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Home My WebLink AboutPermit Electrical 2020-01-29OREGON Web Address: www,sprinqfield-or.gov Building Permit Residentia! Electrical Permit Number: 81 1-2O-OOO185-ELEC-O1 IVR Number: 811086446855 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Address : permitcenter@springfield-or.gov SPRINGFIELD tfr Permit Issued: January 29,2O2O TYPE OF WORK Category of Construction: None Specified Submitted Job Value: $0.00 Description of Work: Adding new bathroom inside master bedroom Type of Work: None Specified JOB SITE INFORITIATION Worksite Address 3848 OREGON AVE Springfield, OR 97478 Parcel t702314t03902 Owner: Address: ALTEMUS MATT 77601 HIGH PRAIRIE RD OAKRIDGE, OR 97463 LICENSED PROFESSIONAL INFORMATION Business Name OWNER - Primary License ccB License Number 000000 Phone PENDING INSPECTIONS Inspection 4999 Final Electrical 4500 Rough Electrical Inspection Group Elec Res Elec Res Inspection Status Pending Pending SCHEDULING II{SPECTIONS 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: 811086446855 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 suspended for 180 Days or longer depending on the issuing agency's policy. All proylslons of laws and ordinances governing this type of work will be complied with whether sPeclfied herein or not. Granting of a permit does not presume to give authority to violate or cancel the provlsions of any other state or local law regulating construction or the performance of construction. ATTENTTON: Oregon law requires you to follow rules adopted by the Oregon Utlllty Notification Center. Those rules are set forth in OAR 952-001-OO1O 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 7O1.O1O (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.01O-O20 (Plumbing). printed on: 1/29120 page 1 of 2 C:\myReports/reports//production/01 STANDARD "t- Permit Number: 81 1-2O-OOO185-ELEC-O1 Page 2 of 2 Fee Description Balance of minimum permit fees - electrical Branch circuits without service or feeder Technology Fee State of Oregon Surcharge - Elec (l2o/o of applicable fees) Printed on: 1/29120 Quantity Total Fees: Fee Amount $13.00 $89.00 $s.10 $12.24 $ 1 19.34 1 Page 2 of 2 C:\myReports/reports//prcduction/0 1 STAN DARD PERMIT FEES SPRINGTIELD Transaction Receipt 811-20400185-ELEC-01 IVR Number: 8l I 086446855 Receipt Number: 473672 Receipt Date:1129120 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54r-726-3753 permitcenter@spri n gfi eld -or. gov ur, OREGON www.sprin gf ield-or. gov Worksite address: 3848 OREGON AVE, Springfield, OR 97478 Parcnl: 1702314103902 Transaction Units date 1t29t20 1.00 Oty 1t29120 1.00 Automatic 1129t20 1t29t20 1.00 Ea 1.00 Automatic Technology Fee Description Branch circuits without service or feeder Balance of minimum permit fees - electrical State of Oregon Surcharge - Elec (12o/o of applicable fees) 224-00000-4261 02-1 033 224-00000-4261 02-1 033 821 -00000-21 5004-0000 204-00000-425605-0000 Fees Paid Account code Fee amount $89.00 $13.00 $12.24 $5.1 0 Paid amount $89 00 $13.00 $12.24 $5.1 0 Payment Method: Credit card authorization: 829934 Payer: Michael Aboumrad Payment Amount:$1 19.34 Cashier: Katrina Anderson Receipt Total $1 19.34 Prinled: 1129120 2:45 pm Page 1 of I F I N_Tra nsaction Receipt_pr Electrical Permit tion 225 Fifth Srreeto Springfietd, oR 97477opH(541)726-3753.FAX(54r)726_36t9 This permit is issued under OAR 9f 8-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days ofissuance or ifwork is suspended for 180 days. DEPARTT{IENT USEONLY oof6fPermit no. Date CITY OF SPRINGFIELD, OREGON LOCAL GOVERNMENT APPROVAL FEE SCHEDULE fl NoZoningapproval verified? E yes Number of inspections per item ( )ary Cost ea. Total costCATEGORY OF CONSTRUCTION Residential, per unit, service included:! Residential ! Govemment E Commercial 1,000 sq. ft. or le ss (4)$186.00 $JOB SITE AND Job site address Each additional 500 sq. ft. orportion thereof s36.00 s State:ZIP:Limited energy (2)s44.00 $ Taxlot.Each manufactured home or modular dwelling service or feeder (2)$89.00 $DESCRIPTION OF WORK Services or feeders: instal latiotx, alteration. relocation 200 amps or less (2)$1 12.00 $ OWNER 201 to 400 amps (2)$131.00 $ IName:401 to 600 amps (2)s221.00 $ Address:601 to 1,000 amps (2)$285.00 $ Over 1.000 amps or volts (2)ZIP $6s4.00 $ Reconnect only (2)$89.00Fax:$ E-mail Temporary services or feeders: itrstallation, alteration. relocation 200 amps or less (2) $89.00 $ 201 to 400 amps (2)$I22.00 $ 401 to 600 amps (2)$r77.00 $ or farm properfy family. This This installation ls owned ormeby ls intendednot for sale,rent.or ) property 479.s40( 600Over oramps ,000 see servicesvolts,or feeders section above Branch circuits: new, alteration, extension per panel Business name Fa.ee for branch circuits with of a servicepurchase or feeder fee: Address Each branch circuit $8.00 $City:State:ZIP:Fb.ee for branch clrcults without ofpurchase orservlce fee:feeder Phone:Fax:First branch circuit (l)$89.00 $E-mail:Each additional branch circuit $8.00 q CCB license no_BCD license no.:or feederUSMiscellaneofeesseryrce not ittcluded supervisor's license no.:Each pump or irrigation circle (2)$89.00 $Print name of supervrsor:Each sign or outline lighting (2)$89.00 $Signature ofsigning supervlsor:Signal circuit alteration, or or a limited-enerev extension (2) panel, $89.00 $ Each additional inspection: (l)$102.00 $ USE (A) Enter subtotal ofabove fees (Minimum permit Fee $r02.00)$ Ao Enter 2(B)o//o 2(surcharge x [Al)$(c)FeeTechnology of(s%lAl)$TOTAL fees and (Asurcharges through D):$Last edited 7lu201 9 BJones SPRIN6;TELD ffi, on immediate a Propefi Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Conitruction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2ll I have read and understand the Information Notice to Homeowners About Construction Responsibitities, and I hereby certify that the information on this homeowner statement is true and accurate. of Date \1.,,v'i1,J This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.0{0 (7), need not submit this statement. This statement will be filed with the permit. Please check the aPProPriate box: 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 liEtEe--O 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. lssued by o N"< Permit #:\ss-N Address:3g Date: 1 This Copy for permit Offices I I own, reside in, or will reside in the completed structure and my general contractor is. n & 2{ (2-D