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Home My WebLink AboutPermit Electrical 2019-10-21 (2)SPRINGTIELD ,b OREGON Web Address: www.springfield-or.gov Building Permit Residential Electrica! Permit Number: 81 1-19-OO2386-ELEC-O1 IVR Number: 811057513788 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Address : permitcenter@springfield-or.9ov Permit Issued: October 2l,2Ol9 TYPE OF WORK Category of Construction: None Specified Type of Work: None Specified Submitted Job Value: $0.00 Description of Work: Relocate dry vent and kitchen hood, install new HVAC system JOB SITE INFORMATION Worksite Address 1858 G ST Springfield, OR 97477 Parcel 17033621 1 1900 Owner Address: LAWSON EDNA C & KENNETH E 1858 G ST SPRINGFIELD , OR 97477 LICENSED PROFESSIONAL Business Name OWNER - Primary License ccB License Number 000000 Phone PENDING INSPECTIONS Inspection 4999 Final Electrical Inspection Group Elec Res Inspection Status 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: 811057513788 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store PERMIT FEES Fee Description Balance of minimum permit fees - electrical Branch circuits without service or feeder Technology Fee State of Oregon Surcharge - Elec (tZo/o of applicable fees) Quantity Total Fees: 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 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 rul€s 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 (5O3) 232-L947. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O (Structural/Mechanical), ORS 479.54O (Electrical), and ORS 693.O1O-O20 (Plumbing). printed on: 1O/21l19 page 1 of 1 C:\myReports/reports//production/01 STANDARD 2 Fee Amount $s.00 $97.00 $5.10 $t2.24 $119.34 ir SPRINGF!ELD tt OREGON www. sp ri n g fi e ld-or. gov Worksite address: 1858 G ST, Springfield , OR 97477 Parcel: 1 7033621 1 1 900 Transaction Receipt 81 1 -l 9-002386-ELEC-01 Receipt Number: 472751 Receipt Date: 10/21119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 54L-726-3753 permitcenter@spri n gfield -or. gov Fees Paid Transaction date 10t21t19 10t21t19 10t2'1119 10t21t19 Units 2.00 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 (12% ot applicable fees) Account code 224 -00000-426'1 02- 1 033 224-00000-4261 02- 1 033 821 -00000-2 1 5004-0000 20 4 -0 0000 - 4256 0 5-00 00 Fee amount $97.00 $5.00 $12.24 $5.1 0 Paid amount $97.00 $5.00 $12.24 $5.1 0 Payment Method Credit card authorization: 044545 Payer: LAWSON EDNA C & KENNETH E Payment Amount:$119.34 Cashier: Katrina Anderson Receipt Total $119.34 Printed: 10/21119 2:50 pm Page I of 1 Fl N_Transaction Receipt_pr [r --- CITY OF' SPRINGFIELD, OREGON APRII{GFIELD 225 Fifth Street i Springfield, OR 97 41 7 a PH(541)726-3753. FAX (54 l)1 26-36E9 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. Electrical Permit A Iication LOCAL GOVERNMENT APPROVAL Zorungapproval verified? n Yes n No CATEGORY OF CONSTRUCTION E Residential E Government n Commercial JOB SITE INFORMATION AND LOCATION Job site address: / 85'8 C. S1 city:J p r iwaN; e 1 f-State: g/t zIP: Q ?'(?V Reference: "/Taxlot.: DESCRIPTION OF WORK iz.fI 2n .F hD4-d PROPERTY OWNER Name:*n)i o Address: L{i g State:0 r?zrP:Q71/?/ (Fax: E-mail:t-P- This installation is being made on residential a member of my immediateownedbymeor property is 479.s40(t) Signature: not intended for sale,exchange,lease,or rent.OAR and 4 79 I ). a-<.a{>ry, INSTALLATION Business name: !r/',t> 1e- Address City ^Alv State: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)$186.00 $ 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: instollation, olteration, relocation 200 amps or less (2)$112.00 $ 201 to 400 amps (2)s131.00 $ 401 to 600 amps (2)$221.00 $ 601 to 1 ,000 amps (2)$28s.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 iess (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: new 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 of a service or feeder fee: First branch circuit (2)I $89.00 $Bq Each additional branch circuit I s8.00 $B Miscellaneous fees: service orfeeder not included Each pump or irrigation circle (2)$89.00 $ Each sign or outline lighting (2)$102.00 $ Signal circuit or a limited-energy panel, alteration, or extension (2)$l02.oo $ Each additional inspection: (l)$r02.oo $ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00) t lov (B) Enter l27o surcharge (.12 x [A])$ \z,rt (C) Technology Fee (5% of [A])$ E;o TOTAL fees and surcharges (A through D):sip 7( €c DEPARTMENT USE ONLY Perrrit,ro., h OO27BL e Date: IOW Last edited 1lll20l9 BJones v \ \1 P roperty 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 (2ll This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.0{0 (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 struclure 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. 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. €d,^a- Cara I n Print Name of Permit APPlicant Signature of Permit APPlicant io /at lt q Date )r\c s-h Datelssued by \rq rlN--oo \g Permit #: Address: This Copy for Permit Offices lnformation Notice to Owners About Construction ResPonsi bi I ities (oRS 701.325 (3)) CONSTRUCTION CONTRACTORS BOARD PO Box 14140, Salem, OR 973095052 Telephone: 503-3784621 - Fax: 503-373-2007 Website Address: www. oregon. oov/ccb Homeowners acting as their own general contractors to construct a or make a substantial improvement to an existing structure, can prevent 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 empioyees. As an employer, you must comply with the following: Oregon,s Withholding Tax Law: Employers must withhold income taxes from employee wages at th-e 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 -on 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 Insurance 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 at the 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. new home many problems a a a o o a Other Responsibilities of HomeowRers: Code Comptiance: As the permit holderfor 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. a a tt^-^^^a, a,.rnar :/nnia.i A-?nl6 This Copy for Permit