Loading...
HomeMy WebLinkAboutPermit Electrical 1994-6-14 . . sr-nl.NCFIELO The f01!owin,"1 ."'r^J"cr. ~ -0 ' 1.1 t'" '- ',;l tl:) eubn'''tod ~ 4 ,omn, Ofld liccs n ( .' .:.' hoo tho "0" . " I 225 r...r.o STREET approval. 0 roqullo spoc.io land :'Ot!LE&n:rCAL PERMIT APPLICATION I SPRINGF7ELD, OREGON 97477 20n1"9 LP.z . flADnOlo INSPECTION REQUEST: 72~-;p69 (, - , Ci ty Job Number ""\\ "Ib I ;,OFp!CE: 726-3759 ..9 -/t'f't *. . ~ Allthcrizod Sig"<>/U($ IJ M3. COMPLETE FEE SCnEDULE BELOV 1; ],QGA,T].Q.N TION ' A. .. c-V' ";:)l ) Nev l\eSHhlnt ial-Single or Multi-Family per dvelling uni t. . . \~~~~N rM.t() Service Included: Items Cost sum' \ ~ -transfer ble a~d eKpire started vithin 180 days if york is suspended for Permits are no if york is not of issuance or 180 days. '2." CONTRACTOR INSTALLATION ONLY Electrical contractor~~K.r rr-PdS~_E:Lf~ , Jofl- ~~ Address ttC..i \,\3&-:.-\ l-Lt;'\-~ilE_ . Ci ty _1='.11 hi?.--I\.I F_ 72.-'1 - l'500 Cj l\~l<; 69 ~_/{,dd Phone Supervisor License Number Expiration Date lo ,. \ - 9 ""i Constr Contr. Number (O3\~1 Expiration Date 12--2,-Cj,3 The installation is being made on E. property I ovn.vhich is not intended for sale, lease or rent. Owners Signature: " , '':-~~-f~?15. DATE:, ~ RECEIPT I: ' . - RECEIVED' BY: ~)}l)~ t' :/f- ( 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd !Iome or Modular Dvelling Service.or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 85.00 $ 15.00 ~ $ 40.00 et:2 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or'Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "nil auove Signature of Supervising Electrician ~tJ,.~ .. I fL n.. \...= ~. D.' Branch Circuits Ovners Nam~ "'" Je1\"lIY , r' ,,' ~\ Nev, Alteration or EKtension rer Panel Address~) 0 ( , C. One Circui t $ 35.00 CitY_Tt~ ~ Phone... Each Additional Circuit or vith Service .OVNER TALLATION or Feeder rermit $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~.C() OP~<9.4D 9""'1 Q.~ C IT)' OF srRlrlcrl[LO snlUl:, 1Ji.:Vl:LV'."l.l" . WOF,l(SHr=ET' (COI111CflCI^L 1. RESIO[flTI^L) . .................. IW1C' Oi( COI-1l'MIY: J':Lc~,-l.J/:,._.lQ,~," rJ\~J"-"'L~f:. ~Ot-A E:. ' p,,~ LOC^TIqil: SDL -10 '7-F- D:.':.!2..JdJ-lvtJ MOP...>l L-P-- \-k:VIS I'::> N\o\Jf-:::> ,\,~ . q 4CY)~ ~ ! oEVELOPI'lE!1T TYPE: OUILoIt~G SIZE: ,LOT SIZE' SQ. F t. 1. STO[li'1 oR^J:l^GE H1PERVIOUS SQ. rT. X $O.lSG PER SQ.. FT. (See Rever~e ror Runoff Coefficients If Act~al Icperv. ~rea \s & I ~ Unkno',;n) 2. Sr.;:ITr.lr( SF.,iE!(-C!TY 1:0. 0:: prU'$ 1'-1. . X $3(;.55 P:~ P::U (See Rever~e To U~telTIinc Total prU'S) I, ?'?9'~ I T'.. ~ .,r .:(\.,..... - ~ r," .' _ ._::-.!:-.:...~_:~;...:..:::.J....:_\ 1_~.I~ '. r:~ C:- 1:::!T~ X T::::' :~;.T;: X CC:::T r[~ T111;' \ .-----.. L-.~ ....~ --'- .-._- -.- ~: 5::::.C: I'" ....,...,.. ~'", I .; 1.,.;..;'-1 ~. ~:~:-:.0! v X ~::::.G~ ISee A._'c;....~....:-L.,-.l.~...~r-;n' -Ir'o try"!""",, \ 1........ .....:......... \J 1.,,;1.;1..... ....1 ,I,; " .....I....._) SU13TOTAL '(ADO ITEi':S 1,2, & 3) S .., r...:: '';' 4.. AQIHlHSTRATIV[ FEES 'Of,SE CHARGE (SUGTOTAL f80VE) X ;05 , " Is ?'31~ I TC7'..:.-(~-;':' .-- - "'" r C.-"'" .... .....-- -, 5.. 5AtlITMlY SEllm-H'..iI'\C ': .""IlO. OF PFU'S , r..f- x S13.25 PER PFU .+ S!~ t\\oIHC A!:'XIN. FEE s I <J c; ~ .~h ~ ':. . ". .' .... ....: ::~. . '0. . ...... ... .'- ' n' ~. - :.. w' .. ~. . ~ . ~ '-f-/~1 /1').; I ,q $ TOTAL-MII~ICSo~ Is I<JS~ TOTAL SoCS qq L. t/:!.. . '_...',,~..._, '. ,,;~~''''',.IJ ,Kip [lurdick SOC Coordinator ;.......: . . -;--' -.,-::-" ... ". ':.,~'. ,;~:<~~':;''}>'~.:~'~, ... ~.' "'::'. ...:".": .... . """:.'.:" .... .....~ ._"'~ .' , Pp' ~. 7-,7':/ '.: , .'?~#//~~ I1cff t;$/~"Z~o /'? . ""'''. J . ........ ,,' ." . .....-