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HomeMy WebLinkAboutPermit Electrical 2020-01-13.CITY OF SPRINGFIELDO OREGON b Electrical Permit lication 225 Fifth Stree$ Springfield, OR 97477o PH(541 )726-37530FAX(541)726-3689 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days ofissuance or ifwork is suspended for 180 days. h, LOCAL GOVERNMENT APPROVAL Zoningapproval verified? ! yes E No CATEGORY OF CONSTRUCTION dResidential ! Govemment I Commercial JOB SITE INFORMATION AND LOCATION Job site address: ZbbB F.t,^.,jp_rl B oiAno ?n.,) Taxlot.: DESCRIPTION OF WORK PROPERW OWNER Name: ".,,U1* i3.i.l.-,. .P^-) City State ZtP:77[71 Phone:'l - )Fax: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479 .540(l) and 479.560(t). Signature: CONTRACTOR INSTALLATION City nv|laeq Phone:Fax: E-mail CCB license no.: 1lqh.5{BCD license no.: zC-4C-\C Signing supervisor's license no.: ?CJ !t Print name of Signature of si gning suPervisor: FEE SCHEDULE Number of inspections per item ( )Qty.Cost ea, Total cost Residential, per unit, service included: 1,000 sq. ft. or less (4)I $186.00 $ Each additional 500 sq. ft. or portion thereof $36.00 $ Limited energy (2)$44.00 $ Each manufactured home or modular dwelling service or feeder (2)$89.00 $ Services or feeders: insta I I atiotr, alteration, relocation 200 amps or less (2)$l12.00 $ 201 to 400 amps (2)$131.00 $ 401 to 600 amps (2)$221.00 $ 601 to 1,000 amps (2)$28s.00 s Over 1,000 amps or volts (2)$654.00 s Reconnect only (2)$89.00 $ Temporary services or feeders: installation, aheration, relocation 200 amps or less (2)$89.00 $ 201 to 400 amps (2)$122.00 s 401 to 600 amps (2)$177.00 $ Over 600 amps or I,000 volts, see services or feeders section above Branch circuits: nev', alteration, extension per panel a. Fee for branch circuits with purchase ofa service or feeder fee: Each branch circuit $8.00 $ b. Fee for branch circuits without purchase ofa service or feeder fee First branch circuit (2)$89.00 $ Each additional branch circuit $8.00 $ Miscellaneous feesl. service or feeder not included Each purnp or irrigation circle (2)$8e.00 s Each sign or outline lighting (2)$89.00 $ Signal circuit or a limitcd-cnergy pancl. alteration, or extension (2)$89.00 $ Each additional insPection: (1)$r02.00 $ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102'00) $ (B) Enter 12%o surcharge (.12 x [A])$ (C) Technology Fee (5% of [A])$ TOTAL fees and surcharges (A through D)$ DEPARTMENT USE ONLY Permit no Date 7P Last edited 7/l/2019 BJones Address: 2 i^l ,<-t t Business namen-1,o,1. g, Ir,v', zt Cl* ,L-,'" 9e-r,ti.e Address: q 4<4+ l,\.c)ti/.;tr.o l), o ,, trt I State:,