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Home My WebLink AboutPermit Electrical 2019-11-21OREGON Web Address: www.springfield-or.9ov Building Permit Residential Electrical Permit Number: 81 1-19-0026 17-ELEC IVR Number: 811074804238 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Address: permitcenter@springfield-or.gov SPRINGFIELD tb Permit Issued: November 21, 2OL9 TYPE OF WORK Category of Construction: Single Family Dwelling Type of Work: Alteration Submitted Job Value: $0.00 Description of Work: BWOP - Relocated dryer outlet and added one new outlet to laundry room JOB SITE INFORMATION Worksite Address 1121 S 69TH PL Springfield, OR 97478 Parcel 1802022602100 Owner: Address: PRUITT DAVID R JR & CHELSEA L 1121 S 69TH PL SPRINGFIELD, OR 97478 LICENSED PROFESSIONAL INFORMATION Business Name OWNER - Primary Lacense ccB License Number 000000 Phone PENDING INSPECTIONS Inspection 4999 Final Electrical Inspection Group Elec Res Inspection Status 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: 811074804238 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store PER.MIT FEES QuantityFee 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) Total Feesi Fee Amount $ 13.00 $89.00 $s. 10 $12.24 $ 119.34 1 Permits expire if work is not started within 18O 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 presume to give authority to violate or cancel the provisions 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-OO10 through OAR 952-O01-OO9O. You may obtain copies of the rules by calling the Center at (5O3) 232-t987. 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-O20 (Plumbing). Printed on: 17121119 Page 1 of 2 C:\myReports/reports//production/01 STANDARD Permit Number: 81 1-19-OO26L7 -ELEC Printed on: lv2flL9 Page 2 of 2 Page 2 of 2 C ;\myReports/reports//production/01 STAN DARD SPRINGIIELD tb OREGON www.springfield-or.gov Worksite address: 1121 S 69TH PL, Springfield, OR 97478 Parcel: 1 802022602100 Transaction Receipt 81 1-19-002617-ELEC f VR Number: 81 1 07 4804238 Receipt Number: 47 308'l Receipt Date:11121119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 perm itcenter@spri n gfield -or.9ov Fees Paid Account codeTransaction Units date 't1121t19 1.00 Qry 1'1t21t19 1.00 Automatic Description Branch circuits without service or feeder Balance of minimum permit fees - electrical State of Oregon Surcharge - Elec (12o/o ol applic-able fees) 224-00000 -4261 02- 1 033 224-00000-4261 02- t 033 821 -00000-21 5004-0000 204-00000-42560s-0000 11t21t19 1.00 Ea 11tz',U19 1.00 Automatic Technology Fee Fee amount $89.00 $13.00 $12.24 $5.10 Paid amount $89.00 $13.00 $12.24 $5.1 0 Payment Method: Check number: 2338 Payer: PRUITT DAVID R JR & CHELSEA L Payment Amount:$1 't9.34 Cashier: Katrina Anderson Receipt Total:$r 19.34 Ptinled: 1 1 l2'l l'19 1 0:37 am Page 'l of 1 F I N_Tra nsaction Receipt_pr lr Electrical Permit Applictttion 2Lt rifrh Slrcc..Spriagficld. OR 97177o Pll(5{l )726.r?SJ. FAX(s{l )726-J6E9 This permit is issued under OAR 9lE-J09-0000. Pcrmits are nonlrnnsferable. Pcrmits crpirc if n'ork is not startcd within 180 days of issuancc or ifnork is suspendcd lor 180 days. FEE SCHEDULE l{umbcr o[ iospcctions Jrr itcm ( )Qtl',Cost ea. Tolal cosl Rcsidcnlirl, 1xr unil, scnicc inclutlcd: l,000sq fl.orlcss(4)s t86.00 s liach additional 500 sg. ft- or ptrtion thcrcof sJ6.00 $ l.imitr'rl cncrgl (21 s{{.00 s llach manufacturcd honrc or modular ds'elling scn'icc or feeder (2)slrr.00 s Scn ker or fccdcrs: installatnn, altcratiur. rclocalion 200 amps or lcss (2)sr 12.00 S 201 to400 amps (2)s 13 r.00 s 'l0l lo 600 amps (2)s22 t .00 $ 601 to 1,000 amps (2)s285.00 $ Ovcr I,000 amps or rolts (2)s651.00 $ Rcconncct only (2)s89-00 $ 'l'cmporrry scniccs or lccdcn: instollation, altcrution, rclocotion 200 amps or lcss (2)stt9.u)$ 201 to4ffianps(2)s r 22.00 S 401 to600amps(2)s 177.fir $ Ch,cr 600 amps or l,Ofi) volls, sec scn'iccs or fecdcrs xcrion abovc llrrnch circuits: nolr, oltera!ion, exlension 1xr ytnel :r l:tc for branch circuis rvith purchav: ofa scn'icc or lccdcr fcc: Ihch branch circuit s8.00 S b. Fee lor branch circuits sithoul purchase ofa sen'icc or feedcr fee: Iirst branch circuit (2)I slt9.00 $ ,6q"' Each additional branch circuit s8.00 $ i\tiscclhncous lcct; sen'irc orlteder not included [ach pump or irrigation circlc (2)s19.u)s liach sign or outlinc lighting (2)St9.u)s Signal circuit or a limitcd<ncrg1'pancl, allcralion, or crlcnsion (2)st9.fit S Urch adrlilionrl inspction: ( | )St o2.o{,S DEPARTMENT USE (n) Enlersubtotal ofabovc fct1; (lltinimum Pcrmil ]'ce Sl02.lD)s gtP (ll) l:orcr 129'o surchargc 1.12 x [A])s t e.z{ (C) Tcchnologl [r.r: (596 of lAl)s 5.'" '1O'lAl, fcncs and surchargcs (A through l)):$ 111.3+ DEPARTMENT USE ONLY /l>r,*-ir no.'/f,0O ?la ft ' ( g \ LOCAL GOVERNMENT APPROVAL Zoning approval vcrificd? O Yes E No CATEGORY OF CONSTRUCTION E CommercialdRcsidcntialI Govemmcnt JOB SITE INFORMATION AND LOCATION Jobsitcaddrcss: llLl 5 aoclt\ P\".c.e- zu' 1141QStatc:I 'l'arlot.:RctcrcncJ: U OF WORK Move-<l ?2D Sro rn go".*h .^r..lt o[ Ot-+t rto PRORERTY @WXCN Name: \6y17\ a.nrl 0ln.I<er^. P.r^.tlk Addrcss: Sft r1,r6, - rr <. cLlrrowe ?.llt:City:State: Phonc:q?l5To Uotoo I"ar: E-mail: ohe,lser,..,,i1-1.4 1; a.r.r.,l . gorn This installation is belng madc on rcsithrldal or farm prog:rt)' orrncd by me or a mcmbcr of my immcdiatc famill'. This propcrly is not intcndc'd for salc, cxchangc, tcasc. or rcnt. OAR il;lll' *t),JV,'/ til,t,, o^l*il- lJusincss ncmc: Addrcss: 7-ll,:ciry: CVV-Statc: l:ar:Phonc: -V li-mail: CCll liccnsc no.:llCl) liccnsc no.: Signing supcn'isor's liccnsc no.: l)rint namc of signing supcn'isor: Signaturc of signing supcn'isor: lrsl cditcd 7/l/20t9 llJoocs l)iltc:qrrlr DESI Property Owner Statement Regarding Construction Res ponsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Con-struction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2)) This statement is required for residentiat building, electrica!, mechanical, and plumbing permits. Licensed architect and engineer appllcants, exemPt from licensing under ORS 701.010 (7)' need not submit this statemenl This statement will be filed with the permit. I I own, reside in, or wil] reside in the completed structure and my general contractor is: I will inform my general contractor that all subcontractors who work on the slructure must be licensed with the Construclion Contractors Board. or I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. lf I hire subcontractors, lwill 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. Please check the aPProPriate box: Expiration DaleccB#Name tr d I have read and understand the lnformation and I hereby certify that the information on Notice to Homeowners About Construction Responsibilities' this homeowner statement is true and accurate. .\ Pr.tr !! Print Name of Permit Applicant tl - 14 - tq Signature ol Permit APPlicant Date )lol?- \q\\\zrDatelssued by le \ Permit #: Address: This Copy for Permit Offices II -r -*+-*-{--**lffi r I fr Ib lfd ll _ t I t_*n- |I-l_ *n?hta!fi:l .tEk g$_,54-.4. ANDERSON Katrina From: Sent: To: Subject: Attachments: Chelsea Pruitt < chelseapruitt4@gmail.com > Sunday, November 17,2019 7:12 PM ANDERSON Katrina 1121 S 69th Place Plumbing Electrical and Mechanical Permits I MAG 1 4 1 3 jpeg; ATT0000 1 .htm; I MAG 1 4 1 2 j peg; ATT00002.htm; tMAGl 422 ipeg; ATT00003.htm; lMAG1423jpg; ATT00004.htm; Laundry Room Sinkjpeg;ATT00005.htm; Lau nd ry Room Sin k Zjpeg; 4TT00006.htm; Washerj peg; ATT00007.htm; Permit Applications.pdf; ATT00008.htm; Dryer vent contractor letter.pdf; ATT00009.htm; Plumbing contractor letter.pdf; ATT00010.htm; Electrical contractor letterjpeg; ATT0001 1.htm Hello Katrina, I talked with you a couple of weeks ago about needing to get permits for work we did to our laundry room, moving washer and dryer from south wall to north wall and sink from north wall to south wall. l've attached the permits for electrical, plumbing and mechanical and the contractor letters Below, l've included pictures of the plumbing before and after we did work. Please let me know if there is anything else that we need to provide and how we are supposed to pay for the permits. We are only in Springfield occasionally, so if I could send a check or pay by credit card, that would be great. Thanks so much for your help, Chelsea Pruitt 9715702660 Washer and dryer in original position on South wall of laundry room: 1