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Home My WebLink AboutPermit Electrical 2019-11-04OREGON Web Address: www.springfield-or.gov Building Permit Residential Electrical Permit Number: 81 1-19-OO247 2-ELEC IVR Number: 81 1006923644 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 Email Address: permitcenter@springfield-or. gov SPRINGFIELD tb Permit Issued: November 04,2Ot9 Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Service change for ductless Type of Work: Replacement Worksite Address 1464 PLEASANT ST Springfield, OR 97477 Parcel 1703253206800 Owner: Address: SMITH ERIC L 1464 PLEASANT ST SPRINGFIELD, OR 97477 Business Name DEJA VU ELECTRIC INC - Primary License ccB License Number 225225 Phone 541-52L-2656 Inspection 4999 Final Electrical 4999 Final Electrical 4500 Rough Electrical 4220 Electrical Service 4250 Branch Circuits 4999 Final Electrical 4500 Rough Electrical 4220 Electrical Service 4250 Branch Circuits Inspection Group Elec Res Elec Res Elec Res Elec Res Elec Res Elec Res Elec Res Elec Res Elec Res Inspection Status Pending Pending Pending Pending 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 1-888-299-2821 use IVR number: 8LL006923644 Permits expire if work is not started within 180 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 pnesume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. ATTENTION3 Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR 952-oO1-Oo10 through OAR 952-OO1-OO9O. 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.O1O (Structural/[echanical), ORS 479.540 (Electrical), and ORS 693.O1O-O2O (Plumbing). Printed on: 11/4/19 Page 1 of 2 C:\myReports/reports//production/01 STANDARD TYPE OF WORK JOB SITE INFORMATION LICENSED PROFESSIONAL IN FORMATION PENDING INSPECTIONS SCH EDULING INSPECTIONS Permit Number: 81 1-19-OO2 47 2-ELEC Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Page 2 of 2 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) Ptinted ont ll/4/19 Quantity Tota! Fees: Fee Amount $8.00 $112.00 $6.00 $t4.40 $ 140.40 C :\myReports/reports//production/01 STAN DARD 1 1 Page 2 ol 2 PERMIT FEES SPRINGFIELD b OREGON www. sp ri n g fi eld -or. g ov Worksite address: 1464 PLEASANT ST, Springfield, OR97477 Parcel: 1 703253206800 Transaction Receipt 811-19-002472-ELEC Receipt Number: 472873 Receipt Date:1114119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54r-726-3753 perm itcenter@sprin gfield-or. gov Fees Paid Transaction date 11t4t19 11t4t19 11t4t19 11t4t19 Units 1.00 Ea 1.00 Qty ',l.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 (12% ot applicable fees) Account code 224-000004261 02-1 033 224-000004261 02-1 033 82 1 -00000-2 1 5004-0000 204-00000425605-0000 Fee amount $112.00 $8.00 $14.40 $6.00 Paid amount $1 12.00 $8.00 $14.40 $6.00 Payment Method:Credit card authorization: 081 269 Payer: DEJAVU ELECTRIC INC Payment Amount:$140.40 Cashier: Katrina Anderson Receipt Total $140.40 Printed: 11/4/19 9:57 am Page 1 of 1 Fl N_Tra nsactionReceipt_pr Ir CITY OF SPRINGFIELD, OREGON Electrical Permit A lication 225 Fifth Street. Springfield, OR 97477 I PH(541 )726-3753. FAX(54 I )726-36E9 This permit is issued under OAR 9lE-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days ofissuance or ifwork is suspended for 180 days. {fr, c_ LOCAL GOVERNMENT APPROVAL Zoningapproval verified? f] Yes E No CATEGORY OF CONSTRUCTION E Residential ! Govemment E Commercial JOB SITE INFORMATION AND LOCATION Jobsiteaddress:.' lqbq ?leqsan{ sl- sP$ I State: O€ZIP: Q2Q'7 7 Reference:Taxlot.: DESCRIPTION OF WORK Seo I l>"c+ | PROPERTY OWNER Name: (I^ntr'< A ( Address: /4 Lcl 2i otonl S /- city: S ft lA State:QY.nP. q )q7) Phone:S?/- S--t 5 - 77oS-Fax: E-mail 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(t) and 479.560(l). Signature: CONTRACTOR INSTALLATION Business name:PeJa VLt Lkc. iac- Address: ?)g L7 * \ g'+ State:@E zrP: Qlq7Y Phone(tll SJI- U\Q Fax:Sn! --7-q7 217 L E-mail: '(h l? iC\ 1'iS- s Cil Co' cq>4 .N tT- CCB licenseno.:22Y22S BCD license no. Signing supervisor's license no.: 37ZLl S Print name of signing supervisor: t)c.,y, ,2 6o{ql,le L Signature of signing supervisor: aui,"6katr- 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. or portion thereof $36.00 s Limited energy (2)$44.00 $ Each manufacfured home or modular dwelling service or feeder (2)$89.00 $ Services or feeders: instal lation, a lteration, relocation 200 amps or less (2) I $112.00 s\t2- 201 to 400 amps (2)$13r.00 $ 401 to 600 amps (2)$221.00 S 601 to I ,000 amps (2)$285.00 $ Over 1,000 amps or volts (2)$654.00 $ Reconnect only (2)$89.00 $ Temporary services or feeders: instal lolion, alteratiotl, relocotion 200 amps or less (2)$E9.00 $ 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: ne,,tt, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee Each branch circuit $8.00 $D b. Fee for branch circuits without purchase ofa service or feeder fee First branch circuit (2)$89.00 $ Each additional branch circuit $E.00 $ Miscellaneous fees: seruice orfeeder not included Each pump or irrigation circle (2)$ Each sign or outline lighting (2)$89.00 $ 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 $102.00) tl?P (B) Enter 12%o surcharge (.12 x [A])$ (C) Technology Fee (5% of [A])$ TOTAL fees and surcharges (A through D):st{O.t{c DEPARTMENT USE ONLY Permitno.: fi <lO a\77- rt lq I tqDate Last edited 7/1/2019 BJones $89.00