HomeMy WebLinkAboutPermit Electrical 1998-11-12
Nav-OS-9B OB:S9A
-.
The following p<oject as eubmllled hell the 101
zo<.ing, and doaa not require apeclllc I8nd uoe
np;:.:rovaJ,
Zoninp
cc
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
9747foto II~ I.:k.-
726.../iC i,.\.,. SIgn8Iure
1. LOCATION OF INSTALLATION tJ.
.....3Jiofg f..~-fp..uJa.v / "".0. 5.fr;"'j~'p1
I I
LEGAL DESCRIPTION
US.IJo~.J. 1'1t14'cD 1703' z).{? ! 0340
~J
\Q8Q.
P_'02
ELECTRICAL PERKIT APPLICATION
,Ci ty Job Nwnber 120 7 ?, 9
3 ., COHPLETE FEE SCHEDULE BELOII
A.
Nev Residential-Single or
Multi-Family per duelling unit.
Se.vice Included:
Sum
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft o~ portion
permi ts are non-transfe.able anb'Qr~~re~ thereof
if vork is no t ~ tarted ~i thi n l~~ISd'!!-Y~MIT SHALLE,t,cl1l'ltl1J.D\,!.f' 1 Home or
of issuance or lf vork 15 suspended 'for. t-KO'dulJ:a'r r~'l'q)iWg
180 days. AUTHORIZED UNDER S~~Ii'~fI"!?FIg-~$4er
2. CONTRACTOR INSTALLATION ON&OMMENCED (\B~ IS ~~~~PPJiEq,~O?eeders
ANY 18fl rw,' PERIOrlns talla tion, A1"terat ions
Electrical Conuactor 1i~II;""""IIH~L~~~f. Relocation:
Add~ess 7//J/)(" Sw Ar,'d7elJnrf ~. 200 (imps or less
" 201 amps to 400 amps
Ci ty fJo,ff~ 'r72?'1hone_J,D3-1.o2D-'i22$ 401 amps to 600 amps
601 amps to 1000 amps
Supervi..snr License Number L/'I2~ S Over 1000 amps/volts
/ I. Reconnect Only
Expiration Date /0 (/~
" / C.
Cons t r Con t r. Nuntbe. ....LifD..tfk7.~ €leeJ.-:t.J !..'C.
Expiralion Date ~//~/M .3;~~~
Signature of Supervising Electrician
lYk-t;-7 fVt;.wl..~ .
01.'ners Name 1/1.1 / le}:;J S7;f IZ"S ~S741 D.
Address 51 'f<i ~T&WOl#l u,ol!1
F1 . / / I
Ci ty '501Z-//V.,-f-lE'fol' Phon€
JOB DESCRIPTION je"",
t1J1l1C r~L SfS
OWNER INSTALLATION
The insto.11ation is being made on
property I 01.'n vhich is not intended
for sale, lease or rent.
Ovners Signature:
-- - ---- - - ----.i =-1;;'" ------ ----------....---
DATE: ///C::.f...!X. -
~~~~P.!_ *.:.. /rY?3~
S 85.00
$ 15.00
. <
$ 40.00
$ 50.00
$ 60.00
SlOO.oO
$130.00
5300.00
S 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
ATTENTION:Oregon law requires you to
209oil8\ll~u'~ ~d by tbe Ore<1oL5 U\IDt)OO
2~~~~on'C r.I.fflO%A rilles ar~EIi$oiOO
gV~~~:~~RY ~~f=;~~~:=~~ above
R!H1i~ Wl,wter. (Note: the telephone
Bragumbedofinebregon Utility Notification .'
1 "cnt",ri!'; 1-ROo.-~32-2344). 1
Nev, A t~rlon or E~renSl0n Per Pane
One Circuit
Each Additional
Circuit or vith Service
or Feede. Permit __~ $
$ 35.00
~
2.00
~.tJl>
E. Hiscellaneous (Service/feeder not included)
-Each installation'
Pump or i aigatioll . S 40.00
Sign/Outline Lighting 5 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm 5 36.00 ~~.~
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TnTAl.
"19./1)
3.9S...-
2..'),7
$ ~.S'.3 2.-
.
.
~."
, \
,
.~~
Div. of DPK. Ine.
I
I 122 5.E. 27th
1_ Portland, OR 97214
LARRY W. RITCHEY
SENIOR CONSULTANT
Phone: (503) 236-6000
Fax; (503) 232-2357
.._~-~~-_._-----==--~
--'=-<~~- --=''' =,"_~:.",.--=.,- '"o-~_o