HomeMy WebLinkAboutPermit Electrical 1999-7-13
~
.-
The following project as submitted has the following
zoning, and does not require specific land use
approval.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1/[//2---
1/ rf), q 1--.
rlJfX
u.>.
A.
97477 Zoning
Diie"-~7':;Q
ALJthonzed Signature
1. /LOCA~~N OF INSTALLATION
/0/8 JlHnJ/t..7ZiW 51:
LEGAL DESCRIPTION
!7()33'fI2-- ()bJO()
JOB D~PTION I
Rmm 'If).oI77~ 7, Cia"...' r
,
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended, for
180 days.
ELECTRICAL PERMIT APPLICATION
fPO/~3
City Job Number
~unr~L~ FEE SCHEDULE BELOY
New Residential-Single or
Multi-Family per dwelling
Service Included:
'uni t.
Sum
Items Cost
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder ,$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
~ Installation, Alterations
Electrical Contractor ~ or Relocation:
AddrmFNTION:Oregon iaw re9uires ~~.~ 200 amps or less $ 50.00
, followrulesadoPteOD~ln"V~~~;t'f~rtl' 201 amps to 400 amps $ 60.00
Cl FYGlH'MHnn r.",nter, Tho~J!lf!ilie> _ _ _, 401 amps to 600 amps $100.00
, Il.R952_001-0010thrOl,lgl'fu/,\n"",-C;v' 601 amps to 1000 amps $130.00
suPif}d'VIJUtthyltl!:lUlirtOO'Pie$"oftheruleSbY Over 1000 amps/volts $300.00
o ai" thP.,<ent;::(Note:thetelepnUl~" NOTICE" Reconnect Only $ 40.00
Expi ~,~'6\\ io;'\h~"G"n Iltilitv Notification - .
num er ~r/ Ie. ~~OO-33?-':?~)' Inl"PEBMIT~RSJ:lj2'ftIB!NORKFeeders
Constr c7r')tE'Ntim~er 4JITHORIZEoTG\~~~~~~~iT'i~Nt5ton or Relocation
Expira.tion Date COMMENCE[Qij(jlIS~!llGWOR $ 40.00
/ ' ANY180DAy~ep;jI@l!!ps to 400 amps $ 55.00
Signature of Supervising Electrician Over,401 to 600 amps $ 80.00
L Over 600 amps or 1000 vol ts see "B" above
Owners Name t1!et;Z1Ut1 ~
Address 6/ t IIMwf~
Ci ty <:;,.,V Phone 7 c../ /- fJ G '-1/
, ,
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
JlJd;;?~
-------~-~----~-------------------'
DATE: t-/S'-.y-
RECEIPT fI: O-~/.f'f{,'1,4 /?
RECEIVED BY: ~ /A)#IA~Y
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit /
Each Additional
Circuit or with Service
or Feeder Permit ~
$ 35.00
35
$ 2.00
l.{
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
$
$
$
$
if! 00
z,o ~
/.'2-<,
~<{, 1- '6'
40.00
40.00
20.00
36.00