HomeMy WebLinkAboutPermit Electrical 2000-11-13
('.1:)
zOning, and does not require specllc an
approval.
Zoning
Oats
11-
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
f"dtrlonzea Signature
97477
726-3769
1.
LOCATION OF INSTALLATION
q,5 MA-IJJ ST
LEGAL DESCRIPTION /,
i -y 0 ~ 3 (; I..f). 0 <p (Jl;TlJ
lrJi!/ rIS1RIPTION
~, (F( - eBgj(.\N6 Lor
,~, '-' -, . - ..' ' ',.", LI6I-11S
P . ' " - - ..."lv...." 'f"c ,'1t"loor udl,II" '
er;lll1't.S! 'are, non- t.rans erau' ~ all. + eXplre
it,18.'?X:!Qti's', no t.,:s dij)~ea rV'iltti'ihdOf89~'days
of,)(~.s.\Ia.nS;~06r,(ff.(,';of.l{J~il's'J~\rsp'e;;ae1I' for,
1BOOoaysI;IU may obtain copla~ of the rules o~ .'
'J ~~lIi;IQ the center, ,Note. thE, lele.~ho~e
2. CONTRACTOR, INS'l'ALI:.AT[QNICONty.hon B.
nUI11U\.,;IIVI ....... -'-.:1- -
. r:(:\:,.,t(.l'i~~ i4~r;).'1~?~':'?~44).
Electncal Contractor Beacon Electric
'Address ,,585 Roosevelt Blvd
Ci ty
Eugene
Phone LU::; 1_0=='01
Supervisor License Number
34855
Expiration Date
10/01/01
Constr Contr. Number 38497
Expiration Date 01./10/02
ervising Electrician
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
-------7-------------------------------
DATE: ( -13 - ~[flJ7)
RECEIPT #: ;-j'7&1 0 . .
RECEIVED BY: /l. ina.LJ1..L.Ld ~
1":1;0_00
ct<...J
DATEINDV 13 2000
AMT RECD:2 $ 68.20
CHANGE:
CASHIER:OOl
ELECTRICAL PERMIT APPLICATION
City Job Numbe,(X) 01 (., '5 7 0 I
Nev Residential-Single or ~
:::::.::: :~:'::~:"i L 4J"'
Service Included: "
3.
A.
Items
Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
there~fOTiCE: $ 15.00
Each Manu.fpd...Home, or
Mod u ~~ ~hp,v~l{!'"iilg;HALL EXPIRE IFTHE WORi(
Serv lce Tof)FEeeiler,~OFI'l TJ..II~ F'E.~-1I&.R'lg9~o.-
COMMENCEOORISABANO' '
Services or Feeders' ONEOFOR
Ins taJ'i'a:~ rS~ PP",iR'e'i?iCt:i'ons
or Relocation:
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D. Branch Circuits
$ 50.0050.00
$ 60.00 .
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less I
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 40.00
$ 55.00
$ 80.00
see "B" above
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit (n
$ 35.00
$ 2.00 ~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
5. SUBTOTAL OF ABOVE
!% State Surcharge
3% Administrative Fee
TOTAL
(.,2. DD
4 ,~L./
I f? lp
lDB.70