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Home My WebLink AboutPermit Electrical 2019-10-02OREGON Web Address: www.springfield-or.gov Building Permit Residentia! Electrica! Permit Number: 81 1-19-002257 -ELEC IVR Number: 811091357708 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 Ema il Address: permitcenter@springfield-or.9ov SPRINGfIELD # Permit Issued: October 02,2OL9 TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Reconnect only Type of Work: Alteration ,OB SITE INFORTTIATION Worksite Address 1721 CONCORD AVE Eugene, OR 97403 Parce! 1703344302tOO Owner: Address: BANCHERO ANTHONY WILLIAM 1721 CONCORD AVE EUGENE, OR 97403 LICENSED PROFESSIONAL IN FORMATION Business Name MY ELECTRICIAN INC - Primary License CCB License Number 87506 Phone 54t-729-L454 PENDIilG II{SPECTIONS Inspection 4999 Final Electrical 4200 Reconnect Service 4999 Final Electrical Inspection Group Elec Res Elec Res Elec Res Inspection Status Pending Pending Pending SCHEDULING 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.buildingpermits.oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811091357708 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work is not started within 180 Days of issuance or if work is suspended for 18o Days or longer depending onthe issuing agency's policy. All provisions of laws and ordinances goveming this type of work wilt 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 lawregulating construction or the performance of construction. ATTENTToN! oregon law requires you to follow rules adopted by the oregon utility Notification center. Those rutes are setforth in oAR 952-oo1-oo1o through oAR 952-oo1-oo9o. You may obtain copies of the rutes by calling the center at (5o3)232-L9A7. All persons or entities Performing work under this permit are required to be licensed unless exempted by oRS 7O1.o1O(structural/Mechanical), oRs 479.s4o (Etectricat), and oRs o93.o1o-o2o (plumbing). Printed on: 10/2/19 Page 1 of 2 c:\myReports/reports//production/01 STANDARD [r -r- Permit Number: 81 1-19-OO2257-ELEC Page 2 of 2 Fee Description Balance of minimum permit fees - electrical Service reconnect only Technology Fee State of Oregon Surcharge - Elec (12olo of applicable fees) Printed on: 10/2/19 Quantity Fee Amount $13.00 $89.00 $s.10 $t2.24 $119,34Total Fees: C ;\myReports/reports//prcduction/0 1 STAN DARD 1 Page 2 of 2 PERMIT FEES SPRINGFIELD b OREGON www. sprin gfi eld-or. gov Worksite address: 1721 CONCORD AVE, Eugene, OR 97403 Parcel: 1 703344302100 Transaction Receipt 81 1-19-002257-ELEC Receipt Number: 472569 Receipt Date= 1012119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 permitcenter@sprin gfield-or. gov Fees Paid Transaction date 10tzt19 10t2t19 10t2t19 10t2t19 Units 1.00 Ea 1.00 Automatic '1.00 Ea 1.00 Automatic Technology Fee Description Service reconnect only Balance of minimum permit fees - electrical State of Oregon Surcharge - Elec (12% ol applicable fees) Account code 224-000004261 02-1 033 224-000004261 02- 1 033 82 1 -00000-2 1 5004-0000 20 4 -0 0 000 -4256 05-00 0 0 Fee amount $89.00 s13.00 $12.24 $5.10 Paid amount $89.00 $13.00 $12.24 $5.1 0 Payment Method Credit card authorization 880861 Payer: Edward Guidry Payment Amount:$119.34 Cashier: Katrina Anderson Receipt Total:$1 19.34 Printed: 10/2/19 9:46 am Page 1 of 1 Fl N_TransactionReceipt_pr [r.L CITY OF SPRINGFIELD, OREGON Electrical Permit A lication 225 Fifth Streeto Springfield, OR 97477o PH(541 )726-3753.FAX(541 )726-36t9 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 1E0 days ofissuance or ifwork is suspended for 180 days. ch, DEPARTMENT USE ONLY Permit no.: 12 - oo431 - C Date: lo/ez-/tz LOCAL GOVERNMENT APPROVAL Zodngapproval verified? f] Yer E No CATEGORY OF CONSTRUCTION EI Residential ! Government ! Commercial JOB SITE INFORMATION AND LOCATION Job site address State:zrP, uL-:,VZ)City: Reference: V Taxlot. DESCRIPTION OF WORK ten a.-67 PROPERTY OWNER Name: Address City:State ZIP pto""'S\[ le,b <l)fg 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(r) and 479.560( I ). Signature: CONTRACTOR INSTALLATION Business name: 3 2s'Address:rG i 3tev lcnv City State:7 ztP:l)Q' 24 Fax: BCD licenseCCB I lcense no. E-mail: Print name of b, ^.Y);Signature of signing supervisor:& FEE SCHEDULE Qty Cost ea. Total costNumber of inspections per item ( ) Residential, per unit, service included: I,000 sq. ft. or less (4)$186.00 $ $ Each additional 500 sq. ft. orportion thereof $36.00 $44.00 $Limiled energy (2) Each manufacfured home or modular dwelling service or feeder (2)$89.00 s Services or feeders: installation, alteration, relocation $r 12.00 $200 amps or less (2) 201 to 400 amps (2)$131.00 $ 401 to 600 amps (2)$221.00 $ 601 ro 1,000 amps (2)$285.00 $ Over I,000 amps or volts (2)$654.00 $ Reconnect only (2)l $89.00 s Temporary services or feeders: installation, aheratiott, relocation 200 amps or less (2)$89.00 $ 201 to 400 amps (2)$122.00 S 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 fee: First branch circuit (2)$89.00 $ Each additional branch circuit $8.00 $ Miscellaneous fiees: senice orfeeder not itrcluded Each pump or irrigation circle (2)$r9.00 $ Each sign or outline lighting (2)$E9.00 $ Signal.circuit or a limited-cncrgy panel, alteration, or extension (2)$89.00 s Each additional inspection: ( I )$102.00 $ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00)$ (B) Enter l20% surcharge (.12 x [A])$ (C) Technology Fee (S% of [A])$ TOTAL fees and surcharges (A through D):slt?.! Last edited 7ll/2019 BJones + ^aMo.s.r , S.J i )crrn. Signing supervisor's license no.: 3U2 B S