HomeMy WebLinkAboutPermit Electrical 1998-8-7
-.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Tho lollowing prole::! Qlj .~brn1tlad,l"'" tho folk
zoning, end does not rQQ,lJlr9 Bpedhc Isod use
approval, ,
ZOning_l-\)(\,-
Dale ~-l- q'ti ,__
97477 - . ('\/;>0 /
726_3ffllj'orlzed 51g0<1I"ro \ 0'-"
3 . COMPLETE FEE SCHEDULE BELOll
ELECTRICAL PERKIT p[PLICATION
Cay Job Number l\ ~OM~
1. \ ~~T~N ~F AS~'{fIg~ +-
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
lJ:G...AJ... ~~PTION CrY)
\l{)"\,~\ 0\<'<-
~ JOB DESCRJ!P'III~ 1\ "..l) fI . 1000 sq. ft. or less
,t:.Q r\il NJ. \ ^ . )~I ~'" IJ.-/ AI" Each additional 500
/ ~ '11'0", sq. ft or portion
Permits are non-tLan erable and expi~ rl~~ thereof
if work is not started within 180 d~~ ~~~ ~:'Each Manuf'd Home or
of issuance or if work is suspend~!~ ~~~ Modular Dwelling
180 days. "l 04t4t ~<~ c.S'.0ervice or Feeder
'ty ~IjIC '() U '-"((
2. CONTRACTOR INSTALLATION ONLY 16',,() ~q" ~~~_s or Feeders
,q '''Iy~ ~t ~l~j.on, Alterations
Electrical Contractor I~~~. ~~ ~~ ~~~at~~:
1110, "" 11/0 q) '-"1jI", <:'-9". '(:'IA. l QQ
Address it, ~/~c. ,rftl. "v..0 ' 200 v.o...~ '~,_{mA $ 50.00
. ()1 q"" &.~ - .. a'n~", 1~,;"""l'A-
VU.9q, 'Y.9s lIe ~QOtJt.-YO/)/. 201 ampS"M ~ amps $ 60.00
~'/Ji~YF'O" &/}t&. 6(1" q""" 401 amps t'<9 60'0 amps $100.00
lilt ~/},gt. 0<1 r.qo' II) '>/1)& 69ft/" 601 amps to 1000 amps $130.00
Supervisor License ~4s);i};??&~~~~~,1. Or&~ &,sJl:;;er 1000 amps/volts $300.00
e or~ It&r ;;~O 1I,g1) &,sq O/}&&;a'onnect Only $ 40.00
Expiration Date / r)&?f. ,~("(lIIn :Oie.~_ 0,q;:{6,s&t.16iy
/ T. YO/) '\':tl) vItI) ~S<? ~orary Services or Feeders
Constr Contr. Number ;:t ()-;9'IliJt;%.~t6/6;'V/e.'%~tallation, Alteration or Relocation
'<..~ VOt/~' ~O/} oS 6y
Expiration Date /0/ <} 9 -"'1 1~<1tl 6 200 amps"or less $ 40.00
/ o/} 201 amps to 400 amps $ 55.00
Sign~t re of Supervising Electrician Over 401 to 600 amps $ 80.00
./ ' L/ /') .p?- Over 600 amps or 1000 volts see "B" above
/ /. O..-V' x..-R J. / -#' i'tA' ~
~. . (J .0../ J1)." D. Branch Circui ts . ,"
Owner~Nam J ~ [~. ~
, - ~ f\^~ew, Alteration or Extension Per Panel
"d~ u . .uutliN>-
All (..-c n One Circuit $ 35.00
City 1'~ Phone (\~ .~' Each Additional
I j Circuit or with Service
o l1NSTALLATION or Feeder Permi t
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
City
$
2.00
Owners Signature:
E. ~cellaneous (Service/feeder
;~Each installation
, 'Pump or irrigation
~ Sign/Outline Lighting
",.to, Limi ted Energy/Res
~ Limited Energy/Comm
no t included)
The installation is being made on
property I own which is not intended
for sale, lease or rent.
~i~:;::b#~~~:~;';'
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$ 36.00
l i)().cD
- cr. yI")
'-.'<'-4 .'b9J
40.00
40.00
20.00