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Home My WebLink AboutPermit Electrical 2019-12-31OREGON Web Address: www.springfield-or. gov Building Permit Residential Electrical Permit Number: 81 1-19-OO2886-ELEC IVR Number: 811050654269 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 54t-726-3753 Email Address : permitcenter@springfield-or.9ov SPRINGFIELD i,fi Permit Issued: December 31, 2019 TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Replace panel Type of Work: Replacement JOB SITE II{FORMATION Worksite Address 5163 E ST Springfield, OR 97478 Parcel t702332402500 Owner: Address WALP HENRY A & BARBARA G 5163 E ST SPRINGFIELD, OR 97478 LICENSED PROFESSIONAL IN FORMATION Business Name OWNER - Primary 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 SCHEDULI NG 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: 811050654269 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits explre 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 complled with whether specified herein or not. Granting of a permit does not pr,esume 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 l{otification Center. Those rules are set forth in OAR 952-001-0010 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 701'O1O (Structural/tlechanical), ORS 479.540 (Electrical), and ORS 693.O1O-O2O (Plumbing). printed on: t2l3fllg Page 1 of 2 C:\myReports/reports//production/01 STANDARD Ir Permit Number: 81 1-19-002886-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: 12l31/19 Quantity Total Fees: Fee Amount $112,00 $s'60 $L3.44 $ 131.04 1 Page 2 of 2 C : \myReports/reports//production/0 1 STAN DA RD PERMIT FEES SPRINGFIELD $Transaction Receipt 81 1 -1 9-002886-ELEC IVR Number: 81 1050654269 Receipt Number: 473415 Receipt Dale= 1213'1 119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 perm itcenter@spri ngfield-or. govOREGON ww\^r. sprin gf ield-or. gov Worksite address: 5163 E ST, Springfield, OR 97478 Parcnl. 1702332402500 Transaction Units date 12131119 1.00 Ea Description Services 200 amps or less State of Oregon Surcharge - Elec ('l2o/o ol applicable fees) 224-00000-4261 02- I 033 821 -00000-21 5004-0000 204-00000-425605-0000 12t31119 1.00 Ea 12131119 1.00 Automatic Technology Fee Fees Paid Account code Fee amount $1 12.00 $13.44 $5.60 Paid amount $1 12.00 $13.44 $5.60 Payment Method: Check number: 1359 Payer: WALP HENRY A & BARBARA G Payment Amount:$131 .04 Cashier: Katrina Anderson Receipt Total:$1 31.04 Printed: l2l31/19 9:44 am Page 1 of 1 Fl N_Tra nsactionReceipt_pr lr Electrical Permit A lication 225 Fifth Streeto Springfield, OR 97477.PH(541 )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 ofissuance or ifwork is suspended for 180 days. 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: installation, alteration, relocation 200 amps or less (2){$112.00 $ 201 to 400 amps (2)s131.00 $ 401 to 600 amps (2)$221.00 $ 601 ro 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, alteratiotr, relocation 200 amps or less (2)$89.00 $ 201 to 400 amps (2)$122.00 $ 401 to 600 amps (2)s177.00 $ Over 600 amps or 1,000 volts, see seryices or feeders section above Branch circuits: nev,, 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: senlce orfeeder nol included Each pump or irrigation circle (2)$89.00 $ Each sign or outline lighting (2)$89.00 $ Signal circuit or a limited-energy panel, alteration, or extension (2)$89.00 $ Each additional inspection: (1)$102.00 $ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00) ,\rz- (B) Enter 127o surcharge (.12 x [A])$ r 7.YY (C) Technology Fee (5% of [A])s9'Lo TOTAL fees and surcharges (A through D)s t7l.o1 SPEINGFIELD h, ; DEPARTMENT USE ONLY Permit no. Date: alzl 2.-11 LOCAL GOVERNMENT APPROVAL Zoningapproval verified? E Yes E No CATEGORY OF CONSTRUCTION ffiesidential ! Government E Commercial JOB SITE INFORMATION AND LOCATION Jobsiteaddress: E I L 3 t St State: g L ztp:7nu/uCity: Taxlot. DESCRIPTION OF WORK PROPERW OWNER \P\-,JName: =tAddress:) city:€ o{lul State: 2F aP:JVtd being made on residential or farm property member of my immediate family. This for sale, exchange, lease, or rent. OAR TION property rs 479.s40(t) not Phone*l ( -ao ..92" E-mail u'l At 9 owned by meora / R INST Fax n4 This installation is .560(l). (o- Business name Address State ZIP: Phone:Fax: E-mail: \-/ BCD license no.:CCB license no.: Signing supervisor's license no. Print name of signing supervlsor: Signature of signing supervisor: Last edited 7lll20l9 BJones CITY OF SPRINGFIELD, OREGON Reference: a CONTRA Propefi 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 12ll This statement is required for residential building, electrical, mechanical, Licensed architect and engineer applicants, exempt from licensing under and plumbing permits. ORS 701.010 (7), need not this statement. This statement will be filed with the permit'submit Please check the aPProPriate box: I own, reside in, or will reside in the completed structure and my general contractor is d tP 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 tr 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 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. ,^t fi .P Name Applicant Permit #: Address: lssued by: - Date: ?)2 G Date This Copy for Permit Offices E lnformation Notice to Owners About Construction Responsi bi I ities (oRs 701.325 (3)) CONSTRUCTION CONTRACTORS BOARD PO Box 14140, Salem, OR 9730$5052 Telephone: 503-378*4621 - Fax: 50$373-2007 Website Address: www.oreoon.oov/rcb a Homeowners acting as their own general contractors to construct a new home or make a substantial improvement to in 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 the time employeeslre 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 bn the wages of all employees. For more information, call the Oregon Employment Department at 503-947 -1 488. Oregon,s Business ldentification Number (BtN): is a combined number for both Oregon With'irolding 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 lncome 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.oov. o o a a a e Other Responsibilities of HomeowRers: 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 contractors should coniact ihei;- insrrance 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 lnsuiance 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. a 6 r-,^^a*, ^..,nar :rlnnf od A-?Ol 6 This Copy for Permit