HomeMy WebLinkAboutPermit Electrical 2002-6-28
II
.
.
A. New Residential-Single or
Multi-Family per dwelling unit.
SeIVice Included:
~'~~oject as submitted has the 'allowing
zoning, and does not require specific land use
approval L t>(2... 1000 sq,ft. or less
1ns e.IL-T Zoning E...I. _.:tli::__..L 500
Date ---1' ~ ...)Q'l) ~ f\ or portion
Pennits are non-transferable and emire, d S' t thereof
A'HTnQnze Ign8 ura
if work is not started within 180 days . Mcn Manur-a 110me or
of issuance or if work is suspended for Modular Dwelling
180 days, SeIVice or Feeder
2. CONTRACTOR INSTALLATION ONLY B. SeIVices or Feeders
, InstaIlation, Alterations or
Electrical Contractor 1:-. S E/<p.cfc/l~, &.v",(IAb. Relocation:
.01.....1....... . - . .'.
fnilc.;!t1118S dOjipted 0'1 the Oregon Ut:~Il:'.,
Address,[J., Q,^.lJ dXfh:2ev,9ii,,Jare set \0, .
I~Ullilv~.:._.. - ~ ,"
"G/l ~ 952-001-001 (j thlOUgh OAR 952-0Q j-
,CiiY.'E:u r:~":"'^;rI?I.!'!.nec~,.fhl"'hZ.g c.y
Jvvv. .....0... oJ - r-
callino the cenler. (Note:,\he 'eleRhone
SupeIVisor,'License Number,. I y'Ii<l9.,7.';9r.Aticr
,lUl11Ut:# IVI u.d -.....::1...... -
ExpirationB~~+":r /6?17~;7'4).
c.
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
L LOCATION OF INSTALLATION
7;).;;1. ~ A-A/ LL ("
~~AL&3SC~ON /.;\
JOB DESCRIPTION
.Eo R.p ~(.Ao';'
Constr Contr, Number '10 Y i' '1
/;),/10/ () cj
( ,
Signature of Supervising Electrician
Expiration Date
1b--- v- AI /
r -
Owners Name Bru~_
Address 7;;l;;l..
n/LU R-'1
ifA-nJ u ('
City, S I vt'l Phone ?vt-5'.1cPJ
o'wNffit INSTALLATION ,
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
A/
ELEC. PERMIT APPLICATION
, }').. A^ //)/ JR()HSlI ;1,)1-0009770
City Job Number U.o"'I ( fJ /ULP D~:lJUN 28 2002
AMT RECD:2 $ 51.75
CHANGE:
CASHIER:001
3. COMPLETE FEE SCHEDULE BELOW
Items Cost
Sum
$106.00
$ 19.00
$ 50,00
200 amps or less
201 amps to 400 amps
40 I amps to 600 amps
60 I amps to 1000 amps
Over 1000 amps/volts
Reconnect OulY
'..' "
$ 63.00
$ 75,00
$125,00
$163,00
$375.00
$ 50,00
C. Te~~ces or F'i'~~Y,:PIRE If "(HE W~,RO~
Ins Wt.-.Ah.<<1\lioSlAl" ~ti~ERt;\\1 IS "
"( .l:I \,,~l\ltO uttDt ,If II QliE.O fOR
MliTAMb~1ti QR,IS Ael\liO _ $50,00 _
:G(DW;W''til ~OO. ' $69,00
~4~ilMl amps ~ $100.00 =
Over 600 amps or 1000 volts see
liB II above
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit
~ $43,00_
Each Additional Circuit or with SeIVice
or Feeder Pennit $ 3.00
E. Miscellaneous (SeIVicelfeeder not included)
-Each instaIlation
Pump or irrigation $50,00
SigrilOutline Lighting $50.00
Limited Energy/Res $25,00
Limited Energy/Comm $45.00
Minimum Electric Permit Inspec~4jJl~rchargeS
!j5.~
0', J::,
0'(P0
$.5/.7s-'
5. SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrative Fee
TOTAL