HomeMy WebLinkAboutPermit Electrical 2000-1-12
The following projecf as submitted has the following
zoning. ana does not require specific land use
approval. t I'\.() _
Zoning \A )~
9f>4'~ /-''2..-0'0\
A2i6.0ilikG%lignature ~
DATE:JAN 12 2000
AMT RECD:2 $ 46.20
CHANGE:
CASHIER: 032
~LECTRICAL PERMIT APPLICATION
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION .OF INSTALLATION
I~;).A.. "I.nlll...tl W~
LEGAL DESCRIP'l],ot'
1<60'1,01-. '1,) _ olhD u
JOB DESCRIPTION
'/Y1 F f.\. :i<rv-.' t..--'-
..
Permits are non-transferable and expire
if work is not started within 180 days'
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ARC ELECTRIC INC
Address "q,,~. HIJY 99 ~""'1'U
Ci ty 1'.IIr.1'.ty1'.
Phone 76.1_01.ql.
Supervisor License Number 40795
Expiration Date 10/1/01
Constr Contr~ Number 20-403C
Expiration Date 1n/01/0n
Signl:?~~?pctrician
owVs Name Th:n0 ~ ~
Address \'((1..(, ~1>i;"'_D_
City~J.uJ Phone '11-j'1~ &'13'<.,
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent:
Owners Signature:
---------------------------------------
DATE:
RECEIP'flI;
RECEIVED BY:
City Job Number
3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
Modular'Dwelling
Service or Feeder
B. 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
Reconnec i' Only
C.
Qq I,(".l..~
Items
uni t.
Cost Sum
$ 85.00
's 15.00
.$ 40.00 ~
$ 50.00 ~:-
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see nBIl
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump oi irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One ,Circui t
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 ~
no t included)
$
$
$
$
{t4;).--
,;/,.'1 <.t
4FLfL~~
40.00
40.00
20.00
36.00