HomeMy WebLinkAboutPermit Electrical 2000-11-20
.
AI .
SP~IELD
DEVELOPMENT SERVICES DEPARTMENT 'ect as submitted has the followin
TM folloWing pro! . e specific land use
zoning, and does not requlf
awroval. W2---
Zomng-
225 FIFTH STREET {(_ 20'" <Tt)
SPRINGFIELD, OREGON 9747C1ate '*" J
INSPECTION REQUEST: 726;;..~l,li!l.d Signature - 'l'
OFFICE: 726-3759
1. LOCATION OF INSTALLATION '
d-..<:" ~<. (?'~'> V\<.Ac_ DC'_
LEGAL DESCRIPTION
l7o~ '2-4'3/ 6/<;Cf1)
LJOB DESCRIPTION
OJ \ )"..,\..I(c,r IfF-
- v
Permits are non-transferable and expire
if work is not started within 180 days
for
O~,~!l~llanfe,.qr".if workdsr<suspended
l~9,lcIj,iY,~:~f adopted by the Oregon Utilit)
'Iotifi""tinr, (~"'ntAI, Those rules are set for
2. CONTRACTOROINSTAJ.J.AT:r()NcONL1i),
nOli.ntlO~-UUI-U IVllllUl:igii'fl-.. ,,,-.1_.....1
E. \,')Qf\ v:)" m1fJC'.'f\htAin rooiesof the wi ,0> 0
1; cq.-lca ontrac;jtor. ~'-....J.....l... .....^...^
lling mee8mer. \1'0l~. "'- --~,-
Adai:>es' -for the Oregon U!ilit~ ,~otificatio'
-"", '/' .....
City"'/' Phone
Supervisor c~n~mber
Expira on Date ~
~
"
Con t r. Number
Expiration Date
Signature of Supervising Electrician
Owners Name s'~v.,,",^ \~\Ac,A/'~
, " I
Address '6),<::, tJ' r /)".~ p\ .
Ci ty ~ e. \ 2.. Phone 1.1 h -9;Dsq
OVNER INSTALLATION
The installation,.is being made on
property I own which is not intended
for sale, 'lease o~ rent';
~i.gnat~r\l4L
-----------------~-~----~-----------
DATE: I \ -?--O~' ~ '
RECEIPT #: .
RECEIVED BY1' . I Y'\(,J...~<J
" >.IlCTRICAL
4
. '- 0
sJmt~~, 7i?
( .
FAX ( _' 1
PERMIT APPLICATION
Clty Job Number 1')0 -DO"I T7 -0 l
3. COKPLETE FEE SCHEDULE BELOll
A.
New Residential-Single or
Multi-Family per dwelling unit.'
Service Included:
Items Cost
Sum
1000 sq. ft. or less
Each additional 500
sq. ft Or portion
thereof
Each Manuf'd Home or,
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B. r~~,rr~c;!!S or Feeders " ,
Instalrition, Alterations
T6rSR'of~cl[t1Idjll:L EXPIRE IF THE WOR1<
A2,UobHORIZED UNpER THIS PERMIT IS$NOT
( '1"amp.sEor)[ essRH'DC' .-- -Of 50.00
zoi IV!lmps It'6 r40Q'Iamps "~'J1 $ 60.00'
/40,11 afnpsNto::O:60.0)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
200 amps or less
201 amps to 400'amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
'$ 80;00
volts see "B" above
D.
Bran'ch Circui ts
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.09
$ 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
&0. aV
I.'--/u
. IoU
, 1.7 . 0-0
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL