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Home My WebLink AboutPermit Electrical 2019-12-09SPRINGFIELD OREGON Web Address: www.springfield-or.9ov Building Permit Residential Electrical Permit Number: 81 1-19-OO27 37 -ELEC IVR Number: 811035518741 City of Springfield Development and Public Works 225 Fifth Street Springfield. OR 97477 54L-726-3753 Email Address : permitcenter@springfield-or.9ov Permit Issued: December 09,2Ot9 Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Replace electrical panel Type of Work: Replacement Worksite Address 1393 L ST Springfield, OR 97477 Parcel 1703253306300 Owner: Address: RAINEY ANNA L 1393 L ST SPRINGFIELD, OR 97477 Business Name OWNER - Primary License ccB License Number 000000 Phone Inspection 4999 Final Electrical 4999 Final Electrical 4500 Rough Electrical Inspection Group Elec Res Elec Res Elec Res Inspection Status Pending Pending Pending 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: 811035518741 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 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. ATfENTION3 Oregon law requires you to follow rules adopted by the Oregon Utiliw 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 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.O10 (Structural/t{echanical), ORS 479'540 (Electrical), and ORS 593.O10-O20 (Plumbing). printed on: 1219/19 page 1 of 2 c:\myReports/reports//production/01 STANDARD [r-r-^r tth TYPE OF WORK JOB SITE INFORMATION LICENSED PROFESSIONAL I'{FORMATION PENDING INSPECTIONS SCHEDULING INSPECTIONS Permit Number: 81 1-19-002737 -ELEC Page 2 of 2 Fee Description Services 200 amps or less Technology Fee State of Oregon Surcharge - Elec (L2o/o of applicable fees) Ptinled oni !2/9/L9 Quantity Total Fees: Fee Amount $112.00 $s.60 $t3.44 $ 131.04 1 Page 2 of 2 C :\myReports/reports//production/o1 STANDARD PERMIT FEES SPRINGFIELD w ORIGON www. springf ield-or.gov Worksite address: 1393 L ST, Springfield, OR97477 Parcel: 17Q3253306300 Transaction Receipt 81 1 -1 9-002737-ELEC lVR Number: El 1035518741 Receipt Number: 473228 Receipt Date= 1219119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 perm itcenter@spri n gfi eld -or. gov Fees Paid Account codeTransaction Units date 1219119 1.00 Ea 1219t19 1.00 Ea Description Services 200 amps or less State of Oregon Surcharge - Elec (12o/o ol applicable fees) 224-00000-4261 02- 1 033 821 -00000-21 5004-0000 20 4 -00000 - 4256 0 5-000012t9t191.00 Automatic Technology Fee Fee amount $1 12.00 $13.44 $5.60 Paid amount $1 12.00 $13.44 $5.60 Payment Method: Credit card authorization: 038'l 82 Payer: RAINEY ANNA L Payment Amount:$131.04 Cashier: Katrina Anderson Receipt Total:$131.04 Printed: 1219/19 2:46 pm Page 1 of 1 F I N_Tra nsactionReceipt_pr h -s--r CITY OF SPRINGFIELD, OREGON Electrical Permit lication 225 Fifth Streeti Springfield, OR 97477o PH(541)726:3753o FAX(541)726-3689 LOCAL GOVERNMENT APPROVAL Zoringapproval verified? E Yes E No CATEGORY OF CONSTRUCTION E Residential ! Government ! C)omrnercial JOB SITE INFORMATION AND LOCATION Job site address:l3q3 t.$vec-F City: q6.'1,71aftr f l State: l,1p zrY: Q)c{-7} <-/1l Reference:J DESCRIPTION OF WORK PROPERTY OWNER Name:n Address:s City: qaal1fihf i d State: 0 L zrP: ?lfll Fax E-mail This installation is being made on residential a member of my immediate or farm property family. Thisowned by me or property 479.s40( for sale,exchange, lease, or rent. OAR I i hAlh R TION Business name:I Address City:stry>*ZIP: Phone: AT Fax: E-mail CCB license no.BCD license no. Signing supervisor's license no. Print name of signing supervisor: Signature of signing supervisor: DEPARTMENT USE ONLY Permitno.: fi'o6fi17'i Date:t>\ r(tth LZc 4 FEE SCHEDULE Number of inspections per item ( )Qty Cost ea. Total cost Residential, per unit, service included: 1,000 sq. ft. or less (4)$r 86.00 $ Each additional 500 sq. ft. orportion thereof $36.00 $ Limited energy (2)$44.00 $ Each manufacfured home or modular dwelling service or feeder (2)$89.00 $ Services or feeders: instal latiotr, a lteration, relocation 200 amps or less (2)It sl12.00 s \r2- 201 ro 400 amps (2)$131.00 $ 401 to 600 amps (2)$221.00 $ 601 to 1,000 amps (2)$285.00 $ Over 1,000 amps or volts (2)$654.00 $ 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)s177.00 s Over 600 amps or 1,000 volts, see seryices or feeders section above Branch circuits: new, 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 $ Each additional branch circuit $8.00 $ Miscellaneous fees: sewice orfeeder nol ittcluded Each pump or irrigation circle (2)$89.00 $ Each sign or outline lighting (2)$89.00 $ Signal circuit or a limitcd-energy panel, alteration, or extension (2)$89.00 $ Each additional inspection: (l)$r02.00 $ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00) s ttLy (B) Enter 12%o surcharge (.12 x [A])$ 13.Y.{ (C) Technology Fee (5% of[A])$9 Go TOTAL fees and surcharges (A through D):s\3( 'ol Last edited 7/l/2019 BJones Taxlot.: 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. Property Owner Statement Regarding Gonstruction 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 701.010 (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 structure 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. P t2 -q-/q of Permit nt Date Permit #: Address:9+', \lssued Date:\q This Copy for Permit Offices \\-po 7?T -trL€L oy:ff- lnformation Notice to Owners About Construction ResPonsi bi I ities (oRS 701.325 (3)) CONSTRUCTION CONTRACTORS BOARD PO Box 14140. Salem, OR 97309-5052 Telephone: 503-378-4621 - Fax: 50$373-2007 Website Address: www. oregon. gov/ccb a a a a a Homeowners acting as their own general contractors to construct a new home or make a substantial improvement to an existing structure, can Prevent many problems by being 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 th-e time employees lre paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503-378-4988. Unemployment tnsurance 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 Withholding 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 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. 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 propefi Damage and Liabitity lnsurance: Homeowners acting as their own contractors should coniact their 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 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. o a r,F-^^^+, ^,.,^ar :innia.{ A-?n16 This Copy for Permit a