HomeMy WebLinkAboutPermit Electrical 1994-06-09SPFh-iFlELD
CITY OF SPF"VGFIELD, OREGON
oFFrcE: 726-37s9 oaeLiJ-t-- 3. col{pLBTE FEE scEEDITLE BELog
1 Signature N .f\A'
225 PIFTE STREET
SPRTNGFIELD OREGON 97
INSPECTT0N RBQIIBST: 7
The follorving proioct as submittad-hr the
iliili,iiii"o6ei not requlre speoilic lartd
47qryroval'
io-stog=onins lJ)Q
,uftLgcrnrcal, pERt{rr APPLrcarroN
City Job Nunber e(4,o4tL
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1-000 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
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less I
20L amps to 400 amps _401 amps to 600 amPs _
60L amps to 1000 amps_
0ver 1000 amps/voIts
Reconnect Oniy
Temporary Services or Feeders
Installation, Alteration or Rel-ocation
LEGAI
11 o
DBSCRIFTION
)'zL{ 34 oo=>c
A.
c
Sum
00
00
00
s see uB" aE&E-
JOB DESCRIFTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if work is suspended for
1,80 days.
2. CONTRACTOR INSTALI,ATION ONLY
Electricaf Contractor
Address w rfiY Z )-Lol
Phone 174
B
ed
$ s0.00
s 60.00
$100.00
$130.00
$300.00
$ 40.00
g
Ci ty
Supervisor License Number
Expiration Date itt
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
0vners Name
Branch Circuits
Nev, Alteration or Extension Per Panel
One Cireuit $ 35.00
Each Additional
Circuit or vith Service
or Peeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
o
200 amps or less
201 amps to 400 amps
-Over 401 to 600 amps
Over 600 amps or 1000 voTT
$ 40.
$ ss.
$ ao.
D
Address {1eH Phone *-3t77Ci ty
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent'
Owners Signature:
DATE:
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
-Each installation
Pump or irrigation $
sign/outline Lighti.tg- $
Liili ted Energy/Res
-
$
40.00
40.00
20.00
36.00
5
RECEIVED
*q
ab
F--l llr.,J
5 t . r l I r'r ci l: r r: L u
Tho loiiovring prolsc'i ao sui'rntl*Jad hao lirl:
225 trllitll :;TRI.:lit zon;ng, anrj-cqcinot require eprciiir laf ri
sptuNGFIELl), oRIiGOl{ 97 477 atJ';i'Jtrt'
INSPIICTI0N REQUIIST ? 7?-6-3't69 ;:,-'rt",;t *L-QC -
: ". ....%
IT APPLICATION
q4541 L-
oFPICE: 7').6-175t)
1 ol,
I.IBGAL DES
rTION
Pcrnri ts arc non-tratrsferable and explre
iI vork is not started vlthin 180 days
of issuance or if vork Is suspended for
180 days.
2. CO}N'RACTOR INSTALI.ATION ONLY
ItsT,BCTRICAL PBRH
Ci ty Job Number
3. COHPLBTII t'BE SCIIEDULB BBLOV
A. Nev Residentlal-Single or
HuItl-FamiIY Per dvelling unit.
Servlce Included:Items Cost
1000 sq.ft. or less
Each addltional 500
sq. ft or portlon
t lre reo f
Each Hanuf 'd llome or
Modular Dvelling
Servlce or Feeder
$ Bs.oo
$ 1s.00
N
D Services or Feeders
Installatlon, Alterations or
Rclocatlon:
200 amps or less
201 anrps to /r00 amPs
-
401 amps to 600 amPs
-
601 amps to 1000 amps-
0ver 1000 amps/volts
-
Reconnect 0nIY
Sum
$ 40.00
60.
100.
130.
300.
55.00
80.00
ee riB, a[oTf
s 2.00
EIcc r ricar con t rac,o&ouo{
A<t<tr:ass { O -erx SDot 50
l'hone l0 8
$
$
$
$
$
$
00
00
00
00
00
00
00
/r0Supcrvisor Liccnse Ndnrber 3E z4s
llxpiration Date
Cons tr Corr tr. Number
Iixpiration Datc
Signature of Supcrvising Electrician
Ovne rs Natne
Add rcss
Temporary Services or Feeders
Installatlon, Alteration or Relocation
200 amps or less
201 amps to /r00 amps
-
Over 401 to 600 amPs
-
Over 600 amps or 1000 voltr
Ci ty
fror*11
C
5 40.s
$
$ss
City
ovNlin ALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or t:ent.
Ovncrs SiSnatrtrc:
D. Branch Clrcults
Nev, Alteratlon or Extenslon Per Panel
One Ci rcul t
Each Addi t ional
Circuit or vith Service
or Feeder Permi t
$ 35.00
E
5. SUDTOTAL OF ABOVB
5I State Surcharge
TOTAI,
l'liscellaneotts (Service/feeder not lncluded)
-Each installation
Ppmp or irrigation
Sign/0utline Ligltting-
Limi ted EnergY/Res
-
Limi ted EnergY/Comrn
$
$
s
s
40.00
40.00
20. 00
36.00
a)
oirn:
RECEI
rECO'U
rili(:l.lIVI.ll) IIY:
lso
DaoJ^x231-
)o
C'TV OF OREGO'V
, and not roquire
SPRTI\lGFIELO
specific land i,rr.16
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
-Hodular Dvelling
Servlce or Feeder
Services or Feeders
Installation, Alterations
c-or Relocation:
SUBTOTAL OF ABOVB
5Z State Surcharge
TOTAL
epprovEl.
225 FITTE SITBET
SPRTNGFTELD, oREGoN
INSPECTTON REOTIEST:
OPPICE: 726-3759
ELBCTRICAL PER}IIT APPLICATION
97477 t ,,,-Ll-7 4 4oq-t-cr'2
1
I;EGAL
Az)b
JOB DESCRIPTION
Permits are non-trallsferable and expire
lf vork is not started vithin 180 days
of lssuahce or lf vork ls suspended for
180 days.'
2 COIi]TRACTOR INSTALI.ATION ONLY
Electrical Contractor
Address 47 / f Fox //o //, - Pl
ci OB 9?ros-53m
Ci ty Job Number
SCEEDTILE BBLOV
New Residential-Single or
HuIti-FamiIy per dvelling unit.
Service Included:
Items Cost
$ 8s.00
r4uv i,
A
Sum
$ 1s.00
$ 40.00
B
Supervisor License Number
Expiration Date 0-t -{
Constr Contr. Number ?37 3
Expiration Date 9-et-4
Slgna ture of Supervlsing lan
0vners Name
Address I
Ci ty -5>g lI Phone 747-317 7
O9NER INSTALI,ATION
The installatioh is beirig made on
property I ovn which is not intended
for sa1e, Iease or rent.
Oyners Signature:
c.
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Addi tional
Circuit or with Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps-
Over 1000 amps/volts
Reconnect 0nly
Temporary Services or Feeders
Installation, Alteration or Relocation
201 amps to 400 amps
-
$ 55.00
over 401 to 600 amps r $ 80.00
0ver 600 amps or 1000 voTls see I'Brr aEoE
-Each installation
Pump or irrigation _ S
Sign/0utIine Lighting- S
Limited Energy/Res $
Limi ted Energy/Comm $
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
40.00
40.00
20.00
36.00
DATE:-L\ _
RECEIVED
8 "'# It+ l'8 7 {* 7
5
,/,',oo
i v
s 579 s
'40-----7-
. dTY AF OREGO'U
SPrlINGFIELO
225 FIFTB SlTBEf,
SPRINGrIEU), OREGoN 974
INSPECTION RBOTIESf,: 7
OFEICB: 726-3759 a")\-qt
1 OP
IJGAL DESCRIPIION
JOB PrcJl 0e-
2. CONTNACTOR TNSTALI.ATION ONLY
Electrical Contractor
Address PC 156 J ))c /
Ct ty q Phone &3 '6373
Supervisor License Number 3%?-y,
Explration Date /e "5Constr Contr. Number o
Explratlon Date
Slgnaturg of Electrician
Owners Nqme lA <-
Address 6 Vob ,{}4
Cl ty \,/l 'e I ) pnon.7 Qc''/*6
OSNER INSTALI,ATION
The. installatloir ls beirig made on
property .I osn vhlch ls not intended
for sale, 'lease or rent.
Onners Slgnatures
DATE:
u$e
BIJCTTICAL PERHIT APPLICATION
SCMDULE BELOS
A. Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
Items
h
-Each installation
Pump or irrigation
Slgn/Out}lnb Lightlng
t imited Enercv/Res
-Limi ted Bnerfr/comm
-
Cos t
$ 8s.00
$ 1s.00
$ 40.00
Sum
Permits are non-transferable and explre
lf vork ls not started vithln 180 days
of l""u"nce or lf vork ls suspended for
'180 days
1000 sq.ft. or less
Each additional 500
sq. ft or portlon
thereof
Each Hanuf'd Home or
-Hodular Drelling
Servlee or Feeder
B. Services or Feeders
Installation, Alterations
{/e.lfLor Relocation:
D
c
E
200 amps or less I
201 amps to 400 amps
401 amps to 600 amPs
-
601 amps to 1000 amPs-
0ver 1000 amps/volts
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
Over 40L to 600 amps $ 80.00
6ver 600 amps or rbOO-ETIs see 'Bu affi
Branch Circults
New, Alteratlon or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service,;;-F;;i"' p";*1,--- tl s 2.oo -y
Hiscellaneous (Servlce/feeder not included)
-
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
It
$ 40.00
$ 40.00
$ 20.00
$ 36.00
@5. STIBTOTAL OE ABOVB
5Z'Stdte Surcharge
TOTAL
RECEIVED +3ob Adsnin lt-<
z?u*14
q1
city Job *u a", ? /O( 7 L