HomeMy WebLinkAboutPermit Electrical 1997-2-19
" S.~GFIELD
The, followi~g project 'a~I~ll~i~~r pd~i~\ci!av~jng "
'zoning, an,a dce:3 net re..:v1l,u.1\2J;1fj~iJ;:o "
approval.
. Zoning c.. (j
.'..,- 225 FIFTH STREET Date! ,If. /,,-.
SPRINGFIELD, OREGON 97477'~
INSPECTION REQUEST: 7ttf.!'1?W Signature
OFFICE: 726-3759
1.
LOCATION OF INSTA~TION
~S'-rnlh/Y) ~
LEGAL DESCRIPTION
17 0 ~ ~ G ~ ) (D I on
JOB DESCRIPTION
6A bA)~J0nsf.n 00 ~h~
Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contractor v-tkn;T11-l ~^ SJ~J.-
Address )/ b ~ ~t::Y\.C("-'- S:fi'.
Ci ty ~(;V'--
Phone ") to '-1-"- ""z./I
Supervisor License Number ~~9~/67
Expiration Date j()-/~97
Constr Contr. Number ft:;C/7&>/
Expiration Date...;:'''? - Q'7
pervising Electrician
Name W'ln--L-S ~~O /J1I7-.Ire.-
Address
Ci ty,'
Phone
OVNER INSTALLATION
,The, installation is being made on
property I o~n ~hich is not intended
for sale, lease ~r rent.
Ovners Signature:
------~---n,--r I-r~~--------------~--~-
DATE: t--1lq ,. _: "
RECEIPT II: _' , lo'7(P.
RECEIVED BY: ~o.I1J..v
IJI>A
ELECTRICAL PERMIT APPLICATION
City Job Number
3. COMPLETE FEE SCHEDULE BELOY
A.
Ne~ Residential-Single or
Multi-Family per'd~elling 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 'D~elling
Service. or Feeder
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to: 600 amps,
601 amps to 1000 amps
Over 1000 "amps/volts
Reconnect Only
$ 50.00 :
$ 60.00
$100.00
$130.00 '
$300.00
$ 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 volts
$ 40.00
$ 55.00
$ 80.00
see "Bff, above
D., Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
'Circuit or'with Service
or Fe'eder Permi t
$ 35.00
$ 2.00
E; Miscellaneous (Service/feeder not included)
-Each,installation
Pump or irrigation $ 40.00
Sign/Outline Lighting'\( $ 40.00 -YO."~
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 4D. ~O
5% State Surcharge J..q7) .
3% Administrative Fee Iii'lU
TOTAL ~ ~,j .o<u ---:::::>
~Il~ f'O:'~Wi~n5tG~G;;@i r..-:' tho f~llo\ '.
...01 Ifl" , ".flu \..o__;;.II-..;ll~q~~'111.' l-.;nd USO,
ar;,;;, (/\/,;"il. .-,"
Zonina . C <2;
, D..,,2# 1 {!, /fn
97477 "'- -1-'-r-
726-3'769rizOO Signature AJ II'"
..,...- 225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION OF ,INSTALLATION
tJts -1"77 /lIa? ...<; +-
LEGAL DESCRIPTION
1-"1 O~ ~c:??i/
{OIM
JOB DESCRIPTION
6.~ " 'J/VldJ:LU ~~,
u
Permits are non-transferable and expire
if' work is not started within 180 days
of iss~ance 0. if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electric.al Contractor'fYIllll-hm&c...'<::;r
Address ..3.1J".J (' AVY1 rNJIleJ ~ Q S$-_
Ci ty _<.;. O~ Phone PIo</ -:::i::J '..I-
Supervisor License Number 3CJCJ 57&,
Expiration Date ID-I - qq
Constr Cont.. Number ~</ 710 I .
Expiration Date '3 - '1 7
Si~re~perViSing Electrician
" /
or
L-/V
Owners Name !J 10 l OJ:> %'00 Sj<,o. ~, k
Address
City
Phone
OVNER INSTALLATION
The installation is being made on
property I own which' is not intended
for sale, lease or rent.
Owners Signature:
DA~E~-~-21Ttq7ti1--;-----~-----~---~---- ,5_
RECEIPT jI:" ' iJ 'tl.j;(Q?)~ ' '/ ,
RECEIVED BY: IdJunu'
ELECTRICAL PERMIT APPLICATION
r' ':' T.ob Number
t:j10z.,~
3. COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family peL dwelling unit.
Se.vice Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
'Each Manuf'd Home, or
Modular'Dwelling
Service. or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to: 600 amps
, 601 amps to 1000 amps
Over 1000-amps/volts
Reconnect Only
Items Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 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 0. 1000 volts
D.. Branch Circui ts
$ 40.00
$ 55.00
$ 80.00
see "B". above
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
'Circuit or with Service'
or Feeder Permit '$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $
Sign/Outline Lighting ,.-."t/)( $
Limited Energy/Res ~ --- $
Limited Energy/Comm $
E.
SUBTOTAL OF ABOVE
5% State, Surcharge
3% Administrative Fee
TOTAL
40.00
40.00
.20.00
36.00
~-
\.~ ~ '
1O.'!J
.Lh.-
,;(.0 O'
I:~ ~
_;0L49 2.9