Loading...
HomeMy WebLinkAboutPermit Electrical 2007-12-4 ~-;;'''crl~Y 0iSPRINGFU;,LD, ORE6~N,' - -4"'*~ -"'-_~ .n_ ._1"""",_.~_~~ ,< _, v. ~ _....'--"-00-- ~ 225 FlITH STREET. SPRINGFIELD. OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRlCALfERMIT APPLICATION ptyJobNumber Gorn?{)O(? ' ()/lILf5 I. 'LOCATIONOFINSTALlATION: xY<; S- 6'(;;'.jf, '-~? LEGAL DESCRIPTION: If: (J J-, ()L-j 1/ Il L.j(J):J-<) JOB DESCRIPTION: ~J)7 ~/ P~rmits are non-transferable and expire if work is not started'witbitt-Hlll- j,:;: :' :..___", or if work is- Suspended for 180 days. CONTRACTORINS1'ALIATIONONLY 2. _....__. Electrical Contractor :i!r>se ('i1 ~J2.A'f",b>ot. Address <k,/.pS W II-nr ~1r' City~ Phone .h.JJ.p-61l>> Supervisor License Number 5'1'-13 ) q /30/2-008 Expiration Date Constr, Contr, Number 7I":.- 2S;f./ (>'11 b-g Sign71lJrvising Electri' _,_ ~, Owners Name ~_;. ~ Address !( k< <: ,5/',vh 5'/ Ci~j ~ Phone 72-b -- f-t;83 OWNER INSTALLATION Expiration Date The installation is' being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspectioo Request: 726-3769 ";,-.. c.G INITIALS N fV" DATE I d - I 0 - 0-( SOURCE 'NV0 ""i'O.... ZON Date /;) In 2//6'7 3. COMPLEl'E FEE SCHEDULE BELOW A. . New Residential-Single or Multi-Family per dwelling unit. Service Included 1000 sq. ft. or less Each additional 500 "I. ft, or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $117.00 $21.00 $55,00 B. :. Services or Fee(Iers ...."lnsblllation, Alterations or Relocation: 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only c. : Temporary Services or Feeders Installation, Alteration or Relocation 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B"-above. D. Branch Circnits "",;," . New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit ! '7v $ 70.00 $ 83,00 $138.00 $]80.00 $413,00 $ 55.00 $ 55,00 $ 76.00 $11 0.00 $ 48,00 $ 4,00 E. Misc~II~,n,eo,!s (SerY.'",,/feeqer not, incIudeq) -Each Installation Pump or irrigation $ 55.00 Sign/Outline Lighting $ 55.00 Limited Energy/Residential $ 28,00 Limited Energy/Commercial $ 50.00 Mini,mum EI~trlc Permit Inspeetion Fee is 550.00 + Surcharges 4. , SlJ.t>Jv.lALOFABOvE 8% State Surcharge 10% Administrative fee 5% Technology Fee TOTAL :J'0/ , Shared Drive(T:)IBuilding FormslElectrical Permit Application 7..Q7.doc ZON INITIALS DATE SOURCE 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726~3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CO/lll2.0b '" - DI'-iY'S 1~ i'i~'?fL~fj~!~ldf~?i~~~j~ LEG/&gz:..Orq( ( 0 l{ 000 Installation, Alteration or Relocation 200 Amps or less $ 50.00 N,- - 201 Amps to 400 Amps $ 69,00 T. u liCE' 401 Amps to 600 Amps $100.00 HIS . Pf.qp",1T Over 600 Amps or 1000 Volts see "B" above, AUTHORl2 SUA~1i' '<-'~'''''''~'i!!lml'.~I1!J'~' ,"",'1Ili!lll~IiI"m::~,"""~~~~"' "" '. COM ED U.;,ma: ~ '" rCUI!'ii~-9l',,, .;'~5':'lc\;~jl~-",e;( ~,,,,<..: ,",!ii^lijWk'z?~~~"'j .J,.::i~,;L,,~~"'"~ ME IvD '1f:"'~" '.....",.. -""""... '''''''''~_~C'' ANy 18 NCED OR I J'1it8'})~Ii&WrJi'tr(per Panel )t6 o DAY PERin'" Bl1IitQqillMr- IT IS NOr 5-43:00 v"'ich Addi'rlbYmfrpO/f. or With ,..-, ~,f Service or Feeder Permit '\ $/J.OO JOB DESCRIPTION: AJ.[ ~ <:.', vc.....:-tr L St-\. '((" Permits are non.transferable aDd e pire if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. [~II!iiS!tit~~1IflJlI'1l1] Electrical Contractor Address City Phone ~"'/ il O\J/ ! Supervisor License Number Expiration Date 'Constr. Contr, Number Expiration Date Signature of Supervising Electrician Owners Name Eric.. FetrY'" Address '385 C;CVTH St,rH sr City 5f,i(J:,tlield.,O,ephone 72t:- ..'('-/'33 OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature&~ ~ Inspection Request: 726-3769 Date 11- Olc- 07 3. ~~~~lILil~.Jil!L~J~~J!DBJ:t~j~~~ff'Yt~~. ~,:.",,,,,,,,.",,",".,,,~;m"~..,."-_,,,..,,,,,.,",,...-..,,.,,,,,,.~,'--'r.'_,.-,.,_.c_"",,,,,,--,,'!!r"~.)1'~"" ,-,."",,,,,,,,_,_,,,,,--,,.'_,'''~~('LJj':'1I1ilt.~'1il ,,'" -.'" .,,~C',,"'._ '"",''' ,,", """"'~,~,~-,,,,'~.'_.'''''o,,: ,,"'":"". +';:;";Y-;i!~'3i!ii'}'~'''''"-''''' ..,.....'....""".' ,. ,~c>,_,.",", '" 1 ,'" A. ~Ne"mesiileJitia1;'&Siif e~oi',J\tiilI',,"H!riiIT.r'lIwelliiC'unit2 <1 !t":i::il;'liol,;",,,.,-,~~..,,,.,,~~:t;Jt;1~~:ii,,..,;,,..,,~.;,,.,~,,J""'-".",...."''''U.~'it!',;t.1"''''..r.;'-~,p.'.~~'i;j.liif''' ' .., Service Included 1000 sq, ft, or less 'Il . E6ch additional 500 sq. ft, or rl7VL"jortion thereof $ 106,00 $ 19,00 Each Manufact'd Home or IMod,ular Dwelling Service or ( Fe'eder tln"l ,I' .' '!!;t, ~ . IV: fl.._ . "r~"il~'~"'''''R.~"",~",;''",1!rg,\j!'i~...iiii\,'7"'''~'~'''~:'''It'1'1"'i:lt'l'!~"'~"~"~"'I"ti"~ti'" ~{!!l!"""B"'''"''I~''i'''t'''"''"~'''''' I,' , ' .".. C<1S;'ur,"l&l]Je e 'S" II a '!MI" '''~,... ons',or..' e oealOD" ,~ In '/1 -',\. ;"'",'},k;E1>~,l,,,_,- . .. ~li" " '"'''''' ,~~H~"" .J'(~"""",~,\:jt~"'",~~-,"",,,m'W""r :: "rgJ~rTt ' ' " .",' '. ,"""'~.. '~,... ,,~'.., ,,',' .... 0090 1 52,on -, er, II) e Or S You t 70 0 cqlpltOtffi.fWlf 6r~~0 tl) oSe rUle egon u? 0 $.k3':OO ,7 nlJrn~'2iJlt~B'tt84Ilf1il;.~8'?lJgl) o~~e sel,;ltY$ 75.00 ~6fClrrft~~?8f(;t)O(N8~:es Of the 952'n(/;~$I25,OO laFl)ttQplio!fffiJOJ.1..i9P.{he tele/)~lJles bV $163,00 Over 1000 A~_lty NotifidlOf/e $375.00 Reconnect Only 2:344). ql/oll $ 50,00 $50.00 1-lrr~mm"'-~~s~t".,~~=,,,,~,---,-;;,,;w,iW!!l-' "'~.. ~~~'''''''-~. .."'-"'.i!!',t!r,7.,;......--.,..,..~""'_....-' C ~t::":;",;'"'~,,"""i;:-,if-l!;', --.""",,-,C;,i>:f,'t~,\ta:,-"'-rAb'~~' ~ '~. .";"_" - !i4'1,J":;;'.,w" . ~';!0.' ~'\l01',l~...L""!_'"': '" . -liJ-;e:. ra.i." :en!lces;\O:l'k:necuers=,",-i;1"'" n" ""',,c.,~}.,,!.I, '--~'ffi.'""'lI''' '_" "JJlPe""''''j,~"-,,~,-,,,.,-;;',.,E'!ilio;:;>,~~'''~k'8i!}'"'''''''' """"j~,~.'ikiif,l:!';2!"1li@FjffiEl',,;~g ,~c:::. E. ~)Nif~'~iii'ft~~t1~f~~~~i~llufdV~'t>ijf~froo1d~~~ln~lli~trllitwt]~ r::~""-""''''''''#'''-\--';'''';ili:t~~~~mt~~~.l!t'''',.''''j',"O;:';;'''/i';.t;:';';'-s.-;l!C,..i"~~ Pump or irrigation $ 50,00 Sign/Outline Lighting $ 50,00 Limited Energy/Residential $ 25,00 Limited Energy/Commercial $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~,' ;",,":P";~t\;'''V;''~'\-';!?'''','_:.4'''.';!),'i'W..~~t.~~i,L'~;!!!l,',.;>li>,,-".",",Xil.-:.',~"',:'%IJ,'~.;i.'\'f'"iif,--,j 9 4. '~~f~112~~1lL~~~~~I'i~~~[~i~:tlil~~ 0 8% State Surcharge 720 10% Administrative Fee " 5% Technology Fee If jD TOTAL 110 ~ Shared Drive(T:)lBuilding Forms/Electrical Permit Application 8-06,doc