HomeMy WebLinkAboutPermit Electrical 2019-10-25CitY of SPringfield
Dever op m ent,lI l?ii :;'I1
Springfie\d' OR 97417
541-726-3753
SPruNGTIT,LD
oREGOtl
Web Address: www,springfield-or.gov
Building Permit
Residenti al Electrical
Permit Number: 81 1-19'002422-ELEC
IVR Number: 811095265371
Email Address: permitcenter@springfield-or,gov
Permit Issued: October 25,20L9
Category of Construction: Townhouses
Submitted Job Value: $0.00
Description of Work: Replace service and rewire due to fire
Type of Work: Replacement
Worksite Address
4174 DAISY ST
Springfield, OR 97478
Parcel
t702323303504
Owner:
Address:
WEST RIVERVIEW
INVESTMENTS LLC
92082 MARCOLA RD
MARCOLA, OR97454
Business Name
JIM CARTER ELECTRIC LLC -
Primary
Lacense
ccB
License Number
202430
Phone
54L-514-68t2
Inspection
4999 Final Electrical
4999 Final Electrical
4500 Rough Electrical
4220 Electrical Service
4250 Branch Circuits
Inspection Status
Pending
Pending
Pending
Pending
Pending
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: 811095265371
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 180 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.
ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952-001-0010 through OAR 952-OO1-0O90. 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,O10
(Structural/Mechanical), ORS 479,54O (Electrical), and ORS 693.O1O-020 (plumbing),
Printed on: 10,/25119 Page 1 of 2 Cr\myReports/reports//production/01 STANDARD
TYPE OF WORK
JOB SITE INFORMATION
LICET{SED PROFESSIONAL IN FORMATION
PENDING INSPECTIONS
Inspection Group
Elec Res
Elec Res
Elec Res
Elec Res
Elec Res
SC}IEDULING INSPECTIONS
Page 2 of 2Permit Number: 81 1-19-OO2 422-ELEC
Fee Description
Branch circuits with service or feeder each circuit
Services 200 amps or less
Technology Fee
State of Oregon Surcharge _ Elec (12olo of applicable fees)
Pnnted on: 1Ol25,/19
Quantity
t2
1
Fee Amount
$96.00
$ 1r2,00
$r0.40
$24,96
$243.36
Page 2 ot 2
Total Fees:
C : \myReports,/repo fts/ / produclon/ O I STANDARD
PERMIT FEES
-
SPffNGTIELD
,r@
0REG0il
www. sp ri n gf ield-o r. g ov
Worksite address: 4174 DATSY ST, Springfield, OR 9747g
Parcnl: 1702323303504
Transaction Receipt
811-19-002422-ELEC
Receipt Number: 472801
Receipt Date:10125119
CitY of SPringfleld
Dever op ment, :il,,|ff I;::1
SPringfield' OR 97-477-",.., ,or-rr'-rr*
perm itcenter@springfield-or'9ov
Fees Paid
Transaction date
10125t19
10t25t19
10t25t19
10t25t19
Units
't 00 Ea
12 00 Qty
'1 00 Ea
1.00 Automatic Technology Fee
Description
Services 200 amps or less
Branch circuits with service or feeder each
circuit
State of Oregon Surcharge - Elec (12o/o of
applicable fees)
Account code
224-000004261 02-1 033
224-000004261 02-1 033
821 -00000-21 5004-0000
204-00000425605-0000
Fee amount
$1 12 00
$96.00
$24 96
$10 40
Paid amount
$eoo
$96 00
$10 40
$2496
Payment Method: Credit card authorization:
07399d
Payer. JIM CARTER ELECTRTC LLC $2$.36Payment Amount:
Cashier. Katrina Anderson $243-36Receipt Total:
Printed 10/25119 11:26 am Page 1 of 1 Fl N-Tra nsaction ReceiPt-Pr
CITY OF SPRINGFIELI}, ORBCONI
Electrical Permit A ation
225 fift h Srroct I Spriryf dd, OR 97a77 o PH(54 I FZG37i1 i FAx(Sa t F2636E9
DEPARTilIE}IT USE ONLY
Pcrmitno.: V-tlOa\f>
;, pl>sl,t1iiffifr
This permit is lssued under OAR 9f t-3094000. Permits are nontrrnsferrble. Permits expire if work is not started withir ltO
drys of issulnce or if work is surpended for 180 daye.
LOCAL GOVERNiIE NT APPROVAL
Zoniog approval verified? fl Yes fJNo
& Resideutial f] Government D Commercial
)cAfloN
Job site address:_0,7
Taxlot.:Refers(ce, /
Name :
Address:
State ZIP:City:
Fax:Phone:
E-mail
This installation is being made on residential or farrt property
owned by me or a member of my immediate family. This
property is not intended for sale, exchaoge, lease, or rcnt. OAR
479.540(l ) and 479.560(l ).
Signature:
Business
Address:
zw,?748St?lte Ol
Phonc L Fax:
no.CCB license
E-mail
s license no.:
Print name of
Signarure of signing supervisor:
Nuubcr of hrpctdorr pcr len ( )Qty.Cost
€&
Totel
coit
Recidcothl, pcr unlt rcrvicc lucludedr
1,000 sq. fl. orless (4)31t5.00 $
$
Each additioral 50O sq. ff. or portion
thereof t36.00
Limited energy (2)${4.00 $
s89.00 $
Each manufactured home or modular
dwelling scrvice or feeder (2)
Servlcer or feederr: installation, alleration, relocotion
I sr 12.00 $200 amps or less (2)
201 to 400 amps (2)$t31.00 $
$221.00 $401 to 6O0 amps (2)
s2t5.00 $601 to 1,000 amps (2)
0ver 1,000 amps or volts (2)$654.00 $
ste.00 $Reconnect only (2)
Temporary serylcer or fetders: irctallation, alteration, relocation
$te.00 $
$122.00 $
200 amps or less (2)
201 to 400 amps (2)
$177.00 $401 to 600 amps (2)
Over 600 amps or 1,000 volts, see scrvices or feeders secfion above
Branch clrcuits: new akeration, *tension per panel
a. Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit \1-st.00 $
b. Fee for branctr circuits without purchase ofa service or fbeder fec:
Firsl branch circuit (2)$t9.00 $
$t.00 $Each additional branch circuit
Mlscellaneous fees: senace orfeeder not included
Each pump or irrigation circle (2)$re.00 $
Each sign or outline lighting (2)$102.00 $
Signal circuit or a limited-energy panel,
alteration, or cxtension (2)$ror.oo $
Eech rddJtlourl lnrpcetioa: (l )$r02.00 $
DEPARTIiET.IT
(A) Enter subtotal ofabove fccs
(Mlolmum Permlt Fet $102.00)'b
(B) Entcr l2% surcharge (.12 x [A])(
(C) Technology Fee (5% oflAl)$
TOTAL fecs and surcharges (A through D):(
Lest tdlted 7/l/2019 Blones
ZIP:
|TALI-A'CONTR/