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Home My WebLink AboutPermit Electrical 1997-09-26C'TY OF OREGO'U SPRInlG-T!ELO 225 PIFTB STREET SPRTNGPIEIJ, oREGoN 9 INSPEC;TION REOTIEST: OPPICE: 726-3759 .zonrns-l-cl-Y:- 747!'0..-LAr.E 7 726-_3769.,, j ::., .,,r;i % r less o 400 amps -o 600 amps mps or 1000 volt 2. CONTRACf,OR INSTALI..ATION O}ILY Electrical Contracto Address$Zs? sA/. U/4fu Dr. L1 Phone -o5 Supervisor License Number AbSO -7tg Expiration Date Constr Contr. Number O Expiration,Date Signature of Supervising Electrician e o EI..E TRICAL PERHIT APPLICATTON City Job Nunber IJETE PEE SCffiDULE BELOV Residential-Single or ti-Family per'dveIIing uni t. ervice rncrudedt ,a"r" cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or -Hodular DveIIing Service or Feeder s 8s.00 s 1s.00 s 40.00 Services or Feeders fnstallation, A1 terations 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 -Reconnect 0nIy Temporary Services or Feeders Installation, Alteratlon or Relocation e s for 3 1 LOCATION OP INST TI LEGAL DBSCRIPTTON ?ermits are non-transf erif vork is not started vitof lssuance or lf vork is 180 days J Sum .00 .00ttgtt .f,[rf- B C $so S60 s 100 $ 130 s300 $40 00Sao $ss $so sees 00 00 00 00 00 00 200 amps o 201 amps t Over 401 t Over 600 a Add res C Phone 7Y7 'yEt<.-r OVNER INSTALI.,ATION The installation is being made on property I ovn vhich is not intendedfor sa1e, lease or rent. Ovners Signature: D. Branch Circui ts Nev, Alteration or Extension Per Panel One Circuit S 35.00 Each Addi tional Circui t or vl th Serviceor Feeder Permi t S 2.00 E. MiscelLaneous (Service/feeder not included) -Each installation' Pump or irrigation Sign/0utline Lighting Limi ted Energy/Res Limi ted Energy/Comm SI.IBTOTAL OP ANOVE 5Z State Surcharge TOTAL 3ta 4. s 40.00 s 40.00 s 20.00 $ 36.00 = 5 DATE: RECEI RECEIVED B q-e6 - ? r<_ 2- SPFIINGFIELI) OF INSTALT,ATION DESCRI PTION l.. MuIti-FamiIY Per Service Included: h, 33irffiXIf,^85ffiqe N e74+77 ., : i- d'ri il*Eriol,x:x;'z 726-37Y-q tn N; ELECTRICAL PERHIT APPLICATION CitY Job Number q COHPI,ETE FEE SCEEDUI'E BELOV Nev Residen tial-Single or dvelling unit.1 I tems Cos t $ 8s.00 s 1s.00 $ 40.00 Sum 10 c1 qh)(" LI tsa re noh- if vo rk is not s of is suance or i 180 daYs. z LI^ATION ONLYCONTRACTOR INSTA EIec trical r l.Tr?r,"r"."bIe and exPire i.ii"a vithin 180 daYs i-""it is susPended for loo0 so.ft. or less eulh ".iaitional.500sq. ft or Portlon thereof Each Manuf'd Home' or Modular Dvelling Service or Feeder Services or Feeders in.t.ff.tion, Alterations or Relocation: 200 amPs or less I 201 amPs to 400 amPs - 401 amPs to 600 amPs - 601 amPs to 1000 lmPs- over tbOO amPs/volts - Reconnect 0n1Y TemDorarY Services or Feeders -i"l["ii"ii";' Arieration or Relocation 200 amps"or Iess $ ;oi ;;; io aoo amPs - t 0ver 401 to 600 amPs - ) 0ver 600 amPs or 1000 volts s -Each installation Pump or irrigation S iiti,zoutrine Lightinsl tLimited EnergY/Res U JOB DESCRTPTION 5 aE B a s s0.00 $ 60.00 $100.00 s130.00 $300.00 s 40.00 Address Ci ty Supervisor 'v /g Expiration Date /g Constr Co ntr. Number Expiration Date Signature of Supervising Electrician 0vners Name ih sr 14 -l OHil,{1EK cNr ,L ee rrB. a566 D. Branch Circuits Nev, Alteration or Extension Per Panel one circuit L $ 3s.oo @ Each Additional :l';:::":'rllll.'"'"'l& g 2.oo fuc E. Miscellaneous (Service/feeder not included) 46 c 40.00 55.00 80.00 Address 4 ST0 inTv Ci ty SP t{VC F lE l- S DATE:( RECETVED i I Phone rlql , qBL<D OVNER INSTALI.,ATION The installation is being made on piop"tty I ovn vhich is not intended for sale, Iease or rent'40.00 40.00 20.00 36.00 5 SUBTOTAL OF ABOVE 5Z State Surcharge 3% Administrative Fee TOTAL /0DL(.to .1.c{6 ture: bB q" Date: 8-q- e 6tsAddress: Ltb O 3f'/\ Issued ar,-lL statement: rnformation Notice to property ownersAbout construction R";;;nsibirities Note" oregon t'*' oo|.r0r 055(4), requtres residentiar constrfft:;:;,:;;;;::if ;;ti;l;x ju#:::i:;i:;;"f;wi:!;xi; for residential building, electricol, *rrirrrrrl, and O,u*Urrf I!#:;:,r;;!:X:Xarchitect and enginerr-owtrror,i.:-r*'iiom registration un-der oRs 701.010(7),need not submit this statement. rhis stitement wiil befited with the permit. :l''' the appropriate branks and initiar boxes r and2,and either box 34 or 38: @' l ' I own, reside in, or w1r reside in the compreted structure. If I hire subcontractors, I will hire only subcontractors registered with the construction ContractorsBoard' If I change my-mind and hire a general contractof I wiil contract with a contractor who isregistered with the ccB and will immedlately notify the office issuing this building permit of thename of the contractor. @ ' ' ;:[".:tt#Xr'}i::ilil:::'er as a construction contractor irthe srructure is sord or orrered for sare 3,A.. My general contractor is (Name)I will instruct my general contractor that all subcontractors Contractor regis.?who work on the structure must beregistered with the Construction Contractors Board. OR MP 38. I will be my own general contractor I hereby certify that the above information is correct and that I have read and do understand the Information Owners about nstruction Responsibilities on the reverse side of this form (Signature of icant) (White copy to issuing agency permit file, pink coPY to aPPlicant) Notice to P te) lt1Permit #: q