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Home My WebLink AboutPermit Electrical 2019-09-30 (2)ofi,Es0N Web Address: www.springfield-or.gov Building Permit Residential Electrical Permit Number: 81 1-19-OO224l-ELEC IVR Number: 811012215366 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 547-726-3753 Email Address : permitcenter@springfield-or. gov SPTNGFIEtD # Permit Issued: September 30, 2019 Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Replace main electrical panel and meter socket Type of Work: Replacement Worksite Address 475 35TH SI Springfield, OR 97478 Parcel 17023124tL800 Owner: Address: ECKERSON ROBERT C 475 35TH ST SPRINGFIELD, OR 97478 Business Name OWNER - Primary License ccB License Number 000000 Phone Inspection 4999 Final Electrical 4999 Final Electrical 4500 Rough Electrical 4220 Electrical Service Inspection Group Elec Res Elec Res Elec Res Elec Res Inspection Status Pending Pending Pending Pending Permits expire if work is not started within 18O Days of issuance or if work is suspended for 18O Days or longer depending on the issuing agency's policy. All provisions of laws and ordinances governing this type of work 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, ATTENIIONT Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-OO1-OO10 through OAR 952-OO1-0O9O, You may obtain copies of the rules by calling the Center at (5O3) 232-L987. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O (Structural,/Mechanical), ORS 479,54O (Electrical), and ORS 693,O1O-O2O (Plumbing) Printed on: 9/30/19 Page 1 of 2 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-BBB-299-2821 use IVR number: 811012215366 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store C : \myReports/reports//production/01 STANDARD JOB SITE INFORMATION LICENSED PROFESSIONAL INFORIVIATION PENDING INSPESrIONS SCHEDULING INSPECTIONS Permit Number: 81 1-19-OO2241-ELEC Page 2 of 2 Fee Description Services 200 amps or less Technology Fee State of Oregon Surcharge - Elec (12olo of applicable fees) Printed on: 9/30/19 Quantity Fee Amount $112.00 $5.60 $13.44 $ 131.04Total Fees: C : \myReports/reports//production/0 1 STANDARD 1 Page 2 of 2 PERMIT FEES SPRINGFIELD ti Transaction Receipt 811-'.t9-002241-ELEC Receipt Number: 472546 Receipt Date: 9/30/19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 permitcenter@springfield-or.gov OREGON www. sp ringf ield-or. gov Worksite address: 475 35TH ST, Springfield, OR 97478 Parel. 1702312411800 Fees Paid Transaction date 9/30/1 9 9/30/1 9 9/30/19 Units 1.00 Ea 1.00 Ea 'l .00 Automatic Technology Fee Description Servrces 200 amps or less State of Oregon Surcharge - Elec (12o/o ot applicable fees) Account code 224-000004261 02-1 033 821 -00000-21 5004-0000 204-00000-42560s-0000 Fee amount $112.00 $13.44 $5.60 Paid amount $1 12 00 $13.44 $5.60 Payment Method:Cred it card authorization: 743728 Payer: ECKERSON ROBERT C Payment Amount:$131.04 Cashier: Katrina Anderson Receipt Total $131.04 Printed: 9/30/19 1:53 pm Page I of 1 FI N_Tra nsaction Recei pt_pr CITY OF SPRINGFIELD, OREGON Electrical Permit A lication 225 Fifth StreetoSpringfield, OR 97477. PH(541)726-3753. FAX(541 )726-3689 LOCAL GOVERNMENT APPROVAL Zoningapproval verified? [ Yes E No CATEGORY OF CONSTRUCTION [[Residential ! Government E Commercial JOB SITE INFORMATION AND LOCATION Jobsiteaddress: q7, 77lL )t City:State:S(zrP: fl7Q 7* Reference, J Taxlot.: DESCRIPTION OF WORK ^,^J az-fs..f PROPERTY OWNER Name: ff.,f, ^;- €oke6on Address o 5+ City: for,6,,(;.tJ State: OI ZtP: JTL| 7b phone:" T\"t -Jog oq?)Fax: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is 479.s40(t) Signature: not intended for sale,exchange, lease, or rent. OAR and 479.). CONTRACTOR INSTALLATION Business name Address: State ZIP Phone:Fax: E-mail: CCB license no.BCD license no. Signing supervisor's license no. Print name of signing supervisor: Signature of signing supervisor: DEPARTMENT USE ONLY Permitno.: A nO221l D,.:qt L\ rq This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days ofissuance or ifwork is suspended for 180 days. FEE SGHEDULE Number of inspections per item ( )Qty.Cost ea. Total cost Residential, per unit, service included 1,000 sq. ft. or less (4)$t 86.00 $ Each additional 500 sq. ft. or portion thereof $36.00 $ Limited energy (2)$44.00 $ Each manufactured home or modular dwelling service or feeder (2)$89.00 $ Services or feeders: installation, alteration, relocation 200 amps or less (2)I $l12.00 s 201 to 400 amps (2)$r3r.00 $ 401 to 600 amps (2)$221.00 $ 601 to 1,000 amps (2)$285.00 $ Over 1,000 amps or volts (2)$654.00 $ Reconnect only (2)$89.00 $ Temporary services or feeders: installotton, alteration, relocation 200 amps or less (2)$E9.00 $ 201 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 ofa service or feeder fee: Each branch circuit $8.00 $ b. Fee for branch circuits without purchase ofa service or feeder Ge First branch circuit (2)$89.00 s Each additional branch circuit s8.00 $ Miscellaneous fees: service or feeder not iucluded Each pump or irrigation circle (2)$89.00 s Each sign or outline lighting (2)$89.00 $ Signal circuit or a limitcd-cnergy panel, alteration, or extension (2)$89.00 $ Each additional inspection: ( I )$102.00 $ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00)$ (B) Enter l2oh surcharge (.12 x [A])$ (C) Technology Fee (5% of [A])$ TOTAL fees and surcharges (A through D)s l7l,o\ Last edited 7/l/2019 BJones I h, P roperty Owner Statement Regarding Construction Responsibilities 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 issued. (ORS 701.325 12ll 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 permit. Please check the aPProPriate box: I own, reside in, or will reside in the completed structure and my general contractor is Name CCB#Expiration Date I will inform my general contractor that all subcontractors who work on the struclure 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. 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 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 lnformation and I hereby certify that the information on Notice to Homeowners About Construction Responsibilities' this homeowner statement is true and accurate. F." k< rS o Print Name of PermitAPPlicant Signature of Permit APPlicant ?- s o- 1 r Date Permit #: Address. \^4)27 .t\ TS 9{ lssued by Date \\)o \q This Copy for Permit Offices lnformation Notice to Owners About Construction ResPonsi bi I ities (oRS 701.32s (3)) CONSTRUCTION CONTRACTORS BOARD PO Box 14140, Salem, OR 9730$5052 Telephone: 503-378-4621 - Fax: 503-373-2007 Website Address: u U4.oEg.8!.9w,cgb Homeowners acting as their own general contractors to construct a or make a substantial improvement to an existing structure, can prevent by biing aware of the following responsibilities: new home many problems a a a Homeowners who use labor provided by workers not licensed by the Construction 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 th-e time employeesire paid. You will be liable for the tax 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 tn 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 With-holding and Unemployment lnsurance Tax. To file for a BlN, go online to the Oregon Business Registry. For questions, call 503-945-8091. 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 Workers Compensation lnsurance, you could be subject to penalties 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 it tne Department of Consumer and Business Services at 800*452-0288- Tax Withholding: Employers must withhold Social Security Tax and Federal lncome Tax from employee wageJ. You 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 Other Responsibilities of HomeowRers: 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 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 coniact their insurance agent to ensure adequate insurance coverage for accidents 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 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. o .r--^^^+. arrrnar :rlnnlod q-7O16 This Copy for Permit