HomeMy WebLinkAboutPermit Electrical 2019-03-29, C;? Electrical Permit Application DEPARTMENT USE ON(Y •
C IT Y O F SP R IN G F IE L D , O R E G O N
225 Fifth Street+ Springfield, OR 97477+ PH(541)726-3753+ FAX(541)726-3689
Date: -2°!-Zol
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
: ,. , .. ,J, LOCAL GOVERNMENT APPROVAL
Zoning approval verified? rnves 0No
- ,;CATEGORY OF CONSTRUCTION _
D Residential I D Government I ra Commercial
Joe· SITE INFORMATION_ AND LOCATION
Job site adQ"~NORTH 30TH STREET
City: SPRINGFIELD I State: OR I ZIP: 97 4 7 8
Reference: I Taxlot.:
,, :: " DESCRIPTION OF/WORK
NEW WAREHOUSE/ OFFICE - 800AMP ELEC.SERVICE,
- - - & • -- - ••. --- ·- - - -- . ·-· ·- -- ·- -
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GENERAL POWER BRACH CIRCUITS.
,_ ',t1; ;-7'· . PROPERTY OWNER '" - !'?;;· ~ ,., .-.J .. y,
Name: RUSH CREEK HOLDINGS LLC
Address: 333 SE SYKLES AVE.
City: ROSEBURG I State: OR I ZIP: 97 4 70
Phone: 541-672-2638 I Fax: - -
E-mail: DOUGHF@UMPQUADAIRY.COM
This installation is being made on residential or farm property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1).
Signature:
. / 'CONTRACTOR-"INST ALLATION .•• -,<,
,•
Business name: NEW WAY ELECTRIC, INC.
Address: PO BOX 21503
City: EUGENE I State: OR I ZIP: 97 402
Phone: 54..1.-68 6-23 65 I Fax: - -
E-mail: JUSTIN@NEWWAYELECTRIC.COM
CCB license no.: 510 8 8 I BCD license no.: 2 0-14 SC
Signing supervisor's license no.: 5252S
Print name of signing supervisor: JUSTIN ~ LAY
Signature of signing supervisor: /d;;:£,. -- -
- r1, F.El= . SCHEDULE ' ,, ,--~ .. ,,_,/!, Cost - Total N'!mber of inspections per item O Qty. ea. cost· ·
Residential, per unit, service included:
1,000 sq. ft. or less (4) $171.00 $
Each additional 500 sq. ft. or portion $ 33.00 $ thereof
Limited energy (2) $ 41.00 $
Each manufactured home or modular $ 81.00 $ . J dwelling service or feeder (2)
Services or feeden: installation, alteration, relocation L
' 200 amps or less (2) 2 $ 103.00 $20 6;.
20 I to 400 amps (2) $120.00 $ '
401 to 600 amps (2) $203.00 $ }
601 to 1,000 amps (2) 1 $261.00 $ 261.
Over 1,000 amps or volts (2) $599.00 $ l
Reconnect only (2) $ 81.00 $
Temporary services or feeden: installation, alteration, relocation
200 amps or less (2) $ 81.00 $
201 to 400 amps (2) $ 111.00 $
401 to 600 amps (2) $162.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: new, alteration, extension per panel
a. Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit 67 $ 7.00 $469.(
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2) $ 81.00 $
Each additional branch circuit $ 7.00 $
Miscellaneous fees: service or feeder not included
Each pump or irrigation circle (2) $ 81.00 $
Each sign or outline lighting (2) $ 93.00 $
Signal circuit or a limited-energy panel, $ 93.00 $ alteration, or extension (2)
Each additional inspection: (1) $93.00 $
:.:··"·.·-.- -· ·- ·: ·~p'AR.tMENT Use~:· ' ~~~" ' , -- '1%, ••. • ~ . ?II'· .•. ·~ ~. '9
(A) Enter subtotal of above fees $ 936. 00
(Minimum Permit Fee $93.00)
(B) Enter 12% surcharge (.12 x [A]) $
(C) Technology Fee (5% of[A]) $
(D) Continuing Education Fee $2.50 $2.50
TOTAL fees and surcharges (A through D): sl ,4U
0
00
0
Last edited 5-5-S:-2017 BJones