HomeMy WebLinkAboutPermit Electrical 2007-3-22
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CITY OF SPRINGFIELD, OREGON
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PII:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMITAPPLJ(;A'l10N
City Job Number .c....."7 - 4-"2 L Date
I. f'IPCA:!lOJ'f9F INSTALLAT!oN ---. ..
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LEGAL I:lESCRIPTlON . I
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JOB DESCRIPTION
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Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
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2 ,GONH~AC7'O~ !N.STALLATfONONLY
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Electrical Contractor &Ji ,c1ers G ~-h-jC j()(
Addresslg 5 MCl ells \J Y\
City ~VCjel/e
Phone 4 gS ~ 09'2.'(,
Supervisor License Number 3~ CJ 0 ~ 5
Expiration Date I 0 ~ /- 07
Constr. Contr. Number 4 ~ (p
Expiration Dale /1 - I 0 .. 07
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Owners Name /bfd- ,-J-Ib1LZli
Address
City
Phone
OWNER INST ALLA TION
Am~o~w~ IlIWVt9!lIJ/!'Ill'5'jn!J<tGn whieh
folro'Wl~Di~~~'bll'Pf~!I,tlY'ffi&rCliWgon Utility
No~i.Cti\!f9~i~!lW, Those rules are set forth
In OAR 952-li01-o010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: me lelepnOnEl
nllmber for the Oregon Utility Notification
I nspee'6erfteul'Ssf :Bm--@Zli92344).
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3. . COMl'LE1"E FIlE SCHEDULE BEl,OW
A. New Residential- Single or. Multi-Family per dwelling unit.
Service Included
1000 sq. n. or less
Each additional 500 sq. n. or
portion thereof
Each MmHlfact'd 1-lol11e or
Modular Dwelling Service or
Feeder
$106.00
$ 19.00
$50.00
B. , Sen'lces or Feeders - Installatioll, Alterations or Relocation:
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsNolls
Reconnect Only
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$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
C. Temporary Services or Fcrdcrs
I "slnllation, Alteration or Relocation
200 Amps or less $ 50.00
201 Amps t.Ni'(lJlCt~ . ~ W~~ n,
401 Amps tJi;UQ;tR&RMIT SHALL EXPIRI$I'Oo. E-Wo; \I,
^IITl.lru:l17~n "lliti I Mlti' PER lSiViH
Gve! 600 A~PS 'tllJO()-V01t~ 'IS A1i'1\~DONEO FOR
1>. Branch cli~blt.~ENCED I
ANY 1 RO DAY PERIOD.
New Altcrafiol1 or rxtcnsion Per Panel
OncCircuil
Each Additional Circuit or with
Service or Feeder Pcnllit
$ 43.00
/ $ 3.00 ;'(' CC
E. . Miscellaneous (Serv1c.eJfeeder not included) -Each Installatlou
Pump or irrigation
Sign/Gulline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fce is 545.00 + Sllrchnr~es
4. SUn1'01"AL OF ABOVE
u>(n~
'S-..z-i.
h.~.o
g,~ State Surcharge
10% Administrative Fcc
TOT."b'5~ 71!4'1 ~ ::J.10
Shared Drivc(T:)/Ouilding F(lJl~~rtnil ~c~/.d3~fe'
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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CAof Springfield Official Receipt
I:Welopment Services Department
Public Works Department
Job/Journal Number
COM2007-0042I
COM2007-0042I
COM2007-0042I
COM2007-00421
COM2007-0042I
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200700000000000309
Date: 03/22/2007
Description
Perm ServlFdr 200 amps or less
Add, Alter, Extend Cire Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
KELLY OBRIEN
Item Total:
Lheck Number Authorization
Received By Batch Number Number How Received
dim 076048 In Person
Payment Total:
Page 1 of I
10:55:IIAM
Amount Due
63.00
3.00
3.30
5.28
6.60
$81.18
Amount Paid
$81.18
$81.18
3/22/2007