HomeMy WebLinkAboutPermit Electrical 2001-8-24
. The, fC?lIowing project as submitted has the following ~ _
zonl. does not require ~pecific land use I
appr
225 FIFTH STREET Z' L I;> r2.. ELE ML PERMIT APPLICATION
SPRINGFIELD, OREGON 97477onlO9 '1;7/1.....1'"
INSPECTIONREQUES~l~26-9'T6; D .=:.D :i~.JaeNumber r"l/-OOQ'7 '7 -Of
OFFICE: 726-3759 Authorized Signature "1:'ItLl1Jl\~
3. ~OMPLETE FEE SCHEDULE BELOW
1. LOCATION OF INSTALLATION
,2 :oc,' &:j Jp p" "1-' <t ?
LEGAL DESCRIPTION
/7D323<'(L.( OOtz.,z..
A New Residential-Single or
Multi-Family per dwelling unit
Service Included:
Items Cost Sum
JOB DESCRIPTION d
c;;: e. ..r c. Co-h4Nf..~ r ? r~ rc.A~.f-:s
Permits are non-transferable and expire
if work is not started within 180 days .
of issuance or if work is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$ 50.00
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractoral,..... Ve"il ( b/t'cAI'c...
Address 4'7 I I) F7))( A4,{looAJ t ,L
City . E../~ -r' Phone ~~
Supervisor License Number .. i 5" 7>? <).
Expiration Date } 0 - 2-0 ~ 0 I
Constr Contr. Number q 3"!:5 3
Expiration Date
10-.).;;-D2-
Signature of Supervising Electrician
J<<L. 1/~~
. , 1 .
Owners Name ,&, ';1 a..J fl. ,...1.
Address ~55b vv..... q So
Citv Phone
OWNER INSTALLATION
The installation is being made on
,,,vl'v.~)'1 own which is not intended
for sale, lease or rent
Owners Signature:
190:~3IHS\1J
: 39N\iH8
g~'6L $ G:Q83~ 1W\i
100G OG 9n\i: 31 \iQ
8Lt9000-10:#8N\!~1
$106.00
$ 19.00
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
40 I amps to 600 amps
60 I amps to 1000 amps
Over 1000 ampslvolts
Reconnect Only
L$63.00~
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
C. Temporary Services or Feeders
Instal1ation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 40 I to 600 amps
Over 600 amps or 1000 volts see
'''B1! above
$50.00
$69.00
$100.00
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit
$43.00
Each Additional Circuit or with Service
or Feeder Permit 'Z-- $ 3.00
b
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited EnergylRes
Limited Energy/Comm
$50.00
$50.00
$25.00
$45.00
D
Minimum Electric Permit Inspection Fee is $45.00 + Su ~
5. SUBTOTALOF ABOVE ~~ ~
7% State Surcharge :'J:? --:::.. G q
8% Administrative Fee ;i=. ~ ,_ , _ .~
rr1 ::c 0 0
?;D--J ff
TOTAL .-.~_~
0"" ~ITl L.J '0 -J
1-"'-. l.T1~CO