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Home My WebLink AboutPermit Electrical 2020-03-09OREGON Web Address: www.springfield-or. gov Building Permit Residentia I Electrical Permit Number: 81 f -2O-OOO455-ELEC IVR Number: 811050165048 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 Email Address : permitcenter@springfield-or.9ov SPRINGTIELD tb Permit Issued: March 09, 2020 TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: rewiring closet Type of Work: Alteration JOB SITE INFORMATION Worksite Address 557 CARDINAL WAY Springfield, OR 97477 Parcel L70322L204900 Owner Address: FRANZCODYB&MELISSA J 557 CARDINAL WAY SPRINGFIELD, OR 97477 LICENSED PROFESSIONAL INFORMATION Business Name STEVAN DOUGLAS CLARK - Primary License ccB License Number 225946 Phone s41-556-0657 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 SCHEDULI NG 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: 811050165048 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 180 Days or longer depending on the issuing agency's policy, All provlsions 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 regutating 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-OOt-OO10 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 7O1.O1O (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693'O1O-O2O (Plumbing)' printed on: 3/9/20 page 1 of 2 C:\myReports/reports//production/01 STANDARD Permit Number: 81 1-20-OO0455-ELEC 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) Quantity Total Fees: Fee Amount $13.00 $89.00 $5. 10 $t2.24 $ 119.34 1 Printed oil 3/9/20 Page 2 of 2 C: \myReports/reports//production/01 STAN DARD PERMIT FEES SPRINGFIELD b Transaction Receipt 81 1 -20-000455-ELEC lVR Number: 81 1050165048 Receipt Number: 474045 Receipt Date: 3/9/20 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 perm itcenter@spri n gfi eld -or. 9ovOREGON www.springfield-or. gov Worksite address: 557 CARDINAL WAY, Springfield, OR97477 Parccl: 1703221204900 Fees Paid Account codeTransaction Units date 3tgt20 1.00 Oty 3t9t20 'l .00 Automatic 3t9120 319t20 1.00 Ea 1.00 Automatic Technology Fee Description Branch circuits without service or feeder Balance of minimum permit fees - electrical State of Oregon Surcharge - Elec (12o/o oI applicable fees) 224-00000-4261 02- 1 033 224-00000-4261 02- "1 033 82 1 -00000-2 1 5004-0000 20 4 -00000 -42560 5-0000 Fee amount $89.00 $13.00 $12.24 $5 10 Paid amount $89.00 $13.00 $12.24 $5.1 0 Payment Method Credit card authorization: 01 561 2 Payer: Steven Clark Payment Amount:$1 19.34 Cashier: Carolyn Goodman Receipt Total:$119.34 Printed: 3/9/20 9:57 am Page 1 of 1 Fl N_Transaction ReceiPt-Pr r-. y' CITY OF SPRINGFIBLD, OREGON Electrical Permit lication 225 Fifth Street.Springfield, OR 97477rPH(S4l)726-3753.FAX(541)726-3689 This permit is issued under OAR 9lE-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days ofissuance or ifwork is suspended for 180 days. SPRIHGFIELO cn {a DEPARTMENT USE ONLY permirno.: 2ct - 0o oYTf4 Date:1 9 P LOCAL GOVERNMENT APPROVAL FEE SCHEDULE Zorurgapproval verified? flYes E No Number of inspections per item ( ) Cost Total costea. CATEGORY OF CONSTRUCTION Residential, per unit, service included: fr Residential I Government E Commercial 1,000 sq. ft. or less (4)$186.00 $JOB SITE INFORMATION AND LOCATION Job site address 5-uJ Each additional 500 sq. ft. or portion thereof $36.00 s city: Spf lI State:Of zrP: f >n1l Limited energy (2)$44.00 $ Each manufactured home or modular dwelling service or feeder (2)$89.00 $ DESCRIPTION OF WORK 5uJ LI t rI-S ,nZ Urlrfl Services or feeders: in st a I I ati otr, a lteration, r e I o cation I (_ c 2*;t(s L,Jl fib R*-/tt,200 amps or less (2)$l12.00 $ OWNER 201 ro 400 amps (2)$131.00 $ Name:2_401 to 600 amps (2)s221.00 $ Address:J i.601 ro 1,000 amps (2)$285.00 $ )State: Q ZIP:1 v Over 1.000 amps or volts (2)$654.00 $ Phone:Fax:Reconnect only (2)$E9.00 $ E-mail:Temporary services or feeders: installation, alteration, relocation 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(l ). Signature: 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 CONTRACTOR INSTALLATION Branch circuits: new, alteration, extension per panel Businessname:f /Xll?s F /<tt,a. Fee for branch circuits with purchase ofa service or feeder fee: I Address:L luA ST Each branch circuit $8.00 $ City:State:O/ZIP:b. Fee for branch circuits without purchase ofa service or feeder fee Phone:-o s Fax First branch circuit (2)I $89.00 $ B.I E-mail:ir lotMail- caa<Each additional branch circuit $8.00 $ ccs ti""rr. it .,)A*'/L BCD license no.Miscellaneous feesl. seruice orfeeder not included Signing supervisor's license no.Each pump or irrigation circle (2) Print name of I eOk^/Each sign or outline lighting (2) Signature of signing supervisor: Signal circuit or a limited-energy pancl, alteration, or extension (2) s89.00 s $89.00 s $89.00 $ Each additional inspection: ( I )$102.00 $ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00) $ (oL (B) Enter 12%o surcharge (.12 x [A])s i2 .7'( (C) Technology Fee (5% of [A])$ f./o TOTAL fees and surcharges (A through D):$ // 1,7e Last edited 7/l/2019 BJones Taxlot.: