HomeMy WebLinkAboutPermit Electrical 2019-06-05OREGON
Web Address: www.springfield-or.9ov
Building Permit
Residential Electrical
Permit Number: 81 l-f 9-OOO95O-ELEC-Ol
IVR Number: 811086432899
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54t-726-3753
Email Address : permitcenter@springfield-or. gov
SPR!NGFIELD
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Permit Issued: June 05, 2019
TYPE OF WORK
Category of Construction: None Specified
Submitted Job Value: $0.00
Description of Work: E-Bathroom Addition
Type of Work: None Specified
,OB SITE INFORMATION
Worksite Address
1124 57TH ST
Springfield, OR 97478
Parcel
t702331107200
Owner:
Address:
TRASK LETA J & ROBERT N
JR
498 N 72ND ST
SPRINGFIELD, OR 97478
LICENSED PROFESSIONAL If{FORMATION
Business Name
TACTICAL ELECTRIC
INCORPORATED - Primary
License
ccB
License Number
2t8447
Phone
54t-74L-7369
PENDING INSPECTIONS
Inspection
4999 Final Electrical
4500 Rough Electrical
4250 Branch Circuits
Inspection Group
Elec Res
Elec Res
Elec Res
Inspection Status
Pending
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: 811086432899
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
permits expire lf 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 hereln or not.
Grantlng 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-OO1-OO1O through OAR 952-001-0090. You may obtain copies of the rules by calling the Center at (503)
232-t987.
All peEons or entities performing work under this permit are regulred to be licensed unless exemPted bY ORS 701.O10
(Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing).
printed ont 2/7/20 page 1 of 2 C:\myReports/reports//production/01 STANDARD
Permit Number: 81 1-19-OOO95O-ELEC-O1 Page 2 of 2
Fee Description
Branch circuits with service or feeder each circuit
Services 200 amps or less
Technology Fee
State of Oregon Surcharge - Elec (L2o/o of applicable fees)
Prinled oil 217/20
Quantity Fee Amount
$7.42
$ 109.00
$s.82
$13.97
$ 136.21Total Fees:
C: \myReports/reports//production/o1 STAN DARO
1
1
Page 2 of 2
PERMIT FEES
SPRINGFIELD
$
OREGON
www.springfield-or.gov
Worksite address: 1124 57TH ST, Springfield, OR 97478
Parcel 1702331 1 07200
Transaction Receipt
81 1 -1 9-000950-ELEC-01
IVR Number: 8l I 086432899
Receipt Number: 471467
Receipt Date:6127119
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54t-726-3753
permitcenter@spri n gfi eld-or. gov
Transaction Units
date
6127119 1.00 Ea
6t27t19 1.00 Oty
6t27t19
6t27t19
1.00 Ea
1.00 Automatic Technology Fee
Description
Services 200 amps or less
Branch circuits with service or feeder
each circuit
State of Oregon Surcharge - Elec
(12o/o ol applicable fees)
Fees Paid
Account code
224 -00000-4261 02- 1 033
224-00000- 4261 02- 1 033
821 -00000-21 5004-0000
I 00-00000-425605-0000
Fee amount
$109.00
$7.42
$13.97
$5.82
Paid amount
$109.00
$7.42
$13.97
$5.82
Payment Method: Check number:4474 Payer: Leta TrasU Bob Trask
Rental
Payment Amount:$136.21
Cashier: Toste Muniz Receipt Total:$136.21
Prinled:2n120 3:28 pm Page 1 of 1 F I N_Tra nsaction Receipt_pr
CITY OF SPRINGFIELD, OREGON
Electrical Permit lication
225 Fifth Streeto Springfield, OR 97477o PH(541 )726-3753oFAX(541)726-36E9
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.
fi,Lt(
DEPARTMENT USE ONLY
Permit no.: I c) ^qQ '',
i 2-oDate:?
LOCAL GOVERNMENT APPROVAL FEE SCHEDULE
Zoningapproval verified? fl yes E No Number of inspections per item ( )Qty Cost Total
costea,
CATEGORY OF CONSTRUCTION Residential, per unit, service included:
E Covernment D Commercial
1,000 sq. ft. or less (4)$186.00 $JOB SITE INFORMATION AND LOCATION
Job site address:sla Each additional 500 sq. ft. or portion
thereof $36.00 $
City:State:ZTP:Limited energy (2)$44.00 $
Reference:Taxlot.Each manufactured home or modular
dwe'lling service or feeder (2)$89.00 $
DESCRIPTION OF WORK
CJ-,*o \,^Services or feeders: installation, alteration, relocation
200 amps or less (2)sl12.00 $
PROPERW OWNER 201 to 400 amps (2)$131.00 $
Name 401 to 600 amps (2)$221.00 s
Address 601 to 1 ,000 amps (2)$285.00 $
State:ZIP Over 1,000 amps or volts (2)s654.00 $
Phone:Fax:Reconnect only (2)$89.00 s
E-mail:Temporary services or feeders: installation. alteratiotr, reloco tion
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).
200 amps or less (2)$89.00 $
201 to 400 amps (2)s 122.00 $
401 to 600 amps (2)$177.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
CONTRACTOR INSTALLATION Branch circuits: neu,, alteration, extension per panel
Business name a. Fee for branch circuits with purchase ofa service or feeder fee:
Address:O. Bo Each branch circuit I $8.00 $
City: E.r*--<State: 6f{nP:11 b. Fee for branch circuits without purchase ofa service or feeder fee:
Phone!{ 5zl -
"S?b
F,-1& tuo First branch circuit (2)$89.00 $
E-mail Ca (o it4 Each additional branch circuit $8.00 s
CCB lic#se no.,p1 EVrt 7 Miscellaneous fiees:. service orfeeder not included
's license no.os3 Each pump or irrigation circle (2)$89.00 $
Print name of signing supervisor L T>-.,: s Each sign or outline lighting (2)$89.00 $
Signature of signing supervi Signal circuit or a limitcd-energy panel,
alteration, or extension (2)$89.00 s
Each additional inspection: ( I )$r 02.00 $
DEP USE
(A) Enter subtotal ofabove fees
(Minimum Permit Fee $102.00)
$
(B) Enter l27o surcharge (.12 x [A])$
(C) Technology Fee (5% of [A])$
TOTAL fees and surcharges (A through D):$ \3Q.zl
Last edited 7/l/2019 BJones
City:
BCD license no.: Cl