HomeMy WebLinkAboutPermit Electrical 1999-11-5
.
SPAF'EL~
The following project as sub '
. zoning, .and does not rt.:Ul' '!~am<,ttt~~:,~tC;J th(\ following
. , ; approval. ''1'-'11 ..p",,; Ie .f~nd i.!:~ .
225 FIFTH STREET .. -Zonlno.... (.0 ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 974].'1. J L-<:::"- <: c. . () (\ I ~ 01
INSPECTION REQUEST: 726-37(, I Cit~ Job Numb:r V\', .j l\ '
OFFICE: 726-3759 Authorlzad Slgnetur.~ nI'I.
~ CaKPl~p FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
3825 Internatioqal Court: s':l,f~ Q71J77' A'.
. J::lO~~itoNOOODO '
~nst~ub-panel and feeder
~ JOB DESCRIPTION
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Address
PO Box 2765,
Ci ty Euqene OR
':JfqU.l
Sqpervisor License Number
Expiration Date
Constr Contr. Number
038702
Expiration Date
12-21-97
y ~t~7';.g ~~;~M
Owners Name KMTR NBC 1 6 :
Address 3825 International Court
City,Sprinqfield Phone 746-1600
,
OWER INSTALLATION
The installation is being made on
property I own whiCh is not intended
for sale, lease or rent.
Ovner~Signature:
"
DATE~--------------~-l1G~, .- ----:
RECEIPT It: I, _ _ ,~ ) 1 ,..... - ./
RECEIVED BY: t'K\nt-"-.../ ~
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular, 'Dwelling'
Service or Feeder
200 amps' 'OT less
201 amps to 400 amps
Over 401, to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
2. CONTRACTOR INSTALLATION ONLY ~()~}l' Services or Feeders
r~~ ,~. Installation, Alterations
Electrical Contractor Scofield E~~E'~ . or Relocation:
C. - Iy'O,.cr, "'/r $,
04lAt~ ~~D ~ amps or less
""IV.!: "'4'C'~ UJtt~Q't ~~ to 400 amps
" Phone 686-861-2;>0'), DOIy 'lil>>~m, ~,600 a'1'ps
-'jypo /.:6~}.'il tJ'/toW90 amps
32408 ~'Ii'/c:.O~~~P$1/<YPlts
tRecon ,-'~~ ~~
10-1-98 ~ Or
C. Temporary ~~vices or Feeders
Installation, Alteration or Relocation
It ems
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
1
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
.. S ,49.00
50.00
, .
$ 40.00
$ 55.00
$ 80.00
see uBn above
.'
New, Alteration or Extension Per Panel
Miscellaneous (Serviceifeeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or' Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
1~
.n