The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 1999-07-09C'TY OF SPR smEGOrs 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQTIEST: 0FPICE: 726-3759 approval Zoning s1?:? 4*boJgg69ignature JOB DESCRIPTION SnJie'P hase lN9trALt-IOO 47rv1,o Sa.rvtc Ci ty T Supervisor License Number 1"000 sq. f t. or less Each additionaL 500 sq. ft or portion thereof Each Hattuf 'd Home or Modular Dvelling SHALL EXEIlE Edtr'tEtl1XORKe r AJTHOBIZEDUNDE PEBIODT Relocation: 200 amps or less fOlAS ihos.: G#cE :to@i Hps/voI ts [econnect 0nIy SPRI]llcFIELD BLECTRICAL PERHIT ty Job Number 3. COHPLETE FEE SCEEDULE BELOS A Nev Residential-Single or Multi-Family per dvelling unit. Service fncluded: I tems Cos t s 8s.00 s 1s.00 $ 40.00 Permits are non-transferable and expire if vork is not started vithin DrpRGg:of issuance or if vork is suspgp-d-ed--LOr 180 days THIS PEHMIT 40.00 55.00 80.00 ee flBrr Sum on affi 2 coNTRAcroR rNSrALLArroN 0NbbMMENCED OH]S B-THIS.PERMITISNOT ff6{A0fiedfu f, ii i I i ",, " " =Electrical Con tr^.rcr@ Address i2O Mmrog 20L amps to 400 amps E Uqene_ Phone s4:1'Ssbt'401 amps to 600 amps Dy rltoo:"a!ffsiJttit'q1000 amps $ s0.00 s 60.00 $100.00 $130.00 s300.00 s 40.00 Expiration Date_ i1090. You *uV rOtain copies cr ltle rules byreer. gbteTsrese&flf,bn&rvi ces or Feeders Constr Contr. Number CeB 900@tortheOregonUfiHg1.g}*Ehiien' Alteration or Relocati l.-,,:rr.f6:r j-:: I ': n, r Expiration Date Signature of Supervising Electrician Ovners Name Address cit The installation is being made on property f ovn vhich is not intended for sale, lease or rent. Owners Signature: DATE: :a'1.'.: "'' 'j.'.' 200 amps or less $ 201 amps to 400 amps - S Over 40L to 600 amps S 0ver 600 amps or 1000loTEs s D. Branch Circui ts Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit S 2.00 E. l,liscellaneous (Serviee/feeder not included) -Each installation Pump or irrigation Sign/outline Ligh t ing- Limi ted Energy/Res Limited Energy/Comm o. oo s 40.00 s 40.00 s 20.00 s 36.00 5. SUBTOTAL OF ABOVE lolofu{state Surcharge 32 Administrative Fee TOTALRECEIVED -q,.aa 1. LOCATTON OF INSTAILATT0N ,.' tlOt? a?u s{. sprrrEheld il n;.., r' Electrical ContractorADT Security gy€! rnspncf,rou nsouEt'i' tit-st 6e-).. :. ;) " 4 7oFHICE: 726-3759 - /"af, EI.BC!3JTC6L PERIfiT APPIJCETIO}I ?Jpil a 1. I.OCATION OP TNSTALIATION o TA T,P6AL JOB DESCRIPTTON Alarn Installatlon Permits are non-transferable and expireif vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COIVTRACTOR INSTALT.ATION ONLY City Job Number @IIPI.ETE FBE SCEEDT'I,E BELoV Nev Residential-Single or Hulti-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or -Hodular Dvelling Service or Feeder s 8s.00 s 15.00 s 40.00 Services or Feeders Installation, Alterations gfletf"locat ion: A 0vners Name D.' STzeef Sum s 40.00 s 5s.00 s 80.00 see '8" a6ov6- I .08 B Address 1501 Pearl Street, Suite B Ci t) Eueene. 0R Phone 541-342-t313 Supervisor License Number qI/g JLE Exp iration Date LO/OL/96 Constr Contr. Number 59944 Exp iration Date 04/29/91 Signature o 1S ng Electrician THrs pERnresHnLpEHBEJHtttftroRK 3 ?3:33 lyTHofir&6fl6&riiruopEnrnr]sNoT sloo.oo . coMMm@EBoFr$tHlEmJrop= 3133:33 ---r- ANy 18fiU83J,88b,8,., s 4o.oo C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps -Over 401 to 600 amps Over 600 amps or 1000 voEs Branch Circuits Nev, Alteration or Extension Per Panel Address t ot 1 Lgr\t fsPQ ,oQ, Ci ty S F,.e J Phone '7c.(t Et)3 OgNER TNSTALI.^ATION The lnstallation ls being made on property f ovn vhich is not intended for sa1e, Iease or rent. }-ners Signature: 1lL.-.-'///onecircuit s 35.00 Each Additional Cirtuit or vith Service or Feeder Permit s 2.00 E. Hiscellaneous (Service/feeder not included) -Each installation Punp or irrigation Sign/Ou tline Light ine_ Limited Energy/Res Limited Energy/Comm I s 40.00 s 40.00 s 20.0c s 36.00 5 SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL DATE: RECEI CITY OF SPF OBEGO'V RECEIVED B 38. BB 36. 00 1.80 rn. oo