HomeMy WebLinkAboutPermit Electrical 2002-7-16
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
6iV
ELE,- _.dCAL PERMIT APPLICATION
City Joh Numher .
()2.()~7q() ~O (
3, COMPLETE FEE SCHEDULE BELOW
1t 12., c.f>
1. LOCATION OF INSTALLATION
SO&J W c:B.trENt\J1 At r:1U).f) A. New Residential-Single or
~Op ~ LNO,/ RooM Multi-Family per dwelIing unit.
LEGAL DESCRIPTION Service Included:
I) 7 c 3 Z 7 r..t 3. 0 <<tv 0 0 \o\\O\Jlli(\g
\\'O.s \\\e 0 use
. nl'l'i\\eO \\iC \'0.(\
JOB DESCRIPTION 'ec\ a.s 51) ,(d s\,>OC 1000 s. ,ft. or less
Pf:P lAeE' 22~.\:y~Q\ Btts~ ~ ,c 1 additio~al 500
I'n ~ (1.("1(\ B s r portion
(\,(\9
Permits are non-transfel~\5t<lliffi e~\~~ /(,,,,-() ~ there
if work is not started within 180 d~ys 'J..:.:-::--. ach Manufd Home or
of issuance or if work is suspend~ "'Ie"-:- Modular Dwelling
180 days. p'O.\e . eO SIgna.\\) Service or Feeder
{Av\\\otfl-
2. CONTRACTOR INST ALLA nON ON"L Y
Items Cost
SUl:n
$106.00
$ 19,00
$ 50.00
EIectricatContractor Beacon Electric
B. Serviccs or Feedcrs
Installation, Alterations or
Relocation:
Address 2585 Roosevelt Blvd
City Eugene
Phone 541-461-0291
200 amps or less
20] amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps .'
Over 1 000 arpps(v~tS;,)"
Reconnept Only. ;-
$ 63,00
I $ 75,00 7S..1JO
$125,00
$163,00
$375,00
$ 50,00
Supervisor License Number 3485 S
Expiration Date 1 0/ 0 1 / 04
Constr Contr. Number 38497
. ,--,- .
.,.,,- .-_. " __ " 'co ~; c " -~
C:tcmpol<arY ScIiltes'orF,'cetIets\
. . :. Installation, Ait~~'ation: or. RelOdtt!on
'.~-:". ',,' ~ ., ,',"'0_," ~ ....,>_<:>\
, .
CaJl13JtJIAi. ~
Address C;(l~ r~kJ8ttL. BLVD
City $'Pro 0 e Phone 747- 2JJ4S
'.' 200.anll1S orJess "
" ,>".. 201amps tQ';!_~nmtJ$, i:'
, ~30\\'h "'Oyeli:401 to (lOo:athJ.:>s '
".~ ~\'n~OV~J.>pOg\ ahlp~ or 1000 volts see
liB" above
$50,00
$69,00
$100,00
Expiration Date 01 /1 0/04
Signature of Supervising EIcctrician
~:.
D. Branch Circuits
New Alteration or Extension Per Panel
Owncrs Signature:
One Circuit .
t', li"\\,
\..,'v't't'\;';,
Each Additional Circuit,l:tJ\wifrr~Sewi~
.:<._"~ ":~?, ~ _ <': i~'~;\,'>'~\-?' c~: ,"~ ';:,:~ '"
or F~ed'#'".R.et1.!l1t.<,;:~ ~j"~ \~\~\) ..
\~J, ""':. ~ ",,: \;\E:;'\l ~\~,:.. t~ ~
....-~t:,:,\,_' -~ "'~'~: (;i>i' , ~:_) ~\'" J",
E. Misccllane~l..~(~~~eo/f~.~Y~~~Q~~~!Uded)
-Each li~~t~~~~\~" V-v" ~p
Pump Oflc-l.trMl~~;m
s ign/Outftit~\tLigh ting
Limited Energy/Res
Limited Energy/Comm
OWNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
$50,00
$50,00
$25,00
$45.00
Minimum Electric Permit Inspection Fce is $45.00 + Surchargcs
TOTAL
4. SUBTOTAL OF ABOVE
7% Statc Surchargc ...........
8% Administrative Fce
l.