HomeMy WebLinkAboutPermit Electrical 1998-03-10The following Proiect as submitted has the followir
INGFIELE,
zOning
Zoning
Date
j -tb- n1
Authorized Signature
225 FIFTE STREET
SPRTNGFTELD, OREGON 97477rrrn1r
INSPECTI0N REQUEST: 726-376
OFFICE z 726-3759
1 ^ 1. I.OCATToN nE TNcr^r r ^IloN/ tt3L--. t/s4r-
regon law re qutresfollow rules a dopted by the Ore gon UtiiiNotificationCenter.Those rules are set forthOAR9s2-001-OOl 0 through oAR 9s2-oo1-0090 You ma y obta rn copies
qti,
CAL PERilIT APPLICATION
bNurnber %l?2L
calling the center. (Note
berfor the Oregon Util
9 s 1-800-332
ELECTRI
l|",ffi"''g'Iry ,.
o
LEGAI Z 3
PTfOH - /
/ Ct tt^t
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. CONTRACTOR INSTALLATTON ONLY
3. COHPLETE FEE SCBEDULE BELOV
A Nev Residential-Single or
MuIti-Family per dvelling unit.
Service fncluded:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
-Modular 'Dvel1ing
Service or Feeder
s 8s.00
$ 1s.00
s 40.00
B. Services or Feeders
InstaIlation, Alterations
or Relocation:
()
s s0.00
s 60.00
s 100. 00
s130.00
s300.00
s 40.00
rS
ReIoca t
s 40.00
s ss.00
$ 80.00
sgg ItBtt
Sum
10n
aE6iif
);
IOB-NESERT
Electrical Contracto ,n wt €/<4,
ndaressp.pr b: 0167o t 200 amps or less
Ci ty tnQ Phone a 557'Cgg t 201- amps to 400 amps
401 amps to 600 ampsI tr\
nse Number
/o/o't
3zeY-s
str contr. Number ?S?tO
iration ,^A// C
Reeonnect 0n1y'$ljlU "',^.-c. remporasy.' i-a'f{B€6trHr r,f',qe
r ns tar ra t i otl,'s6trnx irirnSi
Aivy rc,' -
*'!iY'i /S NOf'"' ?00 @plroi"IEYs',-,., rrlg-
201 ampC'to 400 amps _Over 401 to 600 amps' Over 600 amps or 1000-GTfs
D. Branch Circuits
60L amps to 1000 amps
Over L0O0 amps/voIts
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Admini.s trative Fee
TOTAL
Exp
Signature of Sufervising Electrician
owners n^^" /Att 7?rvru,/k.rffi
Supervi-sor Lice
Expiration Date
Constr Contr
Address
Ci ty 5 pt oneTZ/'' 96'2 /
OVNER INSTALLATION
The installation is being made on
property I ovrn which is not intended
for sale, lease or rent.
Orners Signature:
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
$ 3s.00
Circuit or vith Service
or Feeder Permit _ $ 2.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/OutIine Lighting-
Limi ted Energy/Res
Limi ted Energy/Comm
E
s 40.00
s 40.00
$ 20.00
s 36.00
DATE:
5
(
RBCEIVED B
qq
i-,4:*j'$liilljri'.;?,".i"rj;iYr";F.,.,
225
SPRINGFIELD OREGON 974
INSPECTION REQIIEST:zzoaflf Qflq OAy pERton.
OFFICE: 726-3759
1. LOCATION OF INSTA.LI.,ATION
ilqz /1 Tta
LEGAL DESCRTPTION
)L 24/a5/02
JOB
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATTON ONLY
Electrical Contractor P/f
Add ress
Ci ty Phone jLiT -<tt
Supervisor License Number QrtT Lr
Expiration Date
Constr Contr. Number c 0f T 1Y rt
Expiration oate -J I "l I \ 1
SP ;FIEL()
NOTICE:
THIS PERMIT SHALL EXPIHE IF THE WORK
UTHOBIZED THIS PERMIT IS NOT
PERHIT APPLICATION
ENCED OR IS ABANDONED FO#Ecr*rcAL
City Job Number.9809))-
3. COHPLETE FEE SCMDULE BELOV
A Nev Residential-Single or
MuIti-FamiIy per dvelling unit.
Service Included:
I tems Cos t
Z .)rr 'tl 'JOe$ ,lOt qfi,. ,t
l,
Sum
Signature of Sup,ervising Electricianc/tilJ
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
s 8s.00
s ls.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
20L amps to 400 amps
-401- amps to 600 amps _
601 amps to 1000 amps-
0ver 1000 amps/volts _
Reconnect On1y
C
D
I i'a; c
Nev, Alteration or Extension Per Pan
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
eI
E. MiscellaneouS (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/0ut1ine Lighting_
Limited Energy/Res
Limited rnerly/comm -T
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAI
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or Iess $ 40.00
over 40L to 600 amps
-
$ 80.00
Over 600 amps or tbOO-[oTis see uBu a66
Branch Ci rcui ts - -.
B
s s0.00
s 60.00
s 100. 0o
s130.00
s300.00
s 40.00
Ovners Nane Ct:zul-l:ttlf t tl/Z.4n44.,atrias C
Address //72 D E l/4 51.
Ci ty 5/r : n)t: ,l )Phone 'lzC - (;SL I
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
DffEz?'
40.00
40.00
20.00
36 .00
s
s
$
$
RECETVED
5 61J
%6D
I
Er^.a<
q