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HomeMy WebLinkAboutPermit Electrical 2006-6-28 SP~'EL.DD --:--l ". . ZON L-D'2- ~~'?f;:;l INITIAL . ~. '";\ ~~~ DATE q\2rd~....._ . ilJi!!:'l",'. YA1' " SOURCE, 5 225 FIFTH STREET. SPRINCFIELD, OR 97477 . PH,(54t)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CO"'^ Zc.:>OG - 60 8'1 Z , .' _ _~.~~ r', .' "':""> ,,;.~. '1" ~.,_;",. .."', '-'~:-I"ft, 1. ,LOCATION ORINSTALEATION,; ':::;/';';',', (1~(~?J: "~~~t,~\~ LEGAL DESCRIPTION' U f703"3 S-<{2. OJ )O"C JOB DESCRIPTION kd,( --; CA r'""c........ ~h Permits are non~transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. . '''-'-' .~ ,...." r, _ ~.~. _",,- . .~, 1 -,-"_"'~'_" ,."." 'v"'-i;' . 2 "CONT]U.CnjR,IN$TALUTjo,N OilLY~ . -.' ~ :"_.' ._' "~_,__"~;'_,""",r..~,,_,,~_,,,,;',,~_"~,,,;i';';'_"~"0#__""_'" Address / City // Supervisor License Number/' Expiration Date 7 \ Signarure Supervising Electrician Owners Name -3flSL.,. b~~1 Address Ojc;r~ 4- ~, City ~ Phone 911-5:;l..D~r.,~17 OWNER INST ALLA nON The installation is being made on property 1 own which is not intended for sale, lease or rent. 1f1:75JI.- ., Inspection Request: 726-3769 Date iz.f' k6 ," .._ ,,~<>_. _.. _....."?~,__. ". ....,-',_.(:".... ....'"\t.. '.' ../n,~,,,. p. .' ," , ". , 'Y' ."'~' .~ - ~ 3. ',COMPLETE'FEESCHEDVL'E BELOW: ;:~,,:: ,:,::,; ';,~7:";" k~"":;;',~r.,,,:,.,,~"... ~""-"'.,-':':":_~,'"wkJ._'.,,, : It):.;!,,., ....:.. .,.:.1 ." ~.,":"~';.' :....,.. .:" ....1,_..;:J. _.:. -:'1: 'L':' :;;.': .,;'( ",.~t:..~~-t,'-.: (,.: "-/'"'L:'l'F'.^!"" 'f",,'~ "'-!:'-;--,,':"~",-;-':" "'(~'f ,,":,1' ~ ,'_- .... "_' _.......~,. ;" -,"-,":':,"P A. _~~Nt:~v'Resid'e~ti?J.2,~ingle~ or.MLifti.F:a"u~ly per".d.well'ing',~n~t.]:.' ': .,.._",' _'. .>'A.,.. _J.-~ .U::~ ..__..~ ~"I."- .'~.. _....."',_~__M......l".._..... ~..~___, --..,_,ol>~ Service Included 1000 sq, ft. or less $106,00 Each additional 500 sq, ft, or portion thereof $ 19,00 , es'lOu ev Each Ma~uj;lfp~dlJlelofJC\UI( n \Jtilit-/ t.;Tl~ra~\1Je!lin~~Y\\ice .Qrego et lortl'a $5000 F -,' '5 adOPl" , leS are s ' . lo\\G'.q~"w, er lhose ru 952-UU'- "lication,cent<';"TntoUgQPf:.H;, i"<:.til1-'-.-".:..' ,"'" -..",:".,: ~CB. . SesyloS~b~'JFC('r;t~!s.~ rnst~\lam)l1\lAlte~atio_nso~, ~elocati~n:,:;: In O~I'\f~~ '(;\iiy' dbtalfl'CO?~:-~~e te\e(lhOfJe ..' ,_,,~,.'"C"__~ 009z~0 AmR~~diis?r, (NOt\J~\lit'l NotijicatlO1ll $ 63,00 . C<' IflY , , C\(poon' ) 2'n\\JitpmrW"'40tyAiiiBu_332-2344 . $ 75.00 n~OI AnlPSltO'600 A;i?ps $125,00 60 I Amps to 1000 Amps $163.00 Over 1000 AmpsNolts $375,00 Reconnect Only $ 50,00 f,::" "'C '.,'t~:~ ~ ",~~,:-t"'j"~'~f'::~"Z",~,;"," ~'11 ""en>.r 'l.'';;-'i>!'>:'fi',t:!:',;;, ";-;?', ",;' :;'7'"L'':)../;r\'F'': 17 C. ~ 1: crp.pp;r:a ry';S~rYI(~~~" Of.:F ~~~~,~r~.::~;~:I~;:J',>~{,;<fj,':'~~;;,,~<,,?~';'i! ,:; -,;, ,J,. .".,,,"",_.,, ."-l''''',,.(,~,,,, _...~"~","",..w,.~..,jt::"J.t:.'''".~~>, "",~'"~ '..' -,'.~~ Installation, Alteration or Relocation, 200 Amps or less 201 Amps to 400 Amps . 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above, ~ . ':~' ,,: ,;, ,. ,. , ~:.~I'I'.:'~,\':;J?"'i~Y:;7'~-" '1I~' ,: ''-'~ti;j~' "r:.y~ ',;,'i/" ,~.-'-;\~ D "',Branch.Circuits';,;, "",Y'", ,':.1?,'"_1~"'J;~rv,,F:~" </':" ,;:r<,r, . ;;_,,,;,,,,~~ :~~, ..;......._ ~ ,.,~,h~;::-L';;~" ,'" ,'.:~;;"t~.';": ..:.~~~L_'1_;:l'::';" ~:f.' ,:;" .", $ 50,00 $ 69,00 $100,00 New Alteration or Extension Per Panel "One Circuit I $ 43,00 Lt '? ,cm Each Additional Circuit or with -/ /. 6 \ '. ServIce or Feeder PermIt b $ 3,00 - L_ E.;c~1~~]gi~\!i~~~\~~fi~5iP#a~ilfcllh1&1~~~ I;:h~'ii;;;-;~ii; ,"-',. ii:lh'R cr\i[zHrUNDER nHS"p EH WriT- \ S'N Ot',;;,.. _.de" ,-", Puml{,'{lj~.'i'i\~li.tiYED OR IS ABANDONED l$QlO,oo Signl~l'I\iIlfLlljgt)\ingPERIO[). $ 50,00 Limited EnergylResidential $ 25,00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges '.;";" '_,/:,," ,~",.",,~,. ,"",,';:'\~'r;'~~"~'_V"r..,""" ,~."~..,,,,~:~ 4. R'SURTOiAi"bP,ABOvi:Y :;',V:'; ~.'t:<;':' ,'.i'..... ,,;_~:.!.J~;..'t.'i_~ ;:.;.,';;! ;:";-,,,:., . ::-~.'-''-. b( 1(5f? &,/V 71 ~ 8% State Surcharge 10% Administrative Fee TOTAL Shared Drivc(T:)/Building FOl1ns/Electrical Permit Application l-Q6.doc