HomeMy WebLinkAboutPermit Electrical 2019-11-05OREGON
Web Address: www.springfleld-or.gov
Building Permit
Residential Electrical
Permit Number: 81 1-19-OO2481-ELEC
IVR Number: 811031294167
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR97477
54t-726-3753
Email Address : permitcenter@springfield-or.9ov
SPRINGFIELD
ts
Permit Issued: November 05, 2019
TYPE OF WORK
Category of Construction: Single Family Dwelling
Submitted Job Value: 90.00
Description of Work: Replace 200amp main breaker
Type of Work: Replacement
JOB SITE INFORMATION
Worksite Address
414 S 69TH PL
Springfield, OR 97478
Parcel
170235330 1500
Owner:
Address:
D&EFANDREMTRUST
414 S 69TH PL
SPRINGFIELD , OR 97478
LICENSED PROFESSIONAL INFORMATION
Business Name
PACIFIC ELECTRIC LLC - Primary
License
ccB
License Number
19966 1
Phone
54t-206-7700
PENDING INSPECTIONS
Inspection
4999 Final Electrical
4220 Electrical Service
4500 Rough Electrical
Inspectaon 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: 811031294167
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 1gO Days or longer depending onthe 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 Gancel the provlsions of any other state or local lawregulating construction or the performance of construction.
aTTENTTON: oregon law requires you to follow rules adopted by the oregon utility Notification center. Those rutes are setforth in oAR 952-Oo1-oo10 through OAR 952-oo1-o09o. You may obtain copies of the rutes by cailing the Center at (503)
232-L9a7.
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 693.010-O20 (ptumbing).
Printed on: 11/5/19 Page 1 of 2 c:\myReports/reports//production/01 STANDARD
[r^r.
Permit Number: 811-19-002481-ELEC Page 2 ot 2
Fee Description
Services 200 amps or less
Technology Fee
State of Oregon Surcharge - Elec (L2o/o of applicable fees)
Printed on: 11/5/19
Quantity
Total Fees:
Fee Amount
$ 112.00
$s.60
$13.44
$ 131.04
1
Page 2 of 2 C: \myReports/reports//prcduction/01 STAN DARD
PERMIT FEES
SPRINGFIELD
tb
OREGON
www springfield-or.gov
Worksite address: 414 S 69TH PL, Springfield, OR 97478
P arcnl: 1 7 0235330'l 500
Transaction Receipt
811-19-002481-ELEC
Receipt Number: 472884
Receipt Date: 11/5/19
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
s4r-726-3753
permitcenter@spri n gfield-or.9ov
Fees Paid
Transaction date
11tst19
1115119
11t5t19
1.00 Ea
1.00 Automatic Technology Fee
Description
Services 200 amps or less
State of Oregon Surcharge - Elec (12o/o oi
applicable fees)
Account code
224 -00000-426 1 02- 1 033
82 1 -00000-2'l 5004-0000
20 4 -00000 -425605-0000
Fee amount
$112.00
$13.44
$5.60
Paid amount
$112.00
$13.44
$5.60
Payment Method: Credit card authorization:
86281 I
Payer: PACIFIC ELECTRIC LLC Payment Amount:$131 .04
Cashier: Katrina Anderson Receipt Total:$13r.04
Printed: 1 l/5/19 8:55 am Page 1 of 1 Fl N_Transaction Receipt_pr
h "s.
(\
Units
1.00 Ea
CITY OF SPRII{GFIELD, ORECOI{
225 Fift! Str.Gt.SFiryficId, OR yrm.PH(s/llYrf.3rr5,,.fAx{54f F26^l6t!,
This pcmft b b$Gd urdcr OA.R 9l&30[00m. Pctilits rr lotrtrrrsfcrr*, Fcrdls cqfrc if work b rot strrGd ritlh fto
deys of bsnrncc or if wort ic snspcrd for ltO drys
LOCAL GOVERNUENT APPROVAL
Zoning approval verified? flyo flNo
CATEGORY OF CONSTRT'CTION
[[Residential flCrovernmem flComrnscial
JOB SITE INFORTATIO]I AND LOCATION
Jobsite&ess: llq S C1-r1*
City: $p1, ,..Q,, LJ Stats: 2(1 ZTP:
Reference:Taxlot:
DESCRIPTK}III OF WORK
PROPERW OW}IER
Name: Daf: \r.r..dCe,X
Address:t{1\ S. L11L
City: $p6.^ot.o,LL State: a{L ZIP..
Ptur,fit/l-??Z 57fl Fax:
E-mail:
This installation is bcing made on residential or farm property
owned by me or a rrember ofmy immediate famity- This
Fop€rty is not inteded fqsale' exchange, lease or renl OAR
47 9.s40<r\ ud 47e560( I ).
Signatrne:
INSTALLATION
Busircs
Address:
Crtlz frtan *St*e: CZ{L 7flrr.q ?toz-
o Fax:
E-mail:
CCB licenseno., lgqCG I BCD license no.:
license no.:
Print nanre of
Signatue of signing tqpe"rit"tl
Blectrical Permit
' :.;li';i:, i!.:-l
[.o4
DEPARTTENT USE ONLY
Permit no-l e 6l'
Date:I t?
FEE SCHEDULE
4ry.Cod
GX.
Totel
oostNurbcr of iospcttious pcr ttcn ( )
Rcsidcntiel, pcr nnit, scrvicc ircludcd:
1,(tr0 sq- ft. or less (4)$r8600 $
Ed additimal 5ffi sq. ft. orportioa
Iter@f $3600 $
Limitedorrgt(2)$44.00 $
Erh manufadurcd hom ormodulr
dnGtli4g s€rvkc or feedcr (2)$t!r.00 $
Scwlre er Gcdcrr z installolia, alterutioa rclmt bn
$\\ 22fi) amps or less (2)I $112.00
$2Ol b/m0mps(2)sl3l.ut
s401 to 600 amps (2)rr2l.(n
3601 to 1,000 arps (2)$185.00
$Over 1,0fl) mps or volts (2)s554.m
$Reoonrrcct only (2)$$.00
Tcaponry rcrvicrs or fttdcn: insnllatiorl alleratiot, releation
$89.m $200 mps or hss (2)
$r22.00 t
3401 to 600 amps (2)s177.00
Over 6ffi mrps or I,fiX) voltq see servies or feeders section above
Breml cirtuib: ,w, ollcmtio\ arension prpcl
a Fee for brrrch circuis urith prrctrase ofa servfop or feeder fee:
$$&00Each brrrch circuit
b. Fee for branclr circnits witbut pnrdrase of a service c fceder ftc:
s89-00 3Firsrffii circuit(2)
$8.m 3Each additional branch circrrit
Mircrlhncour f.'',: seni,ce orfeedernot ittc,h&d
$89.00 $Fach pump or irrigsion ctch (2)
$89-00 $Eadr sign or outline tigt{iog (2)
sD.m $Signal ciroritora limircd.mg pane[
alratbn, orexmsim (2)
$$r0a00E.ch rdditimd iupctrion: (l)
DEPARMEITIT USE
t \tu
3 I ?.Y'l@) Enter 12%surchage (-12 x [AI)
t 5.Uo(C) Technologr Fec (596of [AI)
$TO'IAL fees and sundtcges (A trough D):
Lrst cdited 7/lll0l9 Bloncs t9
Pt*r*<lf?d-'i
2.-'brc*'
2
201to 400 amps (2)
(A) tu$rhmlof$ovefee
(Mirirm Pcnit Fcc $lO2.S)
,\qrl