HomeMy WebLinkAboutPermit Electrical 2001-10-23
. The lo.g project as submitted ha~ the following .
. does not require speCifiC land use
tOning, .
225 FIFI1I STREET approval Wt2.... ELECTRlCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9747tonlng . . / (f (
INSPECTION REQUEST: 726-3769 loOf~:;/ol CitvTr.h.Number/)I-OI (0, - 0
OFFICE: 726-3759 Date vpJ1AJ./
Authorized Signature D--;;-.I ;';OiVJrLC1C rcE SCHEDULE BELOW
.1. LqCATIO~ 9F INSTALLAljIQN ,/
ZLfz6 rtlll(t16$I{fi-N~
I /V()~I-hWOOD /'L.LJjsLin/V'
LEG~t:riESCRI;PTION '-1'1,< Ti
11.0.3' 24 .:;2,~ 71)0
_ t>- New JltsidentiaI-Single or
Chtl/u4) Multi-Family per dwelling unit
Service Included:
Items
Cost Sum
~ ,z ~ 1 JOB DESCJUPT\ON L. l ' '.c..' LA I 000 ~q.ft. or less
7f~;J f N'~Tft-f;f; -tflPAl KL&4 f){ ml11l11; :AfSTl'/t'!ach additional 500
I IV 5IJ-AlCfu~M.Y .. sq. ft or portion
Permits are non-transfemble and expire thereof
. if work is not started within 180 days Each Manufd Home or
of issuance or if work is suspended for Modular Dwelling
'180 days. Service or Feeder
$106.00
$ 19.00
$ 50,00 -'--
2. CONTRACTOR INSTALLATION ONLY B. ServicesorFeeders
,j' . I h Installation, Alterations or
Electri~ Contractor {... J:? , vJ2 JI1)' 11m I r IV c..... Relocation:
f.QW 11/,\1l_.L. -
Address (pO . W =>'f K. {f:(J ,
City2p!J1> . q1tfp~lne 7tfTU,{,,]g
Supervisor License Number / '-11 ~ 5'
Expiration Date /011 /;J,PIJ t/- .
Constr Contr. Number t?699
I;;?/II/IJ~
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
60 I amps to 1000 amps
Over 1000 ampslvo1ts
Reconnect Only .
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
Signature of Supervising Electrician
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts see
"liB" above
$50.00
$69.00
$100.00
~~~. .
~ c7 A r .lL /Ii' L b. Branch Circuits
Owners Name IV CJIfTrI WPIJIJ [..r; f( /S nit'!} New Alteration or Extension Per Panel
-'1/ I Li' ("/1 t(IJI(I.!41. . .
Address~:z.5 rtI1l<VG"srC/J. . . One Circuit . i
City SP{-//J . q 741Jone 1 t/-b. '-I ?17 I) Each Additional Circuit or with Service
OWNER INSTALLATION (JUYl /At(!j)~1t- or Feeder Permit
$43.00 ~."-
$ 3.00'
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited EnergylRes
Limited Energy/Comm
$50.00
$50.00
$25.00
$45.00
190:l:!3IHS~:J
: 38N\JH::J
~L'1~ $ G:a::J3l:! lW~
WOG GG l:JD: 31~a
~~OLOOO-10:#SN~l:!1
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
tk---
5. SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrative Fee
TOTAL
::5, I':::,
3.bD
51. '15.