HomeMy WebLinkAboutPermit Electrical 2002-11-18225 FIFTH STREET
SPRINGFIELD. OREGON 97-177
INSPECTION REQITEST :'7 26 -31 69
ELEI- JCAL PERN{IT APPLICATION
Citl'Job Number ,5"a /
OFFICE: 126-3"t59
ALLATION
LEGAL DESCRIPTION
J DESCRIPTION
Permits are non-transferable and expire
3. CON{PLETE FEE SC}MDULE
A. Nen' Residcntial-Single or
Multi-Family per drvelling unit.
Sen'ice Included:
Iterns Cost Sum
4f-.u
1000 sq.ft. or less
Each additional500
-or Feeder
zO
ation, Alterirtions or
Rclocation
200 amps or less
20 I amps to 400 amps
$ 106.00 =--
ifrvork is not started rvithin i80 days
of issuirnce or if rvork is
I tiO days.
2. CONTRACTOR INSTALLA
Electrical Contractor
Address
ciq @trLA_pno,.,"tTdG*Ab 4()1 anrl)s to 600 amps .$ 12-5.00 _
t10 I anrps to 1000 aurps ...'.-'.-_ $163.00 _
Over l()00 an-rps/r'oits $i75.00 _
Reconuect Onh,
-
$ 50.00 _
C. Tcnrporarl' Sel-lices or Feeders
Installirtion, Alteration or Rclocation
xJ::.x"li:s$- t-,Dl $ 50.00
€,wl)y4 A
,g*/0 E
$ 75.00
re
lxdtt?l&.7t
&
IT
Constr Contr. Number
Expiration Date
371/
Si ing Electrician
Atldress
Phone
INSTALLATION
The instaliation is being niade on
properr-y- I orvn ri'hich is not intended
for sale. lease or rent.
Orvncrs Signaturc
"B" above
l). Brirrrch Circuits
Nur Altcnrtiorr or E.rtcns.ion Pcr Panel
dl0[,tg$
THts PERMIT SH ALL EIP!-RFJff bffi $rcft{'-
:ffiffiffi###r'-^HRfffi;f#-
, n,*."[$,Y;l,9?'gtY.rF.ll3P; ot inc,u ded)
-Each installation
Pump or irrigation S50.00
Sign/Outline Lighting $50.00
Liniited Energl,/Res S2-t.00
Limited Energy/Comm $15.00
I\'Iinimum Electric Permit Inspection Fee is S-15.00 + Surcharges
]. SUBTOTALOFABOVE
7%o State Surcharge
8%o Administrativc Fce
Over
,\Lc.(A
'2 5c
zLto
ITOTAL f,o
$ 19.00
--
or
I
Expiration
t/
o*'ners Nn*. f\al fJ\.
t
\q6
$"/
225 FIFTH STREET
LEGAL DESCRTPTION
Z 2sl
JOB DES
zoning,and
Da
Permits are non-transferable
te
if r,vork is not
ofissuance or
180 days.
sttrrted ture
ifrvork is suspended for
2. CONTRACTOR INSTALLATION ONLY
Electrical' Contractor
Address
Phone
Signlture of Supcn'ising Electrician
Multi-Family per du'elling unit.
Sen'ice Includetl:
Items Cost Sum6
-o
/? sq. ft or portion
Manr.rfd Home or
Feeder
B. Services or Feeders
Insttllirtion, Alterations or
or Fxtension
\\\S
1\\t \S
1\'I i
N
d, SUB ABOVE
10/tate Surcharge
ffiHl!tsfis,HIT,,
$ 106.00
$ 125.00
$ 163
$ 50.
en ice
A-$3.00 ZL{
$i t9.oo --
Rclocation:
200 amps or less
201 amps to 400 arnps
-101 anrps to 600 amps
601 anips to 1000 antps
Over i000 amps/volts
Reconncct Only
C. Tenrporarl' Scrrices or Fce dcrs
Over 600 or1
D
"8" above
Brtnch Circuits
Nur Alteration
One Circuit
Each Additional Circuit or u ith S
or Feeder Pennit
/-$6300 #
_$7500_
ciq'
Sup
rA ST
Citl'73b
OWNER INSTALLATION
The installation is being ntade on
proper[" I orvn r,vhich is not intended
for lease or
Signrttu
f . I\Iiscellaneous (Serrice/l'eeder not included)
-Each installation
Pump or irrigation \t N
Sigr/Outline
rent.00_
00_
00_
00
25
$4s
ion Fee is SJ5.0() * Surchrrrges
s-l--66q---L-?r6-
TOTAL ef
I
3. COMPLETE FEE SC}IEDULE BELOW
./ [t
$50.00 _
$100.00
$43.00
Expiration Date
I
lr,
200 anrps or less
201 amps to 400
Over 401 to
2...\
oryncrs N"*",irnall D Utalla, <
8%n Administrative Fec