I have read and undenstand the lnformation Notice to Homeowners About Consttuction Respons ,nA t t "r"Oy certify that the information on this homeowner statement is true and accurate' $(- ibilities, rint ofP Applicant licant q \ 1.0 \q Date This statement i3 required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer aPplicants, exempt from licensing udder ORS 701.010 (7)' need not submit this statement. This statement will be filed with the permit. Please check the aPProPriate box: I I own, reside in, or will reside in the completed structure and my general contractor is Name ccB*Expiralion Date lwill inform my general contractor that all subcontractors who work on the slructure must be lice d with the Construction Contractors Board or lwill be performing work on property I own, a residence that I reside in, or a residence that lwill reside in. lf I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. lf I change my mind and hire a general contractor, I will select a contrector who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. Permil #: Address: @?:'b o \e q \t!-\s- This Copy for Permit Offices ^\-l /\ lssued by: .X V+Date (oRs 701.325 (3)) CONSTRUCTION CONTRACTORS BOARD PO Box 14140, Salem, OR 973035052 Telephone: 503-378-4621 - Fax: 503373-2007 Website Address: www.oreoon.oov/ccb orm Homeowners acting as their own general contractors to construct a new home ake a substantial imiprovement to in existing structure, can prevenl many problems uy uiing aware of the following responsibilities: a Homeowners who use labor provided by workers not licensed by the construction contractors go"ro,..v be considered an employer, and the workers who provide the labor may be considered empioyee;. As an employer, you must comPly with the following: oregon,s withholding Tax Law: Employers must withhold income taxes from employee wages .t tt,L tir" employeesire paid. You will be liable for the tax payments even if you doi't actually withhold the tax from your employees. For more information, call the Department of Revenue at s03-378-4988. Unemployment lnsurance Tax: Employers are required to.pay a tax for unemploym€nt insurance purpoi". 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 wtnio6ing and Unemployment Insurance Tax. To file for a BlN, go online to the oregon Business Registry. For questions, call 50$945-8091 . workers compensation lnsurance: Employers are subject to the oregon workers compensation Law, and must obtain Workers Compensation lnsurance for their employees. lf you fail to obtain Wori<ers Compensation lnsurance, you could b€ subject to penatties and be liable for all claim costs if one of your workers is injured on the job. For more information, call the Workers Compensation Division ;t the Department of Consumer and Business Services at 800-452-0288. Tax Wthholding: Employers must withhold Social Security Tax and Federal lncome Tax from employee *"geJ. Yo, may be liable for the tax payment, even if you didn't actually withhold the tax. For a Federal EIN number, go online to www, irs.gov. a a a a a Other Responsibilities of Homeowners: Code Compliance: As the permit holderfor a construction project, the homeowner is responsible for notifying building officials at the appropriate times, so that the required inspeclions 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 coniact iheir insurance agent to ensure adequate insurance coverage for accidents and omissions, such as falling tools, paini overspray, water damage from pipe pUnctures, fire, or work that must be redone. Liability lnsurance must be suflicienl to cover injuries to persons on the job site who are not otherwise covered as employees by Workers Compensation lnsurance Expertise: Homeowners should make sure they have the skills to act as their own general contractor, and the expertise required to coordinate the work of both rough-in and finish trades. a a O This Copy for Permit lnformation Notice to Owners About Construction ResPonsi bi lities