HomeMy WebLinkAboutPermit Electrical 1997-05-02s .IGFIEL()
\i
afi,
225 FTFTE STREET
sPRrNGFrEIr, OREGoN 97 477
INSPECTION REQT,EST: 72:6-376
oFFICE: 726-3759
1 OF INST
/t{
DE
JOB DESCRIPTION
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 Y
Electrical Contractor
Address
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
-
Modular Dvelling
Sertice or Feeder s 40.00
B.Services or Feeders
.Installation, Alterations
or Relocation:
200 amps or less I X
201 amps to 400 amps
401 amps to 600 amps
-
601 amps to 1000 amps-
Over 1000 amps/volts
-
Reconnect 0n1y
C. Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps"or less S201 amps to 400 amps
-
S
Over 401- to 600 amps
-
$Over 600 amps or 1000ToTFs see rtBr, aE6vE
+u D. Branch Circuits
ELECTRICAI, PERHIT APPLICATION
Ci ty Job Nurnber
3. COHPLETE FEE SCEEDUI,E BELOV
A. Nev Residential-Single or
Hulti-Family per dvelling unit.
Service fncluded:
Items Cost
$ 8s.00
$ 1,5.00
Pump or irrigation
Sign/0utIine Lighting-
Limi ted Energy/Res
-
Limited Energy/Comm
T
I
Sum
s s0.00
s 60.00
s100.00
$130.00
$300.00
$ 40.00
tu o
Supe rv isor Li
Expiration Date
Constr Contr. Number
Expiration Date 6 o
Signa ture of
ense Number /2/ s
C
ing Electrician
Ci ty
Ovners Name
Address a O
Ci ty
OSNER INSTALT,ATTON
0uners Signature:
DATE:
."W3
40.00
55.00
80.00
Phone
Nev, Alteration or Extension per panel
One Circuit $ 35.00
Each Addi tional
Circuit or vith Serviceor Feeder Permi t P $ 2.00 .e:,
Miscellaneous (Service/feeder not included)
-Each installation
The installation is being made onproperty I ovn vhich is not intendedfor saIe, lease or rent.
E
$
$
s
$
(!5
40
40
20
36
.00
.00
.00
.00
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Adninistrative Fee
TOTALRECEIVED
(
.oo
dn,',.
{\nt
CITY OF SPB D, OREGOITJ
{,I silrtllt{cililG,Lo
,,'.:, E[8GIlRfGfrI;APPTICATION
Items Cost Sum
$ 85.00
s 15.00
$ 40.00
ee ,Bn aE66
225 TIFTE STREET
SPRTNGFTBLD, OBEGON 97411
I
INSPECf,ION RBOUBSIT 726-3769 n:'' v"
OPPICES 726-3159
-q
BELOV
A. n$tfl Res lden t I al-Slngle or
Hultl-Famlly per dvelltng unlt.
Servlce Includedr
a
t
Permits are non-transferable and explrelf vork ls not started vlthln 180 days
of lssuance or lf vork ls suspended for
180 days.
2. OOIITRACTOR INSTAIJATION ONLI
Electrlcal Contractor L.R. BRABHAI4, INC.
Address68 t'1. "Q" ST.,
ct SPFLD
Supervlsor tlcense Ndmber I 4735
Constr Contr. Nurnber 08699
Expl ratlon Date l2/18/94.*. ''
==
.
Slgnat of Supervlslng BIec clan
Or.tners
1000 sq.ft. or less
gach addtttonal 500
sq. ft or portlon
thereof
Each Hanuf'd Home or
-. Hodular Dvelllng
Servlce or Feeder
Servlces or Feeders
Installatlon, Alteratlons or
Relocatlon:
,/{tz
B
C. Tenporary Servlces or Feeders
Installattonl Alteratlon or Relocatlon
200 amps or less
201 aurps to 400 amps _
401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Beconnect Oniy
200 amps or less $
201 am[s to 400 amps
-
$
over 4b1 to 600 arps
-
S
0ver 600 amps or 1000 volts s
r30
$
$
s
$
o0
00
00
00
00
00
50.
60.
100.
$3oo
$40
40.00
55.00
80.00
.Ay-Address
ct 5pt{Phone 1+4- tq33
D. Branch Clrcults
Nev, Alteratlon or Extenslon Per Pane}
one clrcult -l- S 3s.oo 35lC
Each Addltlonal
Clrcult or vlth Servlce
or Feeder Permlt
-
$ 2..00
-E. Hlscellaneous (Servlce/feeder not lncluded)
-Each lnstallatton
Punp or lrrlgatlon
Stgn/0utltne Llghtlng_
Llnlted Energy/Res _Ltnlted Energy/Comm
35.0o
0
U-
INSTALIATIONOIINER
The lnstallatlon ls belng made on
property I ovn vhtch ls not tntended
for salee lease or rent.
Omers Slgnature:
DATE:
a
RECEIVED a
5. SIIBTOTAL OP ABOVB
5f State Surcharge
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
31 ,80
Phone 747-6638
Explratton O"t"
I