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HomeMy WebLinkAboutPermit Electrical 2007-2-27 . SP.FIE.~L_D --;::::1. . ZON L.-DZ. ~~?) INITIALS. ,vI""- i:.i,~j~. ~<l\';;~: DATE O//IH/2dn? .""":,:".~~,, '<. SOURCE /n <' I Date 2/2-~/c; '7 22S FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(S41)7l6-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPliCATION City Job Number _ r..~2CJ177 - /) 02-'7 7 . .... C" .. __," ,. . ~. ....... -,. ,-.~ - ._,....' .....- 1.' LOCATION OEINSTALLATiON::'. :"', '.::' . .'~~. .;.. .,' .. ._. .$~_._ .;.......... ".i., _ ~.' _." ; ...~,,~.:.;.;.~~..c ".:.,..:... (;;,6}(J~ UA'A#f7lW~ )~, LEGAL DESCRIPTION: I /7tJ2- 34<~ /QS/tJ7J JOB DESCRIPTION: . ~// Aw~' ,; - Permits are non-transferahle and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. . ,:;':?,'^"r' .'C ;\ '.l~--:.-:",r-::';: ,,>.__~,.;.,."t;,' .,..... : 1,., . N.~'"-:1'fll'''''-_''' 'CONTRACTOR'INSTALLATIONOJIILl''',' 2. "" .i.~;. _:ct", '~"."' . , :,;;;1~,o,"., ~'..<;..::'~-~-.> ''';:' '~""f:"';/i'.,':" ';";.':; _..... 1i1.8IR..tContractor M~ r ..",j~~ Address ~/S p~ VIIG.J O\2AIJiL.. City 6J6~~€- Phone 2.'13- :!,f;; bJ SUIll'f'!i<;:l"'\rl ;.",.,__.'..:. ~T_.n}~~r Expiration Date ConSlr. Contr. Number 4421 Expiration Date I V II ./_1 (J 6 Signature ofS-...t""'.. :.,:flg-~'h.7'tn,..;~n. ~ ~~, I Owners Namlt ATTEN I IL",.v'"l;j':-" ,.;... ;.:.:.;~,;:::~ j~ Adfl5~li!iw ro .1"" "rlnnted bv the Oreaon Uti,r,y '~Inlilication Center. Th~s~e rules are set fo~ C1IY.O' - --~ 001 661 e ton....... I"\Ap' ~"" n"f in Mn:J;.Jc..- - 'uu'd~.~-~_"'cf\:Io-i- ~~ ~'K,'J m'fJ~btaln copies of the rules b caNili-g'l~~ 1lJp.~ote: the telephone The.jn""'llal'^n\is!.....,~~ .. y..'~til""'...M06~alIioo liLt_ii...."';,...... ..'{t=.__.~ tv. ....,.,.'"!rI is not intend'C!J'i'ftf#\SI~a8rnpSBtz-2344), Owners Signature: Inspection Request: 726-3769 ~1t.....-.-.. ,', "", .~.- .~'.;r:-'-.. . ',"- ".' .'~,"",-..,~.- ~.,~,.-. "~r'."" ~'J 3. "CdMpLETEFEESCHEDULEBELOW:,;"'/ ,_:c;:''i'; .~ :.-.,.....~..:' .' '-;,.~ ;.y~~-""'-'~ >+.;;:::~.~.."~~._.....,~"" ",""-''':'''~'':;;''-:. ~':'-"....!.~." "'~:"'.,.:'.; ;.' '""''"~;;1 ,',;<f"j.>t~<+ :.,' I~'I ., ,. ";-:""":::"';:",'\..-"':',>'1.,;,; .'....._::..;'>_>;.v:t',. :"..';~;~i!', ,.,r'i'/','l A. i'j New.~~esidentiaI ~ S,ngle orJ\'lulti.Fa'rililj; per dwclling~illlii.-' t";~ ..,!l.....o..-'".,_......;~~~...,.......- '.._..'_.> ."".,,"'-"""",_'" .,,_{L:,-,;,'__'~-4._,_.-i~..--~-:...", Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 7r.:;"-'~~::;~~i\~;;';"''.;J" ~';-ti:.'" --';,.-r::~~"'~.:'~,; ~. ,.- ,~r.",,~".....';:; ',," ~..:. :'. \ ;' :~'-':~';:--"::<~;'1','" B. ~. Services 'or:)i"eedcrs"-::Installation. Alteralions or. Relocation:":,,, \';'::'~";. l",.;::';fr",,""-~^'.1''>-':''.'' ~a/"l),;.\.' icC.::., ,:>,.'..":.,C..ill.-l-,,~ ~"'" v:~",..'1 ,,:' :",."",.;~, ." ~:. .~. '. ~ '..: 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 60 I Amps to 1000 Amps Over 1000 AmpsNolts Reconnect Only $ 63.00 $ 75.00 $125.00 $ I 63.00 $375.00 $ 50.00 !' '"': l~""...:"'''''''' .;IIt.~-~" :;.-' ""." -- ,'" .r "''''1~'.-''''''''., . ,,~'--:'-'~" '.7' -'. '."Z",,:" ....."'. c. ,'Teffjporarv ServIces or Feeders'.,"':' t "/; ~;.;:' ~.' J ';".':::t;,.' ~:lf ~;,.: .;-~:~ , ......Io..~ ._,.;,.~~_.-,,'<"~'''.I. ...'"...... ~.v.'_.~ _~...~. .1l....-~.:..:......t-"<:.' ';"::'~ ......:. ,:.>t...,l_. InstallatIon, Alteration or Relocation C;z; ,oa 200 Amps or less 20 I Amps to 400 Amps 401 Amps to 600 Amps t..---" $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. D. [~i.~f~~Ii-~!!i~~~'~?1~:;'~~1.~}:i:>~':'~~:'}~~~~::I::~~~;,,) ~::.i~[~~J~~~ . New Alterationl'll~i.on Per Panel One Circuit 1~IS PERMIT SItl.LL ~X'J~'WTII[ "'ORK Each AdditIOnal Ifcutt Of WIth' L I n Service or Feede"l. ;r~RIZED U~DFR THI~ 1l'-Illl:MIT IS NOT -,,, ".'; ~",;:-"...9:PMM~NGED.!.9RJ~:A~ANDONEP.r9R c":"'; E. . Mls~,eIIan~o"A~8f.rrim/I!A'\"Pl!\lfI~E1u<ledl,:,Each InstallatIOn, .:.._..->........_ ~,.-----O',__.'j.~_ _. ._ ..".,.....' ._~..._..:._~_.".~.........---'_..o::.:....._.... Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25:00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges &"~. -~, ~ ...~-....-'''''''''' .,~",. -,<,'-'",:""""-", .-.....".. 4 z'SUBTOTALOFABOvE"'.::'-\' :.ij;;,", . re.. !".1-'~'...'::::"~~.:;..:<:.<.';':", __..J' '.~ ._..... .- ~0'-4"~'<': >-'::,' .,: ....... ':~::~!~.; . 8% State Surcharge 10% Administrative Fee 5% Technology Fee L; f), (}--eJ -4tJ-O .~ (}-O ') .S- oJ TOTAL ' ~J. ~O Shared Drive(T:)/Building Fonns/Eleclrical Pennit ~ 8..Q6.duc