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Home My WebLink AboutPermit Electrical 2019-10-250ttEG0l{ Web Address: www.springfield-or, gov Building Permit Residential Electrical Permit Number: 81 1-19-OO2423-ELEC IVR Number: 811011131615 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Address : permitcenter@springfield-or. gov SPRINGFIELD ,r$ Permat Issued: October 25, 20L9 PE OF WORK 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 4176 DAISY ST Springfield, OR 97478 Parcel 1702323303504 Owner: Address: WEST RIVERVIEW INVESTMENTS LLC 92082 MARCOLA RD MARCOLA, OR97454 LICENSED PROFESSIONAL INFORMATION Business Name ]IM CARTER ELECTRIC LLC - Primary License ccB License Number 202430 Phone 54L-5L4-6812 PE'TDING INSPECTIONS Inspection 4999 Final Electrical 4999 Final Electrical 4500 Rough Electrical 4220 Electrical Service 4250 Branch Circuits Inspection Group Elec Res Elec Res Elec Res Elec Res Elec Res Inspection Status Pending Pending Pending Pending Pending SCHEDULING INSPECTIONS Various inspections are minimally required on each prolect 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 i nspections at www, build ingpermits.oregon. gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811011131615 Schedule using the Oregon ePermirting Inspection App, search "epermitting" in the app store Permits expire if work is not started within 18O Days of issuance or if work is suspended for 180 Days or longer depending on the issuing agency's policy, All provisions of laws and ordinances governing thas 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 provisaons 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-OO1-OOIO through OAR 952-001-O09O. You may obtain copies of the rules by calling the Center at (503) 232-L987, All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.OlO (Structural/Mechanical), ORS 479.540 (Electrical), and ORs 693,O1O-O20 (Plumbing) Printed on 10/25,/19 Page 1 of 2 C i \myReports/reports//production/0 1 STANDARD JOB SITE INFORMATION Permit Number: 81 1-19-OO2423-ELEC Page 2 of 2 Fee Descraption Branch circuits with service or feeder each circuit Services 200 amps or less Technology Fee State of Oregon Surcharge - Elec (L2o/o of applicable fees) Pilnted onr 10/25l19 Quantity 12 I Total Fees: Fee Amount $96,00 $ 112.00 $ 10.40 $24.96 $243.36 Paee 2 of 2 C i \myReporLs/reporls//productron/0 1 STANDARD PERMIT FEES SPRINGFIELD & OREGOd www. sp nngfield-or. gov Worksite address: 4176 DAISY ST, Springfield, OR 97478 Parel. 1702323303504 Transaction Receipt 81 1 -1 9-002423-ELEC Receipt Number: 472800 Receipt Date: 10/25/19 City of Springfield Development and Public Works 225 Fifth Street Springfield. OR 97477 54t-726-3753 perm itcenter@springfield-or. gov Fees Paid Transaction date 10t25t19 10t25t19 10125t19 10t25t19 Units 1.00 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 $112.00 $96.00 $24 96 $10.40 Paid amount $'112 00 $96.00 $24.96 $10.40 Payment Method:Credit card authorization 07399d Payer: JIM CARTER ELECTRIC LLC Payment Amount:$243.36 Cashier: Katrina Anderson Receipt Total:$243.36 Printed: 10/25l19 1'1 23 em Page 1 of 1 FI N_Tra nsactionReceipt-pr , CITY OT SPRINGFIELD, OREGOIY Electrical Permit A cation DEPARTI'ENT USE ONLY Permit no.:\r 3 **,tfllt3;L'R This permit is iesued under OAR 9It-309-0000. Permits are nontrrtrsfenble. Permits expire if work is not starled within ltO drys ofirsuancc or ifwork is suspended for ltO deys. FEE SCHEDI Nunbcr of hrpccdoar pcr ltco ( )Qty.Cort e& Totalcott Rerideotlrl, per unlt, ecrvlcc lncludcd: 1,000 sq. fl. or less (4)slt6.00 $ Each additional 500 sq. ft. or portion thereof 116.00 $ Limited energy (2)$4{.00 $ Each manufactured home or modular dwelling service or feeder (2)st9.00 $ Scrvlcm or ferderr: instal lation. alteration, relocalion 200 amps or tess (2)I $l12.00 $ 201 to 400 amps (2)$131.00 $ 401 to 6O0 amps (2)s22r.00 $ 60t to 1,000 amps (2)$28s.00 $ Ovcr I,000 amps or volts (2)$654.00 $ Reconnect only (2)eE9.00 $ Temporrry servicer or fcederr: installation, aheralion, relocation 200 amps or less (2) 201 to 400 amps (2) $E9.00 $ s122.00 $ 401 to 6@ amps (2)0t 77.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Breacb circultr: new aileration, utension per panel a Foe for branch circuits with purchase of a service or fesder fee; Each branch circuit \1-sr.00 $ b. Fee for branch circuits without purchase of a service or feeder fce: First branch circuit (2)$t9.00 $ Each additional branch circuit $E.00 $ Misccllaoeous lee* service orfeeder not included Each pump or irrigation circle (2)$t9.00 $ Each sign or outline lighting (2)$r01.00 $ Signal circuit or a limitod-energy panel, alteration, or extorsion (2)$r02.00 $ Esch rddltionrl lnrpcction: ( ! )$r02.00 $ bEPARTUEIIT I (A) Enter subtotal ofabove fees (Minlmum Pcrmlt Fee $102.00) $ (B) Entcr l2% surcharge (.12 x [A])$ (C) Technology Fee (5% of [A])$ TOTAL fces and surcharges (A through D):*i7,4 HnR 225 Flft h Slr.cr 0 Sprhgf dd, OR rT{77. PH(sa I )72G3743. FAX(54 I r2635t9 (* Zoungapproval verified? [ Yes D No S Rcsidential I Governrnent flCommercial :OR}IAJOB Sm f,l Job site address: aY ?7478 Taxlot.:Referd(ce, / DESCRIPTION OF WORK Name: Address: City:State:ZIP Fax:Phone: E-mail This installation is being made on residential or farm property owned by me or a member of my immediate family. This propsrry is not inteuded for sale, exchange, lease, or rent. OAR 479,540(l ) and 479.560( I ). Signature: INST Business Address: zw:$74?0State: Q1 Fax no.BCDCCB license E-mail: Iicense no. Print name of Signaturc of sigting supervisor: Lrst cdited 7/t/1019 &lones ITT AP IVAL II