HomeMy WebLinkAboutPermit Electrical 1999-5-26
The following project as submitted has the following ~.
zOning, and does not reqUIre specific land use . "I'll'
225 FIFTH STREET approval ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning (2.C!.....- n.O 0 '.2j
INSPECTION REQUEST: ~-3769 5-;;'''J'' Ci ty Job Number ~I -, [q <:.{.
OFFICE: 726-3759
Authorized Signature ~ 'J. ';:()lIP' "TE FEE SCHEDULE BELO\!
1. LOCATION OF INSTALLATION
_-3l( h ~ 1-1 rYTtt',^/
LEGAL DESCRIPTION 17()3~ otoS
(')(~J" ,~t?_~
A. New Residential-Single or
Multi-Family per dwelling
Service Included:
unit,
Cost Sum
$ 85.00
$ 15,00
$ 40,00
or
Items
Jon DESCRIPTION N 1000 sq,ft, or less
t'rJ<<N&'r 'T~6/V ""'" _"'I'IS'N r9JJ1;Rt; Each additional 500 .
Il1l:SPERMITSH sq. ft or portion
Permits are non-transferable ~TM~~~ ~E)ijW~pfH~
if work is not started wi thin rtll.Q [ii')'iFDUNDER.~N4tW~e or
of issuance or if work is susP"'Eh'MM!:Nr?itoORISABI:l.P. u 1jf~lh/OJ'lg
.180 days, ANY180DAYPER/O '!f~ ~ffeeder
0,
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Hlivf-TH Z l"t? LLC Relocation:
Expiration Date ~/~cyGO.
s~~uDe~~ Electrician
/' tY ~ D.
Owners Name .6.!:2.r-RP9-C k .:::rL,I/.,K ,4,) ~'f
Address,~6..s.-o (3/ sf .so ,-Ie ~dC>
Ci tY~&2(.(. oVG ~ Phone
Address ID:)../'1 )1,/& Nll"t-RY ~
Ci ty }:t,,,Tt-~ ~ Phon(!ct3! 'TC@ BVo
f'9-3s't.<',
Supervisor License Number
Expiration Date I~~
Constr Contr, Number l:J.tF3)()
OWNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
DATE: -S/UI77 -----
RECEIPT II: ' 03'fZ<>?J'.
RECEIVED ny: pi'1.Ja--/
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $lOO.OO
601 amps to 1000 amps $130,00
AI~er 1000 amps/volts $300.00
fOlJo~1~t;Kn'e0. Only $ 40,00
Notifica . U1es ado reyor, law
m t>AA il0M0l'.<li~t~~~~tOOs%eders
0090, YOW'S-tJiil:w;{&/t),~€~t.~~.Qat~9r Relocation
calJir, may ob .0 thtOU es are s iI,ty
r,Umbe~iafjcalrl~aI8f:o~gOAA9.,~t;~;h $ 40,00
C~ih~~~' (NPtliq~ i{rl&s r~ - $ 55.00
Oo/~fi<4{J.~~~L6f1f1,e(rrf~lJhnn'O :v $ 80.00
Over 600 ampg-<.OJ44j~t/l\BltS see "B" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Addit ional
Circuit or with Service
or Feeder Permit
$ 35,00
$
2.00
E, Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40,00
Sign/Outline Lighting I $ 40.00 ~
Limited Energy/Res $ 20,00
Limited Energy/Comm $ 36,00
5. SUBTOTAL OF ABOVE Jr 40 ' -
5% State Surcharge ~, -t- '.dO
TOTAL ~tl"'.Ji)