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Home My WebLink AboutPermit Electrical 2020-01-16OREGON web Address: www.springfield-or.9ov Building Permit Residential Electrical Permit Number: 811-20-OOO1O3-ELEC-O1 IVR Number: 8110827 227 7 I City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 541-726-3753 Email Address: permitcenter@springfield-or.9ov SPRINGFIELD tb Permit Issued: January L6, 2O2O TYPE OF WORK Category of Construction: None Specified Type of Work: None Specified Submitted Job Value: $0.00 Description of Work: Moving electrical outlets/switches/lights in kitchen and 2 bathrooms JOB SITE INFORiiATION Worksite Address 614 G ST Springfield, OR 97477 Parcel 170335 1205200 Owner: Address: MORGAN STANLEY STRUCTURED TRUST 1 MORTGAGE WAY MAIL STOP SV 01 MT LAUREL, N] 08054 LICENSED PROFESSIONAL INFORMATION Business Name - Primary License Owner (Property) License Number 0000 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. Schedule or track inspections at www,buildingpermits.oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 8t1082722778 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits erpire if work as not started wlthin 18O Days of issuance or if work is suspended for 18O Days or longer dePendlng 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 yiolate or cancel the provisions of any other state or local law regulating construction or the performance of construction. ATTEilTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification 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-t987. All persons or entitles performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O (Structural/Mechanical), oRS 479.540 (Electrical), and ORS 693.010-O20 (Plumbing) Printed on: 1/16/20 page 1 of 2 C :\myReports/reports//production/01 STAN DA RD tr I Permat Number: 811-20-OOO103-ELEC-O1 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; 1/16/20 Quantity 3 Fee Amount $ 10s.00 $s.2s $12.60 $122.85 Page 2 of 2 Total Fees: c:\myReports/reports//prcduction/01 STANDARD PERMIT FEES SPRINGFIELD ta Transaction Receipt 81 1 -20-0001 03-ELEC-01 IVR Number: 81 1 0827 227 7 I Receipt Number: 473564 Receipt Date: 1/16/20 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 permitcenter@springfi eld-or.govOREGON www.springf ield-or. gov Worksite address: 614 G ST, Springfield, OR97477 Parcel: 1 703351205200 Transaction Units date 1l16t21 3.00 Qty 1t16t20 1t16t20 1.00 Ea 1.00 Automatic Technology Fee Description Branch circuits without service or feeder State of Oregon Surcharge - Elec (12o/o ol applicable fees) Fees Paid Account code 224-00000-4261 02- 1 033 82'l -00000-21 5004-0000 20 4 -00000 - 42 560 5-0000 Fee amount $105.00 $12.60 $5.25 Paid amount $105.00 $12.60 $5.25 Payment Method: Credit card authorization: 00054d Payer: puddles real estate Payment Amount:$122.85 Cashier: Katrina Anderson Receipt Total:$r 22.85 Printed: l/16/20 8:35 am Page 1 of 1 Fl N_Tra nsactionReceipt_pr Ir I CITY OF SPRINGFIELD, OREGON Electrical Permit ation DEPARTMENT USE ONLY permitno.: 2o-ooo lo?- 2c€ Date: I l(,>D FEE SCHEDULE Number of inspections per item ( )Qty.Cost ea. Total cost Residential, per unit, service included: I,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: installatiort, alteration, relocation 200 amps or less (2)$l12.00 $ 201 to 400 amps (2)$131.00 $ 401 to 600 amps (2)$221.00 $ 601 to 1,000 amps (2)$285.00 $ Over 1,000 amps or volts (2)$654.00 $ Reconnect only (2)$89.00 s Temporary services or feeders: installation, alteratiotr, relocation 200 amps or less (2)$89.00 s 201 to 400 amps (2)$122.00 $ 401 to 600 amps (2)$177.00 $ Over 600 amps or 1,000 volts, see services 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 s bcl Each additional branch circuit )$8.00 $\Q Miscellaneous fees: sen'ice orfeeder not included Each pump or irrigation circle (2)$8e.00 $ Each sign or outline lighting (2)s89.00 $ Signal circuit or a limited-energy panel, alteration, or extension (2)$89.00 $ Each additional inspection: (l)$r02.00 s DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102,00) $lo> (B) Enter l2% surcharge (.12 x [A])$ tl.t^o (C) Technology Fee (5% of [A])$ i.L< TOTAL fees and surcharges (A through D):s tt1-.6 {n,c -o) 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. 225 Fifth Street.Springlield, OR 97477.PH(541)726-37530FAX(541)726-3689 LOCAL GOVERNMENT APPROVAL Zoningapproval verified? E Yes E No CATEGORY OF CONSTRUCTION BResidential I Government E Commercial JOB SITE INFORMATION AND LOCATION Job site address:f 4 f{ 6 S- city : Qr1 y1 ;61 CA: <,to)State: Qf,L zw:QJr-11) Ref".Jn[", q Taxlot.: DESCRIPTION OF WORK ,frcL-o1 \ti }- L*oor-e,^ + 2- [zz*-t1n {-zeu.yrr r PROPERTY OWNER Name:r Address: t%i t 4a v/1r1a A"- city: Qayld-State: Q/L zrp:47 4D3 Phone:5lb - 6oc zo )tl Fax: E-mail or farm property family. This or rent.OAR CONTRACTOR Business name: Address: State:ZIP: Phone Fax E-mail CCB license no.BCD license no.: Signing supervisor's license no. Print name of signing supervisor: Signature of signing supervisor: Last edited 7/1/2019 BJones Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Conltruction 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, and plum Licensed architect and engineer applicants, exempt from licensing under ORS 701' this statement. This statement will be filed with the permit' bing permits. 010 (7), need not submit 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 subcontractors who work on the structure must be licensed with the Construction Contractors Board. or I will be performing work on property I own, a residence that I reside in, or a residence that lwill 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 underctand the lnformation and I hereby certify that the information on Notice to Homeowners About Construction Responsibilities' this homeowner statement is true and accurate. t'4 +qTtU^J Print Name of Permit Signature of \-\b - Aozo Dale fu-Wto3- LLZCPermit #: Address: Date: L \q6)& This Copy for Permit Offices rssued by'+&-t[rr*\e'P lnformation Notice to Owners About Construction Responsi bi I ities (oRS 701.325 (3)) CONSTRUCTION CONTRACTORS BOARD PO Box 14140, Salem, OR 97309-5052 Telephone: 503-378-4621 - Fax: 503-373-2007 Website Address: www.oreoon.oov/ccb a Homeowners acting as their own general contractors to construct a new home or make a substantial improvement to an 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 thl time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from 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 on the wages of all employees. For more information, call the Oregon Employment Department at 503-947 -1 488. Oregon,s Business tdentification Number (BlN): is a combined number for both Oregon Withholding and Unemployment lnsurance Tax. To file for a BlN, go online to the Oregon Business Registry. For questions, call 503-945-8091. Workers Compensation tnsurance: Employers are subjecl to the Oregon Workers Compensation Law, and must obtain Workers Compensation Insurance 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 at the Department of Consumer and Business Services at 800452-0288. Tax Withholding: Employers must withhold Social Security Tax and Federal lncome Tax from employee wagei. 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.gov. a o a o o Other Responsibilities of Homeowners: 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 Liabitity lnsurance: Homeowners acting as their own contractors should coniact iheir insurance agent to ensure adequate insurance coverage for accidents and omissions, such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be redone. Liabiiity lnsurance 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 a 6l--^aa*, ^..,nar :dnnto.l O-7n16 This Copy for Permit Business Registry Business Name Search Page 1 of2 OBf.GON SECR[.IABY OF SIAIE ilhHOhIE) Corporation Division business lnlormation center referral liat butlness ttgl$tryrr€newal fonnclleer notrrypubllc unllotm commerclal eode unlform commerrlal code search docurfrefitr & data tervicer oregon buslness gulde Business Name Search New Search printer Friendtv Business Entity Data 0t-16-2020 08:20 bustrness name search Registry Nbr Entitv Type Entitv Status Jurisdiction Registry Date Next Renewal Date Renewal Due? 1619750-90 DLLC ACT OREGON t2-02-2019 t2-02-2020 Entity Name PUDDLES REAL ESTATE INVESTMENT LLC Foreign Name Type PPB PRINCIPAL PLACE OF BUSINESS Addr 1 1991 GARDEN AVE Addr 2 csz GETNI3 403 STATES OF AMERICAGhrIliEiErlHEIrnoilIt'rilnrt New Search Printer Friendlv ASSOCiated NameS Please click here obout and service Type Resign Date Name MATTHEW YER Addr 1 199I GARDEN AVE Addr 2 csz EUGENE ON 97403 Country LINITED STATES OF AMERICA Type STERED AGENT Start Date 2-02- l9 Resign Date Name N3Tl.i5zAN Addr 1 1991 GARDEN AVE Addr 2 csz EUGENE lOn lgZ+O:Country LINITED STATES OF AMERICA ilMI TYPe G ADDRESS Addr 1 1991 GARDEN AVE Addr 2 csz EUGENE ION IqZ+O:STATES OF AMERICAGrFtiTtIttrrtillt M'!Il http://egov.sos.state.or.us/br/pkg_web_name_srch_inq.show_detl?p_be_rsn:209731O&p_s... 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