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Home My WebLink AboutPermit Electrical 2020-03-06OREGON Web Address: www.springfield-or.9ov Building Permit Residential Electrica! Permit Number: 81 1-20-OOO449-ELEC-01 IVR Number: 811065394804 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 Email Add ress: permitcenter@springfield-or.gov SPRINGFIELD tb Permit Issued: March 06, 2020 TYPE OF WORK Category of Construction: None Specified Type of Work: None Specified Submitted Job Value: $0.00 Description of Work: Enclosing closet to add a new bathroom (toliet/shower/sink) JOB SITE INFORITIATION Worksite Address 374 S 37TH ST Springfield, OR 97478 Parcel L7023L4302tO6 Owner: Address: LEMUS JUAN C 374 S 37TH ST SPRINGFIELD , OR 97478 LICEI{SED PROFESSIONAL INFORMATIOT{ Business Name OWNER - Primary License ccB License Number 000000 Phone PENDING INSPECTIONS Inspection Group Elec Res Elec Res Inspection Status Pending Pending SCHEDULING INSPECTIOI{S 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: 811065394804 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 18O Days or longer depending on the issuing agency's policy. All provisions of laws and ordinances governing this Wpe of work will be complied with whether specified herein or not. Granting 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 Utlllty Notification Center. Those rules are set forth in OAR 952-OO1-OO10 through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (503) 232-t987. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O (Structural/tlechanical), ORS 479.540 (Electrical), and ORS 593'O1O-O20 (Plumbing)' printed on: 3/6/20 Page 1 of 2 C:\myReports/reports//prcduction/01 STANDARD Inspection 4999 Final Electrical 4500 Rough Electrical Permit Number: 81 1-20-OOO449-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 (12olo of applicable fees) Printed on: 3/5/20 Quantity Fee Amount $13.00 $89.00 $s' 1o $12.24 $ 119.34Total Fees: C :\myReports/reports//production/o1 STANDARD 1 Page 2 of 2 PERMIT FEES SPRINGFIELD tb OREGON www. sp rin gf ield-or. gov Worksite address: 374 S 37TH ST, Springfield, OR 97478 Parcel: 1702314302106 Transaction Receipt 811-20{00449-ELEC-01 IVR Number: 81 1065394804 Receipt Number: 474037 Receipt Date: 3/6/20 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 perm itcenter@spri ngfiel d-or. gov Transaction Units date 3t6t20 1.00 Qty 3t6t20 1.00 Automatic 3t6t20 't.00 Ea 3t6t20 Description Branch circuits wilhout service or feeder Balance of minimum permit fees - electrical State of Oregon Surcharge - Elec ('l2olo of applicable fees) Fees Paid Account code 1.00 Automatic Technology Fee 224-00000-4261 02- I 033 224-00000-4261 02-1 033 82 1 -00000-2 1 5004-0000 204-00000-425605-0000 Fee amount $89.00 $13.00 $12.24 $5.1 0 Paid amount $89.00 $13.00 $12.24 $5.10 Payment Method: Cash Payer: Juan Carlos Lumus Mendez Payment Amount:$1 19.34 Cashier: Katrina Anderson Receipt Total:$119.34 Printed: 3/6/20 2:13 pm Page I of I Fl N_Tra nsactionReceipt_pr Electrical Permit tion aPirxotttLD 225 Ftftt StrcctospriDgnetd, oR 947.pII(54r)72G3753oFAX(541)72G36t9 This permit is issued under OAR 9lt-309{000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 1t0 deys. CITY OF SPRINGFIELD, OREGON pemrit no.,2O4@qt(q - L Date: 3[Gl>o z D Government I Commercial Job site address: No hq5 approval verified? ! Yes State:$(ZIP: na\ ?? L I o 49+Yrcn Narne: J96,rl Car los Lerh'rs Aenda. Address: j?u[ 5. }]th gya<-l CiU: 9Or naQ-,e.ld State: Q (ZIP: q?1?? Phone:Fax: 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 9.540(t) and 479. 560( I ). Signarure: .-\4o",. . \qx---=. CONTRA Business name: Address: City:State:ZIP: Phone:Fax: E-mail: CCB license no.:BCD license no. Signing supervisor's license no. Print name of signing supervisor: Signature of signing supervisor: Residential, per unit service included: 1,000 sq. ft. or less (4)$186.00 $ Each additional 500 sq. ft. orportion thereof $36.00 $ Limited energy (2)$44.00 $ Each manufactured home or modular dwelling service or feeder (2)$89.00 $ Services or feeders: instal lation, al teration, relocation 200 amps or less (2)$112.00 ( 201 to 400 amps (2)$131.00 $ 401 to 600 amps (2)$22r.00 $ 601 to 1,000 amps (2)$285.00 $ Over 1,000 irmps or volts (2)$654.00 $ Reconnect only (2)$89.00 $ 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 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)I $89.00 s4"t Each additional branch circuit $8.00 $ Miscellaneous fees: service orfeeder nol included Each pump or irrigation circle (2)$89.00 $ Each sign or outline lighting (2)$89.00 $ Signal circuit or a limited-energy panel, alteration, or extension (2)$89.00 s Each edditionel inspection: (l)$102.00 $ (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00)$loT @) Enter l2% surcharge (.12 x [A])$ (C) Technology Fee (5% of [A])$ TOTAL fees and surcharges (A through D):$ j1 Last edited 7lll20l9 BJones [Residential Referencel J Taxlot.: WORK PROPERTY OWNER g tr1.u-)r,^-c---.-- Number of inspections per item ( )Qty.Cost ea- Tot cos DEPARTMENT USE I DEPARTMENT USE ONLY Property Owner Statement Regarding Gonstruction 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 7o1.325 l2ll This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 70r.010 (7), need not submit this statement. This statement will be filed with the permit. 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 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. thave read and understand the lnformation and I hereby certify that the information on Notice to Homeowners About Construction Responsibilities' this homeowner statement is true and accurate. su Qr.< Print Name of Permit APPlicant Ss="..1q r',-03-06 J-oe Signature of Permit APP|icant Date {14ig-r1 {tqul }tlssued by:Z/) Permit #:>o -ooDqqq.-?ul\ELE Address: Date: 3 This Copy for Permit Offices tr r) 3-t^t S,3"q s*g2_