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Home My WebLink AboutPermit Electrical 2020-02-27SPRINGFIETD b OREGON Web Address: www.springfield-or.90v Permit fssued: February 22, 2O2O Category of Construction Submitted Job Vatue: g0.r Building permit Residential Electrical Permit Number: 8tt_2O-OOO39O_ELEC IVR Number: 81 10076798r6 Type of Work: Alteration City of Springfietd Development and public Works 225 Fifth Street Springfield, OR 97477 541_726_3753 permitcenter@springfield-or.9ov AROLLA CHARLES A & PATRICIA M GOLDEN 550 WALNUT PL SPRINGFIELD, OR 97477 ,iOS,net" Famity Dweiling Parcel 1702332400t52 Liccnse ccB Email Address: 0wner: Address: License Number 000000 Description of Work: Replace electriical panel Worksite Address 5204 D ST Springfield, OR 9747g Business Name OWNER - primary Inspection 4999 Final Electricat 4220 Electrical Service Inspection Group Elec Res Elec Res Phone Inspection Status Pending Pending JOB SITE IT{FORMATION LICEI{SED PROFESSIONAL I'{FORMA TION SCHEDULING INSPECTIONS Various inspections are minimally required the issuing jurisdiction indicated on on each project and often dependent on the scope of work. contactthe 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-gg8-299-2g2r use IVR number: B11007679g16 Schedule using the oregon epermitting Inspection App, search -epermitting., in the app store Permlts explre lf work ls not sterted within 180 Days of issuance or if work ls suspended for 18O Days or longer depcndlng on thc lssulng agcncy's pollcy. All provlslons of laws and ordlnances govcrnlng thls type of work wlll bc complled wltfi whether.Pecltlcd hcreln or not. Grrnting of r permit doca not prc3umc to give ruthorlty to vlolatc or c.ncel thc provition3 of eny othcr Jtrtc or local law regulatlng con3truction or thc Pertotmance of construction. ATTEilTIOil: OrcAon law rcquircs you to follow rutcs adoptcd by the Orcaon Utillty iotlficatlon Ccntcr' Tho3G rulca rrc sct forth in oAR 952-OO1-OO1O through oAR 952-OO1-OO9O. You may obtain copicr of thc rulcs by calling the ccnter at (5o3) 232-1947. All persons or entities p€rforming work under this permit are required to be licens€d unless exGmpted by oRs 7o1'o1o (structur.l/?.techanlcal), oRs 479.540 (Electrlcat), and oRS 693.01O-O20 (Plumblng). ?r,nted on: Zl27l2O Page 1 of 2 c:\myReports/repo fts/ / groduritionl 01 STANDARD L--l Permlt l{umber: 81 1-2O-OOO3gO-ELEC Fee DescriPtion Services 200 amPs or less TechnologY Fee State of Oregon Surcharge - Elec (12olo of applicable fees)Total Fees: Page 2 ol 2 Fee Amount $112.00 $s.60 $13.44 $131'04 1 Ponted on: 2/27/20 C : \myReports/reports//production/01 STANDARD Page 2 of 2 SPRINGTIELD gt 0ntG0r{ www.springfi eld-or.gov Worksite address: 5204 D ST, Springfield, OR 97478 Parcel: 1702332400152 Transaction Receipt 8r{-20.000390-ELEC IVR Numbsr: 8'11007679816 Receipt l{umber: 473955 Receipt Dale:212712O City of Springfield Development and Public Works 225 Fifth Street Springfield, O" 97477 541-726-3?53 permitcenter@springfield-or. gov Transactlon Unlts date 2t27l20 '1.00 Ea 2t27t20 1.00 Ea 2t27t20 Descriptlon Services 200 amps or less State of Oregon Surcharge - Elec (12olo of applicable fees) Fees Paid Account code 1.00 Automatic Technology Fee 224-00000426 102-1033 821 -00000-21 5004-0000 204-00000-425605-0000 Fee amount $1 12.00 $13.44 $5.60 Paid amount $112.00 $13.44 $5.60 Payment Method: Cash payer: Barl Golden Transaction Comment: Paid with $i40.00 Payment Amount:$131.04 = $8.96 Cashier: Thayne Smith Receipt Total $131.04 Printed: 2127120 2:43 Pm Page 1 o{ 1 F lN-TransactionReceiptir Electrical Permit A lication 225 Fifth Street. Springfield, OR 97477oPH(541)726-3753. FAX(541 )726-3689 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. Business namei Au,t\) FEE SCHEDULE Number of inspections per item ( )Qty Cost ea. Total cost Residential, per unit, service included: 1,000 sq. ft. or less (4)$tE6.00 $ Each additional 500 sq. ft. or portion thereof $36.00 $ Limited energy (2)$44.00 $ Each manufactured home or modular dwelling service or feeder (2)$89.00 $ Services or feeders: inslallatiorl, alteration, relocation 200 amps or less (2)$r r2.00 $ 201 to 400 amps (2)$131.00 $ 401 to 600 amps (2)$221.00 $ 601 to 1,000 amps (2)$285.00 s Over 1,000 amps or volts (2)s654.00 $ Reconnect only (2)$89.00 $ Temporary services or feeders: inslallation, alteratiotr, 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 Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase ofa service or feeder fee: Each branch circuit $8.00 $ b. Fee for branch circuits without purchase ofa service or feeder fee: First branch circuit (2)$89.00 $ Each additional branch circuit $8.00 $ Miscellaneous fees: senice orfeeder not included Each pump or irrigation circle (2)$89.00 $ Each sign or outline lighting (2)$89.00 $ Signal circuit or a limitcd-cnergy pancl, alteration, or extension (2)$89.00 $ Each additional inspection: (l)$102.00 $ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00) s (B) Enter l2% surcharge (.12 x [A])s (C) Technology Fee (5% of [A])$ TOTAL fees and surcharges (A through D):$ h ( + DEPARTMENT USE ONLY Permit no.: 2as -4O 3eO - eU Date:n? I z.-t /a-p LOCAL GOVERNMENT APPROVAL Zoningapproval verified? E Yes E No CATEGORY OF CONSTRUCTION E Commercial^Etesidential ! Government JOB SITE INFORMATION AND LOCATION Job site address nP:q7c/7/e Starc: U7- Referenle: '/'Taxlot. DESCRIPTION OF WORK ,J 'r'c -z l ,.D PROPERW OWNER Name: State:ztP:y' / y 77cil6,1 LrNGF /fL} 537Phone Fax: being made on member of my or farm property family. This residentialThis1S immediateaorownedmeby intendednot for orlease OARrent.sale,exchange, 79.4 ).s60(r tll'5 ALLATIONR Address State ZIP:City: Phone:Fax: E-mail: BCD license no.:CCB license no Signing supervisor's license no. Print name of signing supervisor: Signature of signing supervisor: Last edited 7/l/2019 BJones Address: 56O I t )a ln u Property Owner Statement Regarding Gonstruction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the foilowing statement before a building permit can be issued. (ORS 701.325 l2ll and permits.electrica mechanical,plumbingI,building,fortslsThstatementrequired not0,l need701ORS.0nder 17),ulicensingaanditectrchpplicants,engineeraicensedL withfiled thentmebe permit.willThnt.statelsstatemethissubmit Please check the aPProPriate box: I own, reside in, or will reside in the completed structure and my general contractor is Name CCB#Expiration Date K 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 I will reside in. lf I hire subcontractors, I will hire only subcontractors licensed 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' I have read and understand the lnformation Notice to Homeowners About Construction Responsibilities' and I herebY certify that the information on this homeowner statement is true and accurate. t) Print of Permit APPlicant 2_2L -2 ozo of Permit Date Permit #:20-_ ELE C- Address: 52c;t b S'rer=e< lssued by: fuS oate:oz f zz / z o This Copy for Permit Offices residential exempt from tr