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HomeMy WebLinkAboutPermit Electrical 2004-2-27 J . " \, :, , I' _ .' <. ~... :. . " _~: I . -. ,<;" '. -, CITY OF SPRINGFIELD' OREGON <>' f'"..;~<: . ,". +' :'~, +. ", ",'" ",..,,, . , -,r:II~"" I -.,}_ :.'~., .,.,,'. """'\:", ~,-!",'!>--5t:f ::;t/ 225 W' In STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F~6(?o1W26-3689 Ing prOJeCI a. submitted has the followin ELECTRICAL PERMIT APPLICATION zoning, and does not require specific tand use g C / .j U approval. City Job Number oM.1.I'JO~ -0/)).1 Date ,;l. !;l.7f197 Zoning (l_L I, .)!iXiATiONqfijlSTfl'r\":.\ijo.Ni!;';,~'!t!g 3,!OOMPi.6fE;FmirS~if>>i".~:il~ifiiiA3;;:2''9i,:fW.:;j!'1:: -25"/0 h Itn1f" (Mi1<.r /Cd. Authorized Signatur. . ~ LI3GAL DESCRIPTION . A, .N~ R,.;i~e~ti;;t.s'i~;lil;~'Mriit~f~.iiii)i"~r:d.~:i!irif~-;;it"-;';~ r-tt'M./ TI.e",Ti..-C- f1(P khlt'J Service Included . , ..,... JOB DESCRIPTION / 1000 sq. ft. or less $106.00 ~ /l /J /J Each additional 500 sq. ft. or ~~< yt:r1~ l1o-rO _ portion thereof $19.00 Permits are non-tr!nsferable and ex~ire if work is Each Manufact'd Home or not started within 180 days of issuance or if work is Modular Dwelling Service or Suspended for 180 days. Feeder , '_" _ . .. '. '\, .. _ ,.;...:" ;';,i..."....,' :"\'" (,>';,' _ . i:.'~ "'':;'..Y' ii,:_j.)_c._)....~;..'~f;~. " . OONTRACTOR'INSTALLA710NONLY;' 2. '." " "-', 'J'-' . ", ":-,. ..~". ".,. ., .',., f". Electrical Contractor :::)'\-\ 1: It;> ('+r, ('_ Address L{lD<;I;'S I::;Cl bE'J \ <'" 'S~. City E'-'.Il '2,...<" v Phone Lo"i<l-SllO "Supervisor License Number '6 <1!; ,), - ~ ' Expiration Date i () - ! -0'-4 Constr. Contr. Number i (J '-1 q J q Expiration Date 2>- l'-l. Gy ~ Owners Name "5//.tx.IA!!J'; E;A.:f~ C- Address No) 5"" J k/ ~~Uf$(bk ) eRo . City ~1J<7ZPJL Phone '170iJS" OWNER INSTALLA nON The installation is being made on property I own which is not intended for sale, lease or rent. NOTICE: . OwnrHISi~Prf,~IT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT i:.JMfilWC[Q OR IS .4.6.t>~D()NF[) FOR ANY 180 DAY PERIOD. Inspection Request: 726-3769 $50.00 ,~;'> '.<'. ;_, ~ ,< 1, .'::',i.:{"',: ,:' Y<;:'<' ::-...::S:~ ,,~, -,":" ;.'\';':::~.'::~~'.}. ':"~;"~\ .~"_~_ ~~, r'",~.r.;'<~\!'~' :':'~~'~'U""~~~~':.'(.,~' j:': B.'Servii:es. or 'Feeders :"-'Iiislalliitioiij"Altei'atioits' O'r Relociiliori:.~,' . -,--., 'r ." --', "';-", ',' - -' ,'-'...;,. "':":~ -'" .-.. -: y', . ; ,.',';. ~, ;'", ", ~ . -;'.'J:;,'i.~~:' ,:;:"'1:.'.,' '::,'.,: '. 'N,' \',.,' ( . . 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 C.' ....~.r~~~.~~:~;'~,~ffj~_~;::or;i.~~~W~~~~~j:~:!;~:i{i;;:i;';~~:~;:j:::'f~\;.:~JN:~~{~~m~~~:~Z\~:~)*, Installation, Alteration or Relocation 200 Amps or less / _ 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts s~ "B" above. D. ' ~;~~~~I{~J~,~~!~~;f;"~f:i:\~;~H;'~\~;iJ.i~j,~~1~i~?f:{~q~i;t~D~;\i';..~j;~~!g~}~~tiJ~;~r~~~ $ 50.00 $ 69,00 $100.00 50 -- New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 '.': ""'~:' .,,:,-~: _~,~ '\;, ..:/".: -:;,' ;."...':...'::./ ,:';' ,. '_.~ ':',';,:..!,f~';{"; :;"~:: -.f .,;; _'.C""~:-~'''''~':;;',~ '::'" E. . Miscel1aneou, (Sei'vict!feeder.'nofincluiled)"Eilcb'blst8l1iition ' ..' " ..' ", '. ~ "f, . ;-."." '.' - "'_'_ ,".' ......, ~ ~', "-','" ,'. 'c';': " .. ...:.. ".... h,' Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25 00 L. 't..'''lErE'~I;'',:\l\I'~'''''''I,on law '''4""e$'$ yt~f}~r Iml QU. nt:lgY1\:.vmmertIa II - C\-.... r'FutTilt\l i IlflW rilles arlopted by, ,~c,=;lv '. Minim.. urn Electric Permit Insp.ection,<Fee;is\$45:00*Siirtbr.rges . ~{jllll()at.lo('l, yetll';" ,,'w_ - - _ ...... '""r.'~VE')throughOAR 9.5200 4, Su::r~~~aYObtaincoPieii'onhe-rules.'-S/J __ 7% StatelS&clfafgcl! center. (Note: the tele?hone 3 so o ; ...~.;. I.... 'hA Oregon Utility Nott"~~hn" ( _ 10Y. Araillmlstr~~~f~~;~ 1_!>N'_"lQ9-2344). 5 TOTAL 5~'~6 225 Fifth Street Springfield, Oreg~n 97477 541-726-3759 Phone Job/Journal Number COM2003-01224 C0M2003-01224 COM2003-01224 Payments: Type of Payment Check ltIE:~. )~a,~.!!t '~'.--'.i. ',_U", '.. , \. , ,. " ",......, "'--,- .- Receipt #: 1200400000000000250 Description Temp Power 200 amps or less + 7% State Surcharge + 10% Administrative Fee Reeeived By dim Check Number Batch Number Authorization Number Paid By J B ELECTRIC 3863 City of Springfield Official Receipt Development Services Department..o Public Works Department Date: 02/27/2004 3:04:08PM .' Amount Paid Item Total: 50.00 3.50 5.00 $58.50 How Received In Person Payment Total: Amount Paid $58.50 $58.50 . .