HomeMy WebLinkAboutPermit Electrical 2019-10-18OflEGON
web Address: www.springfl eld-or.gov
Building Permit
Commercial Electrical
Permit Number: 811-19-OO2375-ELEC
IVR Number: 811005322052
City of Springfield
Development and Public Works
225 Fifth Street
Sprlngfield, OR 97477
54r-726-3753
Email Address: permitcenter@springfield-or.gov
SPRINGFIELD
&
Permit Issued: October 18, 2019
OF
Category of Construction: Commercial
Submitted Job Value: $0.00
Description of Work: Rewire
Type of Work: Alteration
JOB
Worksite Address
590 MAIN ST
Springfield, OR 97477
Parce!
1703353 108600
Owner:
Address:
CITY OF SPRINGFIELD
150 N 4TH ST
SPRINGFIELD , OR 97477
NSED
Business Name
THORNTON ELECTRIC INC -
Primary
License
ccB
License Number
1t6329
Phone
541 -686- 1628
PENDIHG INSPECTIONS
Inspection
4999 Final Electrical
4999 Final Electrical
4500 Rough Electrical
Inspection Group
Elec Com
Elec Com
Elec Com
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.
Sched ule or track inspections at www. buildingpermits.oregon.gov
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811005322052
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 180 Days or longer depending on
the issuing agency's policy,
All provisions of laws and ordinances goveming this type of work will be complied with whether specified herean or not.
Granting of a permit do€s not pnesume to gave authority to violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction,
ATTENTIONT 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 952-001-0090, 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 701,010
(Structural/Mechanical), ORS 479,540 (Electrical), and ORS 693.OrO-O2O (Plumbing).
Pilnted onr 10/18/19 Page 1 of 2 C:\myReports/reports//production/01 STANDARD
Permit Numben 81 1-19-OO2375-ELEC Page 2 of 2
Fee Descraptaon
Balance of minimum permit fees - electrical
Branch circuits without service or feeder
Technology Fee
State of Oregon Surcharge - Elec (l2o/o of applicable fees)
Pflnted on: 10/18/19
Quantity
Total Fees:
Fee Amount
$s.00
$97.00
$s.10
912.24
$ 1 19.34
2
Page 2 ol 2 C : \myReports/reports//productron/01 5TANDARD
PERMIT FEES
STRINGFI Transaction Receipt
811-19-002375-ELEC
Receipt Number: 472739
Receipt Date: 1 0/1 8/'1 9
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54t-726-3753
perm itcenter@spri n gf ield-or. gov
{6
0R€G0r{
www. springfreld-or gov
Worksite address: 590 MAIN ST, Springfield, OR97477
Parcel: 1703353108600
Fees Paid
Transaction date
10t18t19
10t18t19
10t18t19
10t18t19
Units
2 00 Qty
'1 00 Automatic
'1 00 Ea
1.00 Automatic Technology Fee
Description
Branch circuits without service or feeder
Balance of minimum permit fees - electrical
State of Oregon Surcharge - Elec (12Yo ot
applicable fees)
Account code
224-000004261 02-1 033
224-OOOO0 -426 1 02- 1 033
821 -00000-21 5004-0000
204-OOOOO425605-0000
Fee amount
$97 00
$s.00
$12.24
$5.10
Paid amount
$97.00
$5.00
$12.24
$5 10
Payment Method:Cred it card authorization:
0261 1 9
Payer: CITY OF SPRINGFIELD Payment Amount:$119 34
Cashier: Katrina Anderson Receipt Total:$1 19.34
Printed: '10/18/19 2r32 pm Page '1 of 1 Fl N_TransactionReceipt_pr
CITY OF SPRINGFIELD, OREGON
Electrical Permit lication
225 Fifth Streetr Springfietd, OR 97477rPH(541)726-3753. FAX(541)726-3689
DEPARTMENT USE ONLY
Permitno.: V-@^3?T
Date: \oItB 9h
This permit is issued under OAR 9lE-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days ofissuance or ifwork is suspended for 180 days.
LOCAL GOVERNMENT APPROVAL FEE SCHEDULE
Zoningapproval verified? E Yes E No Number of inspections per item ( )Qty Cost
ea.
Total
cost
CATEGORY OF CONSTRUCTION Residential, per unit, service included:
E Residential I Govemment
1,000 sq. ft. or less (4)$186.00 $JOB SITE INFORMATION AND
Job site address
Each additional 500 sq. ft. orportion
thereof $36.00 $
city5prln<$e-LA State:@ Ztfr V{T?F l-r-trnit"a energy (2)$44.00 $
Taxlot.:Each manufactured home or modular
dwelling service or feeder (2)$89.00 $
DESCRIPTION OF WORK
Services or feeders: installation, alteration, relocation
200 amps or less (2)$l12.00 $
PROPERTY OWNER 201 to 400 amps (2)$131.00 $
Name:401 to 600 amps (2)$221.00 s
Address:601 to I,000 amps (2)$285.00 s
City State ZrP:Q')Over I,000 amps or volts (2)$654.00 s
Phone:Fax:Reconnect only (2)$89.00 $
E-mail Temporary services or feeders: installation, alteration, relocalion
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(l) and 479.560(l ).
200 amps or less (2)$89.00 S
201 to 400 amps (2)$r22.00 S
401 to 600 amps (2)$177.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
CONTRACTOR INSTALLATION Branch circuits: new alteration, extension per panel
Business name:)a. Fee for branch circuits with purchase ofa service or feeder fee:
Address o Each branch circuit $8.00 $
city: fri6 StatQp b. Fee for branch circuits without purchase ofa service or feeder fee:
Phone: - Q{7rc92 Fax:First branch circuit (2)I $89.00 $€
E-mail:Each additional branch circuit I $8.00 $g
CCB license no.:/ /6'32 ?BCD license no.Miscellaneous fees: sentice orfeeder nol included
Signing supervisor's license no.t79 Each pump or irrigation circle (2)$89.00 $
Print name of odt Each sign or outline lighting (2)$89.00 $
Signatwe of signing supervisor:Signal circuit or a limited-cncrgy pancl,
alteration, or extension (2)$89.00 $
Each additional inspection: (l )$102.00 $
DEPARTMENT USE
(A) Enter subtotal ofabove fees
(Minimum Permit Fee $102.00)
t(o?
(B) Enter 120lo surcharge (.12 x [A])S
(C) Technology Fee (5% of[A])$
TOTAL fees and surcharges (A through D):$Llq. ?,i
Lnst edited 7/I/2019 BJones