HomeMy WebLinkAboutPermit Electrical 2020-02-21OREGON
Web Address: www.springfield-or'9ov
Permit Issued: February 2L,2020
Building Permit
Residential Electrical
Permit Numberr AIF2O'OOO346-ELEC-O1
IVR Number: 811028302366
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54L-726-3753
Email Address : permitcenter@springfield-or'9ov
SPRINGFIELD
b
Type of Work: None SPecified
Category of Construction: None Specified
Submitted Job Value: $0.00
DescriPtio n of Work: Bathroom remodel - adding a shower
Parcel
1702193100403
Owner:
Address:
HOWARD MARLA L
3225 HAYDEN BRIDGE RD
SPRINGFIELD , OR 97477Worksite Address
3225 HAYDEN BRIDGE RD
Springfield, OR 97477
,OB SITE INFORT'IATION
INFORMATIONPROFESSIONALLICENSED
License
CCB
License Number
218258
Phone
54t-2t4-6786Business Name
FORESIGHT CONSTRUCTION LLC -
Primary
Inspection
4999 Final Electrical
4500 Rough Electrical
4250 Branch Circuits
InsPection GrouP
Elec Res
Elec Res
Elec Res
Inspection Status
Pending
Pending
Pending
Various inspecti ons are minimallY required on each Project and often dePe ndent on the scoPe of work' Contact
the issuing jurisdiction indicated on the Permit to determ ine required inspections for this Project'
Schedule or track inspections at www.buildingpermits'oregon'gov
Call or text the word "schedule" to 1-888-2gg-282t use IVR number: 811028 302366
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'
A, provisions or raws and ordinances eovernins t^f" Y,;';t [iiL:l':::,1ffiH',:1"::"":Y,":ff:X'"1"11'il'"illij;
Granting of a permit does not presume to give authori
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forth in oAR esz-oo1-o"t;;ffiJ;il;'""-oot-oo'o' You mav obtain copies
232-Lg87' -"^-u "^rar this oermit are required to be licensed unless exempted by oRs 701'o1o
ti*,t.X;.::ltX[T]l]',::'J;li::,::1;ffit;;;giloio-o'o
(Prumbins)'
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Page 1 of 2
INSPECTIONSEDULINGscH
Printed ont UZrl2O
STANDARD
TYPE OF WORK
PENDING
Permit Number: B1 1-20-OO0346-ELEC-O1 Page 2 of 2
Fee Description
Additional branch circuits without service or feeder
Branch circuits without service or feeder
Technology Fee
State of Oregon Surcharge _ Elec (L2o/o of applicable fees)
Printed oni 2/21/20
Quantity Fee Amount
$24.00
989.00
$s.6s
$ 13.56
$L32.21
3
1
Page 2 of 2
Total Fees:
C;\myReports/reports//prcduction/Ol
STANDARD
PERMIT FEES
Tl3lsaction Receipt
811-20400946-ELEC_01
IVR Number: 8, 1 028302366
City of Springfietd
Development and public works
225 Fifth Street
Springfietd, OR 97477
541_726_37s3
permitcenter@springfield-or. gov
Receipt Number; 4l3ggg
Receipt Date:2t21t20
www. springf ield_or. gov
Worksite address: 3225 HAYDEN BRTDGE RD, Springfiet d, OR 91477P arc;el 1 7 02 193.1 00403
Transaction Units
date
2t21tz0 1.OO Oty
2t21t20 3.00 Ea
2t21t20 1.00 Ea
2t21t20
Payment Method: Credit carcl
authorization: 064843
1.00 Automatic Technology Fee
Description
Branch circuils without service or
feeder
Additional branch circuits without
service or feeder
State of Oregon Surcharge - Elec
(12% of appticable fees)
Payer: HOWARD charles
Fees Paid
Account code
224 -OO OOO -4 26 1 02 - 1 03,3
224-00000 -4261 02- 1 033
82 1 -00000-2 1 5004_0000
204-00000-425605-0000
Fee amount
$89.00
Paid amount
$89.00
$24.00
$13.56
$s.65
$132.21
$'132.21
$24.00
$13.56
$5.65
Payment Amount:
Cashier: Katrina Anderson Receipt Total:
Printed: 2/21/20 2:53 pm Page 1 of 1 F I N_TE nsaction Receipt_Pr
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CITY OF SPRINGFIE LD, OREGON
E Iectrical Permit A ation
225 Fifth Srreeto Springfietd, OR97477.PH(541)726-3753 .FAJ<(S4[)726_36s9
SPRIITGF'ELO
&,
lhis pSmit is issued under OAR 9Ig_309_0000.days of issuance or if work tu ilp;il.d #ft"d ff;r'. are nonfransferable. permits expire if work is not started within lg0
DEPARTMENT USE ONLY
?ermir no.,2o -ooo 3 tiu
Date \o
LOCAL NT APPROV AL FEE SCHEDUL EZodng approval verified?I Yes nuo Number of inspections per item ( )QtyCATEGORYCONSTROFUCTION Cost
ea.
Total
cost
! Govemment fl Commercial
Residential,per servtceunit,dedinclu
1,000 sq. ft. or less (4)LOCATIONBJOSITENFORMAfloNDAN $r 86.00 $
Job site address:.Be. P-n Each additional
thereof
500 sq. ft. or portion
$36.00 $
Sta:r-:A Q ZIP:$ /Limited energy (2)$44.00 sReference:Taxlot.
D ESCRI PTION OF WORK
Each manufactured home or modulardwelling service or feeder (2)$89.00 $eL orServices feeders:installation,relocationalteration,
200 amps or less (2)$l 12.00 $
PROPERry OWNER 201 to 400 amps (2)$131.00 $
Name:401 to 600 amps (2)$221.00 $ZZ.;Address:DtrJ Be. L>601 to 1,000 amps (2)$285.00 $
City:state;a Over 1.000 amps or volts (2)ztPg 7 $654.00 $
Reconnect only (2)$89.00Fax:$
Temporary services or feeders: installation, alteration. relocation
200 amps or less (2)$89.00 $
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
CONTRACTOR INSTALLATION Branch circuits: new alteration, extension per panel
Business a. Fee for branch circuits with purchase ofa service or feeder fee:
Address:?2-Z{r.D Be P-$>Each branch circuit $8.00 $
State:0 L b. Fee for branch circuits without purchase ofa service or feeder fee:
Phonq641 2t4 tt Fax:First branch circuit (2)$89.00
Each additional branch circuit 3E-mail Sltrc{toqs Ll-C e s8.00
CCB license n"Zt8rZ Miscellaneous fees: seruice orfeeder not includedBCD license no.:
Each pump or irrigation circle (2)$89.00 $
Each sign or outline lighting (2)$89.00 $Print name of signing supervisor:
Signature of signing circuit or a limited-energy pancl,
or extension (2)$89.00 $
Each additional inspection: (1)$102.00 $
DEPARTMENT USE
(A) Enter subtotal ofabove fees
(Minimum Permit Fee $102.00)l'7$
(B) Enter l20% surcharge (.12 x [A])$2'l
(C) Technology Fee (5% of[A])$
TOTAL fees and surcharges (A through D):
Last edited 1ill2019 BJones
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Signing supervisor's license no.: