HomeMy WebLinkAboutPermit Electrical 1998-7-23
.
~:
.~
Items
I '..;. I
ATTENTIO : re ..~.~
follow rules adopted by the Oregon U=dOee"J! ~.spedllo ~
'1' n Center. Those rules are se.. . .,.L . I I' i)
zz~;fi r1O~""9hOAR95Z-""- (lrr ELECTRICAL PIDUlIcrrPLICATION
SP . f"M~ili10ltherUleSbY ZcnIn9-.il . Y'?'j ':).r.J
IN. .:(N~il~1619.~htlQ!l.;,4 ,,~~ I Ci ty Job NUIlIber n (" 5:::> 1\
OFFI&: b regon Utility Notl"ca'tit~. ~ .JL (!\ ru
nume.cente is 1-800-332-2344). AIAh....:.eculll'~..~~l:, r= "'v~"..E BELOV
1 WCATIUN dk.'l;rnST,ALLATION _ I
d Llt'in ~o....-1XWcv../ <0/ A ~ev Residential-Single or
I ~ulti-Family per dvelling unit.
Service Included:
V1 A I~?B l}E~ION . II _ A~ . Ii 1000 sq.ft. or less
/ ~ /, -t)CRLA~~ Lach additional 500
.' I. Isq. ft or portion
Permi ts are non-trN9ilJrJ&ae and expire ; Ithereof
if vork is not starrw9P!Rt\1tl!l~Q~EIFTHI:W; Hanuf'd Home or
of issuance or if,vAod~.J.$..sU$p.~1ietfDrERMI1IS u~ar Dvelling ..
180 days. IUTHUHI!t:u UNuER HlS t' I . rVlce or Feeder
COMMENCED OR I~ ftBANDONED:OR
2..' CONTRACTOR INS~;r,q~vQ@-!'1lJ BI Services or Feeders
. '/~ J'I I ]nstallation,Alterations
Electrical contractor_ytol-l f5 '- ~c.. dr Relocation: .
Add'~ lIeII.11 ot-<""," 'I Joo amps or less I (
~A 201 amps to 400 amps ,~
Ci ty ~ Phone ~* -/PI Z f I' ~01 amps to 600 amps
~01 amps to 1000 amps ~
Supervi or License Number ;). ~ I q S 'qver 1000. amps/vol ts. i
':!j . r(C. ~econnec t Only
Expiration Date I'f'/!-:r;. ItJ-I-9.9'
. C emporary Services or Feeders
Constr Contr. Number :lo - 1"l"4,c.. 4nstallation, Alteration or Relocation
Expiration Date I~ /(l ~ /_q~ It-. ~OO amps or less $ "0.00.
. 201 amps to 400 amps $ 55.00- ."
S.ignature of ~e:vising Elect,rician o.ver 401 to 600 amps $ 80.00
. . ( _ /' " . Over 600 amps or 1000 voHs see ~Bu above
~---~~ t>J\..l\~ Ol! Jranch Circuits .
Ovners Na"l~ J\tt.Y Co(GoW'f:b.... I
, Nev, Alteration or Extension Per Panel
Address I.
Ope Circuit $ 35.00
Ci ty Phone E'ach Addi tional
OIlNER INSTALQW q~O_SlqO ;~r~~~~e~rp:;~~tser~13 $ 2.00 1tft:,
)
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
.
/ 7 u6~ D;J.'3=Yr?m ~~
)
Ovners Signature:
/
~~~E?7-':' ?~--::O ~ -----~------:-
REclnfr ~: n.~6 ~/ J
RECEIVED BY:r!. m/A..~
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
. $100.00
$130.00
$300.00
$ 40.00
qao
r~
.:.l(dO
(3 r"ilJ
E~ Miscellaneous (Service/feeder not included)
I jEach.in~ta~lat~on
l1ump or ungatlon $ 40.00
I Sign/Outline Lighting $ 40.00
I ~imited Energy/Res $ 20.00
Cimited Energy/Comm $ 36.00
5 j ~~; TO-ft"'Q;' ABOVE ? ~ I L(. (57)
il .:. S ta te Sl:Ircharge ' / Z-fO. 7 0
II .% Admint'strative Fee") ~<I. c.;J--
o'r~ ~~.~ . ~. ()3;. /:)-
-'~
stGFIEL~
Zonlnp ) .
Dale~ E'
Authorltod SIgnaIUrll~OT'C ~\T SHALL EXPIRE IF THE WORK ..
225 FIFTH STREET HIS P~~ZEO UNOER THIS PERMIT IS NOT ELECTRICAl. PERMIT APPUCATION
SPRINGFIELD, OREGON r;#4W NOONEO FOR QcnO 5? 0"
INSPECTION REQUEST: ~~~lZafl,EO OR IS. ABA City Job Numb,:r I '6 C. , C:;) 0
OFFICE: 726-3759 A.'Y 'eo QAY PERIOD. 3. .
" , COMPLETE FEE SCHEDULE BELOll
1. ~IPN O~INS1i~LATION ... L__ 'A.-J-
rvLf/UIJ ~JJ.)~ (rTI LU./I' A.
... 7 d
LEGAL D,ESQUPTION .
) --? ().L, c:r 0 (J7) 0 d:J. (J() . .
t:t/vtf~p;{f:d/d /
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical contractor~'ll~ E:.\e.c::..'lYlC
Address IJ.~CC> bethel ~;Ij1L
Ci ty.. ~~./ Phone &98-&J ~I
Supervisor License Number ~~
Expiration Date Jolnr jqp,
, I . C.
Constr Contr. Numberc::xJ-119(l,
Expiration Date IO;l6~/q~
Supervising Electrician
N'1THIMJ fJl-i/UPS
Ovners Name --rlJl(} {)f'\ ~ . (dhM4'
Address
City
Phone
O\INER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale. lease or rent.
Ovners~Signature:
-.
I
DATE:"J- (() -C('f..
RECEIPT if: / broO)(nC::;r,,p ...
RECEIVED BY: r J, rn cIeri 0..01 L.J
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items
Sum
Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular. .Dvelling'
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
$ 40.00)JO. 0b
$ 55.00
$ 80.00
see "B" above
3
200 amps' '0. less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
,.
Nev, Alteration or Extension Per Panel
.One Circui t
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
/?-D.oD
(oO. (50
:<.. (616
1,;14. &0