HomeMy WebLinkAboutPermit Electrical 1993-2-24
S'.'IINCr-I~LU
'he fcllowing pro'f'J ,. ~f #
<oninO, and doo.j r. ct as S~b"'ltlej hec the fo1/0\V1M .,: SP 55
225 FIrro STREET appro"al. ,ot require s!,cci:ic land usELECTRICAL PERMIT APPLICATI'W;LON
SPRINGFIELD, OREGON 97477 Zoninn L"f'vO ql fl J
INSPECTION REQUEST: 726-376~ -- "") -.L.tf-- Ci ty Job Number /){ .
OFFICE: 726-3759 Uale . ~ 0Y....9.)
1. LOCATION OF INSTAL~~~~~ed SignatureS ~ --3. COHPLETE FEE SCHEDULE BELOV
4467 Glacier Street
LEGAL DESCRIPTION
18 02 05 2 1 lot 124 A
ti4Wl
JOB DESCRIPTION
Single Family Residence
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Rose Corp.
Address 89976 Day Lane
Ci ty Eugene
Phone 686-0905
Supervisor License Number 1568 S
Expiration Date 10-1-93
Constr Contr. Number
54431
Expiration Date
9-30-95
Signa~~~~ician
D.
Owners Name Capstone Homes, Inc. 6f Oregon
.Address P.O. Box 22636
Ci tyE:ugene,OR 97402 Phone 689-5567
OVNER INSTALLATION
The .insta1lation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
:~~~::7-d~f{l'<~~~~~~~~(J----
RECEIVED 8Y:(~ ,.LY'----'" .
A.
New Residential-Single or
Hulti-Family per, dwelling
Service Included':
It ems
uni t.
Cost
Sum
1000 sq.ft. or less ~ $ 85.00 I!6..cO
Each additional.SOO
sq. ft or portion 4S,C"O
thereof ~ $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
8. 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
c.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
'0".,1.",0. AI",.",o " R':i:~ '
200 ~~~ 4 .00 ..0 ~
201 amps to Lioo amps $ 5 .00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "8" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
C{rcuit 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 Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
/~y~
::; .
~-....,
J~,;1J
~. -
cj)
~.~
13lo ,SO