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Home My WebLink AboutPermit Electrical 2019-10-21SPRINGFIELD ,lrt OREGON Web Address: www.springfield-or. gov Building Permit Residential Electrical Permit Number: 811-19-OO2386-ELEC-O1 IVR Number: 811057513788 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 54L-726-3753 Email Address : permitcenter@springfield-or.gov Permit Issued: October 2L, 2OL9 TYPE OF WORK Category of Construction: None Specified Type of Work: None Specified Submitted Job Value: $0.00 Description of Work: Relocate dry vent and kitchen hood, install new HVAC system JOB SITE INFORMATION worksite Address 1858 G ST Springfield, OR 97477 Parcel 1703362 1 1 1900 Owner: Address: LAWSON EDNA C & KENNETH E 1858 G ST SPRINGFIELD, OR 97477 LICENSED PROFESSIONAL INFORMATION PhoneBusiness Name OWNER - Primary License ccB License Number 000000 PENDING INSPECTIONS Inspection 4999 Final Electrical Inspection Group Elec Res Inspection Status Pending SCH EDULING 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. Sched ule or track inspections at www.bui ld i ng permits'oregon. gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811057513788 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store PERMTT FEES QuantityFee Descriptaon Balance of minimum permit fees - electrical Branch circuits without service or feeder Technology Fee State of Oregon Surcharge - Elec (12olo of applicable fees) Total Fees: 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 glve authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-OO1O through OAR 952-OOr-OO9O. You may obtain copies of the rules by calling the Center at (503) 232-t987. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.010 (Structuraultechanical), ORS 479.54O (Electrical), and ORS 693.010-O2O (Plumbing) Printed on: 10/21119 Page 1 of 1 2 Fee Amount $s.00 $97.00 $s. 10 $L2.24 $ 119.34 C :\myReports/repofts/ / prcduct:ion/ OL STAN DARD -1&"t SPRINGFIELD b OREGON www. sp ri n g fi eld -or. g ov Woksite address: 1858 G ST, Springfield, OR97477 Parcel: '17033621 1 1900 Transaction Receipt 81 1 -{ 9-002386-ELEC-01 Receipt Number: 472751 Receipt Date: l0/2{/19 City of Springfield Development and Public Works 225 Fifth Street Springfield. OR97477 54r-726-3753 perm itcenter@springfield-or. gov Fees Paid Transaction date 10t21t19 10t21t19 10t21t19 10t21t19 Units 2.00 Qty 1.00 Automatic 1.00 Ea 1.00 Automatic Account code 224 -00000 -426 1 02- 1 033 224-00000-426 1 02-1 033 82 1 -00000-2 1 5004-0000 20 4-00000-425605-0000 Fee amount $97.00 $s.00 $12.24 $5.1 0 Description Branch circuits without serviee or feeder Balance of minimum permit fees - electrical State of Oregon Surcharge - Elec (12o/o of applicable fees) Technology Fee Paid amount $97.00 $s.00 $12.24 $5.1 0 Payment Method:Credit card authorization: 044545 Payer: LAWSON EDNA C & KENNETH E Payment Amount:$119.34 Cashier: Katrina Anderson Receipt Tota!:$r r 9.34 Ptinled: 10121 I 19 2:50 pm Page 1 of 1 Fl N_Transaction Receipt_pr [I / CITY OF SPRINGFIELD, OREGON Electrical Permit A Iication LOCAL GOVERNMENT APPROVAL Zorungapproval verified? E Yes E No CATEGORY OF CONSTRUCTION ! Residential n Government E Commercial JOB SITE INFORMATION AND LOCATION Job site address: / 85 g C, *t city:J py iv,,aNt e1 l-s,rc: oK ztP: Q?'{?7 Reference: "/Taxlot.: DESGRIPTION OF WORK ( ,'c.4,rl "a{ it{ L,( "F hr l-4 PROPERW OWNER Name:ra so Address: t{i City:State: B tQ ZIP:Q7t/7/ (Fax: E-mail:4 This installation is being made on residential owned by me or a member of my immediate or farm property family This property is not intended for sale, exchange, lease, or rent. OAR 479.540(r) and 479 1). INSTALLATION Business name: !r/.t: 6e-- Address: City: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: FEE SCHEDULE Number of inspections per item ( )Qty.Cost ea. Total cost Residential, per unit, service included: I,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: installation, alteration, relocation 200 amps or less (2)$ 201 to 400 amps (2)$r3r.00 $ 401 to 600 amps (2)$221.00 $ 601 to 1,000 amps (2)$28s.00 Over 1,000 amps or volts (2)$6s4.00 $ Reconnect only (2)$89.00 $ Temporary services or feeders: instal lation, alteration, re location 200 amps or less (2)$89.00 $ 201 to 400 amps (2)$r22.00 $ 401 to 600 amps (2)$177.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new alteration, efiension 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 of a service or feeder fee: First branch circuit (2)I $89.00 $Bq Each additional branch circuit I $8.00 $B Miscellaneous fees: service orfeeder not included Each pump or irrigation circle (2)$8e.00 $ Each sign or outline lighting (2)$r02.oo $ Signal circuit or a limited-energy panel, alteration, or extension (2)$102.00 $ Each additional inspection: (l)$102.00 $ DEPARTMENT USE (A) Enter subtotal ofabovefees (Minimum Permit Fee $102.00) t lov (B) Enter I 27o surcharge (. I 2 x [A])$ \2.'u( (C) Technology Fee (5% of[A])$ E1o TOTAL fees and surcharges (A through D):s ttq i'( €c 225 Fifth Street o Springfi eld, OR 97 47 7 . PH(541) 726-3753 4 FAX(54 I )726-36E9 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. DEPARTMENT USE ONLY Permitro., h OO23?t-e \1Date: lO@ Last edited 7lll20l9 BJones n ^nf\- \- ffi $112.00 $ SPRINGFIELD 0rt City of Springfietd Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726_3753OREGON Web Address: www.springfield-or.gov Building Permit Residential Mechanical Permit Number: 811-19-OO2386-MECH IVR Number: 81 1063294503 Email Address : permitcenter@springfield-or.9ov Permit fssued: October 2t, 20t9 Category of Construction: Single Family Dwelling Type of Work: Alteration Submitted Job Value: 90.00 Description of work: Relocate dry vent and kitchen hood, install new HVAC system JOB SITE INFORMATION Worksite Address 1858 G ST Springfield, OR 97477 Parcel L7033621t1900 Owner: Address: LAWSON EDNA C & KENNETH E 1858 G ST SPRINGFIELD , OR 97477 LICENSED PROFESSIONAL INFORMATION Business Name OWNER - Primary License ccB License Number 000000 Phone PENDING INSPECTIONS Inspection 2999 Final Mechanical 2300 Rough Mechanical 2100 AC/Furnace/Heat Pump/HVAC 2110 Venting Inspection Group Mech Res Mech Res Mech Res Mech Res Inspection Status Pending 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: 811063294503 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 ifwork is suspended for 18O oays 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 regulatlng construction or the performance of construction. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0O1-OO1O through OAR 952-O01-OO9O. You may obtain copies of the rules by calling the Center at (503) 232-1947. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.010 (Structural/l,lechanical), ORS 479.54O (Electrical), and ORS 693'010-O20 (Plumbing). Printed on: tO/2I179 Page 1 of 2 C:\myReports/reports/lprcdudionl0l STANDARD ll^/ ? TYPE OF WORK - Page 2 of 2Permit Number: 811-19-002386-MECH Fee Description Technology Fee Balance of minimum permit fees - mechanical Furnace/burner including d uct work/venVliner Range hood/other kitchen equipment Ventilation fan connected to single duct State of Oregon Surcharge - Mech (L2o/o of applicable fees) Printed on: 7Ol2l/19 Quantity Total Fees: Fee Amount $5.10 $48.00 $22.00 $19.00 $13.00 $L2.24 $ 119.34 1 1 1 Page 2 of 2 C;\myReports/reports//prcduction/01 STANDARD PERMIT FEES SPRINGFIELD 'b Transaction Receipt 811-19-002386-rilECH Receipt Number: 472750 Receipt Date: l0/21119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 54t-726-3753 permitcenter@springfield-or. gov OREGON www. sp ri n g field-or. gov Worksite address: 1858 G ST, Springfield , OR 97477 Parcel: 1703362'l 1 1900 Transaction date 10t21t19 10t21119 10t21t19 10t21t19 10t21119 10t21119 Units 'r.00 Ea 1.00 Ea 't.00 Ea 1.00 Automatic 1.00 Ea 1.00 Automatic Account code 224-00000-425604-1 03 1 224-00000-425604- 1 03 'l 224-00000425604-1 031 224-00000425604- t 031 82 1 -00000-2 1 5004-0000 204-00000425605-0000 Fee amount $22.00 $19.00 $13.00 $48.00 $12.24 $5.1 0 Fees Paid Description Fu mace/burner including duct work/venUliner Range hood/other kitchen equipment Ventilation fan connected to single duct Balance of minimum permit fees - mechanical State of Oregon Surcharge - Mech (12% ot applicable fees) Technology Fee Paid amount $22.00 $19.00 $13.00 $48.00 $12.24 $5.1 0 Payment Method: Credit card authorization: 044545 Payer: LAWSON EDNA C & KENNETH E Payment Amount:$119.34 Cashier: Katrina Anderson Receipt Total:$1 19.34 Prinled: 1ol2'l l'ls 2:47 pm Page 1 of 1 Fl N_Transaction Receipt_pr I ["r Ctrv or SpnrNGFIELo, ORtrcow Mechanical Permit Application 225 Fifth Strcct 0 Springfield,OR97477 . PH(541\726-3753 o FAX(541)726-3689 CATEGORY OF CONSTRUCTION E Residential E Govemment E Commercial JOB SITE INFORMATION AND LOCATION Job site address: /8t8 G S+ State:1Q f,nP.q.7(77 Referente: /Taxlot. DESCRIPTION OF WORK llonl ,L'r,on Vt-rr.f * V Uqc ur7'7'.-&.tJ -tl.t \ I tr,i, PROPERW OWNER Name:E e Address: l85A <r st State:ZIP:7 Phone '@ Fax E-maif:a I This installation is being member of mv immediate made me or a licensing requirements 70 CONTRACTOR INSTALLATION Business name:f'l on-' ZIP Phone: -V Fax: E-mail: CCB license no Print name Signature gPRtxcFtlLo FEE SCHEDULE Residential 4ry.Cost eA. Total cost First Aooliance il02^00 s Furnace/burner including ducts and vents 'Up to 100k BTU,4rr I $23.00 $ Over l00k BTU/hr $26.00 S Heefers/stoves/vents Unit heater $23.00 $ Woo&pellet/gas stove/fl ue $54.00 $ Evaporated cooler $19.00 $ Vent fan with one ducVappliance I $13.00 $ Hood with exhaust and duct I $19.00 $rQ One to four outlets $9.00 $ Additional outlets (each)$s.00 s Up to 10,000 CFM s15.00 $ Over 10,000 CFM $26.00 $ Comnressor/absorntion svstem/heat nu mn Up to 3 hp/100k BTU t23.00 $ Up to 15 hp/500k BTU i4t.00 $ Up to 30 hp/I,000 BTU x61.00 s Up to 50 hp/1,750 BTU $78.00 s Over 50 hp/l,750 BTU $132.00 $ Incinerators Domestic incinerator $26.00 $ Commercial Enter total valuation ofmechanical system and installation costs $ Enter fee based on valuation ofmechanical system, etc.$ Miscellaneous fees Cost ea. Total cost Reinspection u02.00 $ Specially requested inspections (per 1r02.00 $ Rcgulated cquipment (unclassed)il9.00 s Each additional inspection: (l)1102.00 $ DEPARTMENT USE (A) Enter subtotal ofabove fees (or enter set minimum fee of $ '102.00)S \CflZ (B) Investigative fee $ (C) Enter l2%o surcharge (.12 x [A+B])slz.zd (D) Seismic fee, lo/o (.01 x [Al)$ (E) Technology Fee (5% of [A])f,r'(u TOTAL fees and surcharges (A through E)$(\n 3l DEPARTMENT USE ONLY Perrritno.: \1 lo 23qb-ll Date, lo ltx Itq PIJ+ This permit is issued under OAR 918-440-0050. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Lasl edircd 711l2019 BJoncs t)aol, trc^{ Address: State: r I h, -1 Air-handline units. includins duc s Propefi Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construclion Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2ll 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 N and I hereby certify that the information on th otice to Homeowners About Construction Responsibilities' is homeowner statement is true and accurate. Ed,no-Ctral n Print Name of Permit APPlicanl Signature of Permit APP|icant Permit #: Address: lssued by: - Date: Date This Copy for Permit Offices lnformation Notice to Owners About Conaainction Res ponsi bi I ities (oRS 701.325 (3)) CONSTRUCTION CONTRACTORS BOARD PO Box 14140, Salem, OR 97309-5052 Telephone: 503-378-4621 - Fax: 503-373-2007 Website Address: www. oreoon. oov/ccb cti as their own gene ral contractorc to construct a new home Homeowners ng existing structu re can prevent many probl ems or ma ke a su bstantial tm provement to an by being aware of the following responsi bilities a Homeowners who use labor provided by workers not licensed by the construction contractors Board, may be considered an employer, and the workers who piovide the labor may be considered employees. As an employer, you must comply with the following: oregon,s withholding Tax Law: Emp_loyers musl withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax tro, vout 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 on the wages of all employ"".. Fo. more information, callthe Oregon Employment Department at 503-947 -1 488. oregon,s Business ldentification Number (BlN): is a combined number for both oregon \Nithholding 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 a a a Other Responsibilities of Homeowners: Code Comptiance: 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. propefi Damage and Liability lnsurance: Homeowners acting as their own contractors should coniact {heir 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. Liabiiity lnsurance must be sufficient to cover rnjuries 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 a This Copy for Permit.r^-^^^4, ^..,aar :rianl-ad A-7(]1 6 fryry "* /tsp GsJ, sp,i3& *l/ pf lzqzz lznn,t )u. oA-J,l-"n .l- fAu o-Lon< ffi /obr/t1 OclnerSI..u-S brx-r., do".-l e.L olrn s t b) l(rrn"Th € + d,^<c- {onnton' \q-co\q (3 b