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Home My WebLink AboutPermit Electrical 2019-11-05OREGON Web Address: www.springfield-or. 9ov Building Permit Residential Electrical Permit Number: 81 1-19-OO2489-ELEC IVR Number: 81 1080846577 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 54t-726-3753 Email Address : permitcenter@springfield-or. gov SPRINGTIELD 0r Permit Issued: November 05, 2019 TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: 90.00 Description of Work: New laundry room Type of Work: Alteration JOB SITE IN Worksite Address 1742 DELROSE AVE Springfield, OR 97477 Parcel 1703243 10 130 1 Owner: Address: REIGN WEALTH LOGIC LLC 1742 DELROSE AVE SPRINGFIELD, OR 97477 LICENSED PROFESSIONAL INFORMATION Business Name OWNER - Primary License ccB License Number 000000 Phone PENDING INSPECTIONS Inspection 4999 Final Electrical 4999 Final Electrical 4500 Rough Electrical Inspection Group Elec Res Elec Res Elec Res 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. Schedule or track inspections at www.buildingpermits.oregon,gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811080846577 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 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 specitied herein or not. Granting of a Permit does not presume to give authorlty to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. ATTENTIoN: oregon lau, requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-OO1-OO1O through OAR 952-OO1-OO9O. 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 7O1.O1O (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.O1O-O2O (Plumbing). Printed on: 11/5/19 page 1 of 2 c:\myReports/reports//production/01 STANDARD L-^ Permit Number: 81 1-19-002489-ELEC Page 2 of 2 Fee Description Balance of minimum permit fees - electrical Branch circuits without service or feeder Technology Fee State of Oregon Surcharge - Elec (l2o/o of applicable fees) Printed on: 11/5/19 Quantity Total Fees: Fee Amount $ 13.00 $89.00 $s.10 $t2.24 $ 119.34 1 Page 2 ol 2 C | \myReports/reports//production/0 1 STAN DARD PERMIT FEES SPRINGFIETD $ Transaction Receipt 811-19-002489-ELEC Receipt Number: 472890 Receipt Date: 11/5/19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 perm itcenter@spri n gfield -or. gov OREGON www. sp ri n g fi eld -or. gov Worksite address: 1742 DELROSE AVE, Springfield, OR97477 Parcp-l. 1703243'l01301 Fees Paid Transaction date 11t5t19 11tst19 11t5119 11t5t19 Units 1.00 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 (12o/o ot applicable fees) Account code 224-00000-426'l 02- 1 033 224 -00000426't 02- I 033 82 1 -00000-2 1 5004-0000 204-00000425605-0000 Fee amount $89.00 $13.00 $12.24 $s.1 0 Paid amount $89.00 $13.00 $12.24 $5.10 Payment Method Credit card authorization: 005576 Payer: REIGN WEALTH LOGIC LLC Payment Amount:$1 19.34 Cashier: Katrina Anderson Receipt Total:$119.34 Printed: 1 l/5/19 t:54 pm Page 1 of 1 Fl N_TransactionReceipt_pr tI CITY OF SPRINGFIELD, OREGON Electrical Permit A tion 225 Fifth Street.Springfield, OR 97477rPH(541)726-3753. FAX(541 )726-3689 This permit is issued under OAR 918-309-0000. Permits are notrtransferable. Permits expire if work is not started within 180 days ofissuance or ifwork is suspended for 180 days. h,€c LOCAL GOVERNMENT APPROVAL Zoning approval verified? E yes E No CATEGORY OF CONSTRUCTION SResidential ! Govemment E Commercial JOB SITE INFORMATION AND LOCATION Jo! .it. address: \7W \>l ,t*C A uC sLt",Qp av: nfil{ DESCRIPTION OF WORK iectri 2 I PROPERTY OWNER Name: Qxlias [Jca1.{n Lnir, U t, -7:tt[ Address: *'.".a- 'J City:State:ZIP: Phone: 5,\ LL6 UtOl Fax E-mail: €rrouctsnr ?rl ( This installation is being made on..ria..H.l owned by me or a member of my immediate or farm property family. This property is 479.s40(t) not for exchange,lease, or rent. OAR $lournAcrdn I NSTALLATIoN Business rVme Address w City:S1 -sdr-t"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: 1,000 sq. ft. or less (4)$r86.00 $ Each additional 500 sq. ft. or portion thereof $36.00 $ Limited energy (2)$44.00 $ Each manufactured home or modular dwelling service or feeder (2)$89.00 $ Services or feeders: installatiolt, aheration, relocation 200 amps or less (2)$t 12.00 $ 201 to 400 amps (2)sl3t.00 $ 401 to 600 amps (2)$221.00 $ 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: installation, aheration, relocation 200 amps or less (2)$89.00 $ 201 to 400 amps (2)$122.00 $ 401 to 600 amps (2)$177.00 $ Over 600 amps or I,000 volts, see services or feeders section above Branch circuits: new, alteration, extension 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 ofa service or feeder fee: First branch circuit (2)I $89.00 $ba s8.00 $ Miscellaneous fees: serl,ice orfeeder not included Each pump or irrigation circle (2)$89.00 $ Each sign or outline lighting (2)$89.00 $ Signal circuit or a limited-encrgy pancl, alteration, or extension (2)$89.00 $ Each additional inspection: (1)$t02.00 $ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00)tp> (B) Enter l2%o surcharge (.12 x [A])$ \L-4 (C) Technology Fee (5% of[A])$t.lD TOTAL fees and surcharges (A through D):$ l\4.3i DEPARTMENT USE ONLY Permitno.: lq -0o )LlVq - t tq5Date\\ I Last edited 7/l/2019 BJones Taxlot.: $ Each additional branch circuit Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2)) I have read and understand the lnformation Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. affi,4 3,D Print Name of S nt Date -(- This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicanb, 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 structure 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 lwill 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. Permit #: Address: q.) 4-) r\- '17.- Cri.*" 9@A L1s t1lssued 4 0b+l load Date \l This Copy for Permit Offices tr lnformation Notice to Owners About Construction ResPonsi bi I ities (oRs 701.325 (3)) CONSTRUCTION CONTRACTORS BOARD PO Box 14140, Salem' OR 9730$5052 Telephone: 503-378-4621 - Fax: 501373-2007 Website Address: www.oregon'gov/ccb Homeowners acting as their own generial contractors to construct a or make a substantial improvement to an existing structure, can prevent by biing aware of the following responsibilities: new home many problems r Homeowners who use labor provided by workers not licensed by the Construction Contractors Board, may be considered an employer, and the workers who provide the labor may be considered employees. As an employer, you must comply with the following: r oregon,s withholding Tax Law: Employers must withhold income taxes from employee wages at th-e time employ""rlre paid. You will be liable for the tax payments even lf you don't actually withhold the tax fiom your employees. For more information, call the Department of Revenue at 503-378-4988. o Unemployment lnsurance Tax: Employers are required to pay a tax for unemployment insurance purposes tn the wages of all employees. For more information, call the Oregon Employment Department at 503-947 -1 488 - o Oregon,s Business ldentification Number (BlN): is a combined number for both Oregon withholding and Unemployment lnsurance Tax. To file for a BlN, go online to the oregon Business Registry. For questions, call 503-945-8091' e Workers compensation lnsurance: Employers are subjecllo 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 b9 liable for all claim costs if one of your workers is injured on the job Fo1 more information, call the workers compensation Division at the Departmeni of Consumer and Business Services at 800-452-0288' o Tax withholding: Employers must withhold social security Tax and F9de.3l lncome Tax from employee *rg".i. 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' Other Responsibilities of Homeowners : code compriance: As the permit horder for 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 in"t ,ry be found through inspections PropertyDamageandLiabilitylnsurance:Homeownersactingastheirowncontractorsshould contact their insurance agent to ensure adequate insurance coverage for accidents and omissions, such as falling tools, paint overspray, try-"t;; O"r"g" from pipe punctures' fire' or work that must be redone. Liabirity rnsuiance must be iufficient to cover injuries to persons on the job site who are not otnerwise 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 tt^,^^^*, ^..rnar :dantc.i q-2n16 This Copy for Permit