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Home My WebLink AboutPermit Electrical 2019-09-16 (2)OREGON Web Address: www.springfi eld-or.9ov Building Permit Residential Electrical Permit Number: 81 1-19-OO21 3O-ELEC IVR Number: 811043742988 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 Ema il Address : permitcenter@springfield-or. gov SPRINGFIETD 'ib Permit Issued: September L6,20L9 TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: New panel Type of Work: Replacement ,OB SITE INFORMATION Worksite Address 821 E ST Springfield, OR 97477 Parcel 170335 1304900 Owner: Address: CROSSWHITE CURTIS & AMANDA 821 E ST SPRINGFIELD , OR 97477 LICENSED PROFESSIONAL INFORMATION License ccB License Number 000000 Phone PENDING INSPECTIONS Inspection 4999 Final Electrical 4999 Final Electrical 4500 Rough Electrical Inspection Group Elec Res Elec Res Elec Res Inspection Status Pending Pending Pending SC}IEDULING 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: 811043742988 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 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. ATTENTIONI 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-OO1-OO9O. You may obtain copies of the rules by calling the Center at (503) 232-L987. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O (Structural/uechanical), ORS 479.540 (Electrical), and ORs 593.01o-o2o (Plumbing). printed on: 9/16/19 page 1 of 2 c:\myReports/reports//production/01 STANDARD ., f Business Name OWNER - Primary Permit Number: a1 1-19-OO213O-ELEC Page 2 of 2 Fee Description Services 200 amps or less Technology Fee State of Oregon Surcharge - Elec (L2o/o of applicable fees) Printed on: 9/16/19 Quantity Total Fees: Fee Amount $112.00 $s.60 $13.44 $ 131.04 1 Page 2 of 2 C r\myReports/reports//production/01 STANDARD SPRINGFIELD tt Transaction Receipt 81 1 -1 9-0021 30-ELEC Receipt Number: 472407 Receipt Date: 9/16/19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 permitcenter@sprin gfield-or. gov OREGON www. sp ri ngfi eld-or. gov Worksite address: 821 E ST, Springfield, OR97477 Parcel: 1 70335'1 304900 Fees Paid Transaction date 9t16t19 9t16119 9t16t19 Units 1.00 Ea 't.00 Ea 1.00 Automatic Technology Fee Description Services 200 amps or less State of Oregon Surcharge - Elec (12% ot applicable fees) Account code 224-00000426 1 02-1033 82 1 -00000-2 1 5004-0000 1 00-00000-425605-0000 Fee amount $112.00 $13.44 $5.60 Paid amount $112.00 $13.44 $5.60 Payment Method:Cred it card authorization : 316122 Payer: CROSSWHITE CURTIS & AMAND Payment Amount:$131 .04 Cashier: Katrina Anderson Receipt Total $131.04 Printed: 9/16/19 11:12 am Page 1 of 1 Fl N_TransactionReceipt_pr b -r- CITY OF SPRINGFIELD, OREGON Electrical Permit A lication 225 Fifth StreetoSpringfield, OR 97477oPH(541)726-3753. FAX(541)726-3689 DEPARTMENT USE ONLY p".,rttoo.,6 -OOD-l)O Date: q(t,"(tq 3PFINGFIELO h This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within lEO days ofissuance or ifwork is suspended for 180 days. LOCAL GOVERNM APPROVAL FEE SCHEDULE Zoning approval verified?es fl No Number of inspections per item ( )Qty Cost Total costea. CATEGORY OF CONSTRUCTION Residential, per unit, service included: ! Govemment D Commercial 1,000 sq. ft. or less (4)$186.00 $JOB SITE INFORMATION AND LOCATION Job site address Each additional 500 sq. ft. or portion thereof $36.00 id nP9,y14-rl I Limited energy (2)$44.00 {- Taxlot.Each manufacfured home or modular dwelling service or feeder (2)$89.00 $ DESCRIPTION OF WORK Services or feeders: installation, alteration, relocation 200 amps or less (2)$l12.00 $\l PROPERTY 201 to 400 amps (2)$131.00 $ Name:b 401 to 600 amps (2)$22r.00 $ Address:601 to 1,000 amps (2)$285.00 $ City (u 1 Over 1,000 amps or volts (2)$654.00 $ q Fax:Reconnect only (2)$89.00 $ E-mail avr Temporary services or feeders: installation, alteratiotr, This ls made on residential 200 amps or less (2)s89.00 $ owned meora of my immediate fami ly This 201 to 400 amps (2)$122.00 for sale,exchange,lease.or rent.OAR I ).401 to 600 amps (2)$177.00 s Over 600 amps or 1,000 volts, see seryices or feeders section above CONTRACTOR INSTALLATION Branch circuits: new, alteration, extension Per panel Business name a. Fee for branch circuits with purchase ofa service or feeder fee: Address:Each branch circuit $8.00 $ City State ZIP b. Fee for branch circuits without purchase ofa service or feeder fee Phone: - U v Fax:First branch circuit (2)s89.00 $ E-mail Each additional branch circuit $8.00 $ CCB license no.BCD license no.Miscellaneous fees: service orfeeder not included $supervisor's license no.Each pump or irrigation circle (2) Each sign or outline lighting (2)Print name of supervlsor: Signature of signing supervlsor: Signal circuit or a limited-encrgy pancl, alteration, or extension (2) $89.00 $E9.00 $ $89.00 $ Each additional inspection: (l)$ 102.00 $ DEPARTMENT (A) Enter subtotal ofabove fees (Minimum Permit Fee $I02.00) $Efr (B) Enter 127o surcharge (.12 x [A])$q,1', (C) Technology Fee (5% of[A])s?.\tf - TOTAL fees and surcharges (A through D):$A^e{g\ Last edited 7/l/2019 BJones $ t 3\-o'\ cityilOrt nr$fl.e Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction 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 701.010 (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#Expiralion Date I will inform my general contractor that all subcontractors who work on the structure must be with the Construction Contractors Board 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 Construclion 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. Applicant q\\lJ Iq\ Date Permit #: Address: '5o e. :*?r>\ Date:q\\\L\\1 This Copy for Permit Offices rssued oy, 3flF 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 eonstruct a or make a substantial iriprovement to an existing structure, can prevent by biing aware of the following responsibilities: new home many problems a a a a a a Homeowners who use labor provided by workers not licensed by the Construction Contractors Board, may be considered an employer, ano the workers who provide the labor may be considered employeei. 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 employeesire paid. You will be liable for the tax payments even if you don't actually *tnnotO the tax from 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 Withirolding 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 subject 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 Income Tax from employee wageJ. 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' C 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 contraclors should coniact iheir insurance agent to ensure adequate insurance coverage for accidents and omisstons, 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 rnjuries to persons on the job site who are not otherwise covered as employees by Workers Compensation lnsurance. 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. 5r^-^^^*, ^..,nar r/nntad O-?n16 This Copy for Permit