Loading...
HomeMy WebLinkAboutPermit Electrical 1993-5-19 . , . L \),e.. r/l~/'7) .9r 1. ~yATION :iSTALLATIO!'l-IJ /}/',/\ C\ ') J z:){) _ ().J..1.d/l J"f7 o'U-J 110?'~~() ION 04400 l~~S on-transf~b~~e:: if work is not started within 180 days of issuance or if work is suspended for 180 days. 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 2. CONTRACTOR INST~I.L~,ION ONLY Electrical contract~rn-\o ~ Address Rh.1:::\ \.A.) .c0:\"". cA~i2~_ Cityicao.no, Phone 1~q-l~ supe~iCen?e Nu~ber ~ \().\.ClS .. Expiration Date Cons t r Con tr. Number ~ '2\ \::P{7 \~ .~iJ,q?\ ELECTRICAL PERMIT AP9f%\IONJI City Job Number L1~1. )l(Jtlo ~u~PLETE FEE SCHEDULE BELOV New Residential-Single or * Multi-Family per dwelling unit. Service Included: Items Cost Sum A. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling ^ 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?b $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or'Feeders Installation, Alteration or Relocation Expiration Date I I' Signatur~~~pervising Electrician . ~~ Owners ~ame J ~~1 tt b'Y.:::+- Address~<:::[) '1 /l fl ~ Ci ty ~J} fj) _ Phone j3jffi3J OVNER lJSTALLATION The installation is being made on property 'I own which is not intended for sale, lease or rent. Owners Signature: DATE: ,. RECEI'PTlI : RECEIVED BY: \.. ~--. - ---- , l~tI. ~ _ . 11lC:;:Y\' 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. . Branch Circui ts $ 40.00 $ 55.00 $ 80.00 see "B" , above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited. Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit ( E. 5. SUBTOTAL. OF ABOVE 5% State Surcharge TOTAL . $ 35.00 $ 2.00 /1 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~,ci) "t.\t ")_ ~lO .\C) Vi,;:) i,\i. ! CITY OF tRIUGF[ELD SYSTE!-IS OEVELoAtrn WORKSHEET (C011/1[RCIAL t, RESIO[ftTl^L) CII/\I1GE q~04Bt r~Ai'IE'OI( COHI'ANY: J~Lo.~JJ:..._kQ}J'-0~_~..&L'=..I"'.. ~oW\1::. .Pr-.~ J..ISo 'f.Cvvv1.C0 LOCATlOil:....5DC -r;;\:7~'-e..'rJ.JL\0JI-1v..~ i.J,O~'1 I.-P-- W-brvlS \":> tv\o\JtG~\ k.\ . d ;)../";;' DEVELOPl'lEllT TYPE: [JUIlDING SIZE: LOT SIZE' .SQ. Ft. I. STOR/,I DRAIrlAG~ 1I-1P[RVIOUS SQ. FT. . X SO.18G rER SQ. Fr. (See Reverse For Runoff Coefficients If Actual I~perv. Area Is 0- Is UnknO\m) 2_ SANITARY SEWER-CITY 110. Or: pru's I t.j. . X S3!3.55 rER PeU (See Reverse To Octennine Total prU'S) Is ?"?q I~ I 3. l!Sf~T?.?Oi~TJrrr.Q;l. r:o Or: U11ITS X TE~(l RJ\TE X COST PER TRIP \ -..-- ,':::.,,"-; ~: S3S::'.GI Is 1~"'2.":;'o,::,,! :~ ~3SS.G1 :; ., "!. 5328.61 :::: -- ,', (See Attachment C To Odemine Trip Rate:;) SUBTOTAL '(ADD ITE ) S -, I " 1~ 11S 1,2, & 3 I "" '" 4. A01l11HSTRATIVE FEES '[JASE. CHARGE (SUBTOTAL fillOVE) X' ;05 Is "7'OIj. I TOTi\L-CliY S0C 'S Eeo ~ 5. SANITARY SEWER-HW/1C :.~.t~l>:!!~'.,'OF .p~U'S ,,:, ,.f- ." x Sl~.~5 PER PFU .+ $10 1-1WI1C A!):'HN. FEE s l"l t; ~ ...' .' ,..:.:..='-.,...' '.' .;,..,.: ... -:.. - -. .-.:- .~:";- ...... -.-.:.:..:. -- ':... :..' ,'~ -. . -' . .' ::-:.... . . -.. ~ . .:. . ~ -.. . '. ': .. ..-. ,. ':, .'. .. ~- ' . .:: ' .- ' .... ..':.;"':-.i(Use PFU Total From Item 2 Above) ", . "". .. ,..... . , ' ., .' ~.., . .. '~: . .,:. ' ...... . ........_ ___,../,_, :"::_ ._...:',,~':::;:.:~::.-<'c .,..,- ,...... C',',_. .~ '. ',., :.". ...f .... ,,:..:.. ~lWHC CREDIT IF ArPLICABLE(Sf:E REVERSE) ." -. ..,... '.' .,. S ":::;;::';- V,'.. ..~...~'~''':'<... ~ /~'1 /&f~ . TOTAL-~W~1(: -~DC Is I'1S~ 1 , .,.,;;":,,.: ~ K1p BurdkK I I TOTAL SDCS qq &, e SOC Coordinator ..."."" " -":': ",~,~.~.',.,'~.,;.:~.;.:~~...;..i.:..,-,.;~':.'.~.:,'~ .,:..... :..:.. '. '. .."'t.'....'. ...~.~ ~. : - + .:,. ': ..-::.,...,..:.. " '. :.' .;..::::t:\:~::~,...,...~ ;., -- ~_.: .. ..:....:.. ."1 ....' ". . ;'-'">--:'~ -'.'_.