HomeMy WebLinkAboutPermit Building 1999-03-22OF
SPR!NGFIELD
225 North Fift.h Street
Springfield, OR 97477
Location of Proposed Work: 341-8 PARKER LN
Assessors Map #: L702L943
Lot: 4L Bl_ock
,ATTENTION:Oregon law requires you tofoltow rules adoorJo-Oy tne OregonUtitityNotification Center. Thgse rules are set forth,n OAR 9S2-OO1-OOlc
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'AFETY
Page 1
ilob Nnmber: 990296
Office:
Inspection Line:
725 -37 59
725 -37 69
Tax Lot #:
Subdivision:
0410 0
AMBLESIDE
NOTICE:
Owner: DUKES & DUKES CONSTR
Address: pO BOX 41,6'tB
Describe Work: S.F. RESIDENCE Jli"f^H'll'*,0,
?r-r,
citylS SP 338-0514
wsme
UNDEB
General:
Plumbing:
Mechanical
Electrical
Cont,ractor Contractor #
DUKES & DUKES OO55O5O
PO BOX 4L678 EUGENE OR 974040000
DON LEWIS 0033075
5OO GREENFIELD ST EUGENE OR 97404T6
I{AR\IY & SON 0055682
45BO MAIN ST SPRINGFIELD OR 9747860
EASTSTDE ELECTR OL1-7770
38253 BOSCAGE LN SPRINGFIELD OR 974
Expires
03/L6/ee
06 /ao / ee
02 /26 / 0O
to/os/gg
Phone
46L- 547 7
588-1931
746-7577
'7 41,-1,499
QUAD AREA: 3RNC
# OF I,NTTS: 1
CONSTR. TYPE: VN
WATER HEATER: G
SQ FOOTAGE: 3178
-- oFFICE USE --
LAND USE: 1111
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOTIRCE: FG
INSUL PATH: P1
To request an inspec tion, call the 24 howr recording at 726-3769.
A11 inspections requested before 7:00 a.m. wi-Il be made the same working day,inspections request.ed after 7:00 a.m. will be made the following work day.
--- REQUIRED INSPECTIONS ---
FOOTING - After trenches are excavated.
FotNDATToN - After forms are erected but prior Lo concrete pracement
ITNDERFLOOR PTJITMBTNG - prior to insul-ation or d.ecking.
IrNDERFr.ooR MECHANTCAL - .prior to insulation or decking.RoucH GAs - after line is instarled and capped if not attached to anappl iance
POST AND BEAII - prior to f loor insulat j_on or decki-ng.rNsuLATroN - Floor; prior to decking wal1/ceiling; prior to coverWATER LINE - prior to filling trench.
SAI{fTARY SEWER LfNE - prior to fi-ILing trench.
STORM SEWER LrNE - prior t.o filling trench.
ITNDERFLOOR DR.LTN - prior Lo cover or placement of concrete.
ROUGH PLITMBING - prior to cover.
ROUGH MECHANICAL - prior to cover.
ROUGH EIJECTRICAL - prior Lo cover.
ELECTRTCAL sERvrcE - Must be approved to obtain permanent power.SHEAR WALL NArLrNc - Before coveri-ng sheathing with finish materiar-s.FRN{ING - prior to cover.
rNsuLATroN - Froor; prior to decking walI/ceiling; prior to coverDRYWALL - prior to taping.
cuRBcur - After forms are erected but. prior to placement of concrete.srDEwArrK - After excavaLion is compr-ete, forms and sub-base materi-aIj-n p1ace.
tr^tcFrt
SPRINGFIELD
.Tob Number: 990296
CITY OF SPruNGFIELT',
Page 2
FINAT PLITMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When all- electrical work is complete.
GAS SERVICE - After line is installed and line has been connected to a
minj-mum of one appliance. Pressure test done at this point.
SPECIAI,
FINAIJ BUILDING - When all required inspections have been approved and
the bulldlng i-s complete.
Lot Faces: S
Topography: 2
Sofar Approved: Y
House
Garage
Lot Sq. Ft.: 5885
Total Height: 25.5
Lot Type: INTERTOR
Setbacks
SWE
L5 5
13
Lot Coverage: 32.582
Setbk From NPL: 55
N
29
Item
Main
Garage
Total Value
Bui-1ding Permit Fee
Surcharge/admin
TOTAL FEE
--- BUIIJDING PERITIIT .--
Square Feet x
2478
700
$/Square Feet
69 .64
18.34
(A)
Value
1,72 , 568 .0O
12,838.00
18s,406.00
626 .50
50.13
67 5 .53
--- PLT,MBING PERITIIT ---
Item
Residential Bath(s)
Plumbing Permit
Surcharge/admin
TOTAL CHARGE
3
Fee
192 . so
L92 . s0
15 .44
(c)207.9L
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Wood Stove / lnserL /Fireplace Unit
Dryer Vent
GAS LrNE & W/H
Mechanical Permit
Issuance
Surcharge/admin
TOTAL PERMIT
3
L2.OO
4.50
9.00
15.00
3.00
5.00
48.50
10.00
3.89
(D)62.39
. - - MISCEIJIJAI{EOUS PERMITS
Surcharge/admin
Sidewalk
Curb Cut
WILLA]VT\LA}IE SDC
CITY SDC
TEMP. POWER
0.00
13.90
15.10
1, 000 . 00
2 ,965 .52
43.20
TOTAL MISCELLA}IEOUS PERMTTS (E)4,037.72
SPFIltlGFIELD
Job Nrrnrber: 990296
CfiT OF SPI?INGFIELD,o
Page 3
(Excluding Electrical)
unless oEherwise noted
--- TOTAI, AI{OI'NT DUE ---
(A, B, C, D, and E combined)4 ,984 .6s
--- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
sha1I, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Pl-an Check Fee; 407 .23 Date Paid
Received By:
Plans Reviewed By: DON MooRE Date
Buj-Iding Site Reviewed By: LfSA HOPPER
03/os/ee
03/te/ee
Receipt Number: 33054
--- ADDITIONAIJ COI{MENTS ---
A & T NOT LTSTED rN COUNTY SYSTEM AS OF 3/s/99,
DEFAULT USED FOR CITY SDC CREDIT PURPOSES
PATH 1; LAND ALT PERMIT APPLIES
SEPARATE ELECT. PERMIT APPLIES
DRIVEWAY REQUIRED TO BE PAVED
1 STREET TREES REQUIRED
By s5-gnaEure, f aEate and agree, that I have carefully exami-ned
the completed application and do hereby cerEify that all information hereon
is true and correct, and I further certify that any and all work performed
shal1 be done in accordance with the Ordinances of the Cit.y of Springfield,
and the Laws of the State of Oregon pertaj-ni-ng to the work described herein,
and that NO OCCUPANCY will be made of any structure without permission of the
Community Services Division, Building Safety. I further certify that onlycontractors and employees who are in compliance with ORS 701.055 will be
used on this project.
I further agree to ensure that all required inspections are requested at theproper time, that each address is readable from the street, that the permit
card j-s l-ocated at the front of the property, and the approved set of plans
wil-1 on the site at al-I times during construction
7 ff2t
Si-gnature Date
Receipt Number:
Date Paid:
Amount Recei-wed
Received By
--- VALTDATTON ---
2LQ
3 2v
q"6f
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAM
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
UUillamalane
Park & Recreation District
1. DEVELOPMENT TYPE (Check
ype definitions
1e
on the back.)
A. Single-Family Detaehecr
tt Singte Family home
NO. OF UNITS
srArE: -DLr'r, qtHs
Job. No.
PHONE:
00Plat N Tax Lot Number:
appropriate dwelling(s). SDC calcttlations and dwelling t
Manufactured home not in a park
$1,000 per unit = $( p00 d)
B. Single-Family Attached
NO. OF UNITS X $924 per unit = $
C. Multi-Family Apailment
NO. OF UNITS
D. Manufactured Home Park
NO. OF UNITS X $699 per unit = $
WLLAMALANE SDC
2. SDC CREDTT (it applicable) SDOpayer must furnish proof of
Wiltamalane Credit approval. See SOC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
| _x
$l00D
(if SDC reduced for
$
$IDOCP
C_-
Develo
City of eld
Department Date
22 7q
t
X $692 per unit = $
-@
/
AITACHMENT A #oa?6
C ITY OF SPI IGFI ELD SYSTEMS DEVELC :ENT CI.IARGE
I^/ORKSHEET .
NAME 0R C0|,IPANY , Dukot -t D'-Lt--
LOCATION 4 l( Pa,..L^e.t-
DEVELOPMIIIT TYPt 5Fo
BUILDING SiZE 2t LAl SLZE Sft g b sQ rr .
\Z1' sr0RM DRAINAGT +?.;.c>); "?(+o)* z( qz) * zroc) * Fra)
iMPTRVIOUS SQ. FT. ZSZG X $0.227 PER SQ. FT. S 5?3,40
2. SANITARY SEWER-CITY
NO. OF PFU'S 3 X 547.14 PER PFU S r46t ,31-
(See Reverse Sice)
3. TRANSPCRTATION
NO OF UNITS X TRIP RiiE X COST PER IRIP
x _ x $475.32
4. SANITARY SEWER-MI//MC
A. REII"IBURSEMENT COST
5. ADMINISTRATiVI FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
ffrfu-
SDC Coordinator
ATTACH 'A.I^JPD
NO. OF FEU'S X 211,4+PER FEU
B. IMPROVE|'IENT COST
N0. 0F FEU'S t X ?5,2o PER FEU
l'lt^lMc CREDIT IF APPLICAELE (SEE REVERSE)
MI^/MC ADMINISTRATiVE FEI
X t,cr X$475.32
S
s 211 ++
S 25."t)
. g o,.1' /S
>
$ tfl,a2
s 10.00
TOTAL-MI^JMC SDC
SUBTOTAL (ADD ITEMS 1 ,2.3 & 4) $ 2'T Z* ,3O
0ate: ztxllq
TOTAL SDC zqoS
vvu rtv.
I s 4rc,c'L
(NOTE: For remodel
FIXTUHE TYPE
'. "l1"ro-J;J;.';;'"i.;;#;il::"'ot
Ne'a/ Frxtures X Unit Equivarent = Fixtura Units
NUMEEH OF UNIT FIXTUPE
NEW FIXTURES- EOUIVALENT UNITS
Bathtub.....
Drinking Fountain....
Floor Drain.
lnterceprors For Grease/OiliSolids/Erc.........
lnterceptors For Sand/Auto Wash/Etc.........
Laundry Tub/Clotheswasher....
Clotheswasher - 3 Or More.
Mobile Home Park Trap (1 per Trailer).........
Receptor For Refrige ratorlWater StationiEtc,
Receptor For Commercial Sink/Dishv,ras,rerlErc..
Shower, Single Stall.....:....
Shower, Gang........
Sink: 8ar, Commerciai, Residential Kiic,ren.
Urinal, Stalt/Wall..
Wash Basin/Lavatory, Single.......
Toilet, Pubiic lnstallation.
Toilet , Privare..
Miscellaneous:
CREDIT CALCUL.ATION TABLE:Basec on assessed ,talue. lf improcalculate credits se oarates.
Irll --T-
TOTAL FIXTURE UNITS 3t
vernents occurred after annexation date in :aoie,
4
2
2
,l
Z
6
2
o
6
1
2
1lP,
2
2
1
o
4
-
-
J]1-1-
-)<-
2
ead
Year
Annexed
fiate per S 1,000
Assessed Value
Year
Annexed
Rate per $1,00C
AssesseC Value
1979 or before
1 980
1 981
1 982
1 983
1 984
1 985
1 986
1 987
1 988
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.1 I
2.82
2.42
1 989
1 990
1 991
1 00,
1 001
't oo.,
100tr
1 996
100-7
$1.98
1.15
o.96
0.83
4.67
v.3 z-
.'ao
o.21
Credit for Parcel or Land Only If Appticable
lmprovement (if after aanexation date)
Residential.
Commerical
lndustrial.....
RUNOFF COEFFICIENTS FOH STORM DRAIN.AGE
(For Estimating purposes Only)
X$
(Rate X Assessed Value)X$
(Rate X Assessed Value)
CREDIT TOTAL = $
o.4
.. 0.9
3, rf
05
0.5Governmental.....
FIXUNIT.WPD
I
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
Mar-24- gg 04:.52P MortJ - Eng'ineering
}IORTIER
ENGINEERING , P.C.
1 245 PEARL STREET
EUGENE. OBEGON 97401
PHONE (541) 684-9080. FAX (s41) 484.6859
Owen Grover. P.E 6-30- o
(5P. >4EJ4-6a59 P -02
STHUCTURAL
BUILDING OESIGN o FIRE PSoTEcTIoN
COOE CONSULTANT r PI.AN CHECKING
CONSTRUCTION INS PECTION
RE
Mzu'clr 74,19:)
Dukcs and Dukcs
PO Box 41678
Er-rgenc,
Pcrnrit 1199-0296 - Cornpactiorl Test
As you requested, a conrpaction inspection of'thc gravcl under the proposed tbundation lras heel
perlomtcd on []ris sitc irr prcpaui'r(ion for Lhe construction involving fioundations for the proposcd
residerrce. 'l'he excavation involved the placcmcnt of I Yz" nrinus crushed rock. The conrPacted
surface of l,he crushod rock is adequate for a fbundation bcaring carpacity of 1000 psf. The
rundulying soil conditions, sitc drainage and loundation wele not dcsigncd r:r reviewed by Morlier
Enginccring, P.Cl, The cotnpactiorl of thc gravel surFace is greater than 95o1, of a standard proctor,
per AS'l'M IX;98-91 , ( See attached data shect.)
I hope you tind this re1:ort adequate tbr your purposcs at tlris tirne. Pleasc contrct me if you havc
further t;ucstiorts, Thank you for this opporl.unity to lre of servicc.
Very truly yours,
I
5/z+/
'71
w.o, #1168s-K
OLG/rnm
Mar-24-99 o4:52P Mort' - Engineering
MORTIER
JNGINEERING , P.C.
PO. BOX 139 . 1?A5 PEARL STFIEET
EUGENE, OBEGON 97440
PHONE (s{r) 484-90s0 . FAX (sdi) 484-60s9
FIELD UNIT WEIGHT - SAND CONE METHOD
Per ASTM D 1556
UNIT WEIGHT OF SAND USED FOR THIS SAMPLE
P. (sand) = 11 o vcP
VOLUME OF CONE U') = 0'03E9 fi43
FIELD TEST DATA
rESr NUMBER: f \ DArE oF TESr: I - L+ - 1l w.o.#
TEST LOCATION: }{ TEST EY: rc
MATERIALTESTED (Byvisualoherva0on), | /r''
-
ata\rrHgu q)rF{.{
lnitial Weight of Jar + Sand (Wr)
Weight of Jar + Sand aftertest (Wz)
Volume of hole, lAl, - W, - V, = V,
P,
Weight of soilsample (WJ =
Moist unit welght of soil p, = -]fl* =
%
Moisture contont of samplo,
W% = (weiqht moist) - (waioht drY) X 100
(weight dry
t* wn
100
MOISTURE CONTENT
weight of jar
_ lt =
_ lb =
(5,'. )4a'4-6459 P-O3
STRUCTURAL
BUILDING DESIGN T FIRE PBoTEcTIoN
CODE CONSULTANT o PLAN GHEoKING
CONSTRUCTION INSPECTION
Foc*-
\1a.1a c-'l-
lzn 14 ez-
O,a\6\
12,& 4-
- l?,+-b fLr
\zF 1 ,.e
V>J
d,nu-D o"
,h- d\'"t o\
Wet weight
Dry weighl
Notos:
\zr
netweight
\\? \
lo-1 *\zt--J
+.1 /
C'TY OF SPR'INGFIELD, OREGOTU
SP}tIilcFIELO
JOB LOCATION:
ASSESSORS *:
OI,INBR:
ADDRESS:
q o TAX LOT *: C
PHONE #t2 >8-ce6.q
7'q
/*/a-72
CITY:STATE:ZIPz
BACKFLOW PERMIT IS $15.00 + 1.05 (STATE SURCHARGE) + $.45 (ADMIN. FEE) =$16.50
CONTRACTOR:
ADDRBSS:
CITY:
PHONE *:
STATE:ZIP:
CONSTRUCTION CONTRACTORS REGISTRATION #, L 5-o6o EXPIRES:3-o1
BY SIGNING THIS PERMIT/APPLICATION, I AGREB TO CALL FOR AN INSPECTION ONCE THE
BACKFLOU PREVENTION DEVICE HAS BEEN INSTALLED AND IS VISIBLE FOR INSPECTION(726-3769). I ALSO STATE THAT ALL INFORMATION ON THIS PERMIT/APPLICATION IS
CORRBCT.
DATE
FOR OFFICE USE
DATE OF APPLICATION:f-/o- E?
RECEIPT *:TSSUED BY:
TOTAL AI.{OI'NT COLLECTED:io
JOB *:0
225 FIFTH lo seldoc urelqo Aeul no1'0600
SPRINGFIELD OR 0r00't00-z96HVO ul
uolle0lllloN
,{ttttn
DEVICE PERMIT APPLICATION 'colu3d AVo 08t ANV
DIVISIoN HOlqSNOCINVgVSlHOO3CN31/{1/{OO
IONSI
INSFBETEOilI SIHI
ilii?:i:n::H"jffix*,x;:,T:
',H1"[y*
Zoning Lp t2--
5I'TIINGFIELt)
CAL PBRHIT APPLICATION
Date
225 FIFTB STREET
SPRINGFIEI^D, OREGON
INSPECTION REQTIEST:
OFFICEz 726-3759
Job Number
FEE SCBEDULE BELOII
idential-Sing1e or
amily per dvelling uni t.
Included:
I tems Cos t
170 z7o
/ sBs.oo trf
f s 1s.oo f
$ 40.00
in OAR
1 IN
(
LEGAL ION
JOB DESCRIPTION
S Frz
Permits are non-transferable and expire
if vork is not started vithin 1BO days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI,,ATION ONLY
Electrica 1 contractor €A57s/P€ A'€c'f/!c
Address VX293 9oKlqc€ Ltt.
Ci ty SrQp Phone )ql'/Yqg
sup ervisor License Number 3S/V 5
Exp iration Date I 0- I - ol
Co nstr Contr. Number ll777O
Expiration Date )o^ v 11
si atu o Su rvising Electrician
0vners Name
Address l.> F (tr
. City phone j fg - O( (
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
DATE: 5
Services or Feeders
InstaIIation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps __401 amps to 600 amps _60L amps to 1.000 amps_
Over 1000 amps/vo1ts
Reconnect Only
?-Sum
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
7
B
c
D
E
s
s
s
s
$
$
100.
130.
300.
40.
00
00
00
00
00
00
50
60
0040
55
BO
e
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps''or less $
201 amps to 400 amps
-
$
Over 401 to 600 amps
-
S
0ver 600 amps or 1000-7oEs se
.00
.00rrgrr uffi![
Branch Circuits
Nev, Alteration or Exterrsion Per Panel
One Circuit $ 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit
-
$ 2.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/Ou tli.ne Ligh ting-
Limi ted Energy/Res _Limited EnergY/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
$ 40.00
s 40.00
s 20.00
$ 36.00
a
5
o
o
RECEIVED
/\ff
for the
1-0010
obtain
set
I
The following project as submitted has the following
zoning, and does not require specific land use
L k
-FrINGFIELD
BLBCTRICAL PERHIT APPLICATION225 FITTB STREET approval
SPRINGFTELD, OREGON 97477 Zoning
769INSPECTION REQUEST: 7
OFPICE: 726-3759
Authorized Signature
1. LOCATION OF INSTALLATION
Xd 14, '?nr er l"nno
ty Job Number
FEE SCBEDTILE BELOV
A. Nev Residential-Single or
MuIti-Family per dwelling unit.
Service Included:
I tems Cos tLilA)
?qo 27ea.
1000 sq.ft. or less
sach additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
-Hodular 'DveIling
Service or Feeder
B. Services or Feeders
' Installation, Alterations
0rttg'g or Relocation:
200 amps or less
Sum
JOB DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COIITRACTOR INSTALI.J\TION ONLY
Electrical Contractor
Address ?. A. Ba, t)^il
<l
Ci ty Phone Scl t - t-|6 ct - Qg1$
Supervi-sor License Number 484 i J LE
Expiration Date l0 I Eq
C.
Constr Contr. Number Qq f r{ S
Expi ra t ion
s trician
Owners Name
Address ?.0,Rn, qlt{16
Ci Phone .l U l- Sqll
OSNER INSTALLATION
The installation is being made on
property I own which is not intended
for e' I or rent.
Si
DATE:
200 amps''or
201 amps to 400
Over 40L to 600
0ver 600 amps o
D. Branch Circuits
s 8s.00
s 1s.00
s 40.00
. s s0.00
s100. 00
00
00
on
aEffi
00
ati
.00
$ ss.00
$ 80.00r 1OOO voT[s see rrB*
400 amps
amps
amps
Nev, Alteration or Exterrsion Per Panel
One Circuit $ 35.00
Each Addi tionalCircuit or vith Serviceor Feeder Permit $ 2.OO
E. Miscellaneous (Service/feeder not included
-Each installation
Pump or irrigation
Sign/OutIine t ighting-
Limited Energy/Res ILimited Energy/Comm
n. oCI
$
s
s
s
40
Mo
00
00
00
00
40
20
36
5 SUBTOTAL OF ABOVE
5Z State Surcharge
3% Admini.strative Fee
TOTALRBCBIVED
re:
4
t Do
,tfi0
tJ- l,la o
Oere
225 TIFTS STREET
SPRINGFIEI..D OREGON 97 477
INSPECTION REQUEST:726-37
OFPICE: 726-3759
1.
SPFlINGFIELE,
BELOV
Residential-Single or
i-FamiIy per dvelling unit.
ice rneluded: rtems cost
$ 8s.00
t
S el:vflACD Sum\
JOB
Permi ts are
if vork is
of issuance
1.80 days.
ON
non-transferable and tre
not started vithin 180 daYs
or if work is susPended for
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Sertice or Feeder
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
-
Reconnect OnIY
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Admini.strative Fee
TOTAL
$ 1s.00
$ 40.00
CONTRASTOR INSTALI,ATTON
rical Contractor
B
E
I
t
I
EI
Ad
ci
Su
Ex
Co
Ex
dres
ty
perv isor
p iration Date
nstr Contr
pirati
one
ber
Phone
s s0.00
s 60.00
s100. 00
s130. 00
s300.00
s 40.00
C
40.00
55.00
80.00
s see ttB,aEiE
D. Branch Circuits
Nev, Alteration or Extension Per Panel
TemporarY Services or Feeders
in"i"riiiiot, Alteration or Relocation
Signa
0vners
Address
Ci ty
OVNER
0vne Signa ture
DATS:
200 amps"or less \
201 amps to 400 amPs
-
Over 401 to 600 amPs
-
0ver 600 amPs or 1000 volt
s
s
s
-Each installation
Pump or irrigation
-
Sign/0ut1ine Lighting-
Limi ted EnergY/Res
-
Limi ted EnergY/Comm
4L
trician
One Circuit $ 35'00
s;"h-AdJi iional
Circuit or vith Service
oi-re"a"r Permit
-
S 2'00 '-
Miscellaneous (Service/feeder not included)
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent's 40.00
s 40.00
$ 20.00
$ 36.00
nse
of Supervising
Da te
Numbe
RECEIVED B
t
5 OO
ELECTRICAL
City Job