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Home My WebLink AboutPermit Electrical 2020-03-130RE60d Web Address: www.springfield-or.gov Building Permit Residential Electrical Permit Numberr 8f f -2O-OOO492-ELEC IVR Number: 811014665780 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Address: permitcenter@springfield-or.gov SPRIN6FIELD # Permit Issued: March 13, 2020 Electrical Specialty Code Edition: 2017 Category of Construction: Single Family Dwelling Type of Work: New Submitted Job Value: $0.00 Description of Work; Install sub panel (60A) and 4 branch circuits Worksite Address 35OO S REDWOOD DR Springfield, OR 97478 Parcel 1802062 105606 Owner: Address: MONINGER WILLIAM K 35OO S REDWOOD DR SPRINGFIELD , OR 97478 Business Name OWNER - Primary Lacense ccB License Number 000000 Phone Inspection 4999 Final Electrical 4500 Rough Electrical 4240 Electrical - Feeder 4250 Branch Circuits Inspection Group Elec Res Elec Res Elec Res Elec Res Inspection Status Pending Pending Pending Pending 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 proiect. Schedule or track inspections at www.buildingpermits.oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811014665780 Schedule using the Oregon ePermifting 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 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 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 Utility Notification Center. Those rules are set forth in OAR 952-OO1-OOlO through OAR 952-001-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 693.010-020 (Plumbing)' printed onr 3/13/20 page 1 of 2 C:\myReports/reports//productron/01 STANDARD Permit Number: 81 1-20-000492-ELEC Page 2 of 2 Fee Description Branch circuits with service or feeder each circuit Services 200 amps or less Technology Fee State of Oregon Surcharge - Elec (l2o/o of applicable fees) Note: This may not include all the fees required for this project. Pnnted onr 3/13/20 Quantity Total Fees: Fee Amount $32,00 $112.00 $7.20 $ 17.28 $168.48 4 1 Page 2 of 2 C i \my Reports/reports//productron/0 I STAN DARD PERUIT FEES SPRINGTIELD $,e Transaction Receipt 81 1-20-000492-ELEC IVR Number: 81'l 0146657E0 Receipt Number: 474116 Receipt Date:3/13/20 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 permitcenter@springfield -or. govOITEGON www. spnngfield-or. gov Worksite address: 3500 S REDWOOD DR, Springfield, OR 97478 Parcel:1802062105606 Fees Paid Account codeTransaction Units date 3113120 1.00 Ea 3t13t20 3t13t20 3t13t20 4.00 Qty 1.00 Ea 1.00 Automatic Technology Fee Description Services 200 amps or less Branch circuits with service or feeder each circuit State of Oregon Surcharge - Elec (12o/o of applicable fees) 224-00000-4261 02- I 033 224-00000-4261 02- l 033 82 1 -00000-2 1 5004-0000 204 -00000 - 42 560 5-0000 Fee amount $1 '12,00 $32.00 $17.28 $7.20 Paid amount $1 12 00 $32 00 $17.28 $7.20 Payment Method: Credit card authorization: 397804 Payer. William Moninger Payment Amount:$168.48 Cashier. Carolyn Goodman Receipt Total $168.48 Pnnted: 3/1 3/20 1 1:36 am Page 1 of I F I N_TransactionReceipt_pr CITY OF SPRINGFIELD, ORBGON Electrical Permit A lication DEPARTMENT USE ONLY Permit no.: Date: 225 Fifth Street. Springfi eld, OR 97477 o PH(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. €h, LOCAL GOVERNMENT APPROVAL Zoningapproval verified? E Yes E No CATEGORY OF CONSTRUCTION ffResidential ! Government E Commercial JOB SITE INFORMATION AND LOCATION Job site address: 3Src [t4-o..ar0 D n- city:S?tt"tQi,e lo State: O L-zv:l7.t1tt Reference:Taxlot.: DESCRIPTION OF WORK ^./o .r( (1rZ.con S PROPERW OWNER Name te l.{on ,* Cr.ru Address iSoo 0aor-ta:o A- city: SPA, t6,f rc /o State: d A zrPfiy76 Phone5'i(1-76 1ri1 Fax: E-mail: b>r.Lyf..{o p 14Ua,l ,<op1 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 479.s40(t) and 479.560(l). signatureA-| CONTRACTOR INSTALLATION Business name Address: City 1.8(ate:ZIP: Phone:Fax: I.vE-mail: \J CCB license no.:BCD license no.: Signing supervisor's license no. Print name of signing supervisor: Signature of signing supervisor: FEE SCHEDULE Number of inspections per item ( )Qty.Cost ea. Total cost Residential, per unit, service included 1,000 sq. ft. or less (4)$186.00 $ Each additional 500 sq. ft. or portion thereof $36.00 $ Limited energy (2)s44.00 $ Each manufactured home or modular dwelling service or feeder (2)$89.00 $ Services or feeders: installation, alteration, relocation 200 amps or less (2)I $t 12.00 $ I l2.o 201 to 400 amps (2)$131.00 $ 401 to 600 amps (2)$221.00 $ 601 ro 1,000 amps (2)$28s.00 $ Over 1.000 amps or volts (2)$654.00 $ Reconnect only (2)$89.00 s Temporary services or feeders: installation, alteration, relocation 200 amps or less (2)$89.00 $ 201 to 400 amps (2)$122.00 s 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 $3L'" b. Fee for branch circuits without purchase ofa service or feeder fee: First branch circuit (2)$89.00 q Each additional branch circuit s8.00 $ Miscellaneous fees: sen ice or feeder not included Each pump or irrigation circle (2)$19.00 $ Each sign or outline lighting (2)$89.00 s Signal circuit or a limitcd-cncrgy panel, alteration, or extension (2)$89.00 $ Each additional inspection: (l)$102.00 $ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00) $ (B) Enter l2%o surcharge (.12 x [A])$ (C) Technology Fee (5% of [A])s TOTAL fees and surcharges (A through D):s Last edited 7/l/2019 BJones PropertY 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 l2ll This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (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. I have read and understand the Information and I hereby certify that the information on Notice to Homeowners About construction Responsibilities, this homeowner statement is true and accurate. lg Mo^,r^rC1e'Yr- Print Name of Permit Applicant L)-3 t3 2o LO Signature of Permit APPlicant Permit #: Address: lssued by Date: This Copy for Permit Offices F r lnformation Notice to Owners About Construction Responsi bi I ities (oRS 701.325 (3)) CONSTRUCTION CONTRACTORS BOARD PO Box 14140, Salem, OR 97309-5052 Telephone: 503-378-4621 - Fax: 503-373-2007 Website Address: www.oregon. gov/ccb Homeowners acting as their own general contractors to construct a new home or make a substantial improvement to an existing structure, can prevent many problems by being aware of the following responsibilities: o Homeowners who use labor provided by workers not licensed by the Construction Contractors Board, may be considered an employer, and the workers who provide the labor may be considered employees. As an employer, you must comply with the following: o Oregon's Withholding Tax Law: Employers must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503-378-4988. o Unemployment Insurance Tax: Employers are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 503-947 -1 488. o Oregon's Business ldentification Number (BlN): is a combined number for both Oregon \Mthholding and Unemployment lnsurance Tax. To file for a BlN, go online to the Oregon Business Registry. For questions, call 503-945-8091. o Workers Compensation lnsurance: Employers are subject to the Oregon Workers Compensation Law, and must obtain Workers Compensation lnsurance for their employees. lf you fail to obtain Workers Compensation lnsurance, you could be subject to penalties and be liable for all claim costs if one of your workers is injured on the job. For more information, call the Workers Compensation Division at the Department of Consumer and Business Services at 800-452-0288. o Tax Withholding: Employers must withhold Social Security Tax and Federal lncome Tax from employee wages. You may be liable for the tax payment, even if you didn't actually withhold the tax. For a Federal EIN number, go online to www.irs.gov. Other Responsibilities of Homeowners: o Code Gompliance: As the permit holder for a construction project, the homeowner is responsible for notifying building officials at the appropriate times, so that the required inspections can be performed. Homeowners are also responsible for resolving any failure to meet code requirements that may be found through inspections. o Property Damage and Liability lnsurance: Homeowners acting as their own contractors should contact their insurance agent to ensure adequate insurance coverage for accidents and omissions, such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be redone. Liability lnsurance must be sufficient to cover injuries to persons on the job site who are not otherwise covered as employees by Workers Compensation lnsurance. o Expertise: Homeowners should make sure they have the skills to act as their own general contractor, and the expertise required to coordinate the work of both rough-in and finish trades. f/propefty_owner adopted 9 -2016 This Copy for Permit