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Home My WebLink AboutPermit Electrical 2020-03-09OREGON web Address: www.springfaeld-or. gov Building Permit Residential Electrical Permit Number: 81 1-2O-OOO453-ELEC IvR Number: 811080794675 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 Email Address : permitcenter@springfield-or.9ov SPRINGFIELD gfi Permit Issued: March 09, 2020 TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: 200A Service Type of Work: Alteration JOB SITE INFORI,IATION Worksite Address 493 WOODLANE DR Springfield, OR 97477 Parcel t703262tO3607 Owner: Address: HARCLERODE ESTHER M & ANDREWS GRAYSON Z 493 WOODLANE DR SPRINGFIELD, OR 97477 LICENSED PROFESSIOI{AL IN FORIIIATION Business Name SEE PROPERTY OWNER INFORMATION - Primary License Owner (Property) License Number OWNER Phone PENDING INSPECTIONS Inspection 4999 Final Electrical 4220 Electrical Service Inspectaon Group Elec Res Elec Res Inspection Status 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. Schedule or track inspections at www.buildingpermits'oregon'gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811080794675 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 18o 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' GrantingofapermitdoesnotPresumetogiveauthoritytoviolateorcanceltheprovisionsofanyotherstateorlocallaw regulating constructlon or th€ performance of construction' ATTENTTON: 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 miy obtain coPles of the rules by Galling the center at (5o3) 232-t947. AllpeEonsorentitiesperformingwolkunderthispermltarcrequiredtobelicensed (Structural/i4echanical), oRS 47i'540 (Electrical), and oRS 693'o1o-o20 (Plumbing) Printed on: 3/9/20 Page 1 of 2 unless exempted bY oRs 701.010 c:\myReports/reports//prcduction/o1 sTAN DARD / SPRINGFIELD (fi Transaction Receipt 81 1 -20-000453-ELEC IVR Number: 81 1080794675 Receipt Number: 474043 Receipt Date: 3/9/20 OREGON www.springf ield-or.gov Worksite address: 493 WOODLANE DR, Springfield, OR97477 Parcel: 1 7032621 03607 Fees Paid Account codeTransaction Units date 319120 1.00 Ea 3t9120 'l .00 Ea 3t9t20 Description Services 200 amps or less State of Oregon Surcharge - Elec (12o/o oI applicable fees) 'l.00 Automatic Technology Fee 224-00000-4261 02- 1 033 821 -00000-21 5004-0000 204-00000-42s605-0000 Fee amount $1 12.00 $13.44 $5.60 Paid amount $112.00 $13.44 $5.60 Payment Method: Check number:300 Payer: HARCLERODE ESTHER M & ANDREWS GRAYSON Z Payment Amount:$13't.04 Cashier: Chris Carpenter Receipt Total:$r 31.04 Printed: 3/9/20 8:38 am Page 1 of 1 F I N_Tra nsaction ReceiptJrr I City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 permitcenter@spri n gfi eld -or. gov TY OF SPRINGF IELD, OREGONCI Electri caI Permi t Iication 225 Fifth Streeto Springfield, Onglln . PH(s4t)726_37s3. FAX(541)726_368} This permit is issued under OAR 918_309_0000. permits days of issuarce or if work i, ,rrp.naJioijio a"rr. 3P&I,h'GFIELD are nontransferable. Permits expire if work is not started within Ig0 Nunrber of per itern Qty.Cost Residential, per unit, service included: 1,000 sq. ft. or less (4)$186.00 $ Each additional 500 sq. f,. 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: installation,alteration, re I ocation 200 amps or less (2)I $l r2.00 $ ltz 201 to 400 amps (2)$13r.00 $ 401 to 600 amps (2)s22r.00 $ 601 to 1,000 amps (2)$28s.00 $ Over 1,000 amps or volts (2)s654.00 $ 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, olteration, 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: service or feeder not 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 $ Each additional inspection: (l)$102.00 $ USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00)$uz (B) Enter l2oZ surcharge (.12 x [A])$13" (C) Technology Fee (s% of [A])s 5.b TOTAL fees and surcharges (A through D):$a DEPARTMENT USE ONL Y Permit no. C)EDate: Zoning approval verifi ed?E Y"s nNo CATEGORY OF MResidential ! Government flCommercial SITE D Job site address: tql L Dr Ciry: 5p",rfrrll State: Qf ztp: Qz(72 Taxlot.: OF Name Address 3 e City:State: 0 zIP: ?7477 Phone:3Ltz Fax E-mail:ncll.un ALLATION Business name Address City State:ZIP Phone:Fax: E-mail CCB license no.BCD license no. Print name of Last edited 1lll20l9 BJones Signing supervisor's license no.: Signature of signing supervisor: FEE 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 following statement before a building permit can be issued. (ORS 701.325 l2ll This statement is required for residential building, electrical, mechanical, Licensed architect and engineer applicants, exempt from licensing under and plumbing Permits. 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 otfice issuing this Building Permit. I have read and understand the lnformation and I hereby certify that the information on Notice to Homeowners About Gonstruction Res pons i bilities' this homeowner statement is true and accurate. Tozo Date 6-fon /n-< Print Name of Applicant of Permit #:-o s Address: lssued by:Date: q ?A This Copy for Permit Offices M d A-V--e-- 4N Qtqn 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 lnsurance 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 Compliance: 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/property_owner adopted 9- 20 16 This Copy for Permit