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Home My WebLink AboutPermit Electrical 2019-12-31OREGON Web Address: www.springfield-or.gov Building Permit Residential Electrical Permit Number: 811-19-002691-ELEC-O1 IVR Number: 811091803570 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 54L-726-3753 Email Address: permitcenter@springfield-or.9ov SPRINGFIELD 6 Permit Issued: December 3L,2OL9 TYPE OF WORK Category of Construction: None Specified Type of Work: None Specified Submitted Job Value: $0.00 Description of Work: Addition 1Bx1B living area, adding a shower and kitchen sink JOB SITE INFORMATION Worksite Address 321 72ND ST Springfield, OR 97478 Parcel 1702353 101800 Owner: Address: WILSON CHRISTOPHER J & ]ONI L 321 72ND ST SPRINGFIELD, OR 97478 LICENSED PROFESSIONAL INFORMATION Business Name OWNER - Primary License ccB License Number 000000 Phone PENDING INSPECTIONS Inspection 4999 Final Electrical 4500 Rough Electrical Inspection Group Elec Res Elec Res Inspection Status Pending Pending SCHEDULING 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. Sched ule or track i nspections at www. bui ld i ngperm its.oregon. gov Call or text the word "schedule" to 1-BB8-299-282L use IVR number: 811091803570 Schedule using the Oregon ePermitting Inspection App, search "epermitting,, in the app store Permlts expire if work is not started within 18o Days of lssuance or lf work is suspended for 1go Days or longer depending onthe Issulng agency's policy, All provlsions of laws and ordlnances 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 vrorate or *nJ ai" p.orisions of any other state or tocar lawregulating construcuon or the performance of construcuon. ATTEilTto[: oregon law requires you to follow rules ado-pted by the oregon utirity flotification center. Those rures are setiZ\:::J:" ssz-oot-ooto ttrouerr on" gli-oor-iigo. io, -;;;;;;:;;,I" . *.,ur". oi "iirini irre lenter at (sostAll peEons or entities oerf. :;:*:r:fi,.,.,_;ffi:::.#3Ht:H::i;1"Jil."H#1,,1;:t,ffi,"#:nressexemptedbyons 7o1.o1o Page 1 of 2 C; \myReports/repo rts/ / ptoductton/ O l STANDARD Permit Number: 81 1-19-00269l-ELEC-01 Page 2 of 2 Fee Description Additional branch circuits without service or feeder Branch circuits without service or feeder Technology Fee State of Oregon Surcharge - Elec (tzo/o of applicable fees) Printed on: 12131/!9 Quantity Total Fees: Fee Amount $32.00 $89.00 $6.0s $L4.52 $141.57 4 1 Page 2 of 2 C :\myReports/reports//production/0 1 STAN DARD PERMIT FEES SPRII{GTIILD ,b OREGON www.springfield-or.gov Worksite address: 321 72ND ST, Springfield, OR 97478 Parcel: 1 7023531 01 800 Transaction Receipt 81 1 -19402691 -ELEC-01 IVR Number: 8'l 1091803570 Receipt Number: 473423 Receipt Date: 1213'1 119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 perm itcenter@spri ngfi eld -or. gov Transaction Units date 't2t31t19 1.00 Qty 12t31119 4.00 Ea Description Branch circuits without service or feeder Additional branch circuits without service or feeder State of Oregon Surcharge - Elec (12o/o ot applicable fees) 224-00000 -4261 02- 1 033 224-00000-4261 02-1 033 821 -00000-21 5004-0000 20 4 -00000 - 42 560 5-0000 12t31t19 1.00 Ea 't2t3'u19 1.00 Automatic Technology Fee Fees Paid Account code Fee amount $89.00 $32.00 $14.52 $6.05 Paid amount $89.00 $32.00 $14.52 $6.05 Payment Method: Check number: 1888 Payer: ronda rust Payment Amount:$141.57 Cashier: Katrina Anderson Receipt Total:$141.57 Printed: 12l31/19 11.29 am Page 1 of 1 Fl N_Tra nsactionReceipt_pr CITY OF SPRINGFIELD, OREGON Electrical Permit cation 225 Fifth Street.Springfield, OR 97477.PH(54I)726-3753.FAX(541)726-3689 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. EPlNINGTIELO DEPARTMENT USE ONLY permitno.: ne7bql-t Date: rz t a lr q LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zoningapproval verified? n Y"r D Uo Number of inspections per item ( )Qty.Cost ea. Total cost CATEGORY OF CONSTRUCTION Residential, per unit, service included fudential ! Government E Commercial 1,000 sq. ft. or less (4)$r86.00 $JOB SITE INFORMATION AND LOCATION Each additional 500 sq. ft. or portion thereof $36.00 $Job site aaaress: 32 I 7 Z N S+ /1 stat0 f nP,q747g Limited energy (2)$44.00 $ ReferenJe: U Taxlot.:Each manufacfured home or modular dwelling service or feeder (2)$89.00 $ DESCRIPTION OF WORK [ervices or feeders: installatiotr, alteration, relocationttt;+( '200 amps or less (2)sl12.00 $dall lt,,a,.J<.f uv U 201 to 400 amps (2)$131.00 $PROPERTY OWNER 5+-oc,401 to 600 amps (2)$22r.00 $ 601 to 1,000 amps (2)$285.00 $ City:I,n L s,t^t",Oft nP,lr{ft Over 1,000 amps or volts (2)$654.00 $ L Fax:Reconnect only (2)$89.00 S E-mail t/^4t | 'C-o Gq-Temporary services or feeders: installation, alteration, relocation 200 amps or less (2)$89.00 $ Signature: 201 to 400 amps (2)$122.00 $ aOl *5OO amps (2)$177.00 $ Over 600 amps or 1,000 volts, see services or feeders section above CONTRACTOR INSTALLATION Branch circuits: new, alteration, extension per ponel Business name:a. Fee for branch circuits with purchase ofa service or feeder fee: Address:Each branch circuit $8.00 $ City:v State:ZIP:b. Fee for branch circuits without purchase ofa service or feeder fee: Phone Fax First branch circuit (2)I $89.00 $s1 E-mail Each additional branch circuit 4 $8.00 $77/ CCB license no.:BCD license no.:Miscellaneous fees: service orfeeder not iichrded Signing supervisor's license no.Each pump or irrigation circle (2)$19.00 $ Print name of signing supervisor Each sign or outline lighting (2)$E9.00 Signature of signing supervisor:Signal circuit or a limited-energy panel, alteration, or extension (2)$89.00 S Each additional inspection: (1)$102.00 $ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00) $iLt (B) Enter l2%o surcharge (. l2 x [A])$ (C) Technology Fee (5% of[A])s TOTAL fees and surcharges (A through D)$ Last edited 7/l/2019 BJones 9,0t1{+ $ 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 {2ll I have read and understand the lnformation Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. T N;iso lL-3 - (1 of of Permit Date Sn^d'"J AFl-,{ Fto,n 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 licensed with the Construction Contractors Board. or $h I will be performing work on property I own, a residence that I reside in, or a residence that I will 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. lssued by Date a\\q Permit #:gtl--oo ^bql- Address:1Le This Copy for Permit Offices