HomeMy WebLinkAboutPermit Electrical 2007-3-22
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PII:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLlC;t1JON /
City Job Number ('/7- -I2~ Date '/ /2-2-//J7
J. i,i.00.'ii.01J.PF!NS1-AiJA-Tio!1' 3. . COllll,(.El"EFEESCHEl)ULEHELOW . ~
LE~~: ~~I~~JI ./J)( r A. Newnesidentlal- Single or Multl:Famlly per-:s,~t,
~OW - TXA-Fr - \" It;;
JOB DESCRIPTION
YJlJ'/C~ i I CI..KC (~ I/W.~
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work Is
Suspended for 180 days.
."._ ~r-- _ ____no ,-+._- ---'--'--
I CONTRAC7'OiUNSTALLATIONONLY
2. .' ..,"'" ;;:,"',,-:,," '" -r ,:; "'''.-,~;'' , -~. "'" -', ..,. ' '-" .
Electrical Contractor i3vi' c1ers G t-"C.'* riC )()(
Address ,g 5 MCl eIl"S \J Y\
Phone 4 85 ~ 09Z.'(,
City ~VCjel/e
-:)"100 ~.-,
Supervisor License Number =:Ja(. I -J
Expiration Date J 0 ~ /- 07
Constr. Contr. Number 4 ~ l.P
Expiration Dale /1 - 10 - 01
~ofsupervising Electrician
.~ l.J./_
Owners Name ~ ,~f..T#_
Address
City
Phone
OWNER INSTALLATION
The in$~llJJtill~.is.lle!!,.l! ma~e on.J?r.ol1erty lawn. which
i:l\,bifliifl!rldtdl'toI4~Iil;lw.ls\?dY fCili.UIreS you [0
follow rules adopted by the Oregon Utility
~ifetflS~lter. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
..cooo Vrlll m"l' nh1clin r.nni"" nf the rules by
calling the center. (Note: the telephone
I nllmhe~r the O{?dl~~tiIity Notification
nspeeno equesl: O' ,7 22344)
_ emerls - . .
q'.nl.,u'I'I....f.'
.\ .
,', -
, ' -~.-
. ~r'
Service Included
1000 sq. ft. or less
Each addilional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
F ceder
$106.00
$ 19.00
$50.00
IJ. Services or, Feeders - Installation, Alterations or Rclocntl~m:
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
S 50.00
(n"5
.l/'
C. Temporarmlfl'eE~r Fe<ders
Installation, I~~AtfflMlle~!1blI.~ EXPIRE IF THE WORK
200 Amps or ~i RIZED UNDER TH1SsPs4iI6MIT IS NOT
2(1I Amps to' /A,~NCED OWl;) flOI\NSlfJ.N/OD fUR
401 Amps to l '\..,l,~D DAY PEHIUU, $100.00
O,:<:!: (~O.Q~D1P~?r 100~. \,ol~s see '.'[3" above:
D. Brn~eh Circuit.
New Alteration or Extension Per Panel
One Circuit $ 43.00
Each Additional Circuit or with
Service or Feeder Pennit j $ 3.00
~o-iJ
E. ' MIseellaneous (Sorvlce/feeder not Included) -Each Installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
S 50.00
$ 25.00
$ 45.00
, ,
~
Minimum Electric Permit Inspection Fee is 545.00 + Surcharges
4. , SUB1'OTAL OF ABOVE 6 t, .60
l'J;;f% State Surcharge .~. 2-e.
10% Administrative Fcc 0 p,o
TOTAL S?D ~ ~ ;~ .~O
Shared Drivc(T:)/Building FOnnYEl!c,~m~J1r'i~l.t/!
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
ira. "
. ~r~~~""""."'..!
'~'" ',. I
...-.- - ---~ '-
qaof Springfield Official Receipt
rlWtlopment Services Department
Public Works Department
Job/Journal Number
COM2007-00424
COM2007-00424
COM2007-00424
COM2007-00424
COM2007-00424
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200700000000000311
Date: 03/22/2007
Description
Perm Serv/Fdr 200 amps or less
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
KELLY OBRIEN
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
dim 076048 In Person
Payment Total:
Page I of 1
10:57:03AM
Amount Due
63.00
3.00
3.30
5.28
6.60
$81.18
Amount Paid
$81.18
$81.18
3/2212007