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Home My WebLink AboutPermit Electrical 2020-01-09OREGON Web Address: www.springfield-or.9ov Building Permit Residential Electrical Permit Number: 811-2O-OOOO55-ELEC-O1 IVR Number: 811082035024 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 54t-726-3753 Email Address: permitcenter@springfield-or. gov SPRINGFIELD 0i Permit Issued: January 09,2020 Category of Construction: None Specified Submitted Job Value: $0.00 Description of Work: Adding a bathroom upstairs (on septic) Type of Work: None Specified Worksite Address 1427 Menlo LOOP Springfield, OR 97477 Parce! 1703273302900 Owner: Address: MORRIS ARTHUR W & CECILY R 1427 MENLO LOOP SPRINGFIELD, OR 97477 Business Name OWNER - Primary License ccB License Number 000000 Phone Inspection 4999 Final Electrical 4500 Rough Electrical 4250 Branch Circuits 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. Sched ule or track inspections at www. build ing permits.oregon. gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811082035024 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. cranting ofa permit does not presume to give authority to violate or cancel the provlsions ofany other state or local law regulating constructaon 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-O01-OO10 through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (5O3) 232-t987. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O (StructuraUMechanical), ORS 479.54O (Electrical), and ORS 693.O1O-O20 (Plumbing). printed on: 1/9/20 page 1 of 2 C:\myReports/reports//production/01 STANDARD h TYPE OF WORK JOB SITE II{FORMATION LICENSED PROFESSIONAL INFORMATION PENDING INSPECTIONS SCHEDULING INSPECTIONS Permit Number: 81 1-20-OOOO55-ELEC-01 Page 2 of 2 Fee Description Balance of minimum permit fees - electrical Branch circuits without service or feeder Technology Fee State of Oregon Surcharge - Elec (12olo of applicable fees) Printed on: 1/9/20 Quantity Fee Amount $s.00 $97.00 $s' 1o $L2.24 $119.34Total Fees: C : \myReports/reports//production/01 STAN DARD 2 Page 2 of 2 PERMTT FEES SPRINGFIELD 0i OREGON www.springfield-or.gov Worksite address: 1427 Menlo LOOP, Springfield, OR 97477 larcr-|. 1703273302900 Transaction Receipt 81r-20{00055,ELEC-0{ lVR Number: 8l I 082035024 Receipt Number:473501 Receipt Date: 1/9/20 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 permitcenter@spri ngfi eld-or. gov Transaction Units date 1tgl20 2.00 Oty 1t9120 1.00 Autorhatic 1t9t20 1.00 Ea 1t9120 Description Branch circuits without service or leeder Balance of minimum permit fees - electrical State of Oregon Surcharge - Elec (12o/o oI applicable fees) 224-00000-4261 02- 1 033 224-00000-4261 02- 1 033 821 -00000-21 5004-0000 20 4 -0 0000 - 4256 0 5-00001.00 Automatic Technology Fee Fees Paid Account code Fee amount $97.00 $5.00 $12.24 $5.1 0 Paid amount $97.00 $5.00 $12.24 $5.1 0 Payment Method: Credit card authorization: 01 56'1d Payer: MORRIS ARTHUR W & CECILY R Payment Amount:$1 19.34 Cashier: Katrina Anderson Receipt Total:$r 19.34 Ptinted:119120 2:41 pm Page '1 of 1 Fl N_Tra nsactionReceipt_pr Ir CITY OF SPRINGFIELD, OREGON Electrical Permit lication 225 Fifth StreeroSpringfield, oR 97477oPH(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. €fr, LOCAL GOVERNMENT APPROVAL Zoningapproval verified? n Y"r E No CATEGORY OF CONSTRUCTION (Residential I Govemment E Commercial JOB SITE INFORMATION AND LOCATION Jobsiteaddress: lqn f4htto (ooP city{ppd(FEu State: O(zrPqT(77 Reference:Taxlot. DESCRIPTION OF WORK 4 DD Br+fqnah-l - ta/tt?C c1 6a7t, 6 ov PROPERTY OWNER Name: A(ltlvK P/ ORRS Address: lL{27 rqE4JCO c O"P ctty: <5fr?t/,,4Dfa State:Oft ztp:4477 Phone:S{f -t\f-t tt 6 Fax E-mail: hCtt{ thne60 OwltOc(.Co.tt UL- INSTALLATION Business name: City:State ZIP: V\Phone: -v Fax: E-mail: CCB license no.:BCD license no Signing supervisor's license no. Print name of signing supervlsor: Signature of signing supervisor: 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 s 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: inslallation, alteration, relocation 200 amps or less (2)sl12.00 $ 201 ro 400 amps (2)$13t.00 $ 401 to 600 amps (2)$221.00 $ 601 to I ,000 amps (2)$285.00 $ Over 1,000 amps or volts (2)$6s4.00 $ Reconnect only (2)$8e.00 $ Temporary services or feeders: installation, aheralion, relocation 200 amps or less (2)$89.00 $ 201 to 400 amps (2)$r22.00 q 401 to 600 amps (2)$177.00 $ 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 of a 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)i $89.00 $9q Each additional branch circuit I $E.00 qO Miscellaneous fees:. service orfeeder not ittcluded Each pump or irrigation circle (2)$89.00 $ Each sign or outline lighting (2)s89.00 $ Signal circuit or a limited-cnergy panel, alteration, or extension (2)$89.00 s Each additional inspection: (1)$102.00 $ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00) t\n?-- (B) Enter 120lo surcharge (. l2 x [A])$ (C) Technology Fee (5% of [A])s TOTAL fees and surcharges (A through D):s \t q.7J DEPARTMENT USE ONLY Permit no.:)0'0@6{-lZL Date: \(q lzo Last edited 7ill2019 BJones 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 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 fited with the permit'subrnit 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 subcontraclors who work on the struclure must be licensed with the Construction Contractors Board. or K 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. 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. me of Permit Signature of Permit Applicant ? 2 Date q,fi\lssued by Date. Permit #: Address: This Copy for Permit Offices