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HomeMy WebLinkAboutPermit Electrical 2018-12-27CTTY OF SPR]NGT'IELD, OREGON Electrical Permit APPlication 225 Fifth strftt. Spriltficld, oR ,7.fl. PE(slrf2G'3?s3. fAX(541)726-36E9 This peflnit ls lssued under OAR 9lE-309{000, Permits ar€ nortranlfersble PermiG exPire if tfork is not started within 180 deys of issuance or ifvork is suspended for lt0 drys. Zoning approval verifi ed?Ey.. ENo ! Rcsidontial E Govemment (Commetcial Job site address:I { Ciry: f ,6a a2 Statc:d-ZIP: RcftrcncC;Taxlot.: rl Name:f1 Si.Lnui56r $lf /ttS Address: City State:ztP'. Phonc;Fax: This insasllation is being made on residential or farm propcrty owned by me or a mem6er of my immcdiatc family. This property is not intended for sale, crchaage, leasg or rent. OAR 479.540(l) and 479.560(l). Signaturc; Business lame; (g.- T s trra,,s C Address v City:'^^L+lr/t\ (Ll./Stzte: CA zry"l'/,llb Phone.$l | -J21- t1 63 1 Fllr: E-mail: Jr.rg4\ @ (SIoR, c a*,. CCB license no.: ltn Jfr1 BCD ticcnse no.: CLEIS 13 Signing supervisor's license no.: l28O LeA Prirr name of si ln s ervlsor:L V...Ot kl Signatrrre of signing supervisor: PrnZ OaA* Pcrmit no,:a 16- DoDat€ta 23 ResidentirL p.r unit, lcdlce lncluded S$1Al.0o1,000 sq. ft or ]ess (4) s 35.00 $E&ch rdditioaal ,00 5q. t, or portian rhereof s5 /13,00LimitEd erdrgy (2) s$ 86.00EEch n sruftcturcd home or modular drelling rcwice or feeder (2) Srrvicrs or frcdtt: installalion, dlterction, relocation $$ 109.00200 Brnps or less (?) s$127.00201 io 400 qsp6 (2) S$215.00401 to 500 6mps (2) s277,00 s501 to 1,000 sllpi (2) S633.oo $Ove, l,(}(x) ernps or Yolts (2) $$ 8e.ooRecoorcct only (2) Tcmporrry lerriccs or fuadrrti lnstdll.rtior\ oherutioh, rclocotion $ 86.00 s200 slnps or less (2) s '118.00 $201 tD 400 qnps (2) st7200 s40I to 600 amps (7) Over 500 amps or 1,000 volts, see scrvicca or fEcdcrs s.ction above Brr.nch cir(uitrl dcr, alterution, extension per pakel a, Fee for branch circuits witb purchssc ofE sErvicc or ftEdcr fte s 7.42Each branch circuit First brancl circuir (2)5 86.00 s $Ee.h additiondl branch circuit $ 7.42 Miscellancouc fecs: seaice otfeeder iot included $ 85.00 sEnch pump or irrigerion circlc (2) Erch sign or outlinc lightirg (2)$ s0.00 5 Sigod circuit or a limitcd-cncrgy puel. alleretiofl, or enension (2)I $ 39.00 S (A) Enter subtotel of above fccs (Minimum Pcrmit Fc. $99.00) Eech additionrl inlpcclion: (1) $qq @) Entcr l2o4 ourchargc (.12 x [A)$ (C) Tcshnolosr Fcc (s% of[A])$ TOTAL feos and surchargca (A throuSh D):$ lti,s. Lrst editcd 7/l/1018 BJotres E-m8i1: $ b. Fee for t rauoh oircuit! withgut purchElt ofa scryice or fecdet fee: Tl $silf$