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Home My WebLink AboutPermit Electrical 2019-11-27SPRINGTIELD OREGON Web Address: www.springfield-or.9ov Building Permit Residential Electrical Permit Number: 81 1-19-OO2668-ELEC IVR Number: 811073413526 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 547-726-3753 Email Add ress: permitcenter@springfield-or. gov Permit Issued: November 27, 2OL9 TYPE OF WORK Category of Construction: Single Family Dwelling Submitted tob Value: $0.00 Description of Work: Bedroom addition Type of Work: New JOB SITE IilFORMATION Worksite Address 1O4O W N ST Springfield, OR 97477 Parcel t703273t0290t Owner: Address: CHIRINOS SANTOS ADONIO 1O4O W N ST SPRINGFIELD, OR 97477 LICENSED PROFESSIONAL INFORITIATION Business Name OWNER - Primary License ccB License Number 000000 Phone PENDING INSPECTIONS Inspection 4999 Final Electrical 4999 Final Electrical 4500 Rough Electrical 4250 Branch Circuits Inspection Group Elec Res Elec Res Elec Res Elec Res Inspection Status Pending Pending Pending Pending SCH EDULING 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: 8Lt0734t3526 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work is not started within 18O Days of issuance or if work is suspended for 180 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 ofa permit does not presume to give authority to violate or cancel the provisions ofany 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-OO1O through OAR 952-001-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.O10 (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.O1O-O20 (Plumbing). Printed on: lll27/19 page 1 of 2 C:\myReports/reports//production/01 STANDARD [-r- ,b Permit Number: 81 1-19-0O2668-ELEC Page 2 of 2 Fee Description Branch circuits without service or feeder Technology Fee State of Oregon Surcharge - Elec (12olo of applicable fees) Printed on: fll27/19 Quantity Fee Amount $129.00 $6.4s $ 15.48 $1s0.93Total Fees: C: \myReports/reports//production/0 1 STAN DARD 6 Page 2 of 2 PERMIT FEES 5PRINGf IELD qrt ORIGON www. springf ield-or. gov Worksite address: 1040 W N ST, Springfield, OR 97477 Parcel: 1 703273102901 Transaction Receipt 81 I -1 9-002668-ELEC IVR Number: 81 1 07 3413526 Receipt Number: 473145 Receipt Datet 11l27l19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 permitcenter@springfield-or.9ov Fees Paid Account codeTransaction Units date 11127119 6.00 Oty 11t27119 1.00 Ea Description Branch circuits without service or feeder State of Oregon Surcharge - Elec (12o/o ol applicable fees) 224-00000-4261 02- 1 033 82 1 -00000-2 1 5004-0000 20 4 -00000 - 425605 -0000 Fee amount $129.00 $15.48 $6.45 Paid amount $129.00 $15.48 $6.4s1'U27t19 'l .00 Automatic Technology Fee Payment Method: Credit card authorization: 014355 Payer: CHIRINOS SANTOS ADONIO Payment Amount:$150.93 Cashier: Katrina Anderson Receipt Total:$150.93 Ptinted. 11127119 11:44 am Page 1 of I F I N_Tra nsaction Receipt_pr CTTY OF SPRINGFIELD, OREGON Electrical Permit A lication 225 Fifth Street.Springlield, OR 97477oPH(54I)726-3753oFAX(541)726-3689 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 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. orportion thereof $36.00 $ Limited energy (2)$44.00 $ Each manufactured home or modular dwelling service or feeder (2)$89.00 $ Services or feeders: instql latiott, alteration, relocation '200 amps or less (2)$112.00 $ 201 to 400 amps (2)$131.00 $ 401 to 600 amps (2)$221.00 $ 601 ro 1,000 amps (2)$285.00 $ Over 1,000 amps or volts (2)$6s4.00 $ Reconnect only (2)$89.00 $ Temporary services or feeders: installation, alteration, 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 1,000 volts, see services or feeders section above Branch circuits: net, alteration, extension per panel a. Fee for branch circuits with purchase of a 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)t $91 Each additional branch circuit 5 $8.00 $10 Miscellaneous fees: service orfeeder not included Each pump or irrigation circle (2)$89.00 $ Each sign or outline lighting (2)$89.00 s Signal circuit or a limited-encrgy panel, alteration, or extension (2)s89.00 $ Each additional inspection: (1)$102.00 $ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00)'(A (B) Enter 12%o swcharge (.12 x [A])$ r'(t (C) Technology Fee (5% of [A])$ (".\t5 TOTAL fees and surcharges (A through D):$ SPNIN(;FIELD h, ( DEPARTMENT USE ONLY Permit no. Date: LOCAL GOVERNMENT APPROVAL Zodngapproval verified? E Yes E No CATEGORY OF CONSTRUCTION E Residential ! Government E Commercial JOB SITE INFORMATION AND LOCATION Jdb site address: ) rl U a t, fy .<4 ZIP fir177 Reference:Taxlot. DESCRIPTION OF WORK PROPERTY OWNER Name: zrP: 97 Ll7'7 FaxPhone: 5-tl i:-> SZtrZttl 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 47 9.540(t) and 47 9.560(l). "conrnecro R rNsrAEt ATIoN Business name Address: City:;9r€/ZIP Fax:Phone A; E-rnail CCB license no.:BCD license no Signing supervisor's license no. Print name of signing supervlsor: Signature of signing supervisor: Last edited 7/1/2019 BJones ,State: Ol7 'State: Ql 7 $89.00 Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Conitruction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2)) This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, 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 struciure 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 contraclor, 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. 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. 5 Print Name of PermitAPPlicant of Permit APP|icant Date Permit #: Address: lssued by: oL( Date:rrbr\\1 This Copy for Permit Offices L-A 4n;-,)"nnS lnformation Notice to Owners About Construction Res Ponsi bi I ities (oRS 701.325 (3)) CONSTRUCTION CONTRACTORS BOARD PO Box 14140, Saiem, OR 973095052 Telephone: 503-378-4621 - Fax: 503373-2007 Website Address: www.oreoon. oov/ccb o a a a a Homeowners acting as their own general contractors to construct a new home or make a substantial iri'provement to in existing structure, can prevent many problems by biing aware of the following responsibilities: 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: Oregon,s Withholding Tax Law: Employers must withhold income taxes from employee wages at thi time employees ire paid. You will be liable for the tax payments even if you don't actually withhold the tax fiom your employees. For more information, call the Department of Revenue at 503-378-4988. Unemployment lnsurance Tax: Employers are required to pay a tax for unemployment insurance purposes bn the wages of all employees. For more information, call the Oregon Employment Department at 503-947 -1 488. Oregon,s Business ldentification Number (BlN): is a combined number for both Oregon With-holding and Unemployment lnsurance Tax. To file for a BlN, go online to the Oregon Business Registry. For questions, call 503-945-8091. Workers Compensation lnsurance: Employers are subjecl to 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 be liable for all claim costs if one of your workers is injured on the job. For more information, call the Workers Compensation Division it tne Department of Consumer and Business Services at 800-452-0288. Tax Withholding: Employers must withhold Social Security Tax and Federal lncome Tax from employee wages. 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. a o a a Other Responsibilities of Homeowners: Code Compliance: As the permit holder 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 that may be found through inspections. property Damage and Liability lnsurance: Homeowners acting as their own contractors should coniact iheir insurance agent to ensure adequate insurance coverage for accidents and omissions, such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be redone. Liability lnsurance must be sufficient to cover injuries to persons on the job site who are not otherwise covered as employees by Workers Compensation Insurance. 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. .r--^^^+, ^..,^a; :rinniad O-?Ol 6 This Copy for Permit