HomeMy WebLinkAboutPermit Electrical 2001-12-20
"
The fOliO. in project as submitted has the following
zoning, as not require specific land use
approval.
225 FIFTH STREET . 1 r I
Zoning 11
SPRINGFIELD, OREGON ::477___ \';)!..ao.!Dl ~. . '_
INSPECTION REQ1JEll'l:. '.V-. 'VJ '-r-.l"" { ~"J ,Db Number 0 I 0 / '3 Cf L( -0 I
OFFICE: 726-3759 Authorized Signalure ~l
. COMPLETE FEE SCHEDULE BELOW
ELEC& PERMIT APPLICATION
I. LOCATION OF INSTALLATION
/'7/)/ S. A
LEGAL DESCRIPTIO)l
/70'3" GO 0
6booO
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
JOB DESCRJPTION
insfa/f ."5f'rflnrU
/
PennilS are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$106.00
$ 19.00
$ 50.00
2. CONTRACTORINSTALLATIONONLY B.
Electrical Contractor Son/fr/l I Sf'.cUYHy
Address '748 GtJ?Jd fb<;/'.uy pIs, Rd.
City ~A~..P Phone 40/-5'b78
Supervisor License Number -. 3215 JLe
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
20 I amps to 400 amps
40 I amps to 600 amps
60 I amps to 1000 amps
Over 1000 ampslvolts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375:00
$ 50.00
Expiration Date
/0-1- 02
Constr Contr. Number (oJ:) /4 q
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
7-D4
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts see
liB II above
$50.00
$69.00
$100.00
$43. 00
Each Additional Circuit or with Service
or Feeder Pennit $ 3.00
Owners Signature:
1~7<
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$50.00
$50.00
$25.00
.....L. $45.00 ~
The installation is being made on
property I own which is not intended
for sale, lease or rent.
']:90: (13IHS\J::1
00'(; $:39N\!H8
DO'S(; $ ']:
SL'B(; $ (;:083(1 lW~
1:00(; so :J3a:31~a
SG~LDOO-,]:0:#SN\!(11
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
5. SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrative Fee
460V
315
,,\&0
TOTAL
(51,75 ~