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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 tb 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