HomeMy WebLinkAboutPermit Electrical 1994-08-01CITY OF -omeeolu
SPFrINGFIELC,
lipprgval.
97477 Dare-foifu
726-3769horlzed
1.LOCATION OP INSTALI.,ATION
O ll1o o Pa)
JOB DESCRIPTION
m
BLBCTRTCAL PERHIT APPLICATION
Ci Job Nurnber
Service Included:
COHPLETE FEE SCBEDTILE BELOV
Nev Residentlal-Single or
llufti-famIIY Per dvelling unit'
Lm
225 TIFTE STREET
SPRTNGFIELD, oREGoN
INSPBGTION RBQTIBST:
OPFICE: '726-3159
Z-
Electrical Contractor Alert Electric Inc.
Ci ty Sp r j-nqf ield Phone 7 47-2211
Supervisor Licen,se Number
I tems
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home or
Hodular Dwelling
Servlce 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
-
Reeonnect OnIY
Branch Circuits
New, Alteration or Extension
)41. q,
Cos t
$ Bs.oo
$ 1s.oo
$ 40.00
$ so.oo
s 60.00
$1o0. oo
$130.00
$300.00
$ 40.00
3.
A
B
Sum
permits are non-transferable and expire
ii "ott is not started vlthln 180 days
;; i;;il"" ot lf vork ls susPended for
180 daYs.
2. CO.ITRACf,OR INSTALLATION ONLY
Expiration Date 10-1-94
Constr Contr. Numbe r 20-55C
iration Date 10-1-94
gna ture sing Blectrician
Owners Name
Address
Ci tY Phone
Temoorary Services or Feeders
ii"i"iiuiio., Alteration or Relocation
200 amps or less
,oi ;;; to 4oo amps
-0ver 401 to 600 amps
-
Over 600 amPs or 1000 volt
c
40.00
55.00
80.00
s see lrBr'aSovE-
$
$
$
Di
One Circui t
Each Additional
Per Pane1
-.-cc,$ 3s.00 1)l:
Circuit or vith Service
or Feeder Permit --$ 2.00
E Hiscellaneous (Service/feeder not included)OVNER INSTALI,ATION
The installatioir is being made on
property I ovn vhich is not intended
ior- sale, lease or rent'
Orrners Signature:
-Each installation
Pump or irrigation
Sign/0utIine Lighting._-
Limited EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ASOVE
5Z State Surcharge
Vlp +e+u,Ml*t\
TemftL-
40
$
$
$
$
40.00
00
00
20.00
36
DD
DATB:
RECEI
RECEIVBD
5
5t,w
666ss5s 1970 N. 28th St.
CITY OF OREGO'V
225 FI'VTE STRBBT
SPRTNGPIELD, oRBGoN 97477
INSPBCTION BBQIIBST: 726-37
OPPICE: 726-3759
Authorized
1
LEGAL DBSCRIPTION
Permits are non-transferablelf vork is not started vithln
pi re
daysof issuance or if vork is suspended for
180 'days .
2. COI{TRACTOR
Electrical Contrac
Addr
Ci ty Phone
Supervi sor cense Number
@"Expiration Date
Constr Contr. Number
Expiration Date
s ture f ing Electrician
rs
Add
Ci ty
OSNER ON
The installation is being made on
property I ovn vhich is not intendedfor sale, Iease or rent.
Ovners Slgnature:
DATB:
The lnllo.arino proiec{ as subm}tted hG the
zonl tr ' '.:.re6 not requlra apecltic lanct
IW
f9";a4:!+
ELBCTRICAL PERHIT
Ci ty Job Nunber
BBLOII
Nev Residential-Single orHuIti-FaniIy 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
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
SPlrrr{GFIELD
STIBTOTAL OP ABOVB
5Z State Surcharge
TOTAL
aPProviii.
zonl
A
Sum
C. Temporary Services or Feeders
Installatlon, Alteratlon or Relocation
6ove
D. Branch Circuits
Nev, Alteration or Extension Per Panel
onecircuit
-[
$rs.oo1{5
Each Additional
Circuit or vith Service
or Feeder Permit $ .2.00
B. Hiscellaneous (Service/feeder not included)
200 amps or Iess
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps-
over 1000 amps/volts
-Reconnect 0nly
-Each instalLation
Pump or irrigation $Slgn/Outline Lighting- $Limited Energy/Res
-
$
Llmi ted Energy/Comm $
$ s0.00
s 60.00
$100.00
$ 130. 00
$300.00
$ 40.00
200 amps or less S 40.00
201 amps to 400 amps
-
$ 55.00
over 401 to 600 amps
-
$ 80.00
Over 600 amps or 1000 vol[s see rrBrr a
40.00
40.00
20.00
36.00
5f
RBCEIVET)
B. Services or FeedersInstallation, Alterationsor Relocation:
@-
o(
C'TY OF OREGO'U
SPFilIGFTELO
Ll"-l225 FTTTE STREBT
SPRINGPTBID, ORBGON 97477
INSPBfiION BEOUEST: 726-3769
OPPICE: 726-3759
ELECTRICAL PERHIT
City Job Nunber
COHPLETE PEB SCEEDULE BELOTI
New Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
1,000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Manuf'd Home or
-Hodular DweIIlng
Servlce or Feeder
$ 8s.00
s 1s.00
$ 40.00
Services or Feeders
Insta1lation, Alterationsor Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 500 amps
-601 amps to 1000 amps-
over 1000 amps/volts
-Reconnect On1y
Temporary Services or'FeedersInsta1latlon, Alteration or Relocation
SUBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
ON6 {', ll,
-&=!.
1
Permi ts are non-transferableif vork is not started vithin
A
Sun
ire
aysof lssuance or lf vork ls suspended for
180 .days.
2.
EIec
Addr
Ci ty
Supe
COIITRACTOR
trical Contrac o
ess
rvl sor
Phone
cense Number
@,
B
c
$ 50.00
s 60.00
$100.00
$130.00
$300.00
s 40.00Explration Date
Constr Contr. Number
Expiration Date
s re
rs
dres
Ct ty
rvlsi ng Electrician
D. Branch Circuits
B
Nev, Alteration or Extension per panel
onecircuit I S35.oo
Each Additionar
--')Circult or vith Serviceor Feeder Permit _ $.2.00._
Iliscellaneous (Service/feeder not included)
-Each installation
200 amps or less $ 40.00
201 amps ro 400 amps
-
$ 55.000ver 401 to 600 amps
-
$ g0.OO
Over 600 amps or 1000-voT[s see I'Bil a66E
Pump or irrigatlon $Slgn/0utline Lighting- $Linited Energy/Res
-
S
OVNER
The installation is being made onproperty I orn vhich is not intendedfor sale, Iease or rent.
0rners Signature:
DATE:
00
00
00
00
40.
40.
20.
36,
RBCBIVBD
5 OC
C'TY OF SPF OREGO'U
225 PIFTE STREBT
SPRTNGFTELD, ORBGON 97477 5
INSPBCTION BEOUBST: 726-3769
OPFICB: 726-3759
SP;lTiIGFIELD
Lnt EI.^ECTRICAL PERHIT
City Job Nunber
3. COHPT,ETE PBE SCEBDT'I,E BELOU
A. Nev Residential-Single or
HuIti-FamiIy 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
-Hodular Dvelling
Servlce or Feeder
$ 8s.00
$ 1s.00
$ 40.00
B. Services or Feeders
Insta1lation, Alterations
or Relocation:
Irlr'
1
Permits are non-transferablelf vork is not started vithl
pire
n1 daysof lssuance or if vork is suspended for
180 .days.
Sum
2. co}ItRAgtoR
Electrical Con
Addr
Ci
Supervi sor
trac o
Phone
cense Number
AtExplration Date
Constr Contr. Number
Exp
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
-601 amps to 1000 amps
over 1.000 amps/volts
-Reconnect 0nIy
onecircuit I S35.00
Each Additional
Clrcuit or vith Service
or Feeder Permit $ 2.00
-Each installation
Pump or irrigatlon SSlgn/0utIine Lighting- SLimited Energy/Res
-
$Llmited Energy/Comm S
s s0.00
s 60.00
$100.00
$130.00
$300.00
$ 40.00
ration Date
s ture o lsi ng Electrician
ers
Add
ci Ph
OIINER
The installation is being made on
property I ovn vhich is not intendedfor sale, Iease or rent.
Ovners Slgnature:
DATB:
C. Temporary Services or Feeders
Installation, Alteratlon or Relocation
D. Branch Circults
Nev, Alteration or Extension Per Panel
200 amps or less $ 40.00
201 amps to 400 amps
-
$ 55.00
Over 401 to 600 amps
-
$ 80.00
0ver 600 amps or 1000 voT[s see rrBir a56E
E. Miscellaneous (Service/feeder not included)
00
00
00
00
40.
40.
20.
36.
5 STIBTOTAL OP ABOVB5f State Surcharge
TOTAL
RBCBIVED
\
o )a
oo
CITY OF SPR OREGO'V
Permi ts are non-transferableif vork is not started vithir
lren1daysof lssuance or lf vork is suspended for
180 .days.
2. COMRACTOR ON
Electrical Contrac
Addres
Ci ty Phone
Supervi sor cense Number
@,Expiration Date
Constr Contr. Number
Expiration Date
SP'l!NGFIELO
BLBCTRICAL PERI{IT
City Job Nunber
3. COIIPI..ETE PBE SCEBDT'LB BBLOU
A. Nev Residential-Sing1e or
HuIti-FamiIy per .dvelling unit.
Service Included:
Items Cost
1000 sq.ft. or Iess
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
-Hodular DveIIing
Servlce or Feeder
$ 8s.00
$ 1s.00
s 40.00
B Services or FeedersInstallation, Alterationsor Relocation:
L,^J
225 PIPTE STREET
SPRINcPTBIJ, oRBGoN 97477 Slr+l
INSPECf,I0N REOUBSTz 726-3769
0PPICB: 726-3759
1t
1
#tr
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
0ver 1000 amps/volts
Reconnect 0nly
Sum
ee rrB, a56ve
s s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c
D
Temporary Services or Feeders
Installation, Alteratlon or Relocation
tu of Supervising Electrician
rs N,
Addr
Ci ty
OSNER ON
The installation is being made on
property f ovn vhich is not intendedfor sale, lease or rent.
Omers Signature:
DATE:
200 amps or less $
201 amps to 400 amps
-
$
over 401 to 600 amps
-
$
Over 600 amps or 1000-l6Tfs s
Branch Circuits
40.00
55.00
80.00
Nev, Alteration or Extension Per Panel
one circuit -L $ gs.oo r5Each Additional
Circuit or vith Serviceor Feeder Permit $ .2.00
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utIine Light
Limi ted Energy/Res
lns
Limi ted Energy/Comm
5. SIIBTOTAL OP ABOVB
5Z State Sutcharge
TOTAL
$
$
$
$
00
00
00
00
40
40
20
36
BRBCBIVED
o
oe
CITY OF OPEGO'I'
siPRTiIGFtELO
rr'Pl
,rr/
Lvnl
INSPBCTIoT BEO! sT3 726-3769 ir-,1)OPPICB: 726-3759 b"
SPRTNGFIEID, ORBGON 97477
Permits are non-transferableif vork is not started vithi
1
c1
pire
n1 daysof issuance or if vork is suspended for
180 .days.
2. C0NTRACToR
Electrical Contrac
Addre
Ci ty Phone
Supervi sor cense Number'@3
Expiration Date
Constr Contr. Number
Expiration Date
ture f Su sing Electrician
rsN
r
ci
OVNER
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
BLE TRICAL PERHIT
ty Job Nunber
3. COHPI.ATB PBE SCEBDTILE BBLOII
Nev Residential-Single or
Multi-FamiIy 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
-Hodular DveIIing
Servlce or Feeder
s 8s.00
$ 1s.00
$ 40.00
B Services or Feeders
InstaLlation, Alterations
or Relocation:
gc'
A
c
Sum
A
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
601 amps to 1000 amps
0ver 1000 amps/volts
-Reconnect 0nIy
$ s0.00
$ 60.00
$100.00
$ 130. 00
$300.00
$ 40.00
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit I $ ss.oo r5Each Additional --+-
Circuit or vith Service
or Feeder Permit $ .2.00 -
B. Miscellaneous (Service/feeder not included)
200 amps or less S 40.00
201 amps to 400 amps
-
$ 55.00
over 401 to 600 amps
-
$ 80.00
0ver 600 amps or 1000 voT[s see rrBrr a66E
-Each installation
Pump or irrigation
Sign/outline Light ing-
Limited Energy/Res
-Limited Energy/Comm
Temporary Services or Feeders
Installation, Alteration or Relocation
SUBTOTAL OP ABOVB
5Z State Sutcharge
TOTAL
$ 40.00
$ 40.00
s 20.00
$ 36.00
RBCEIVED
,01
5
I ,,/TY OF
225 FIFTE STREET
SPRINGFIELD, OREGON 97477
INSPECTI0N REQLIBSTz 726-3759
0FPICE: 726-3759
Permits are non-transferable and 1re
if vork is not started vithi n 180 days
of issuance or if vork is suspended for
180 days.
2. COI{TRA TOR INSTALI.ATION OM.Y
Electrical ntrac
ELECTRICAL PERHTT APPLICATION
Ci ty Job Number
3. COHPI.ETE FEB SCEEDULE BELOS
sident ial-Si ngle or
HuIti-Iy per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular DveIling
Service or Feeder
$ 8s.00
$ 1s.00
s 40.00
B Services or Feeders
Installation, Alterations or
Reloeat ion:
200 amps or less
201 amps to 4oo amps
-401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts _
Reconnect 0n1y
s s0.00
s 60.00
s100.00
$130.00
$300.00
$ 40.00
c
-.
Miscellaneous ( Service/feeder
-Each installation
Ptrmp or irrigation $
Sign/0ut1ine Lighting_ S
Limited Energy/Res _ S
Limited Energy/Comm S
SITBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
/.!ff 2,
1 OP
Sum
t
Constr Contr. Number
Address \r)
Ci Phone I
Supervisor se Number
Expiration Date \b \,q5
\A1 qA Temporary Services or Feeders
Installation, Alteration or Relocation
D. Branch Circuits
Nev, Alteration or Extension Per Panel
tonecircuit I S35.00
Each Additional
Circuit or with Service
or Feeder Permit $ 2.00
Expiration Date
S ture o I Electrician
ers Name
Addres
ci Phone
ALI.ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Ovners Signature:
DATE:
RECEIPT *:
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 600 amps or 1000 volts see "B'r above
=?2q3
€5
E not included)
40.00
4o. oo
20.00
RECEIVED BY
5
q D3l o