HomeMy WebLinkAboutPermit Electrical 2000-11-2
The following project as submitted has the following
zoning, and does not require specific land use
approval, ' .l.J) /l;
Zoning
/I-C).- q-z}
~
225 FIFTH STREET
SPRINGFIELD, OREGON 974fl1te
INSPECTION REQUEST: 72~a;Z6~d Signature
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
61d:1:tJ ~lU1(1 S - W
LEGAL DESCRIPTION
, 'bO '-I ooc:::::. 0070 0
JOB DESCRIPTION
5c:-1t,n u.-' Ar'IJOl",oNS.
Permits .re non-transferable and expire
if work is not started wi thin 180 days,
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contractor~ ~~
AddresstD &>0 4'62- ' ~ V
Ci tklmiJ/l U+:J Phone 0f1~ - ~~~
Supervisor License Number ~~~
Ib/ 01-0'
Cons t r Con t r. Number :Jl) .-lfb7::J V
Expiration Date
, Expiration Date t../)~ 6/:::-'B./ "
. Signature tf2 ViS~:ian..- ..
G,/"" 'D
Owners Name l o""''''..dJ l$(2os.. /wJ'l::'---.os.-bt<; ,.
J
PO e~X g,
Phone '53? -2(3/
Address
Ci ty ~r-c-Il
OVNER INSTALLATION
The installation is being made ,on
property I ~wn whi~h is not 'intended
for sale, lease or rent. '
. Owners Signature:
---------------------------------------
DATE: II 02.00
RECEIPT #: 3b'17
RECEIVED BY: ~{{
ELECTRICAL PERMIT APPLICATION
r.; t'y Job Number 0 Q ~ 0 I b Zz. -0 I
3. COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each' Manuf'd Home. or
Modular'Dwelling
Service or Feeder $ 40.00
.B.
Services or Feeders
Installation, Alterations
.or Relocation:
200 amps or less
,201 amps to 400 amps
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Sum
I
,
so~
$ 50.00
$ 60.00
$100.00
$13.0.00
$300.00
$, 40.00
~
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
.
200 amps' "OT less
201 amps to 400 amps
,-.. Oyer -.401, .to..,600,amps
Over 600 amps or 1000
volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above'
,.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation ~
Pump or irrigation $40.00 -1=:;:1
Sign/Outline Lighting $ 40. 00 ~.v ~
Limited Energy/Res $ 20.00 g~~ ,J
Limi ted Energy/Comm $ 3~0 .. = ..
v:r:;.v t...:l.J;l n
OJ <... ~ .
IJ l~ ~ I
5. SUBTOTAL OF ABOVE (, IT' ~ ~ f3 g
'7%' State Surcharge 7~~ [1 r".) 8
~% Administrative Fee --'O<ei1. 00-.
M j1; rp " 0 -.1
TOTAL '$ 121 ~OO.-.1