HomeMy WebLinkAboutPermit Electrical 1993-12-20
The following project as submitted hes the following
zoning, and does not require specific land use
225 FIFTH STREET epproval. ,'0 t1J ELECTRICAL PERMIT APP~ICATION
SPRINGFIELD, OREGON 97477 Zoning~l JVL n ::l....\-:.:) ':1~
INSPECTION REQUEST: 726-376~- City Job Number ~\ ~ ~
OFFICE: 726-3759 Date I <+-- dd-9.1
Authorized Signature, <z <:: ,3 .
1. LOCATION OF INSTALLATION ~
4513 Glacier Street
LEGAL DESCRIPTION
18 02 05 1 2 TL
5701
JOB DESCRIPTION
Single Famil~ Residence
I Bnf3"
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 B.
Electrical Contractor HAJc..,<.. IHr."'...... ;1<<+
Address ~53 5:'. "'~!'< PL
Ci ty 5f~.i) 0(- Phone ?t.j<-/ -I II.S
'11~7'"
Supervisor License Number 3s 11 S
Expiration Da~e Jo:'-'l1'
Constr Contr. Number g "1'-1'2.y:
'.!-
Expiration Date. .< -5 -'N.
.
Signature of S~Pl'vising Electrician
GJ -;lrtZdk-
v-D.
Owners Name Capstone Homes, Inc. of Oregon
,
Address P.O. Box 22636
;J/4UL
City Eugene, OR 9740l!hone
689-5567
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~--------I-~~~--:-C5C~----------
RECEIPT 11: 1 \ t\ 9,'1
RECEIVED BY: L \ S,A
# SP 75
COHPLET~ FEE SCHEDULE BELOV
A. '
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Items Cost Sum
J $ 85.00 F€>
a $ 15.00 ~()
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
40
200 amps
201 amps
Over 401
Over 600
A
40.00
55.00
$
$
$ 80.00
see "B"
or less
to 400 amps
to 600 amps
amps or 1000
volts
above
Branch Circui ts
New, Alteration or Extension Per Panel
One Circuit
Each Additional
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 $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE \ 55:0
5% State Surcharge '1.l,t;
TOTAL 1 \I\d ,')-5