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CITY OF SPRINGFIELD, OREGON
225 Fifth St, Springfield OR 97477 (541) 726-3753
permitcenter@springfield-or.gov
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ELECTRICAL PERMIT APPLICATION
PERMIT #: Qb—ID j cj Cj DATE: 1011,J 07--.I
Online at BuildingPermits.Oregon.Gov
This permit is issued under OAR 918-309-0000. Permits are nontransferable.
Permits expire if work is not started within 180 d
CATEGORY OF CONSTRUCTION
® Residential ❑ Commercial ❑Government
JOB SITE LOCATION
Job site address: 416 South S Street Ste/bldg/apt:
City/State/Zip: Springfield, Oregon 97477
Map/Tax Lot #:
DESCRIPTION OF WORK
Building an ADU. Building Permit 20-001510 DWL
PROPERTY OWNER
Name: Mark Brandt
Add ress:416 South S Street
City/state/Zip: Springfield, Oregon 97477
Phone:
Email:
This instillation 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 479.540(1) and 479.560(1).
Owner Signature:
CONTRACTOR INFORMATION
Business name: First Light Electric
Address: 3385 Olympic Street
City/State/Zip: Springfield, Oregon 97478
Phone:541-735-3181
Email: carole@firstlightoregon.com
CCB License #: 179416 BCD license #: C-361
Signing supervisor's license #:5874S
Print name of signing supervisor: Johl Brock
Signature of signing supervisor: 54.&
Last edited 06/06/22 KN
ays of issuance or if work is suspended for 180 days.
FEE SCHEDULE () _ # of inspections
NEW RESIDENTIAL per unit
Qty
FEE
TOTAL
1,000 sqft or less (4)
$198.00
$
Each addtl 500 sqft or potion thereof
$39.00
$
Limited energy (2)
$47.25
$
Each manufactured home or modular
dwelling service or feeder (2)
$94.50
$
SERVICES OR FEEDERS: installation, alteration, relocation
200 amps or less (2)
$120.00
$
201 to 400 amps (2)
$140.00
$
401 to 600 amps (2)
$236.00
$
601 to 1000 amps (2)
$304.50
$
Over 1000 amps or volts (2)
$697.00
$
Reconnect only (2)
$94.50
Is
TEMPORARY SERVICES OR FEEDERS: installation, alteration, relocation
200 amps or less (2)
$94.50
Is
201 to 400 amps (2)
$130.00
Is
401 to 600 amps (2)
$189.00
$
601 to 1000 amps (2)
$250.00
Is
BRANCH CIRCUITS: new, alteration, extension per panel
Branch circuit with purchase of a service or feeder
Each branch circuit 1
$8.40
$
Branch circuit without purchase of a service or feeder
First branch circuit (2)
$94.50 $
Each addtl branch circuit
1$8.40
Is
MISCELLANEOUS FEES: service or feeder not included
Each pump or irrigation circle (2)
$94.50
$
Each sign or outline lighting (2)
$94.50
$
Signal circuit or limited -energy panel
alteration, or extenstion (2)
$94.50
$
ELECTRICAL PERMIT FEES
Subtotal (minimum permit fee $109.00)
$
State surcharge 12%
$
Technology Fee 5%
$
TOTAL PERMIT FEE ,$
Plan review required for the following: Fire pump, Emergency system, Addition of new motor load of 100HP or more, Patient area healthcare facility, Hazardous locations, RV
parks, 6 or more residential units, Supply over 600 volts nominal, Building over 3 stories, Service or feeder 600 amps or over, Commercial use agricultural buildings, Insallation
of 150KVA or larger separately derived system, "A" "E" 1-2" "1-3" occupancy, Service or feeder 400 amps or more where the available fault current exceeds 10,000 amps at 150
volts or less to ground or exceeds 14,000 amps for all the other installations