Loading...
HomeMy WebLinkAboutPermit Electrical 2008-3-21 SPRINGFIELD - _~ z~~\- 'J\ 'CJ INnIALS "-\~ .. ~. DATE.... '(:"'--2-\ ......01\ 22S FIFTH STREET · SPRINGFIELD, OR 97477 · PH'(541)726-J7SJ · FAX. (541}726-J689 ~ SOURCE '\'""0\ \> ....:::.J\r2 ) ELECTRICAL PERMIT APPUCATION \ ,- CIty Job Number ~/~(6 -CYJV'; Date ":l/2-I/e~ I ~'t.j. "....# ':._:....fr~ ": - ..;?-..:;> _...~ -is':I,!w:::t~"'>.;'_~__T;;- ...-.\ ~- ,:-", '" _. ""- < ... _ ~ _ . \_ 3. .:t:()MPLETEFifE:Sei1.Er.lrJtE1i...liJ;OW~T'''~:~_..-: <.oJ" :-; ~ ..;",,_t'__" _""'-'W)#':.-[_'\...-;":'~\._l"'! --~:;,,_ a;=:"" -<; ~ \~...-j~'''':'''''-i .., , .."'~ -F~><'~-,../' - '; ~_.......~ N'-",j'""'__"~ ,~---~-~-'i;":~"'f'"--":;' 1. :Ltiezfi16N OFIlVSTAtfiA''iI()J{t~f ":~k~~~ ~ r,~,_w:., - - -.r_ ~~~;:', - ~_ ~~'_.;'" .'\.-_ ..:,..... ~_:, ,J'_ 2350 YOLANDA AVE. SPFLD. OR 97477 LEGAL DESCRIPTION: YOLANDA ELEhr.u1.ARY BOILER BLDG. JOB DESCRIPTION' Np~ plpr~T;r~l ~pp~er for boiler rooa. Permits are non-transferable and expire if work is not started withm 180 days of issuance or irwork is Suspended for 180 days. .OONmAcrOR'I}iSTAIJ;,.fidifJjN13/, 2. ' ~~ _ '_ \. r _.. j;., !r. , ;. . . .i':'~ ~ -"i't.?; Electncal Contractor Sc.nf.;pl.1 "Rlectric Co. Address PO Box 2765 CIty Eugene Phone 541-686-8612 Supervisor License Number 42188 Expiration Date 10_01 -701 n Constr. Contr Number /138702 Expiration Date 12-21-2009 Signature of. ze ~'S' g EJe Tlcian 4-- I /- /' ?~.. tf' , Owners Name ~ So * 19 Address \ D'l '==> r-J L{ 'L tJt. City w'~'-'''\101) Phone '7 ~~- Co3? 5" OWNER INSTALLATION The installation is bemg made on property I own which IS not Intended 'Or sale, lease or rent O~j~re ..___ ( '\~ , ~: 726-3769 THIS PERMIT SHALL EXPIRE IF THE WORK AUTHOR!ZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. -- - ::>.::::\I:.,~_~r...';tv:--...~.",__....,."" ,,"-'=#1.:':\1. ~~:S:-)-~::"~," ~_ -.... .- .....-.~. ~ _ ~'C(---"-~ ~ ,;: .~ A. .J~t;~;l3.fl\id~iitip~~'W~~!! ~l?~Mtlf~1:fiij![fp~t{~'Y~lii!ig,uni~. .. ;'_ Service Included 1000 sq ft or less Each additional 500 sq. ft or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $1 1700 $ 21.00 $55 00 ..-" ,.+::'i~;_~~r/'''''';;f~~-~''';~-''-'~''''':~~~:_''''''':; .. _. ~ ..__"~-, ~ . B. .S~rvic~s,.or.,Fee'ders'::, iIi~.illiatjon;-Alteiatfons or Relocation: -- ~ __J "1;/- _ - . ..... 1 ' '\~. ..' ~ ,. -_ _ _ _ 200 Amps or less 1 $ 70,00 $ 70.00 201 Amps to 400 Amps $ 83.00 401 Amps to 600 Amps $13800 601 AmPA~t!JN: Oregon law req&lm~ou to Over lO~fkiJws~~ adopted by the OiegcnIl) Utility ReconnNbll~atlon Center. Those ruleUti'4}~et forth ~~~ A{",~ .~ ~ ~ _9 ilQl~.~ ~ .. c. ;,.'t _, - _~u _;'., ....l 0::;;0"_. ~... ~ :fI:..,. . calling the center. (Note: the telephone InstallatiMJ~fl\i6r m~etriwt Utility Notification 200 Amps or less Center Is 1-800-332~~ 201 Amps to 400 Amps $ 76 00 401 Amps to 600 Amps $110 00 Over ~02 ,Amp~ o~ 1000 Volts se~ ':B':.ab..~y::. _ _ D. ;~.r~-n~J) Circ~its . " ~:'~;~-\;-::'; >",--.:: ;, " ' ~,' f _ New AlteratIOn or Extension Per Panel One CircUit $ 48 00 Each Additional Circuit or with Service or Feeder Permit 8 $ 400 $32.00 ,- ,1 b wl-':::'j.,,"---J':;;.;,.O"~ "",'/ ;w' - ~,,--;?!.\~~.,::._;.. ,f('..A(.J:';"~"l~.L.,.__+.;:::-,.,.?:.~,,'J4-' .':t-=- -r '?,~,;....,... E. :'~1fsc~ri~ou~(S~~C~,l~'e'd'iJ>:Dtit:lniiiidedgEac'h 'MsiaU~tiijn;;' -=.t "':,-'-"'r ' ~r~/'t'~,...r.~ ~,":~j ~~......~ ~.u;'::.('1...rl<:"""t-f"""'t.:~c' ~~-~~~-:---..'U..l1F'- ~-:~ ...~ _';.-;. Pump or Irrigation $ 55.00 Slgn/Outlrne Lighting $ 55 00 LImited EnergylResidentlal $ 28 00 LImited Energy/CommercIal $ 50 00 Mini~~m EI~ctric Permit Inspection Fee is $50.00 + Surcharges 4. :~.8tqt~PJ},jz~Q..$i~~::,~::;;}:~.> >-:-:-_::: $102.00 .. .. .. ~, '....r '. ' 12% State Surcharge ~ 12.24 10% AdmlDlstratlve Fee f If) .-2-0~- 5% Technology Fee $ 5.10 TOTAL _ ~ 1 ? <)--..51< Shared Dnve(T )/BUlldmg FonnslElectncal Pennlt ApplicatIOn 1..Q8 doc 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00093 COM2008-00093 COM2008-00093 COM2008-00093 COM2008-00093 Payments: Type of Payment Check cRecemtl RECEIPT #: 1200800000000000267 Date: 03/21/2008 DescriptIOn Perm Serv/Fdr 200 amps or less Add, Alter, Extend Clrc Ea Add + 5% Technology Fee + 12% State Surcharge + 10% Admmlstratlve Fee Paid By SPRINGFIELD SCHOOLS Item Total: Check Number Authorization ReceIved By Batch Number Number How Received dim 63279 In Person Payment Total: Page 1 of 1 1l:35:37AM Amount Due 7000 3200 5 10 1224 1020 $129.54 Amount PaId $129 54 $129.54 3/21/2008