HomeMy WebLinkAboutPermit Electrical 2000-9-11
The following project as submitted has the following
zonmg and does not require specific land use
approval. '
225 FIFTH STREET ioning -.b.D ~
SPRINGFIELD, OREGON rJ;;'~77 9-11- 00
INSPECTION REQUEST: Il6-j(b~ I
OFFICE: 726-3759 Autnonzeo Signalu,. 1<w
3.
u . 63
'DATE:SEP 11 2000
AMT RECD:2 $ 53.90
CHANGE:
CASHIER:059
ELECTRICAL PERMIT APPLICATION
1000 sq.ft. or less
Each additional 500
sq. ft or portion
Permits are non-transferable and expire thereof
if vork is not started vi thin 180 days Each Hanuf'd Home. or
of issuance or if vork is suspended for Hodular'Dvelling
180 days, Service or Feeder
\J....,.~~ IVIJ
. ", -r . (..0('" d'P. 0 "nul
2. CONTRACTOR INSTALLATION <?NI<Y:'" 'V!' U - J3u'OY ~\tr;i;ll~1 or '60eeders
. . lollqt'PI\ei,:~?Pt i st.n\ita;lf]l@f:I:6Q ):.AI tera tions
Elec tncal Con t rac tor --re'<'t\-W~t@a,J.~!i9R€WC~~~O~:.
. OAR952-ti\li;Q'OiO'lt'c ill~ oHM rUleS U)
Address J3L1 S# 1J:iS1l'^O ~~~s&.-"nll ma'l oota'r'tllltlil!"~flllOr~ess
~ . ~necenlel.~ '2 '\if..mRl\titt~IiIOO amps
City Euo@v.....@ Phone q~.:.?.l./1l1eOfeJ~~ ,.\aJllPSI\.to 600 amps
J' nu" W . PI""';' i_ , '601 amps to 1000 amps
Supervisor License Number 4. r'fr :3 Over 1000 amps/volts
. / T Reconnect Only
Expiration Date 1t._61/(>1"
( I C. Temporary Services or Feeders
Constr Contr, Number / (97BE: Installation, Alteration or Relocation
Expiration Date jr,/Ol/() I 200 amps' 'QT less $ 40.00
. . i' o,'nilCE: 201 amp~ t.? eQ,9~ps $ 55.00
s~'gTJat re of superviSirlectrician M\TS~~Q.y~r,r401\Ii:.o\4~0~ aJ!Ips $ 80.00
~ T\-\\SPER 0v.erTI60p>@l1ips \0~L1000 volts see "B" above
EDUN\.J\:I"\ r,I-'
_ . ~" rTl-lnR\Z I'\()NED. FOR
. (),. . \~MENC'P3 O\Bran'CilNCircui ts
Ovners Name A.l;",c\o.... Vi- . YPEP\OD. ..
,...' - lbL a;.. New, Alteration or Extension Per Panel
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40,00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 4 q. 0.0
7% State Surcharge ,,),'1:'
3% Administrative Fee _I.'-I:r
TOTAL -",)5.10
City Job Number
COlIl'LIIU< FEE SCHEDULE BELOII
~
1. LOC~~ON OF trI~LATION
~ ~ "\l-. F(
LEGAL DESCRIPTION
\'10::2..313'-1 ();2..'-(Ol.J
. , -lOp, pESCRIPTlqN
~:--\'o'" ~ 1f,,,.'):~e....2~
A.
Nev Residential-Single or
Hulti-Family per dvelling
Service Included:
Items
Address ~::c-S 3:z....d St~
Ci ty C,f"';,^r>\=;~l~ Phone ~~~ 806';;
<....l .
O\INER INSTALLATION
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit ~ $
The installation is being made on
property I .own vhich is not intended
for sale, lease or'rent.
Owners Signature:
DATE: --~7~-T~---------
RECEIPT I: 3lh~
RECEIVED BY:
()C)- 01053>':'0\
unit.
Cost
Sum
$ 85.00
$ 15.00
. $ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
,-
$ 35.00
2.00