HomeMy WebLinkAboutPermit Electrical 1996-10-30
.
, The, following project as submitted 1100 :he following
zoning, and does not roquire specific fr.nd U:..lC
approval. "
Zonin9__kQ().;. ,
225 FIFTH STREET D',~~, l^r;oICi&
SPRINGFIELD, OREGON'97477-~; 1- --
INSPECTION, REQUEST: 726'''3769:>;9'):<:-;:'
OFFICE: 726-3759
1. ~e~t:(~ ~F NI~~~Oa)
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days. "
"
2. CONTRACTOR INSTAL~TION ONLY
E1ectric~1 contract~~f\~'
Add~es, A:t~\4 ~X\~--=>' .
~~ ty ~ 0 rh}? ,'_ Pho~~rlo~~ 4444-
, supe'rvisor Lice~e Number A[f)( 0.3 '
en" -( . q~
<6 0 ~3S
~f) . ( D .c('1
Expiration Date
Constr Contr. Number
Expiration Date
S~Z;::P7~~
ovners~me \ 1)\ J(\ k'\O .
Address ~d)D~ 0 I\fnf) Q ^ /
CitY.. ~q{ ~ :hone \"12.(0. fQW
- ~ ~~~:LATION' , ' ,
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
. '
Owners Signature:
~ATE~------771-~~:C7~------------
RECEIPT 11: ,;)l~r t4: 1
RECEIVED BY: '
Eu:CTRICAL PERMI]'
{{~t~Gto
Ci W Job Number
3.
,
COMPLETE FEE SCHEDULE BELOV
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
\
Cost
Sum
unit.
Items
1000 sq.ft. or less I
Each additional 500
sq. ft or portion '1
thereof' 0
Each Manuf'd Home, or
MoclularDvelling
Service or Feeder
$ 85.00 ~
$ 15.00 4S
$ 40.00
,B.
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
Reconnec t O'nly
$ '50.00,
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services 'or Feeders
Installation, Alteration or Relocation
2'00 amps: 'or less,
201 amps to 400 amps
Over 401 to 600 amps
Over 600 ,amps,or 1000,volts
Branch Circuits
$40.00
$ 55.00
$ 80.00
see liB" above
"
, ,
'Nev, Alteration or' Extension Per Panel
One Circuit $ 35.00
Each Additional
'Circuit or vith Service
or Feeder Permit "$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
, Sign/Outline Lighting
Limited Energy/Res
Limited'Energy/Comm
no t' included)
5.
$40.00
$ 40.00
$ 20.00
$ 36.00
, -tjn. cP ,
;;-i.0U
_,-L,-(( )
1""2\~4 n_
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
Tho following project as submitted has the following
7.oning, and doeo not require specific land use
o~prov"i, -,..... L
Zon!np L I )
225 FIFTH STREET , I 1\/ Ti'l/(fr ^ '
SPRINGFIELD, OREGON 9~q1?~~~ J
INSPECTION REQUEST: 726-,,3?&9Signoture 71.' ~
726 3759 I'\~h\ Y\" .... -I
OFFICB: -
3. COMPLETE FEE SCHEDULE
1. ,~rrJ..r~FN)
I
~~~~:::,~:: ~'d "pi<<
if vork is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical ContMctor 1 +-F E!pcff'lc :J:aC,
,
~6se (\ \],.
Phone q SY -1000'1
Supervisor License Number Lj IIY C,
Address '-\ \ 01
Ci ty F ill~{\Q
I
.Expiration Date \()-l- 9~
.'
Constr' Contr. Number ItlS4i?
'3 ' 50 - 1%~
v'. i
Signature of Supervi~ing Electrician
Expiration Date
Ovners
Ci ty
The installation is being made on
property I ovn vhich is not intended
tor sale, lease or rent.
Owners Signature:
~~TE~----------------~~~~~----
RECEIPT 11: \ I .) IX ~'A> '\
RECEIVED BY: C'~ L'L\ VJ"{) ~ I
ELECTRICAL PERMIT ~PLICATION
~Ci ty Job Number L\ \o\C1olo
B.
Services or Feeders
Installation, Alterations
or Relocation:
A. Nev Residential-Single or
Multi-Family per dvelling uni t.
Service Included:
Items Cost Sum
1000 sq. f t. or less I $ 85.00 eo.
Each additional 500
sq. f t or port ion 0 1-S
thereof $ 15.00
Each Manuf'd Home, or
Modular'Dvelling
Service or Feeder $ 40.00
200 amps or less
201 amps to 400 amps
401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
BELOV
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D. Branch Circuits
$ 40.00
$ 55.00
$ 80;00
see nB" above
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
\'2\)
~
\1{; ~
40.00
40.00
20.00
36.00
.
.
. . t as "ubmitted has 0
The 1ollowI09 prolec t ... uire specific Is.nd use
zO.1ing, and does no req
,,<,povol. -....... K....--
~oni I/'}
o 4 ~
l"'l_ ~ ~
9.7.~ ?,?r\xe<l Signoturo~
726'-J769 '
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. ~g;t~~~ INh)Jjr~qV
\~~~WPTIor11\tD
fr ,J~{f~CRI_PTI~-o~ n~\U
Per ,Jts are non-transferable and ~p~~)
if .ork is not started vithin 180 a
of issuance or if vork is suspended for
180 days.
CONTRACTOR INSTALLATION
07
Contractor
Ci ty
Supervisor
Expiration Dat
Constr Cont ' Numbe~
Expirat' n Date ~
ure of Supervising Ele~' ian
- \i....'~
Owners Nam~ ~\1cltJ1-~
Address S\JiJ\- q \Qr;-of )
Ci tJutilrt Phonej2j0 lCtid)
~~~~TALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
~rs Signature~/ / ~_ '
~ ,~~.M~-
~ATE: ----------II[)~~~~r;--=------
RECEIPTli: 'x4;::iD 1
RECEIVED BY: KCJ]1.; <.,,-{j\'
ELECTRICAL PERMIT~PLICATI(N
City Job Number \...\\0\& {J
3. COMPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular 'Dvelling
Service or Feeder $ 40.00
,B.
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
Installation, Alteration or Relocation
200 amps' 'or less l $ 40.00 40
201 amps to 400 amps $ 55.00 '
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Branch Circuits
Nev, Alteration or Extension Per Panel
"
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL '
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
.00
'l/,U
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