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HomeMy WebLinkAboutPermit Electrical 2019-10-10SidI NSri[til ...1r ... 0ilidsi{Building permit Residentia I Electrical Permit Number: BLJ--L}-OO2326_ELEC IVR Number: 811033892719 Type of Work: New City of Springfietd Development and public Works 225 Fifth Street Springfietd, OR 97477 547_726_3753 Email Address: permitcenter@springfield-or. gov Web ACdrcss: www.springfield_or.9ov Permit Issued: October 10, 2019 De ' .,ry of Con,,i:-Lrction: Single Family Dwellingrittc(l Job r.,,.lrrc: $0.00 "'ption of Work: New subpanel and branch circuits Worksite Address 2558 GRAND VISTA DR Springfield, OR 97477 Parcel 1703243 10 1 100 Owner: Address: WALTON LIVING TRUST 2558 GRAND VISTA DR SPRINGFIELD, OR 97477 Busincss Name M2 t'I I CTITIC IIC Prima ry License CCB License Number 2L8413 Phone 541-401- 1565r Ir' 't ' I 4l l::rra.(,,. 49 ' r:ll i{:ti- cal 421' i'icc'.lc".l S,trvice 42\ ) :,',t.rrl.ir Circu,ts Inspection Group Elec Res Elec Res Elec Res Elec Res Inspection Status Pending Pending Pending Pending Pertr, the i All p Grar. reg ' A.I ] fort 23?- Alli ( Str v.rirri,s iilspectiox:t arc rnirrirrrally 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. Sch erl u le or track i nspections at www. build ingpermits.oregon,gov (-,r I .r tcxt. thc rvord "schedule" to 1-BBB-299-2821 use IVR number: 811033892719 !.lcl'rcCLrlc using the Oregon ePermitting Inspection App, search "epermifting" in the app store r:> l,irr: if w,,rk is not startc(r !vithin lBo Days of issuance or if work is suspended for 180 Days or longer depending on irrcl ;. rIrr:y's Itolicy. ':!i(r,rs of I;r.s :rnd or Jinanccs governinn this type of work will be complied with whether specified herein or not. ) ' .: ot.. inir (, )(:s not t)rcsumc to giv,, authority to violate or cancel the provisions of any other state or local law - ({rilrriLt. ri(r,1 or tl\-r t-riorrfirrrcg r 1 rrtstruction, IaN: a:r,!o,r llqll,ll,ircsyoutofollotrrulesadoptedbytheOregonUtilityNotificationCenter'Thoserulesareset . ( 'F ! 2-O I I -0J10 through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (5O3) )nri lr ,rntiti..s perfornring work undcr this permit are required to be licensed unless exempted by ORS 701.O10 r irl/':lcclrarrical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing). Pr in:Page 1 of 2 C : \myReports/reports//production/01 STANDARD TYPE OF WORK JOB SITE INFORMATION LICENSED PROFESSIONAL INFORMATION PENDING INSPECTIONS SCH EDULING INSPECTIONS Perrrrit Nunrber: 81 1-19-O02326-ELEC Page 2 of 2 Fee ncscription Branch circuits vrith service or feeder each circuit Servircs 20C amps or less Tecl"r nolog.y Fcc Stati: of Oregon Surcharge - Elec (12olo of applicable fees) Printea .'r: 10/1 !/19 Quantity Total Fees: Fee Amount $32.00 $ 1 12.00 $7.20 $17.28 $ 168.48 4 1 C :\mvReports/reports//production/01 STANDARD Page 2 ol 2 PERMIT FEES *?*N1rl"rL, fie60il ry',r",v. s P ri n gfield-or'gov Worksite address: 2558 GRAND VISTA DR, Springfield, OR97477 P ar cel'. 17 032431 0 1 1 OO Transaction Receipt 81 1-1 9-0C2326-ELEC Receipt Number: 472664 Receipt Date:10/10/19 City of Springfietd Develcpmcnt anC public Works -^--._:a, Fifrh streetrPrrr i9rlCld, OR97477 s4 1_726_3753permitccntcr@spri n gField_or. gov Fees Paid Transaction date $t1ot19 $110119 rcl1Ol19 rcl1Ol19 Units I,UU trA 4.00 Qty 100 Ea .1 .00 Automatic Technology Fee Description Services 2C0 amps or less Branch circuits with service or feeder each circuit State of Oregon Surcharge - Elec (12o/o of applicable fees) Account code 224-CO000-426 1 02_1 033 224-00000-426'1 02- 1 033 82 1 -OO000-21 5004-0000 204 -00000-425605-0000 Fee amount s112 00 $32.00 $17 28 $7 20 Paid amount s112.oo $32 0o $17 28 q7.^ payment Method: Credit card authorization Payer: M2 ELECTRIC LLC Payment Amount: Receipt Total $1 68 48 $16s.48Cashier: Katrina Anderson Printed: 10/10/19 3:53 pm Page 1 of 1 FIN_TEnsactionReceipt pr \trt Electrical Permit A cation 225 Fifth Street.Springfield, OR 97477. PH(541)726-3753. FAX(541 )726-3689 This permit is issued under OAR 9f 8-309-0000. Permits are nontransferable. Permits expire if work is not started within 1E0 days ofissuance or ifwork is suspended for 180 days. FEE SCHEDULE Number of inspections per item ( )Qty.Cost ea. Total cost Residential, per unit, service included: 1,000 sq. ft. or less (4)$186.00 $ Each additional 500 sq. ft. orportion thereof $36.00 $ Limited energy (2)$44.00 $ Each manufactured home or modular dwelling service or feeder (2)$89.00 $ Services or feeders: inslallation, aheration, relocation 200 amps or less (2)I $l12.00 s ll,/.tu 201 to 400 amps (2)$131.00 $ 401 to 600 amps (2)s221.00 $ 601 to 1,000 amps (2)$28s.00 s Over 1,000 amps or volts (2)$654.00 $ Reconnect only (2)$89.00 $ Temporary services or feeders: installation, alteralion, relocation 200 amps or less (2)$89.00 s 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 I $8.00 $.3L 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 fees: sem'ice orfeeder not ittcluded Each pump or irrigation circle (2)$89.00 $ Each sign or outline liehting (2)S89.oo $ Signal circuit or a limitcd-cncrgy pancl, alteration, or extension (2)$89.00 s Each additional inspection: ( I )$102.00 S DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00) $ (B) Enter 120% surcharge (.12 x [A])$ (C) Technology Fee (5% of [A])$ TOTAL fees and surcharges (A through D):$lb?.Ltt 0n, DEPARTMENT USE ONLY Permirno.: n OjVZXI-& Date:lo (to r1 LOCAL GOVERNMENT APPROVAL Zoningapproval verified? E Yes E No CATEGORY OF CONSTRUCTION D Commercial(Residential ! Government JOB SITE INFORMATION AND LOCATION Job site address 2rfP, GranA l/,'cln Dr State: ()fi zrPel7y77 Referen[e: I Taxlot. DESCRIPTION OF WORK \v PROPERW OWNER Name:r )a'acAddress: State:)Q nP:q2y77City: a Phone I Fax E-mail: This installation is being made on residential or farm properry owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(t) and 479.560( I ). Signature: CONTRACTOR INSTALLATION Business name ru ] Ekr*a'r Address: State:(2(l nP:q2306City1- Yhonedll- yAl -/ {AS Fax: E-mail CCB license no., )\fr111 BCD license no.: ( - l\y2 Signing supervisor's license no.: 62i't : Print name of signing supervisor: f)4ark /h "Ch p lh"l Signature of signing supervisor:k Last edited 7/l/2019 BJones CITY OF SPRINGFIELD, OREGON City: 5Od ^,- 6C1, _-J2_