HomeMy WebLinkAboutPermit Electrical 2019-12-13ORIGON
Web Address: www.springfield-or.gov
Building Permit
Residentia! Electrical
Permit Number: 81 1-19-002784-ELEC
IVR Number: 8LL04404567 5
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
Email Address: permitcenter@springfield-or.gov
SPRINGFIETD
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Permit Issued: December 13, 2019
Category of Construction: Single Family Dwelling
Submitted Job Value: $0.00
Description of Work: Upgrade electrical panel (200amp)
Type of Work: Alteration
Worksite Address
7t2 67THST
Springfield, OR 97478
Parcel
Unknown
Owner:
Address:
RITTER JERAMY & FAITH
7t2 67TH ST
SPRINGFIELD , OR 97478
Business Name
WALTERI CANNON - Primary
License
ccB
Phone
54t-747-0959
Inspection
4999 Final Electrical
4999 Final Electrical
4220 Electrical Service
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-BB8-299-282L use IVR number: 811044045675
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 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 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-t987.
All persons or entities performing work under this permit are required to b€ licensed unless exemPted by ORS 7O1.O1O
(Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.O1O-O20 (Plumbing).
printed on: tzl,3lfg page 1 of 2 C:\myReports/reports//production/01 STANDARD
License Number
76304
Inspection Group
Elec Res
Elec Res
Elec Res
Permit Numben 81 1-19-OO2784-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: 12l13/19
Quantity
Tota! Fees:
Fee Amount
$ 112.00
$s.60
$13.44
$131.04
1
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SPRINGFIETD
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OREGON
www.springf ield-or. gov
Worksite address:71267fH ST, Springfield, OR 97478
Transaction Receipt
811-19-002784-ELEC
lVR Numben 8ll0'14045675
Receipt Number: 473280
Receipt Date:12113119
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
547-726-3753
permitcenter@spri ngfield-or. gov
Fees Paid
Account codeTransaction Units
date
12t13t19 'l .00 Ea
12t13t19 1.00 Ea
Description
Services 200 amps or less
State of Oregon Surcharge - Elec
(12o/o oI applicable fees)
224-00000 - 4261 02- 1 033
821 -00000-21 5004-0000
20 4 -00000 - 4256 0 5-000012t13t191.00 Automatic Technology Fee
Fee amount
$112.00
$13.44
$5.60
Paid amount
$112.00
$13.44
$5.60
Payment Method: Credit card
authorization: 208143
Payer: Jeramy Ritter Payment Amount:$131.04
Cashier: Thayne Smith Receipt Total:$13t.04
Printed: 12l'13l19 2:19 pm Page 1 of 1 F I N_Tra nsactionReceipt_pr
[rs-,
CTTY OF SPRINGFIELD, OREGON
Electrical Permit a a ffi
225 Fifth Smetrspriryfid4 OR 97477oPH64r)72C3753oFAx(541)72G3689
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits orpire if work is not started within 180
days of issuance or if work is suspended for 180 days.
DEPARTMENT USE ONLY
Permit no.: i .") - (t.t z 1 €^A -t4
Date:)-
LOCAL APPROVAL FEE SCHEDULE
CostQty,@.
$
$
Yes E No Number of inspections per item ( )
Residendal, pcr unit, service induded:
L,fi)0 sq. ft. or less (4)
LOCATION
D Commercial
$186.00
f,16.00
n Government
JOB SITE INFORMATION
Job site address:
Zoning approval verified?
CATEGORY OF
Total
cost
Each additional 500 sq. ft. or portion
thereof
State: d Q-$Limited eneryy (2)$44.00
Reference:$
L
OWNER $
$ tl2
$89.00
Sewices or feeders: installation, alteration, relocation
$112.002fi) amps or less (2)
$131.00201 to 400 amps (2)
Taxlot.:
DESCRIPTION OF WORK
Each manufactured home or modular
dwdling sewice or feeder (2)
This installation is being made on residential or farm property
owned by me or a member of my immediate family. 11i5
property is not intended for sale, exchange, lease, or rent. OAR
47 9.s4o(1) and 479. 560( 1).
Signature:
€1o g3
ZIP:
$
$
$
$
$
$
$
Temporary services or feeders: installation, alterotion, relocation
Over 600 amps or 1,0fi) volts, see services or feeders section above
Address:
State:
Fax:
$221.00401to 6fi) amps (2)
$285.00601to 1,0fi) amps (2)
$6s4.00Over 1.,0fi) amps or volts (2)
$89.00Reconnect only (2)
Phone:
E-mail
200 amps or less (2)$89.00
$122.00201to 400 amps (2)
$177.00401to 600 amps (2)
CONTRACTOR Branch cirrlrits: new, alteration, extension per panel
Business name:a. Fee for branch circuits with pulchase of a service or feeder fee:
$8.00 $Address: P.O , tb Each branch circuit
b. Fee for branch ciroris without purchase of a service or feeder fee:cityr L,r)}l.1;,rrd IL stateOR ztP:17LlP
$89.00 $circuit (2)FirstFax:Phone:)
$r.oo $E-mail:branch circuit
I
Miscrllancous fees: service or feeder not includedBCD license no.: ZoCCB license no.:
$es.oo $Each pump or irrigation circle (2)
$ss.oo $
Signal circuit or a limited-energy panel,
alteration, or extension (2)
C Each sign or outline lighting (Z)
Signature of signing
Print name of
$es.oo $
$Each additional inspection: (1)$roz.oo
DEPARTMENT
$
(A) Entersubtotal of above fees
Minimum PermitFee $10?-00)
$(B) Enter 12% surcharge (.12 x tAl)
$(C) Technology Fee (5% of tAI)
$TOTAL fees and surtharges (A through D):
Lact edited 7/u2019 Blones
zrp:\7'l7a I
Name: /tlttt I
(t
-c) ISigning supervisor's license no.: 371 t
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