HomeMy WebLinkAboutPermit Electrical 2002-8-2
A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
17.03 'Z-5z. Lt. .~Qf,.<'Rc?"ubmitted has the following
;~~ing, and~does not require specifIc. land use
JOB DESCRIPTION approval to '1) 1000 sq. ft. or less
WTRF: HV AC UNIT Zonmg -1..) nacn additional 500
o 9) " 'L ~ 0 ~ ~1. ,hr portion
Pennits are non-transferati~ and e~!re q<,~ there'1f
if work is not started wi/\iil\'q'll{J'aa~nature Each Manued Home or
of issuance or if work is suspended for Modular Dwelling
180 days: Service or Feeder
One Circuit
~ --
Each b8.~~~rcuit or with Service
o~IWlI~~i'l5nijt ;lL $3.00 q ~
OWNER INSTALLATION 'l~.:", ~~ ~\:)~
The installation is being made on ~\..l(..~ ~~ ~. aneous (Service/feeder not included)
property I own which is not intended ~ S~~ f<-~ '\ ~'~ installation
for sale, lease or rent. ~,\\fiJ ~~'\ ~~'V ,S ~'?Pu~p or irrigation _ $50.00 _
~ ~S ~~ ~l(..~ ~ \:)~ ~\:)~gn/Outline Lighting' '" $50.00
. '\~ ~~\:)<<;i. ~c,~ ~ ~l(..<<;i. Limited EnergylRes $25,00
~~ ~~~ ~'f: Limited Energy/Corron , _ $45.00
cl::) . ~'O~
- ~~' Minimum Electric Permit Inspection Fee is $45.0'0::;'-'"
Surcharges
.
'POGe [(..EM
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
PAGE ELEMENTARY 1300 HAYDEN BRIDGE RD
2. CONTRACTOR INST ALLA nON ONLY
Electrical Contractor SCOFIELD ELECTRIC
Address
PO BOX 2765
City, EUGENE, OR
Phone 686-8612
Supervisor License Number
508-S
Expiration Date
10-1-04
Constr Contr, Number_
3240-S
Expiration Date
10-1-04
Signature of Supervising Electrician
I2L//~
i/ '//;V
Owners Name SPRINGFIELD
SCHOOL DIST
Address
525 MILL STREET
City SPRINGFIELD
Phone 747-3331
Owners Signature:
"
l:90:~3IHSI;;l8
: 39NI;;IH8
O~'~Z~ $ Z:Q83~ lWI;;I
ZOOZ ZO 9nl;;l:311;;lQ
8gl:0l:00-l:0:#SNI;;I~1
, ELECTRIAERMIT APPLICA nON
City Job Number 07--0 d/SJ -C> I
3. COMPLETE FEE SCHEDULE BELOW
Items Cost
Sum
$106.00
$ 19.00
$ 50.00
B. Services or Feeders .-
Installation, Alterations or
Relocation:
200 amps or less L $ 63.00 /8'-9
201 amps to 400 amps $ 75,00
401 amps to 600 amps $125,00
601 amps to 1000 amps $163.00
Over 1000 amps/volts $375.00
Reconnect Only 'l0\}\\'l =$ 50,00=
' \},,0S \j'i.v.' ~^.
C T S,n;. ,n{\ F"d!)
. emporary~ e~vlces'or ,-ee ers\"
Installatioii>~-lterati~n~o~Reloc~tion}
.O~e'!'- 6'0') ,. ,\}\0~ ~~ ~- \}\0'i>. , '
~"N' ,,\0 nS0 ~ 0 0 ' ~0
~\ ~ 20l),.~fups oflle~:\o\}Qj 0' \X" <\'r-O --=!L $50,00 _
~\,\~ ,~i(ll,amp~io~OO ampsS 0\0\0\,fj7>"'- $69,00
"O~\O-l'l '\L0Je'~~0j;l6:600~li,h.\~_,~o\~ = $100,00-
, '"c?>.\; ,...~\~ ~"V' ,~1"~ ',\\''''Ii . f~l' -
O'i.."~ L0ver 600'ilml's or 1000lvolts'see
~ "'~"B'" 'b''''' ~\"''' ,,0\' ~ ~'I:'''-
, ,~or ",,'-\~~S0 O,0"'~().~ '
~ ()()'?J()',,\'(IO, '" 'n~\'(:I0 . c.. \-?) ,
fj'3D. BranchlCircuits
"\'0..... ,(),,\\"
'(I,New Alteration or Extension Per Panel
$43,00
4. SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrative Fee
t?, fJ..
L9..:J '-t
?_ ~.S'"/..
TOTAL
~ J'-t.3.D