HomeMy WebLinkAboutPermit Electrical 2019-01-14Electrical Permit A lication
':bl:5 Fifth Slreert Springfi'jld. OR 91.177 r PII(5{l )7:6-.}753. F r\(5.1I )7:6-J6lt9
This permit is issued under OAR 918-309-0000, Permits are nontransferable. Permits expire if work is not started nithin 180
days of issuance or if work is suspended for 180 days.
FEE SCHEDULE
Number ofinspections per item ( )Qty.Cost
ea.
Total
cost
Residc tirl, per unit, servicc included
1.000 sq. ft. or lcss (4)5'181.00 s
Lach additional 500 sq. li. or ponion
thereol's 35.00 S
l-ioriled cnerg) (li t
5 86.00 5
Services or feeders: ittstalldtion. alteratton. rc!ctcation
200 amps or less (2)s 109.00 S
2l) I to.l00 amps (2)!127.00 5
s215.00 S
60lto l.0U) amps (2 )5277.00 S
Olcr 1.000 amp\ or \olls (2)!635.00 $
s 86.00 r
Temporrry services ot feedersi installation. oltetutitr . t eIocdtit)n
200 amps or less (2)s 86.00 .$
201 to 400 amps (2)s 118.00 s
401 to 600 amps (2)s172.00 $
Ov0r 600 amps or 1.000 \olts. scl' scr\ icqs or tecdcrs scction abovc
Branch circuits: nev- ulteratton. ettensidl l)ar panel
Fcc lor branch circuits rvith purcha-sr-'of a ser!icc or lted0r fle
Iiach branch circu it 5 7.42 s
b. Fec lbr branch circuits \rilhoul purchasc ol'a senicc or feeder l'cc
I:irst branch circuir (2)s 86.00 S
Each additional branch circuit
Lisceflrneous fees: serrice or l@der not tncludc:l
Lach pump or irrigation circlc (2)$ 86.00 s
Each sign or outlinc lighting (2)s 99.00 5
Signal circuit or l limilcd-encrg\ panel
alleralion. or c\tcnsion (2)1 $ 99.00 S 99.00
Ench udditionnl inspection: (l)599 00 !
(A) Irntcr sublotal ol abo!c Iees
(NtiDimum Permit Fee $99,00)
(B) Entcr l29t surcharSe (.12 x lAl)s 1 1.88
(C) Tcchnolog) Fcc (so,i, of [ ]).$ 4.95
TOTAL fees and suroharges (A through D)$ 115.83
DEPARTMENT USE ONLY
fi-owgt-Permit no
Datc \\t/r '{
LOCAL GOVERNMENT APPROVAL
loning approval verified? [ Yes n to
CATEGORY OF CONSTRUCTION
E Residential E Government E Commercial
JOB SITE INFORMATION AND LOCATION
Job site address:8057 Thurston Rd
Cilv: Springfield State: OR ztP 97478
Ret'erence
Residence A/V (not new construction
PROPERTY OWNER
Address
City State ZIP
Fa\
E-mail
This installation is being made on residential or farm property
orvned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540( I ) and 479.560(l).
Signature:
CONTRAGTOR INSTALLATION
Business name:lntegrated Solutions LLC
Address: 980 McKinley St
Ciry:Eugene State: oR Ap 97402
Phone:503-57d 0327 Fax
D-mail: mindy@inlegratedsolutionsnw.com
CCB license no.:2'13626 RCD licensc no: 213626
Signing supervisor's license no.: CLE476
Print namc of signing supervisor. Marty Sockolov
Signature of signing superv-isor:
l.rst editcd 7/l/201{l ll.lonrs
S
CITY OF SPRINGFIELD, OREGON
Taxlot.:
DESCRIPTION OF WORK
Nanre:
Phone:
7
rl 43.00
Each manufactured hor:e or nodular
dwclling scr!ice or leeder (2)
:101 lo (n)1) anrps (2)t-i
Reconncct orl; (2)
I
s 7.42
DEPARTMENT USE
s 99.00