HomeMy WebLinkAboutPermit Electrical 2000-9-27
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DEVELOPMENT SERVICES DEPAIII MEN T f;~l.'Iii~tiL ~ ~,tJ ?25 FIFTH STREET
~ SrnlNGnrw, OR 97477
(541) 726,3753
FAX(S11) 7263689
ELECTRICAL PERHlT APP[;ICA1'ION
ei 'y Job NnmberCX) - DI'-f~ '-/ - 0 I
225 FIFTH STREET
SPRLNGFIELlJ. OREG()N
~NSPECTION nEOUEST,
OFFICE: 726-3759
97477
726-3769
3. COHYU:TK FKR St:llKIJU!.E BKWW
1. LOCATION OF 1lj,STALLATIOll
___Lo.3...!:-1_-P-s -t- _
LEGAL DESCRIl'nON
A. New ResldcnUnl-Sing1e or
HnHi-FamLly per d""lHn!: unit,
Service Included:
Items
Cost
Snm
S 85,00 'i?<)
J
JOB DBS~~N
1000 sq.ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manu f ' d Horne 0 r
Modular Dwelling
Service or Feeder
{'_\~cr-t:
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days,
2. CON'ffiAcrOR INSTALLATION ONLY
S i5.00
S 1,0.00
Services O~ feeders
Installationt Alterations
or Reloc.ation:
ll_
Elec: tric:aI Con trac tonJ ~ (~
Address,L\ c:; -, l:x1n
City Sp~+ld
'-'
Cll-! XY1G
5+-
.L({" 4-105/P
ol~8'-5
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
ReCOIlllect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 1,0.00
Phone
Supervisor License Numue4
Exp.irationDate 10-\,-0\
Cons t r Con tr. Number q S I 2. <i
Expiration Date L{-L+_O~
Tcmpor~r.y Services or. F~eder$
Installation, Alteration or Relocation
e.
200 amps or less I
201 $MpS to 400 amps
OUer 401 to 600 nmps
Over 600 amps or 1000-';oIi:'s
$ 1,0.00 'fO
S 55.00
S 00.00
see "B" ;l.6ove
;:;;l~UPC~i:~C~~ci~l
OTo'llers Name C =<2--'-7 Ch-....~rf:l-
Address /63>tf /I- c::;, +
City Sf 1-(:::, Phone 7'f 1- /3'37
Branch Cjrcuils
D.
Ncv, Altcratioh or Extension P~r Pone-I
One Circuit
Each Addl tlonal
Circuit or vitli Service
ot" Feeuer PeI"mi t
$ 35.00
OIlNER INSTALLA'fION
$ 2.00
The installation is being made on
property I own "hieh is not intended
for sale. lease or rent.
R. Hisc,=llaneo\ls (Service/feed.s-r not 'included)
-Each installation
Pump or irrigation $ 4U.UU
Sign/Outline Lighting $ 1,0,00
Limited Energy/Res S 20.00
Limited Energy/Comm $ J6.00
5. /2<
SUBTOTAL Of ABOVE ->
7%. State Surcharge ~ 'r'
3% Administrative Fee 3"
TOTAL =-~/17 .~~
Owners Signature'
DATH'
RE~IF'I Ii: _c!.5;N
RECEIVED BY:
..- ~l~ 0-.e.1 &-iIIi-L -
.
.
-1 KG =----==----
" ~UC~ENB.ER~
ELECTRICAL CONTRACTORS
.0
COMMERCIAL
_.-
INDUSTRIAL
RESIDENTIAL
746-4656
FAX 746-3855
21 57 DON STREET
SPRINGFIELD, OR 87477
SCOTT .JUSIE' .~ .
RESIDENCE 726-1 34Q.
The following project 8S submitted has the following
zomng, and does not require specific land use
approval.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Date
Zoning L-Dt2--
q -;),1 - em
i<,.J
97.4NlZed Signature
726-3769
~ 1.
LOCATION OF INSTALLATION
/05'1 /Vo~ 4- ~
LEGAL DESCRIPTION
nO-=7Y;~ I f1:+()D G>
. JOB DESCRIPTION
:t-;~D",,,,-o7l? ~ Q,.-f~ W~I~Yv~
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
City
Supervisor
Expiration
r. Number ~
~
............
ture of Supervising Electrician
Constr
Date
Ovners Name Cotl.. '1 ~tlufZ.cl-f/ U
Address, Z-S"17 s<;-b P/cio-
City.s.OYJY1..sfteld Phone 7'1/~/3s 7
OVNER INSTALLATION
The installation' is being made on
property I .ovn vhiCh is not intended
for sale, lease or rent.
DATE: OCrZ-7CTO
RECEIPT I: -Y3/'-(
RECEIVED BY: Ds(
3.
ELECTRICAL PERMIT APPLICATION
City J~b Number OD, b I '-IS'{ -0 I'
COMPLETE FEE SCHEDULE BELO\I
A.
Nev Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items' Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
\ $ 85.00
"s
$ 15.00
. $ 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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less $ 40.00 1-\0
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see liB" above
D.
Branch Circuits
"
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
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.09:,
$ 40.0~
$ 20.090~:;;!:!
$ 36. 0p:J ;:ri t.S .
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