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Home My WebLink AboutPermit Electrical 2007-4-19 r ,. '. CITY OF SPRINGFIELD, OREGON -. 225 FIFTH STREET' SPRINGFIELD, OR 97477' PH:(541)726-3753' FAX: (541)726.3689 ELECTRICAL PERMIT APPLICATION City Job Number c.o fYl ;2.00 5" - Ou ltc{)( IElEC;nRICALPERMI;r:HOSRlffiAL :SRMC LEGAL DESCRIPTION TCCONew Plan Room JOB DESCRIPTION Permits are non-transferable and expire if won< is n01 started within 180 days of issuance or if work is Suspended for 160 deys. 2 ICONJRACTORiINSTALLATION,ONLY Supervisor License Number -625') - S Expiration Date 10 -I - c ) Constr. Contr. Number -;).-;)-/5(' r;/t/() 9, Expiration Date , , Signature of Supervising Elect~ 1;lf22--/Ll <i. 0 Owners Name ECCO Address 3333 Gamefarm Rd, City SprinQfield Phone 747-3134 "~"'CE ;,JJ.l : - HI::..O'rYrR~I~N)*kt[I~~PIRE IF THE WORK I\LJ IHORIZED UNDER THIS PERMIT IS NOT (:'JMMFNCEO OR IS ABANOONEn FOR M.. y~~sr~;9i~n~~"IOD. , Inspection Request 726-3769 TOTAL 3333 &111e.. Mrt1-1 Date: 4/19/07 3. ICOMPLE'!:E'FEESCHEDULE BELOW A. A New Residential- Single or Muiti-Family per dwelling unit. Service Included 1000 sq. ft. or iess. Each additional 500 sq. ft. or portion thereof. $106,00 $19.00 1 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 B. IServicesoriFeeders -lnstallation,A1terationsor:Relocation: 200 Amps or less. 201 Amps to 400 Amps. 401 Amps to 600 Amps. 601 Amps to 1000 Amps. Over 1000 AmpsNolts. Reconnect Only. 0$63.00 o $75.00 0$125.00 0$163.00 o $375.00 $50.00 C. ITemoorarvServices,orFeeders .fl Installation, Alteration or Relocation 200 Amps or less. 201 Amps to 400 Amps. 401 Amps to 600 Amps. Over 600 Amps or 1000 Voits see 'B" above. 1 $50.00 $69.00 $100.00 $50.00 D. IBranch 'Circuits. ____________ New Alteration or Extension Per Panel One Circuit. Each Additional Circuit or with Service or Feeder Permit. 1 $43.00 $43.00 4 $3.00 $12.00 E. l!IIiscellaneous(Servicelfeedernot includedl-'Eachlnstallation Pump or irrigation. $50.00 Sign/Outline Lighting. $50.00 Limited Energy/Residential. $25.00 Limited Energy/Commercial. 1 $45.00 $45.00 Minimum Electric Permit Inspection F~~is $45.00'+ Silrch'afge$'ou to -.- Jj' the Oregon Utilitv 4. I~UBTOTAL(QF.ABOVE ,.c', f1J,!;,S are selfort/il $150.00 7% State Surcharge . '" u ",rough OAR 952'OOl,12.~ $~ 10% Adm~istrative Fe:: '" ".~ ~In caples of the rules by _ $15.0Q. :") ol~ ,\ 0.1.-. ",vl!fJj.re.'e. (Note: the telephone 7. <;0 TOTAL .",..r. ,. ,,18 Oregon Utility Notification ..!.$3.00 ,-,~"tel IS 1 800-3322344). I ~ 'to S"cl ?c( 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone · Ii.. <;a of Springfield Official Receipt _Iopment Services Department Puhlic Works Department Job/Journal Number COM2005-00498 COM2005-00498 COM2005-00498 COM2005-00498 COM2005-00498 COM2005-00498 COM2005-00498 Payments: Type of Payment Check Cash Job/Journal Number COM2005-00498 COM2005-00498 COM2005-00498 COM2005-00498 COM2005-00498 COM2005-00498 COM2005-00498 Payments: Type of Payment Check Cash cReceintl RECEIPT #: Date: 04/24/2007 2200700000000000573 Description Add, Alter, Extend Circ Add, Alter. Extend Circ Ea Add Low Voltage - Commercial Indus + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Temp Power 200 amps or less Paid By EC CLAIR Item Total: Check Number Authorization Received By Batch Number Number How Received Ikw Ikw 19004 In Person In Person Payment Total: Description Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Low Voltage - Commercial Indus + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Temp Power 200 amps or less Paid By EC CLAIR Item Total: Check Number Authorization Received By Batch Number Number How Received Ikw Ikw 19004 In Person In Person Payment Total: Page I ofl 2:49:43PM Amount Due 43.00 12.00 45.00 . 7.50 12.00 15.00 50.00 $184.50 Amount Paid $183.00 $1.50 $184.50 Amount Due 43.00 12.00 45.00 7.50 12.00 15.00 50.00 $184.50 Amount Paid $183.00 $1.50 $184.50 4/24/2007