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Home My WebLink AboutPermit Electrical 2020-03-05OREGON web Address: www.springfield-or.9ov Building Permit Residential Electrica! Permit Number: 8l 1-2O-OOO181-ELEC-O1 IVR Number: 811035191453 City of Springfield Development and Public works 225 Fifth Street Springfield, OR97477 541-726-3753 Email Add ress: permitcenter@springfield-or.9ov SPRINGTIELD tb Permit Issued: March 05, 2020 TYPE OF WORK Category of Construction: None Specified Type of Work: None Specified Submitted Job Value: $0.00 Description of Work: Relocate bathroom & laundry room, new 120 sqft addition JOB SITE INFORMATION Worksite Address 1344 S ST Springfield, OR 97477 Parce! 1703252305100 Owner: Address: COLEMAN GREEN LIVING TRUST 1344 S ST SPRINGFIELD, OR 97477 LICENSED PROFESSIONAL IN FORMATION Busaness Name EMERALD VALLEY CONTRACTORS INC - Primary License CCB License Number 229499 Phone 54L-9L4-0229 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. Sched ule or track inspections at www. building permits.oregon. gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811035191453 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if 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 herein or not. Granting of a permit does not presume to glve authority to violate or cancel the provislons 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-OO1-OO9O. You may obtain copies of the rules by calling the Center at (503) 232-L947. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.010 (structural/Mechanical), ORS 479.540 (Electrical), and oRs 593,01O-O2o (Plumbing). Printed on: 3/5/20 Page 1 of 2 C:\myReports/reports//production/01 STANDARD *" "/ Permit Number: 811-20-OOO18l-ELEC-01 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 (12o/o of applicable fees) Printed on: 3/5/20 Quantity Fee Amount $s.00 $97.00 $s.10 $L2,24 $ 119.34Total Fees: C : \myReports/reports//production/01 STAN DARD 2 Page 2 of 2 PERMIT FEES SPRINGIIELD nfi OREGON www.springfield-or.gov Worksite address: 1344 S ST, Springfield , OR 97477 Parcel: 1 7032523051 00 Transaction Receipt 81 1 -20{00{ 81 -ELEC-Ol IVR Number: 811035191453 Receipt Number: 474019 Receipt Date: 3/5/20 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 permitcenter@spri n gfield-or. gov Transaction Units date 3t,t20 2.00 Oty 3tsl20 1.00 Automatic 3t5t20 1.00 Ea 3t5t20 Description Branch circuits without service or feeder Balance of minimum permit fees - electrical State of Oregon Surcharge - Elec ('l2o/o of applicable fees) 224-00000-4261 02- 1 033 224-00000 -4261 02- 1 033 821 -00000-21 5004-0000 204-00000-425605-00001.00 Automatic Technology Fee Fees Paid Account code Fee amount $97.00 $5.00 $12.24 $5.10 Paid amount $97.00 $5.00 $12.24 $5.1 0 Payment Method: Credit card authorization: 320243 Payer: Emerald Valley Electric Payment Amount:$1 19.34 Cashier: Katrina Anderson Receipt Total:$1 19.34 Printed: 3/5/20 8:07 am Page I of I Fl N_Tra nsactionReceipt_pr CITY OF SPRINGFIELD, OREGON Electrical Permit A lication 225 Fifth StreetoSpringlield, OR 97 477 )PH(541)726-3753oFAX(541)726-ffi9 lPtrxottILD DEPARTMENT USE ONLY Permit no.:811 -20-000181 310412020 Date: s This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days ofissuance or ifwork is suspended for 180 days. FEE SCHEDULE Number of inspections per item ( )Qty.Cost ea. Total cost Residential, per unit, service included 1,000 sq. ft. or less (4)$r86.00 $ Each additional 500 sq. ft. or portion thereof $36.00 $ Limited energy (2)$44.00 s Each manufactured home or modular dwelling service or feeder (2)$89.00 $ Services or feeders: instal lation, alteration, relocation 200 amps or less (2)$112.00 s 201 to 400 amps (2)$13r.00 s 401 to 600 amps (2)$22r.00 $ 601 to 1,000 amps (2)$285.00 $ Over 1,000 amps or volts (2)$654.00 $ Reconnect only (2)$89.00 $ Temporary services or feeders: installation, alteration, rel ocation 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 s8.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2)1 s89.00 s Each additional branch circuit 1 $8.00 s Each pump or irrigation circle (2)$E9.00 s Each sigr or outline lighting (2)$89.00 $ Signal circuit or a limited-energy panel, alteration, or extension (2)$89.00 $ Each additional inspection: (l)$ DEPARTMENT USE (A) Entersubtotal ofabove fees (Minimum Permit Fee $102.ffi)$ 102.00 (B) Enter l27o surcharge (.12 x [A])$ 12.24 (C) Technolory Fee (5olo of [A])$ s.10 TOTAL fees and surcharges (A through D)s 119.34 LOCAL GOVERNMENT APPROVAL Zoningapproval verified? flYes n No CATEGORY OF CONSTRUCTION n Government E CommercialU Residential JOB SITE INFORMATION AND LOCATION Job site address: 1344 South S Street Crty: SPringfield State: or ZW: 97477 Reference:Taxlot.: DESCRIPTION OF WORK Remodel of Bathroom/ Laundry PROPERTY OWNER Name: Address: City:State ZIP: Fax:Phone: E-mail 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 47 9.s40(r) and 479.560( I ). Signature: CONTRACTOR INSTALLATION Business name: Emerald Valley Electric Address: 72807 London Rd State: or ffi7 97424City: Cottage Grove phone: 541-914-4229 Fax: E-mail: eleraldvalleycontractors @ gmail. com CCB license no.: 229499 BCD license no.: C-l510 Signing supervisor's license no.: 54895 Frint name of signing supervisor: Tim Risseeuw Signature of signing supervisor: Last edited 7lll20l9 Blones Miscellaneous fees:. service or feeder not tncluded $r02.00