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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