HomeMy WebLinkAboutPermit Electrical 2004-4-7
~
,
CITY OF S. .dNGFIELD. OREGON .
, "
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F~f!~Jill1WJ1W:tassUbmjttedhasthefollowing
(t, tffll1lifnot reqUire specific land
ELECTRICAL PERMIT APPLICATION approval use
City Job Number Cc~"2.!:X:l~.'C I Z:'2.%ate d,-"1 - 06,- Zoning l!..~ ,
Dale 4-8' -0 Cj.
1.'iiXJAiiONiQF1NSt:A.Ki'4.TioN:.;.:~tli;i:f;, 3. ?iJOMi>LiHi;Fiii~~fii:i?;iiEWW!h'ci.('t.9'.~:,i,i:~,~~:;\,~i
. " .' ""'''.' ,""" ...,'.... ...... ," ,". .' gnamrli'C-""",.;..fH.. ..'.,." ',,"''',
'2.5 \0 G.AW\.E. E"1'\.t'M ~'\;;)
Constr. Contr. Number i 0'-1 q;) q
/'> n tn
Expiration Date 2l- I '-I. Gn
s'~~"""f)~
I
Owners Name Eo'- E~<;'f<.O-.)t2:t1.S
Address 140"'2..$ S~ ~~l t'I'O To~ ~v.Mi~~J.I~n~u~~}~&if~~ii~!!~~l~'~~~~iF,~~.~~:i,;t~Ii;~i~~',
City ~\.l E.~ ,Ot-\. Phone(,S't>3) EA4. tOd.;4-4.- Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50,00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
LEGAL DESCRIPTION
l1 O~ ~ '- 00 O'Z.. '10"L
JOB DESCRIPTION
t-l€(J..) 0 E-b\'\f'tL t;\) U_OI t\c;
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.
',' ;"'.~". .', c' ). :' .. -~:'. , ..,'> ;.~, '. ,:,J. .' I -.'\': ,",', '," .,;~_.'. .~,I""I.I' v
.,roNTRA,,~~~1:NstAti:ATiONONLYP
",' ".'" . .'....~....' "', .,", \:~ -, ...._'.':"'.:-.';/...... ,,' .':Y',':',"'",\;;
Electrical Contractor ~ -E \ l? ('+r, C
Address 4(0<;1; S :I~ Q 6e-i \ (0 -s:.i
City E...... /'] ~....c
u
Phone LD"i('1-S'110
" Supervisor License Number 3'% 1.;;\ - 'S
Expiration Date
I ()- !-O<..f
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
';"(' .",'?~~,__: .~'l"",+;,.,. <.'~.'~'~; ,v'" l."'\~:~;~'~;;~".,'-':;l;y\ -.;c ',.:'_i)i....~?; ~tof~~i1i.><""''':,'.li;,;l;, ~"":~f.,.:'t,;;',i\'t,t 'l'_'L~."tt~~~~
A. :New.l{esident~I':" Single or Mtiltj;.!aDlily'jier;i\wellinguliit:' ,.'
. -, - .-. '" ". ,-.' -,'-
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufac!' d Home or
Modular Dwelling Service or
Feeder .
$106.00
$ 19.00
$50.00
_.... '",:,~~":,; ':'; ,:"~'C~ ,'-,-:,.t,~:.'., _ d S':':' ., ";':::'>O!' ~~. 0-~'.-~". ~{':< .,>~:;..,~, :iff. l.~,,~':'Y\S;"'~; '..~~~_",-~" l _/:
B.::semces'or'Feflten <':'lOstallatioD't<\lteriitioii.'.6lReIo~iitioii:A\
~ ',' ~".! ','. " -::'. >. -' ,-,' :~,', 1': . ,1' ,:p, '. '. " ;. '''!., '.~. '," - ".'," -." .','. ,; ><."", -.... ~.. S;," . ,-, ~~,.,. ,..,
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsIVolts
Reconnect Only
L.. $ 63.00 ~ "2.'=>.00
$ 75.00
$125.00 l1..S ,00
$163.00
$375.00
$ 50.00
G. ::;T~~~~~,6~1~~.W~~~~~::.if!~~~~~:::,~i~i~~~~i:iK,:~,.~iUi{;;~f(f~t~~t'0~r~.~!i~
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.
> _'':J~-'',.'_ '. ~ \ f. ..~."~.< .:'~'-~~<...: A ~1~,~; ,,:':i;~.'-P;- ~-""7):Vl\.,~'i;r~: ',,~:-;;::::~,' '~ .;-:,,, _~"",~~~;;,:!._~v.,~~-:
D. "~ BrancbClrcultJ%':\~V~;;,~:';;t~"~~-f;'-7h~.'''~~'_',,'1.JV'~<{. Jt,"'\~,'\}i~"~~";lY~'J~:,J:?:'i/t"j,
'':~" - '_,', " ,; (';."", ,u,u ,,'-!!,_,{A;;. ,t,j,~-':-{,ti,~{fA\", 1"':;:',~~','~.'~~;';~ 1-;." '.~~''lft ',-~'.:'."p",..:t.,:;:':, tr';'~~'i::,:"'~(l~
$ 50.00
$ 69.09
$100.00
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
~1..
$ 3.00
t86.cc>
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. ~~UBnjiif:6jf,~(WiI:.~~Y;i,i~:'<;??'i:~;:~~it;;ii;.\. de-:, 1.00
'30. S,,>
4::~,(o
5l t ,1...~
7% State Surcharge
10% Administrative Fee
TOTAL
.
'"'
. t!~ _'" .;,. :\(~\. '" ..-'~:' ',:,. ;<< .,,;. ,," -t., 1>1::"" ~ ~.. "<'i.(';'~f.'!' :'.:,<:,l,':..;~,
~;\:;~~'.' ,. :> CI I YOE'~~RINGFIELD; OREGON :'~\<"",__,.,:'J,<i\i'),,/::
....., ..~;'".f.."-:,.~ ",t..,:; .{~ ., t-""".-~'" ~ ,f:I,~' """-"i'{;"I"/'f, J ,"~^'" <b"'r\'~'_'l,::../, ,>" -~':>::"'\;::t~""";t~......;~..t:r;,(li::
225 J<1J< 11:1 STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION 4-"( 04-
City Job Number ((1M;L,., 0 3 -0/),).'1 Date ,;;zp{f)J/..
I, .f:ifcAfjON QFjiffST'Aii:Aifro.N?,:':{'/i'~ 3, ':COMPUITEFi1iSqJEilifi1ffifji.(jW0':::'~i's:'r~j:<f;'
:-25"/0 ~~I!v- ~~'2.7.b?' . ','-' , '., .~. _', 'J, ". " '.'., . .,,,
LEGAL DESCRIPTION ('1 0;' '2 'L 0 ''-7\.. New Resi~ential- Single or Multi-Family per d.welling unit. , .
O N./..u.) 1J.ei1:r;d.- t?t,J'ilc/';/I'7 Service Included .
JOB DESCRIPTION / 1000 sq. ft. or less $106.00
Each additional 500 sq. ft. or
portion thereof $ 19.00
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days,
. >, - , . (~ ;"':0' ., c......-, _ _.', .: -,-:',;'.x.'-: ".,",.~::::.:'
CP~CTOR4NSTALL:ATIO!(ONL<Y' '.
2, .... " . ,"
Electrical Contractor :::rt\ E Ii? 0+r, ('
Address 4lD9;'S I~C\bej \.0 'S.i
City E..u. 3 <2..\<'\ 9
Phone (o"i<l-SliO
. Supervisor License Number 3"6, J - 'S '
Expiration Date I a - 1-0'-4
Constr. Contr. Number i (]'i q J q
Expiration Date 3- /'-j, (V-I
Sign
~
.........
Owners Name FlfjeVlP_ S k(}(ff/-cs
Address 14{J;26 50 mrml1Jfoh ;ef
City Ifr:ruJertf!J1 Phone (50~)M"I-4I/I/,/
OWNER IJI/STALLA nON
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50.00
.. ,...., "'_'" ~~,f/. .'_," ',' .~_.~. .;~: .,\.--.....-_,.':'-_ -~:._";.::5.i._~., :"',/,<.,-<_'_<",',"""'-
B.ServlceS cirF~~fs''- Jijsi8ii~tiOD;AIi~niti~ns oj:Rel;;~~iiori::::'
,,- " -. ....,. ,"', ".' '-. , . .' , . . .' "'0 .-"-'", --',....'...,;.. .;'-....,:-;,....N.....;-:.~.',: .
200 Amps or less 2- $ 63.00 \,-,,",CO
201 Amps to 400 Amps $ 75.00
401 Amps to 600 Amps J $125.00 \'Z.S.OO
601 Amps to 1000 Amps $163.00
Over 1000 Amps/Volts $375.00
Reconnect Only $ 50.00
c. .\.T.....e. ..m'."P".o".'...ra'..'.ry....'...S. ..,".'.rv'...."J...c.'.'e.'..s...'.'..o.r"'........F..:J.."e.'.r...s"...;.......,. ' ......, " .... .."
. - - - - - " ,,~ _ - - - - _ .. ~~ - _ . -.;.':~~>~!;:' ~.;.p:;:.j,::,~'\;~~;:!.(i:::"~;',':~Q:::i;~;~~~~;~;;:.
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 50.00
$ 69.00
S100.00
Over 600 Amps or 1000 Volts see "B" above.
D. ",: ~~~.~~~.:q.i'rc:tii,'~-;. ~ ~;~:~:.,'~: ~'~:.,~~"~; ii;~i:~!}~_:}f~!;~\~~' :;;~. .i:ft~' ;~~ ~:i~~~ ~S:~,.~>~~\~:~f~~~::
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
S 43.00
~J-
$ 3,00
l8b.OO
. .'.-';.' "": :":, ::" "....-"'.. ...:;."-'..-.;...,c::..>.,....~"...,'.,.:.",...:...:...-., ..;.,~'_.~.."~...,:--....>....':'
E. . Miscellaneou.(SerVicflfee.Jej'.DotiijCJ~.i1e~);~~adiIr,i.tan~ti~~
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00'
Limited EnergylResidential $ 25.00
Limited Energy/Conunercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
"'. '
4.SUBWTAL OF~vE;' '.
".,. ..
4:?il.00
110.5"'>
4~.'"7o
5l\..Z.~
7% State Surcharge
10% Administrative Fee
TOTAL