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Home My WebLink AboutPermit Electrical 2019-11-19OREGON Web Address: www.springfield-or.9ov Building Permit Residential Electrical Permit Number: 811-19-O02597-ELEC IVR Number: 811034086517 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 54r-726-3753 Email Address : permitcenter@springfield-or.gov SPRINGTIELD tb Permit Issued! November t9,2OI9 TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Mud room add washer and dryer outlets Type of Work: Alteration JOB SITE INFORMATION Worksite Address 6665 C ST Springfield, OR 97478 Parcel L702344100900 Owner: Address SCHULZJEFFREYH&ANN L 6665 C ST SPRINGFIELD, OR 97478 LICENSED PROFESSIONAL INFORMATION Business Name KOALA TEE ELECTRIC SERVICE & MORE LLC - Primary License ccB License Number 196170 Phone 541-228-193t PENDING INSPECTIONS Inspection 4999 Final Electrical 4500 Rough Electrical Inspection Group Elec Res Elec Res Inspection Status 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.build ing permits,oregon. gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811034086517 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 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 permlt does not presume to give authority to violate or cancel the provisions of any other state or local lawregulating construction or the performance of construetion. 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-oo9o. You may obtain copies of the rules by calllng the center at (5o3) 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.s4o (Etectricat), and oRs 693.010-ozo (ptumbing). Printed on: 1 1/19/19 Page 1 of 2 c:\myReports/reports//prcduction/01 STANDARD Ir Permit Number: 811-19-OO2597-ELEC Page 2 of 2 Fee Description Branch circuits without service or feeder Technology Fee State of Oregon Surcharge - Elec (l2o/o of applicable fees) Printed on: rLlL9/19 Quantity Total Fees: Fee Amount $ 10s.00 $s.2s $12.60 $122.85 3 Page 2 ol 2 C :\myReports/reports//prcduction/0 1 STAN DARD PERMTT FEES SPRINGFIELD ,b OREGON www.springfield-or. gov Worksite address: 6665 C ST, Springfield, OR 97478 Parcel: 1 7023441 00900 Transaction Receipt 81 1 -1 9-002597-ELEC IVR Number: 81 1034086517 Receipt Number: 473037 Receipt Date: 11/19/t9 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 perm itcenter@springfi eld -or.9ov Transaction Units date 1',U19t19 3.00 Qty 11t19t19 1.00 Ea Description Branch circuits without service or feeder State of Oregon Surcharge - Elec (12o/o ol applicable fees) Fees Paid Account code 224-00000-4261 02- 1 033 821 -00000-21 5004-0000 204 -00000 -425605-0000 Fee amount $105.00 $12.60 $5.25 Paid amount $105.00 $12.60 $s.2511119t191.00 Automatic Technology Fee Payment Method: Check number: 1065 Payer: SCHULZ JEFFREY H &ANNL Payment Amount:$122.85 Cashier: Katrina Anderson Receipt Total:$122.85 Printed: 1 t/19/lg 8:23 am Page 1 of 1 Fl N_Tra nsaction Receipt_pr lr CITY OF SPRINGFIELD, OREGON Electrical Permit lication 225 Fifth Street.Springfield, OR 97477oPH(541)726-3753o FAX(541)726-3689 DEPARTMENT USE ONLY Pernrirno.: l1{DS53" Date It (t q \..1 €fr, This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days ofissuance or ifwork is suspended for 180 days. LOCAL GOVERNMENT APPROVAL Zoning approval verified? fl Yes E No CATEGORY OF CONSTRUCTION l{Residential I Govemment I Commercial JOB SITE INFORMATION AND LOCATION Job site 2 State: JReferedrce:Taxlot. DESCRIPTION OF WORK PROPERTY Name: Address City:ZIP Fax: This installation is owned by me or a or farm property family. This made of immediatemy property is 479.540(t) lease, or rent. OARintendednotsatbrexchange, 560( E-mail: NSTALLATION Address: *)f Z ZIPState rax:.f(f sy'?fl?4 E-mail: BCD license no. A1*, 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)$186.00 s Each additional 500 sq. ft. or portion thereof $36.00 $ Limited energy (2)$44.00 $ Each manufacfured home or modular dwelling service or feeder (2)$89.00 $ Services or feeders: installation, alteration, relocation 200 amps or less (2)$I12.00 $ 201 to 400 amps (2)$131.00 $ 401 to 600 amps (2)$221.00 $ 601 to I ,000 amps (2)s285.00 s Over 1,000 amps or volts (2)s654.00 $ Reconnect only (2)$89.00 s Temporary services or feeders: installation, alteration, relocation 200 amps or less (2)$89.00 s 201 to 400 amps (2)$122.00 s 401 to 600 amps (2)$177.00 $ Over 600 amps or I,000 volts, see services or feeders section above Branch circuits: neu,, 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)$89.00 $a Each additional branch circuit L s8.00 $ l(" Miscellaneous fees: serrlce orfeeder not included Each purnp or irrigation circle (2)$89.00 $ Each sign or outline lighting (2)$89.00 $ Signal circuit or a limitcd-encrgy 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)s Lo{ (B) Enter l27o surcharge (.12 x [A])s \2.bo (C) Technology Fee (5% of [A])s S.z{ TOTAL fees and surcharges (A through D):s lzz-8 Last edited 7/l/2019 BJones Citvf,-triur,\ r l a ztP:97y'R I Business name: CCB license no.: Signing supervisor's license no.: Print name of signing supervisor: --ffoo<. t