HomeMy WebLinkAboutPermit Electrical 1999-3-5
I ATTENTlON:Oregon law requires you to
N o~l?w ~ules adopted by the Oregon Utility
~ ollllcatlon Center Those rule .
- inOAR952-001-00'10th E~OtilJ PERMIT APPLICATION
97477 0090 Yo ,ro~gh OAR 952-001- /J~
726-3769 cailing~~ay Obt taln( Copies ot!Pt"yrulnbb~wnber 77 01 52-
cen er, Note: the telephone
number lor the CJllgo~OkliI.lE'lJBtiiF~' ~HEDULE BELOI/
Center is 1-800-332-2344), I
. A. New Residential-Single or
Multi-Family per dyelling unit.
Service Include~:
;'d"illl~~ nnd does not require specific land use
b1..'~lVvai
Zoning t!- cz.
'3-S - C, <1
!"'?t(.
'".,"'\!!!~ SiUJ!fttlIf -lTR'.:3ET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1, LOCATION OF INSTALLATION
~tf' D /.Iv ~~
LEGAL DESCRIPTION
nil 1, 1.'J l,., /'..oc; /I
1000 sQ. ft. or less
~.,,..'?"^!:. Each addi tional 500
,.-. sQ., ft. or ,portion
.!., ..-..,-,..;'''II....''...w !-:.:1\... t1It\!;IU'iK
Permi ts are non-transferable arid, expire"""'~ ':;'(ttiereof "
if YOL'k is not started yithin 180 'd,,;ys """,,' iE~ch. M,Lnuf~c;I;aI,ome. or
of issuance or if work is susp<;nde{,for . " . l!od8,~~,r; ~9~lling
180 days, ' ,,,::,\~ -'SerVIce 01:" Feeder
AI~Y 180 DAY PERIOf1.
2. CONTRACTOR INSTALLATION ONLY .B,
JOB DESCRIPTION-1
~) .:1 d Kr-S
Electrical ContractoL~~~(S ~~~~
Address 31JJ8' I)Y"~"::'.!J N
Services.or Feeders
Installation, Alterations
or Relocation:
Ci ty O"'~~<, '>t!U.L
Phone
"'''r-3~
3ZL as
/1) / /() / (J/
/
Constr Conn, Number ZtJ.,tZ2.lC-
Exph'ation Date~J-:tIII' &/01
Signature of Supervising Eleftrician
C/; ~ ,1/->-' /,,-
Supervisor License Number
Expiration Date
...J
Owners Name
/ LL A HG
/IL/'-
Address
City
Phone
OI/NER INSTALLATION
The installation is being made on
property I ow~ yhich is not intended
for sale, lease or rent.
Owners Signature:
------~--.--~-- ------------------------
DATE: 1
RECEIPT ll: 7) .U Or IT j!
RECEIVED BY: btI t.J W
200 amps or less
20l amps to 400 amps
401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Items
Cost.
Sum
$ 85.00
$ 15.00
$ 40.00
S 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C,
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D,
Branch Circuits
volts
$ 40,00
$ 55,00
$ 80,00
see "B"
above
.'
New, Alteration or Extension Per Panel
X $ 35,00 3Sc:;J
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or yith Service
or Feeder Permit ~
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
'if
,
2.00
not included
$ 40.00
$ 40.00
$ 20.00
$ 36.00
39;'0.;)
10~
/ i 7
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