HomeMy WebLinkAboutPermit Electrical 2008-2-26
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 · FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number CDVl/12fJO<X - DO'? n-r
"'(<'" '''' ~T ~ "
1. . LOCATION OF INSTALLATION:
~ IS' ., S', '~rt.€ sf ':'
LEGAL DESCRIPTION
JOB DESCRIPTION
~"i.u ~LDY"lne.-d-
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
, . .
2, . CONTRACTOR INSTALLATION ONLY
Elec~ical Contractor fJ V V Y Y } I R r O' <; .
Address P 0 b~ 'I ~q 7
City V (lit '(rv,'))'f Phone 1!dJ -17'). Y
Lf7:A]S
ExpiratIOn Date /0 - / 0
/3 ~ tfLl ~
/6 -09
,
Supervisor License Number
Constr Contr Number
ExpiratIOn Date
S nature 0) Supervlsmg Ele72cian ) .~
. 1(\. II I~ _ , }" A . , ; l
~; ~ '~'-...
ersName ~lttiU-- ~~
Address 1,,'5 ~. LtfSy-~
City ~Y'l ~.~ Phone
OWNE~~Mlf&n law requIres you to
The ml~IaW~1Se~tfdEl <IDvpru"aDu)egOlWrl.J.Wityh
IS not ~tf~If0'i\ ~Q;;1UeIisJ~trules are set forth
In OAR 952-001-0010 throuah OAR 952-001-
OwneOO9~nMot:emay obtain CQPI~S of the rules by
calling the center. (Note: the telephone
lIumoer iur lile ures;cJll Ulllf[~1 I'WHflcatlOn
Center is 1-SClO-332-2344),
InspectiOn Request: 726-3769
Date 2-1 Zh lo'l..
I ·
3, . COMPLErEFEESCHEDULEBELOW
, '
ZON
INITIALS
DATE
SOURCE
~x..." <' _ q....~ ~ "' 'Vf -:;~ ..,
A, 'New Residentlal- Single or Multi-Family per dwelling unit,
^, "".... ..~>~1> j ~ 4~ ~ < -..; ... ""
Service Included
1000 sq ft or less
Each additIOnal 500 sq ft or
portion thereof
Each Manufact'd Home or
Modular Dwelhng Service or
Feeder
$117 00
$ 21 00
$55 00
. ,
B, Services ~r Feeders'- Installation, Alterations or Relocation:
" ~ Ii '.<_ .~ -l.~ '>
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsNolts
Reconnect Only
C. Temporary ~ervices or Feeders
".. ~ ~ ,
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above
, , .
D. Branch Cin;uits
New Alteration or Extension Per Panel
One CirCUit
Each AdditIOnal CrrcUlt or wIth
Service or Feeder PermIt
I
$ 70 00
$ 83 00
$138 00
$180 00
$413 00
$ 55 00
S$.d)O
, ~ ','
$ 55 00
$ 76 00
$110 00
$ 48 00
$ 400
E, Miscellaneous (Service/feeder not included) -Each Installation
~ -I .... >- -' ~
Pump or lITigatIOn $ 55 00
Sign/Outlme Lightmg $ 55 00
Limited Energy/Residential $ 28 00
limited Energy/Commercial $ 50 00
Minimum Electric Permit InspectIOn Fee is $50.00 + Surcharges
4. SUBTOlUlfl:OEwOVE,. .s:$".OO
(Z-~ State !~J?~MlrSHALL EXPIRE IF THt WU~K.fAD
~oAdnlW;TtliQ'Rl~D UNDER THIS PERMIII~ r@..~
5% TecluOOMMiNCED OR IS ABANDONED FOR _2:JC:;
ANY 180 DAY PERIOD. I _q t15
TOTAL ~ .~
Shared Dnve(T )/Bulldmg Fonns/Electncal Pennll AppltcatIcln 7-07 doc