HomeMy WebLinkAboutPermit Electrical 1999-10-29
. . .'
The following project as submitted has the folio
zoning. and does not require specific land us
approval.
Zoning r (- '
225 FIITH STREET NG'M _. IC,L::O .Q9, "~CAL P~IT APPLICATION
SPRINGFIELD, OREGON 97477", Gt:. ~ ' 'c;. ,
INSPECTION REQUEST: 726~~1ls~ALLEXPI ElF City Job Number 711/2....2-.,
OFFICE: 726-3759 AUTHO THE WORK '
RIZED UNDER TellS PIiifJ.MWfijdfEE SCHEDULE BELO"
1. LOCATION OF INSTALLAfJf(MMENCEDORISABAND
-210 (}:JLfJ:/'o-' S"1U\lY1Rnn4YPEnJOD,A. ~~ItQ~dential-Single or
. ' Mul t i -Family per dvelling uni t.
~GAL DESCRIPTION Service Included:
I7b3 '5 C'fz.. f?>oov Items Cost Sum
, C. Temporary Services or Feeders
Constr Contr, NumberSf'q V y Installation, Alteration or Relocation
/. A I I EN110N:Oregon law re0uirel': you to
Expiration Date ('/7 0/ fnllnWrllleSad(lPI'200~ramps:i'otlHe's~ty$ 40,00
, NOlifiC8Ii(lI.'Ce"IN.201':amps!~to'''400f'1lmps $ 55,00'
Signature of Supervising Electrt.~i~n9b2_001-000.vero{<91Cto1600{ariips '$ 80.00
/ ",L. /' "",,-,,,/ 0090. You may o!:JI.Qly.eJ1JJ..69.ooamps'lor~ (1,900 vol tssee "B" above
1#7 f/"l/' ~ L1? _.l1:__ ~he "ent~r. (:-Jot~: the lcl:phcine
~ ~.. ~ D. o Branch'l<::ircui!tstl'on
n )fA / mberfort"" ,..",~.. ~,1 h' . .-....--
Ovners Name_I!" "'7 /Y/~/f" 'Senlcrls1-800-3~?-2344),. '
AA Nev, Alteratlon or Extenslon Per Panel
Address 1/ ~ /1/ (If 1 t<J '
City-Sl /(/1
OVNER INSTALLATION
.E. Miscellaneous (Service/fe~der not included)
-Each installation
Pump or i'rrigation $ 40.00
Sign/Outline Lightin~ $ 40,00
Limited Energy/Res $ 20.00
Limited Energy/Comm I $ 36,00 ~
5, SUBTOTAL OF ABOVE fC.ocJ
7% State Surcharge. 2. :},..
3% Administrative Fee 1.09 (f
TOTAL ?~'~n
JOB DESCRIPTION
St'c,) Af./..,. s.vc::~
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days,
2. CONTRACTOR INSTALLATION ONLY ,B.
'Electrical contractor;O-r <~A/I2-;~
Addressfc;l) / [Je,,/2.-- ( 5'u;~ II
ci ty fi.-,..,,...,,..,i- Phone 3> C( '2.- -/ ~ n
Supervisor License Number g>~~ - '3L-1?
Expiration Date In// (0 ~
Phone
The installation is being made on
property I ovn vhich i5 not intended
for sale, lease or rent,
Ovners Signature:
----------------------------7A- ---1----
DATE: '" 11l~(
RECEIPT II: I, ~ 'ft <().- " (
RECEIVED BY: V~
1000 sq.ft, or less
,Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home. or
Modular. 'Dvelling
'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 -----
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 85,00
$ 15,00
,$ 40,00
$ 50,00
$ 60,00
$100,00
$130.00
$300.00
$ 40.00
$ 35.00
$ 2.00
The !ollowing protect as submitted has the !ollowing
and does not require specifiC land use
zonlOg,
225 FIITH STREET approval r: L
SPRINGFIELD, OREGON 97477 Zoning '\.0 -~ S ,oq
INSPECTION REQUEST: DJ6h-'HI;O "
OFFICE: 726-3759 "ulnorozed Signature ~
~ 3. COMPLETE FEE SCHEDuLE BELOY
1. LQCATION OF INSTALLATION
q to ~ " ' A.
.-'
.~
.
1/.
LEGAL DESCRIPTIOti ""'000
Jf n335 4J-. CD
JOB DESCRIPTION
~f'I p",{l... \b /\d'D:
Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for'..
180 d \' ",.. " "
ays. r".r....\l '.
" "I :,", , '\\)
2. CONTRAyrOR INSTALLATION ONLY",. )~...:l"!B.
"l r,' .' . \')' '\.l ~~/~'L-
Elec t ri ca~f\<<~mt rac tor -!~c.( J.~di'tji,., ~
....-,.. " . f\' . ..
00')1 , ' .. ,'i~ica\'JO'
Address~ll -(2,A\6 ,}-ol{ 4_~,'"'' ,., ",,' ,,\j
umO~' ".,1 1,1 ,'>1. . ",-!-3'- . '10...'.
Ci ty ~n (;r 'Phone 'bYb-l,,:;}-ol L.
'f.
Supervisor License Number 9, '-I <1? .s
Expiration Date /0- tJ/'- i) /
Constr Contr. Number--2J;? fl fJ 9
Expiration Date /-:J- --'30- 00
Signature of Supervising Electrician
0~ ~ A_~___
O,mers Name fYv .........f t'~
Address '11 0 ~I.J
City~ ,Phone~~D~
OYNER INSTALLATION
The installation is being made on
property I oyn which is not intended
for sale, lease or rent,
~ Owners Signa ture:
------------------?;.---~-~-------------
DATE: (0 ~;)S -'77, ,
RECEIPT II:, r
RECEIVED BY: n.. I' YJ a. e /'lex U (J
ELECTRICAL PERMIT APPLICATION
City Job Number
qClu ').)..
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t,
Items
Cost
Sum
1000 sq,ft, or less $ 85,00
Each additional 500
sq, ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular 'Dwelling
Servic~@tTPe~er ,$ 40,00
Servi cellt~PmAlJ~ALL EXPIRE IFTHEWORK
In,S tallcilUiT<HOR~t1I1lUl:lXll'1-lIS PERMIT IS NOT
or ReloWfJl~lIICEDORISABANDONEDFOR
200 amp~rwr1alelS~Y PEFlIOD. $ 50,00
201 amps to 400 amps $ 60,00
401 amps to 600 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 volts
$ 40.00
$ 55,00
$ 80,00
see "B" above
D.
Branch Circuits
.'
Ney, Alteration or Extension Per Panel
?5.6V
-L- $ 35,00 -...:>
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit 3
2,00
{,. ($V
$
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
5. SUBTOTAL OF ABOVE Lf /. 6b
7% State Surcharge ..J 'K"- /
3% Administrative Fee /. ':),,],-
TOTAL c...JC;. /0