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Home My WebLink AboutPermit Electrical 1998-03-26CITY OF 225 FIFTE STREET SPRINGFIELD, OREGON 974 INSPECf,ION REQUEST: 726+1l69k€d OFFICE: 726-3759 1 F ION ION Permi ts non- t ansferable and expi if vork is not started vithin 180 of issuance or if vork is sus B0 days. 2.COITTRACTOR INSTALLATTON EIec t aI Contractor Address Ci ty Phone .,. le usl' BLECTRICAL PERHIT City Job Number COHPI,ETE FEE SCEEDTILE BELOU Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or -Modular Dvelling Sertice or Feeder $ 8s.00 $ 1s.00 $ 40.00 The.following proJect ae eubminoo has fl.ozontng, and does nd rcqulre eprrcXrc knuapprwal. Services o Ins tal1at i Relocat 60 Over 1 Reconnec t SP }FIELE, r Feeders on, Alterations i on: r Iess 3 A Sum 0 amps 0 amps 00 amps /voI tsSupervi-so Expiratio Constr Co Expiratio Ovners Name OIJNER INSTALLATION r Licen n Date ntr.mber te of Supervising Elec c]'an Phone C. Temporary Services or Feeders Insta1lation, Alteration or Relocation 40.00 55.00 80.00 ee .'Bn aEovE- D. 200 amps''or less I 201 amps to 400 amps _Over 401 to 600 amps Over 600 amps or 1000 voT[ Branch Circuits l+2Y", Alteration or Extension Per Panel "ffi circuit S 35.00 amps 0n1y $ s0.00 s 50.00 s 1oo. 00 $130. 00 s300.00s 40.00 $ $ $ss il) Addr ci b+13 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation _Sign/OutIine Lighting_ Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL The installation is being made on property I ovn vhich is not intended - for sale. lease or rent. tq Signature: $ 40.00 s 40.00 $ 20.00 s 36.00 5 RECETVED B (n OBEGOA'CITY OF SPB l0/u/97 1t:10 t't03 726 3680 @ottz 5PHIHGFIELO gt.gCf,RICAt PERUIT A}PLICATIOH Ci ty Job Nuaber 225 PIITE SXtsEEI sgRrNGFrELD, oREGot{ 97477 INSPECTI0N REQUBST: 726-3769 O8PICE; 726-3759 1. LOCATIOH OT INSTALIATION . /aaat Z*? i<- IJGAL DESC?IPTTON -1"€z:34-27, a f, ,, JOB irrg trieian fiorL CanAr+eure An {ey'g604 COHPI,ETE FEE SCEEDT'ilS BELOII Nev Besidential-Single or Hulti-FamiIY Per dvelfing unit' service lncluded' ,,."*, cost sum 1.000 sq.ft. or less %.. S 85'00 8@| Each additional 500 sq. ft or portion thereof a1 g 15.00 W,- Eech Manuf 'd Horre. or Moduiar 'DueIling servrce or Feeder $ 40'00 Permits are non-transferable and expire iE vork is not started rrithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTBAGTOR INSTALI.AITON ONIY .B' Etectrical Contr ^crar {i4fri*t @/rf< m&*ss , cit@*one/#)'42-t?sz Supervisor t,i66nie Number l/291 5 3 A Services or Feeders Installation, Aiterations or ReLocatior: 200 amps or less 4d 20L amps to 400 amps -l*401 amps to. 500 amPs -- 601 arnps to 1000 amPs BeconnEcl OnlY SUS?OTAL O}'ABOVE 5,1 State Surcharge 3Z Adminis[rative Fee TOTAL ss0 s60 $100 $130 s300 s40 d00 00 OD 00 00 00 tru4.o.4 Conslr Contr' Number O-> Temporary Services or Feedeus tnstallaiion, Alteration or Relocation Expiration Date i2 -/tr-7 7 200 amPs''crr less 201 amps to 400 amPs - Over 431. to 600 amPs Over 600 amps oE fbOo I'oTTs D. Braneh Cireuits -Each installation PrttD or irrieation iieir5u rf ine-Lisht in g Limited EnergY/Res Limi ted EnergY/Comm $ (' 5e 40,00 55.00 80.00. e uBr at6E- e,o a r es s . 3 2€ l/, 6 - r%aafle,a4l22fu"fuaf*tPJ*"@rlz<ln OIINER INSTALIATION The installatron is being made on E' property I own vhich is not intended for sa1e, leas€ or rent- Ovners SigRature: DATE; ller,l , A1 teration or Extension Per Panel onecircuit '- $35'oo iach additional-aii-";i i-orui th $ervice;;-i;;i"; Perrni | -EA- $ 2'oo -6* tliscellaneous (Serviee/feeder not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 5 RECSIVIED & SPFD DEV. SER. Expiration Oate, ,/& -J--' 7,f, OREGOA'C,ITY OF 225 TTVTE STB€BT SPRIIIGFIEI.D, OREGON INSPECTION REQIJEST; OFFICE: 726-3759 ess Supervisor Lice Sxpiration Date lb:Ll*- 97 t 1'1. 726*3?69 Q.1 \lt? III.ECTRICAL PERHIT APPI'ICIrIION Ci ty Job Nunber 3. COI{PI,ETE PEE SCEEDUI.E BELOS A. New Residential-Single or iluf tl-Family per dvellirrg uni t ' l.I ALI.ATION LEGAL DESCR.TPTTON PTION 180 daYs. 2. CONTRACTOR INSTALI.ATION ONI,Y Elec Addr Ci ty trical Contractor Pircne nse Nu,r:ber 5 DATE: sPtr {it' lELa) Serviee Included:I tems 1C00 sq. t t. or less Ilach addi tional 500 sq. fr or Portion thet'r:o f Eaclt Maruf 'd llome or Morlul.ar Dvelling Service or Feeder Services or Feetlers nstallation, Alterations or Relocirtiot'tl 00 amps 00 amps 000 antps-__ tle C. Tempor s r:r' Feeders Instaliat teration or Relocation D E SUBT0TrtrL. 0F AB0VE 5Z State Surcharge 3Z Administrative Fee TOTAL ignature. Cos t $ 85.00 $ 1s.00 $ 40.00 Sum J Pernits are non-transferable and expire if vork is not .srarteci vi thin 180 days ;i i;;;";".-ot if uork is susPended for sesor to to J s amp I {{ 6 1 s .i0.00 s 60.00 s100.00 s130.00 s300.00s 40.00 $ 40.00 *q 40.00 $ ?0.00 s 36.00 40,"' h Con.str Contr. Numirer.' Expiration Date-_-- Signature pervi sing trician 2oo amps' or less --!- $ lcl.oo 40 "n Over 600 amps or fbOO-ToTts sG:e "8" affiiE- Branch C{ rcui ts Nev, Alteratron or Extension Fer: Pane] -Each installation ['ump or irrigirtiorr Sign/Oti tline l,ighting-.-- Lini ted EnergY/Res -=Limited EnergY/Comm m a, " u, flf ty'A /il/fu*a 4rr' {4- - Ci ty eironefiS 7 blD* O9NEF.ON One Ci ::cu i t S 35. 00 Each Addi tional circuit or vith Service or lreeder Pernti t .-- S 2.00 Miscellaneous (Service/feeder not incl'uded)The installation is being made on piop"tty I o'vrn r.rhich is not intended for sale, lease or rent' Ovners Signature: 5 ,{ RECEIVED o .sr ! -cttv oF sPR OREGOA' SPFINGFIELO BACKFLOV PREVEMION DEVICE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SATETY DIVISION 225 FIFTH STREET SPRINGFIELD OR 97477 s/ JOB LOCATION: ASSESSORS MAP *:/70 3 )/^/ )3 OVNER: ADDRESS: FOR OFTICE USE RECEIPT lt: 03 0il?ISSUED BY: >z) TOTAL AMOUNT COLLECTED: BYSIGNINGTHISPERMIT/APPLICATIoN'IAGR!9-To,C.ALLFoRANINSPECTIoNoNcETHE BACKFLOV pREVENTION DBVICE UeS srgil INSTALLBD AND IS VISIBLE FoR INSPECTIoN (726-3769). r aiso srATE THAT ALL TNFORMATION ON THrS PERMTT/APPLTCATIoN rS CORBECT. OFFICE: INSPBCTION LINE: 726-3759 726-3769 TAX LOT *: O /0 6-T *: CITY:STATE:ZIP z BACKFLoUPERMITIS$15.00+s.75(STATESuRCHARGE)+$.45(ADMIN.FEE)=$16.20 CONTRACTOR: ADDRESS:PHONB CITY:STATE:ZIPz 07''q CONSTRUCTION CONTRACTORS REGISTRATION *:4g 43 EXPIRES:b-5d$Y JOB {I: 77'^ < 2 ?7Dzr- () -r /J '. //i d) CITY OF OFEGO'V 225 FTFTE STREET SPRINGFIELD, OREGON 97 INSPECf,ION REOUEST: 7 OFFICE: 726-3759 1 LOCATION OF ALLATION ON Permits are non-transferable and expire if vork is not started vithin LBO days of issuance or if vork is suspended for 180 days. INSTALI..ATION ONLY , -; ioliowrng Proiect m aubmfied traa the lollowlng zoning, anaibee no reqr$m sp,odlio hnd uee apprwal. DL ELESTRICAL PERUTT APPLICATION Ci ty Job Number nfiorUegnalefut SCEEDTILE BELOIT Nev Residential-Single or Multi-FamiIy per dvelling unit. Service Included: I tems Cos t 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or -Modular Dvelling Service or Feeder s 8s.00 s 1s.00 ST ,.iFIELE, $ 40.00 Services or Feeders Installation, Af terations r Relocation: 200 amps or less 20L amps to 400 amps -40L amps to 600 amps _ 601- amps to 1000 amps_ Over 1000 amps/volts Reconnect 0n1y Temporary Services or Feeders Installation, Alteration or Relocation A . LEGAL/7 03 DESCRIPTII>h >3 olb Sum 2. , COMRACTOR firr*./-4trurr Slee+rieat ton B C t rac tor Address Ci ty Phone b;5- 57ffi Supervi-sor License Number &r Expiration Date Signature of Supervising Electrician 0vners Name Address Ci ty Phone OI]NER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, fease or rent. 0vners Signature: DATE: D. Branch Circuits Nev, Alteration or Extension Per Panel e Circui t $ 3s.00 Each Addi tional Circuit or vith Service or Feeder Permit $ 2.00 E. MisceLlaneous (Service/feeder not included) -Each instalLation Pump or irrigation _Sign/Out1ine Lighting_ Limi ted Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL 200 amps"or less $ 40.00 Over 401 to 600 amps $ 80.00 Over 600 amps or lbOO voTTs see rrgrr uffifre $ s0.00 s 60.00 $100.00 $130. 00 $300.00 $ 40.00 s 40.00 $ 40.00 $ 20.00 s 36.00 RBCETVED B 5 @ L I I I LI Da te .494 ATTACHMENT A \nLa 2avcaee 0)& CiTY OF SPR,..GFIELD SYSTEMS DEVELOF, - T CHARGE WORKSHEET NAME OR COMPANY E ERN Lf)t t') Gt LOCATION 45o ?rto 1r DTVEI.OPMENT TYPI:Cctrrep BUILDING S IZE: 41, Z& L N OT SIZ 1 . STORM DRA i u:Gi ( Fcou 5rre Pt*,r\ Lo.r RricAPT = O,5$/9rJ'(Fr,n TearTr- ir"oY)3 TRANSp0RrATrcir= H.?:L I,i,,:;l[i:F**, oN j,re a" *",) NO OF UNITS X IR.IP RATE X COST PER'TP.IP Apr,s 1L Da X o,qE, , X s47l.4g Y )eY Case z.zqo T6TF X l3.GZ II,IPERV IOUS SO. FT. .i 2. SAN ITARY SE:.jEB -C ITY NO. OF PFU'S t 48? (See Revers; S r,ie) Rec- Cextrz ,tqr7'zzqo = Z'Al7reqF X Lrrrr-rrd6 DSyC<e-e REjto€ilf, ,NLY- 8' 4 5, ADMINISTRATIVE FEES BASE CHARGE (SUBIOTAL ABOVE) X .05 Date: lO - /b.17 SDC Coordi nator TLANSloRlAl',oi )t Davc,qxe 1,D.C, Mry 6e Vtryeo 6.1 QeeD R€5rztcf,or-> nz. 252 x s0.225 Pt?,7 X 5.16.86 PER PFU x s472.49 X $472.49 (ox 3ne t)ie oxuvl U5€ fo oN ttte . TorAL SpC @??tr vZ/zu.?/ ffffi,cK{d{ilJ sw sANirARy sEiiEci -Miir,1c &T;r:::':r*' : iii:I,|::r, Pecc,,ttz REL C€N76e ' 2o8,r2/T6aF od 2'647'B5Fx tZcfu;g- N0. oF_#+,s^d_iffiptR #S + glQ r,rt,JMC/ADM FEE s z+)Fzq.sjD^ycAz,i ,A;lGn. X ffi; IT|{MC CREDIT IF APPLICABLE (SEt REVERSE) s- zloo.4L T0rAl-Mriilrc sDC $ z4tzT .1t 7tr SUBT0TAL (ADD ITEI',|S 1,2.3 & 4) *t+tsd+++ VZ/z?,?/ Cebl6 J