HomeMy WebLinkAboutPermit Electrical 2020-01-13SPRINGFIELD
tb Building Permit
Residential Electrical
Permit Number: 81 1-2O-OOOO86-ELEC
IVR Number: 81 1061656457
City of SPringfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
Email Address: permitcenter@springfield-or.gov
OREGON
Web Address: www.springfield-or.9ov
Permit Issued: January 13,2O2O
Category of Construction: Single Family Dwelling
Submitted Job Value: $0'00
Description of Work: Basement rewire
Type of Work: Replacement
Worksite Address
812 S 72ND PL
Springfield, OR 97478
Parcel
1802022 103600
Owner:
Address:
PARKHURST DAVID G &
ELLEN L
812 S 72ND PL
SPRINGFIELD , OR 97478
Business Name
HARDING ELECTRIC INC - Primary
License
ccB
License Number
132089
Phone
541-688-5006
Inspection
4999 Final Electrical
4999 Final Electrical
4500 Rough Electrical
4250 Branch Circuits
Inspection GrouP
Elec Res
Elec Res
Elec Res
Elec Res
Inspection Status
Pending
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: 811061656457
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 susp€nded 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.
Granflng 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 Utitity Notification Center. Those rules are set
forth ln OAR 952-OO1-OO1O through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (503)
232-t947.
All persons or entities performing work under this p€rmit are required to be licensed unless exempted by ORS 7O1.O1O
(Structural/l,lechanical), ORS 479.54O (Electrical), and ORS 693.O1O-O20 (ptumbing).
Printed on: 1/13/20 Page 1 of 2 c:\myReports/reports//productionllt STANDARD
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TYPE OF WORK
JOB SITE INFORMATION
LICENSED PROFESSIONAL IN FORMATION
PENDING INSPECTIONS
SCHEDULING INSPECTIONS
Permit Number: 81 1-20-OOOOSG-ELEC
Page 2 of 2
Fee Description
Branch circuits without service or feeder
Technology Fee
State of Oregon Surcharge - Elec (L2o/o of applicable fees)
Printed on: 1/13/20
Quantity Fee Amount
$10s.00
$s.2s
$ 12.60
$122.85Total Fees:
C:\myReports/reports//prcduction/01 STANDARD
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Page 2 of 2
PERMTT FEES
NGTIELD
OREGON
www.springf ield-or.gov
Worksite address: 812 S 72ND PL, Springfield, OR 97478
Parcel: 1 802022'1 03600
Transaction Receipt
81 1 -20-000086-ELEC
IVR Numben 8tI061656457
Receipt Number: 473521
Receipt Date:1113120
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54t-726-3753
permitcenter@springfi eld -or. gov
Transaction Units
date
'1113120 3.00 Oty
1t13t20 1.00 Ea
Description
Branch circuits without service or
feeder
State of Oregon Surcharge - Elec
(12% of applicable fees)
Fees Paid
Account code
224-00000-4261 02-'1 033
821 -00000-21 5004-0000
204-00000-425605-0000
Fee amount
$105.00
$12.60
$5.25
Paid amount
$105.00
$12.60
$5.2s1113t201.00 Automatic Technology Fee
Payment Method: Credit card
authorization: 09356d
Payer: HARDING ELECTRIC
tNc
Payment Amount:$122.85
Cashier: Katrina Anderson Receipt Total:$r 22.85
Printed: 1/13/20 3:33 pm
Page 1 of .l
Fl N_Tra nsactionReceipt_pr
,b7
Electrical Permit lication
€fr,
225 Fifth Streeto Springfield, oR 97477oPH(541)726.3753. FAx(541)726-3689
This permit is issued under oAR 9lg-309-0000. permits are nontransferable. Permits expire if work is not started within 180
days bf issuance or if work is suspended for 180 days'
APFI'tIGFIELD
DEPARTMENT USE ONLY
Permit no.
Date: i 1rc1>r)
LCITY OF SPRINGFIELD, OREGON
LOCAL GOVERNMENT APPROVAL
Zorrirrg approval verifi ed?EYes ENo
CATEGORY OF CONSTRUCTION
flCommercialE GovernmentflResidential
JOB AND LOCATIONSITE INFORMATION
ZIP:State:(
Job site address:
Taxlot.
DESGRIPTION OF WORK
O
PROPERW OWNEH
Name
Address:
ZIPCity:State:
Phone:Fax
E-mail:
This installation is being made on residential or farm property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(t) and 479.560(l ).
Signature:
CONTRACTOR INSTALLATION
Business name:A.n
\l ot 2-1AddressQ, b "t
State: () (zrP: q740LCity: f),tAC f\Q-,
rax: 511 -GsZ -1t'1\Phone
c - cil^-E-mail:d
CCB license no.:
license no.
1
?
license no.
Print name of
Signature of signing supervisor:
FEE SCHEDULE
Total
costQtv.Cost
ea.Number of insPections Per item ( )
Residential, per unit, service included:
$186.00 $1,000 sq. ft. or less (4)
$36.00 $Each additional 500 sq. ft. orportion
thereof
$s44.00Limited energy (2)
$$89.00Each manufactured home or modular
dwelling service or feeder (2)
Services or feeders: installation, alteration, re location
sl12.00 $200 amps or less (2)
$131.00 $201 to 400 amps (2)
$$221.00401 to 600 amps (2)
s285.00 $601 to 1,000 amps (2)
$654.00 $Over 1,000 amps or volts (2)
$89.00 $Reconnect only (2)
Temporary services or feeders: installation, alteration, relocation
$89.00 $200 amps or less (2)
$r22.00 $201 to 400 amps (2)
$177.00 $401 to 600 amps (2)
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: new alteration, extension per panel
a. Fee for branch circuits with purchase of a service or feeder fee:
$8.00 $Each branch circuit
b. Fee for branch circuits without purchase of a service or feeder fee:
$89.00 $oqFirst branch circuit (2)I
Each additional branch circuit 2,-$8.00 $1L
Miscellaneous fees: service orfeeder not included
Each pump or irrigation circle (2)$89.00 $
$lo2.oo $Each sign or outline lighting (2)
Signal circuit or a limited-energy panel,
alteration, or extension (2)$102.00 $
$102.00 $Each additional inspection: (l)
DEPARTMENT USE
'lof(A) Entersubtotal ofabove fees
(Minimum Permit Fee $102.00)
(B) Enter I 2% surcharge (. I 2 x [A])$(2- Go
(C) Technology Fee (5% of [A])$ 5a-{
TOTAL fees and surcharges (A through D);$ t:ra-?
Last edited 7lll2Dl9 BJones
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