HomeMy WebLinkAboutPermit Electrical 1998-01-22SP. /GFIELCD
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INSPECTION REQtIESf,: 726-3769
oPEICE: 726-3759
1. I'CATION OB INSTALI{TION'k'OO C_arzHe_Az.t*L S 7
IJGAL DESCRTPTION
./ 707 s //70D600
Perolts are non-transferable end explre
lf vork ls not started vithln 180 daysof lssuance or if vork ls suspended for
180 days.
2. COIITRACTOR INSTAJJATION ONLT
Electrical Contractor Weiland Electrtc
Address 870 }t|. 2nd Sp.D
cl fuoene Phone 485-3ffiq
Supervlsor License Nuaber 25605
Explration Date.1/1/s9
Constr Contr. Numbe
Expiration Date
of
Nane
Address
cLW 4tz-a<- Phone
OSNER TNSTALIATION
u96
ET.ECTBICdL PERI{IT APPITC.ATTON
Nurnber {2-
COHPI.ETE FEE SCEEDT'I.E BErcg
Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:Items Cost
ai.tprovaJ.
225 ETYfg STREEf,
SPRTNGEIELD, OREGON 97477
Date
Authorlzod
3.
.4.
Sum
.8.
C. Temporary Services or Feeders .
Installation, Alteration or Relocation
'or less /40.00 4d,c.a
55.00to 400 a^ups
to 600 aEps
1000EfTs
80.00
'B' aEffiamps or see
D. Branch Clrcults
1000 sq.ft. or less
gach additional 500
sq. ft or portion
thereof
Each Hanuf'd Eone. or
-Hodular 'IlneIIing'
Service or Feeder
Services or Feeders
fnstallation' Alterations
or Relocation:
200 anps or less
201 anps to 400 anps
-401 anos to 600 amps
601 anps to 1000 aups
over 1b00 anps/volt;
-Reconnect OnIy
s 85.00
$ 15.00
$ 40.00
ss0
s60
00
o0
00
00
00
00
$100
$130
s300
$40
sH4tt $
$
$
The installation is being uade onproperty I ovn shich is not intendedfor sale, lease or rent.
Ovneri*Signature:
, Alteration or Extension Per Pane1
One Circuit S 35.00
Each AdditionalCircuit or vith Serviceor Feeder Pernit _ $ 2.00
E. Hiscellaneous (Service/feeder not lncluded)
-Each installation
Pump or irrigation
Sign/OutIine Light
Limited Energy/Res
Limited Energy/Cann
5. SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
lng $ 40.00
$ 40.00
$ 20.00
$ 36.00
DATE:
RBCEIVED
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Addrega z p.oA s.r, r sb
Permlt Expkatlon Datoi+
c;.lrlvrldL G phone: ({og)zag-u
0orrtr^r. state:r.
Sprlngflel
Dats ol
Property
Slte
18
Owner Aoc{
3(A GuuCe|>L A)t-
i oCty f Sptin
Journat number appllcable Land Uae
,zl TaxLotz ZTcztr uGB Tax Map
DRAINAGE, POLLUTION AND EROSION CONTROL
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SOILS & GEOLOGY
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COMPANY
PROJECT SUPERVISOR:
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PHONE 31+ -
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CITY:
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Num Explratlon Date:
CFI
OFFICE PHONE zI FN<_AZ1
EMERGENCY PHONEz _?qz /$S
CONTBACTOR NAME:
MOBITE
PROJECT PHONE 71?.N*
STATE: Qi ,
Reglstratlon
ADDRESS:
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Date:
W wETr-ANDs,u)lr'u/ tr',lrrt
Zone:_, FEMA Communlty panel No.
tr FLoODWAY, FEMA Communlty panet No.:
tr DRAINAGE, Ct Storm, E Dttch, Et Cutvert, o
tr FLooD PLATN,
t20.00
a30.oo
t40.oo
04O.@ For thc tlrat.l0,O0O cublo yudr, plur
I2O.OO for cach ddhlond 10,00,0 cublo yardr or frostlon tficreof.
0220.00 For the flrrt l@,001 cublc yardr. plur
l2O.(X) lor oach addltlonal l O,OOO cublc yardt or ftactlon tlreroof .
S34O For tho la..t 2OO,OO! cublo yrrdr, plur
16.OO for oach rddhlonal IO,OOO otrblo yardr or frastlon thoreof.
t30.oo
030.00 For the first 100 cublo ycrdr, plur
S 1 4.00. lor coch addltlonal I OO crblc yrrdr or ftactlon thercof.
C166.00 For tho flrt t,O0O cublc yardt, plur
t 1 2.00 for coch rdditlond t ,O00 anblo yardr or fractlon ttrcreof.
1264.00 For thc flrn lO,0O0 cublo ycrdr, plur
t54.OO for cach eddhlonal 10,000 cublc yardt or ftacdon thereof.
t760.00 For the flnt 100,00t oublc yardr, ptur
$30.00 for cach addltlonal 10,000 anblo yrrdr or fno{on thcrcof.
c. l,
L/4t20'u /2 rtV.z9 = rcq
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Recolpt No:
0tr"""
100,001 To 200,000
2OO,OOI CUBIC YARDS OR MORE
t0,000 To tq),000 cuBlc YARDS
l00,ool To 200,000
Estlmated Volume:
Gradlng Permlt fee:
Recelved by:
Plan Check Fee:,lptNoz-&%,ek
>/= u
PLAN CHECK FEES:
UP TO IOO CUBIC YARDS
r01 To t.000 cuBlc YARDS
t,oot To to,ooo cuBrc YARDS
to,oooTo to0,ooo cuBtc YARDS
GBADING PERM]T FEES:
UP TO TOO CUBIC YARDS
lOt TO 1,00O CUBTC YARDS
t,ool To tb,ooo cuBlc YARDS
Q-z rt-l o/u Date:
Date:_
D"ter%tr
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Date
Malntenance: , Date:
Date:
Date
Date
Permlt Number ?OjOO'Z- tssued
BcrI rlrerl,Flnal lnsncetlons'
Dato
Plannlng:
Englnoerlng:
Bullding:
tr ifsir?l,1rflt;[Tpinu""t;lg;l
outllned ln thls pormlt has been completed ln accordance with
tr hfiffi,flYfr601gffi,"..&t$Uf.t p.,tltn"a ln thls permlt has not been complattid ln accordanco
Eli Una and Dratnage aoflvlry was performed prlor to apptlcatlon for thls permlt.
Acceptsd by Date:
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1/611998
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Date:
Recelved
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