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Home My WebLink AboutPermit Electrical 2020-01-24W Building Permit Residentia ! Electrical Permit Number: 81 1-2O-OOO159-ELEC IVR Number: 811011749650 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Address: permitcenter@springfield-or.govWeb Address: www.springfield-or.gov Permit Issued: January 24, 2020 Category of Construction: Single Family Dwelling Submitted Job Value: $0,00 Description of Work: Replace electrical service Type of Work: New Worksite Address 944 FILBERT LN Springfield, OR 97478 Parcel 1802061407300 Owner: Addressr Owner: Address: BARBARA A DREWS TRUST 944 FILBERT LN SPRINGFIELD, OR 97478 DREWS BARBARA A TE 944 FILBERT LN SPRINGFIELD, OR 97478 Business Name STEVENS ELECTRIC INC - Primary STEVEN R GEISLER License (C) Electrical Contractor (S) Electrician, General Supervising License Number c1161 4094S Phone 54 1-912-2050 54 1 -912- 2050 Inspection 4999 Final Electrical 4999 Final Electrical 4220 Electrical Service 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. Schedule or track inspections at www.buildingpermits.oregon. gov Call or text the word "schedule" to 1-BBB-299-2821 use IVR number: 811011749650 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work is not started within 180 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. Granting 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 Utility Notification Center. Those rules are set forth in OAR 952-OOr-0010 through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (503) 232-L987. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS zof ,OlO (Structural/Mechanical), ORS 479,540 (Electrical), and ORS 693.O10-O2O (plumbing), Prioted on l/24/20 Page 1 0f 2 C;\myReports/reports//production/01 STANDARD TYPE OF WORK IOB SITE INFORI{ATION LICENSED PENDING INSPECTIONS SCHEDULING INSPECTIONS Permit Number: 81 1-20-OOO159-ELEC Page 2 of 2 Fee Description Services 200 amps or less Technology Fee State of Oregon Surcharge - Elec (LZo/o of applicable fees) Pnnted on: t/24/20 Quantity 1 Tota! Fees: Fee Amount $112.00 $ s.60 $ 13.44 $ 131.04 C : \my Reports/reports//production/0 1 STA N DA RDPage 2 of 2 PERMTT FEES $PRII.iGTIELD ,& Transaction Receipt 81 1 -20-0001 59-ELEC IVR Number: 81 1011749650 Receipt Number:473635 Receipt Date:'1124120 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 permitcenter@springfi eld-or. govONEGON www.springfield-or, gov Worksite address: 944 FILBERT LN, Springfield, OR 97478 Parcel:1802061407300 Transaction Units date 1124120 1.00 Ea 1t24t20 1.00 Ea 1t24t20 Description Services 200 amps or less State of Oregon Surcharge - Elec (12o/o ol applicable fees) Fees Paid Account code 'l .00 Automatic Technology Fee 224-00000-4261 02- 1 033 821 -00000-21 5004-0000 204-00000-425605-0000 Fee amount $112.00 $13.44 $5.60 Paid amount $1 12.00 $1344 $5.60 Payment Method: Credit card authorization: 512577 Payer: Steven's Electric Payment Amount:$131.04 Cashier: Steve Petersen Receipt Total $131.04 Ptinled. 1l24l21 3:20 pm Page 1 of 1 Fl N_Tra nsactionReceipt_pr CIITY OF SPRINGFIlrLD, 0REG0N LOCAL GOVERNIT,IENT APPROVAL Tnnhgrpgroval verified? E Yes E No CATEGORY OF CONSTRUGTION (Rrriaonti"l E Govemment E Commcrcial JOB SITE INFORMATION AI,lg LOCAIIOX Job site aneass Q \Lwr4 statedl zrp:fi478 Rpference: 18 -Ot- $b-l6.Taxlot.:6?3(10 DESGRIPTION OF WORK €( t-Wg. €tE€^qL,4^(d/ tct- PROPERTY OWNER Name: e"U&N Cffffi Address: Sater @ K ze,Q74 7 B Phone:Fax: Bmail: This installsdon is being made on residential or farm property or*ned by me or a member of my immediato fornily. This property is not inended for sale, exchange, lease, or rent. OAR 47 9.s 40(t\ and a79. 5 50( I ). Signatrue: INST Business uame: Address: State:@(zlp:l749, Phone:-1lz I L-o$t z &rnsil: fa6Ff{t^l H GWAt L - edtlyl, CCB license no.:2o1$51 BCD licenseno.: C ll 6, Signrrc zuperrieor's licenso no.: t-* o1 4 S Printnamc of sigoing $upervicor: STBJ9NI @ l9'tF.e. Signature ofsignirU Et / 2A/ 2A26 82 37P1,1 54L7 46EAL?STEVENS ELECTRIC PAGE ALlAL Electrical Permit lication I,N'NO7,TLD Pemrit no.: 2A- ffiolS;v^ -ElE( Date: Ol lt+ lZo 225 FUtb Stfccro$priodclq OR y7{77rPH(5{l)7263733 OFAX(541)716-3609 Thic permlt lc lmued under OAR 91&30p-0000. Permits are nontransferable. Pcrmltr expire if work is not started within1t0 dayr of isruance or lf work ir ruspended for 180 deya. FEE SCHEDULE Number of inrpectionr per llem ( )Qty.Cort€4 Totil coot Reridentirl, per unlt, rcrrlce lncludcd: 1,000 sq. ft, or less (4)$I86.00 $ Each additional 500 sq. ff. orportion thoeof sr6.00 s Limited cocrgy (2)$41.00 s Bsch manuftctured hooe or modul* dwellhg senice or fccdor (2)$89.00 s Servlcec or leedctr: installation, dhcmtion, rulocation 200 arps or lces (2)I $r12.00 $lY-'"j 201 to 400 amps (2)s131.00 $ 401 to 600 arys (2)$22I.00 $ 601 to 1,000 amps (2)$285.00 $ Ovcr 1,000 arys oa volts (2)$634.00 $ Reconncct only (2)$t9.00 s Ienporrry servlcol or fcedere: instollation, alt*ation, relocalion 200 empe or lers (2)$89.00 $ 201 to 400 amps (2)$122.00 s 401 oo 600 arups (2)sr77.00 s Over 600 empg or 1,000 rotts, Ecc icrviccs or ftoilos scction above Bnnch circuitc: nev, albmfmn, ulansion per panel a. Fee for brmch circuitr with prrchese of o senice or ftcdcr feo; Each branch circrit s8.00 $ b. Fee for brsnch circuitr without purchrse of e scrvicc or feeder fee: First bra$ch circuit (2)s89.00 $ Eoch additiooal bralch circuit s8.00 s Miccellancouc feet,; sentke otleeder not iachded. Eaob pmp or inigation circle (2)589.00 $ Each sgo m outlioc llghtiry (2)s89-00 $ Signal circuit or a liryitrd-energy ponel, alrer$iou, or qtosion (2)$89.m $ Each rddltlonel inspcctiou: (l)sroz.oo s DEP.ARTMENT USE (A) EntEr subtotal of aborrc fecs (Mlnimum Permit Fee 1102.00)$ (D) Entsr l2% surcharge (.12 x [AJ)$ (C) Tccbnoloey Fee (!% of[AJ)$ TOTAL fees and eurchargcs (A thmugh D):$ [.est cdfted 7/l/2019 BJooer .{ frnrrv} @ ql/.*$fbb -OQ, .60l Cew otv ciw: * R\Nr ) coN I rl AVEN DI DEPARTMENT UEE ONLY