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Home My WebLink AboutPermit Electrical 2006-1-12 LvL " . It .' I g . ~ G. G ' sp"tNI,=\.e,..,;:o.(o 't~ r-- r... , ' oJec, ~s sub.rn~.t.e,Q.Jl..as me'following ,","no aM does nlt..re~INI~.dl'~ j'" .. 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (5,1OZ~9r3689 '.:~. \~;M':'.Ii}.~~ ELECTRICAL PERMIT APPLICATION Zoning ., I.l.~,"-": ' J City Job Number I'~/')~-/JI?_'2,1 Date -'/t1;L1J(r ' I' "'(,DCAitoNo"""";;:; ,'A'fIoNi',f.JP ',I"C!ili"UTE>'illl~!E~Ei'lif,:' \~ ,};;;~;;;~ 'i~2';;~ "~':h'~~ ". ~"" '~.~,.."-"'::' "'~' ..",', ".- .,.. 'i LEGAL DES' C'R1PT' ION ~. 4 A. ~~~~~i'd':ifii'.ir:"~slii'1'b'i~~';ir~ia;{i:F-:Jii,:I~Jl:'~7Jiv'eiii~~gu ,(;.t". .i E.:~~...r -_.-_.~_. ~'~_~':;.:J.,;;'.,.~*~...:' - "." .~ <.,.~ ." 'r::...-:o-'.--...:s /70 ~ z..S 4. '? t)td4cJ Cl Service Included , JOB DESCRJPTION ~u) J?t7Nig , 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(CONTRA7&,F~'~f.iRrtNSTA.'~~T:T~4TIONtofJjJffj 2. N~...;~~.'i'~,-,"\,,,,,~~,'l' -~ l~'_''''''-;~'''r'.i'~'''''''':J'$I'?-'<':-V:''w::.:iJ Electrical Contractor (Jtf)/1eL-fYS /N('/ Address /CIt,S- oj, . 7Tf-.. City f.M.~eNe ObhoneCf7f'!)'-(POOO , Supervisor License Number 2 79 g LeA Expiration Date IOIcJI/ZCX');:( Constr, Contr, Number /29735 (; Expiration Date C;/09;& h ?L;;n;;~ U Owners Name .c.t/AA1-Ac.,~ l-h#e'-f Address 9H'S.JAA/J> Av~ City pil4~ Phone ~- J..12() ?7101 OWNER INSTALLATION """~"~""II"A""^"'~;)- 1-~"1~n'ili:."s.VliJ" 't'\ h' h lUemsUl anon.ls.oemgm8ueOn'prvpel~Y ownw Ie i1( r!.1p~il)l""tled ;('oi1:~ale\de!a~etOr::rei\f!:J9on Utility Notification Center. Those rules are set forth iq'ffi"~ ~j!ID'l.ll!J1:;001 0 through OAR 952-001- 0090, You may obtain copies of the rules by ""'"3llin'h""th.o ("'pnrAr 1I\101H. l;U::;; t~leohone . number for the Oregon Utility Notification Center is 1-800-332-2344). Inspection Request: 726-3769 1000 sq, ft. or less Each additional 500 sq, ft. ,or portion thereof Each Manufact'd Home or Modular Dwelling Service or feeder $106,00 $ 19,00 $50,00 B. ~~tt&$r~~iJt~![~f~;!~!.4)1~JI~~~,~f~iff~,~ti?n~~~~{I{~~~~r!~~\~J 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpslVollS Reconnect Only $ 63,00 $ 75.00 $125.00 $163,00 $375.00 $ 50,00 c. f~1;,~mp9i:~ryjs~rYi~es~~f~~~le!j~; .:. : ~".,,: :' i . , ..w , '.' .,: . r:. ~:, ; :::'" ~, Installation, Alteration or Relocation 200 Amps or less 20 I Ampsto 400 Amps 40 I Amps to 600 Amps $ 50.00 $ 69,00 $100.00 Over 600 Amps or 1000 VOllS se: "B" above, .' D ~:;-B,,,:.:r)'>fY'~'r.."".~'~;'ts';r;'l:~~:":""~'" ";'.(cl!"f'~,.j,.. rli'tf't;". ." Ct. ':~,':"" ,.". .l" . f.'.t",' 1';'1 . f;, ,_~!.~.f""J~!r.fJ~.t ~1~,.~,,:: ./J.;':' ~':"':..~. ,,":~'_'_ .~-l"t.l)~ ,;':; ~i"'.-,", ,~"~.,: ~.'" ,,. New Alteration or Extensiou Per Pauel One Circuit Each Additional Circuit or with Service or feeder Permit $ 43.00 $ 3,00 E. ~~gc~!I~!t~~~:(~~r,;.i€e((~~Jl~~i~~!~@~'~~):~t~~!~~!is_t~~i~a ti'~~c~) ,( Pump or inigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50,00 $ 50.00 $ 25,00 -2-~#'CJ $ 45,00 I , Minimum Electric Permit Inspectiou Fee is $45.00 + Surcharges t~':.t...-'''~'''~''\''- ":~""'" ,,' ....."""'j .-... '..'''.. ......~_,~~,'4 ~y-;......-..~.... ".'" ','-' ""'~d.-'Y'. 4. tm' m~iTALOF:ABOVEt~;,>::-,.:"-",c;,":,,,>>" 4~^'" " ,_" ',J' .~ t, ."".. ',1 I ,..... u~" -v , ,. ' ': ",-"".'L" '"" ',>l, ~',:l7r~.u>>'. _h,,,' "t..c. ,. TlIlISsamM~ThSijAll EXPIRE IF THE WORK " ? 60 AUjt.tiQ~~QJJMQ~eTHIS PERMIT IS NOT ..; $V COMMENCED OR IS ABANDONED FOR ATW1'8\) DAY PERIOD. 5?IO Shared Drive(T:)/Building FonnsJElectlical Pennit Application I-03.doc 22~Fifth Street , Springfield, Oregon 97477 541-726-3759 Phone " '; Job/Journal Number COM2005-0l23 I COM2005-0 1231 C.oM2005-0 1231 COM2005-0l23 I ) Payments: Type of Payment CreditCard .~ ,i ~ , ;r '( l - 'ii' '. \ , , r ;1 J - '.., 'b' ! " 1/11/2006 :c . RECEIPT #: 6 IfIiijty of Springfield Official Receipt .velopment Services Department Public Works Department 1200600000000000036 Description Low Voltage - Residential Minimum! Adjustment Electrical + 8% State Surcharge + 10% Administrative Fee Paid By MICHAEL GRIMMER Received By dim I of 1 Date: 01/11/2006 Item Total: LDecK NumDer AuUlonzation Batch Number Number How Received 069407 In Person Payment Total: 2:40:00PM, Amou nt Due 25.00 20.00 3.60 4.50 $53.10 Amount Paid $53.10 $53.10 Thet II" I 'IJt2... o oWing project as sUbm'tep~he following s not reqUire~e.c;:j"c~ I SPRINhF.JLD I. :~--=_ -.::-, r - ,rYlt/1R ,~~nJ I~--- -- 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX9(541~+Ui-368.0 '=---:-- '01'.-, I l '-.. "'2JJtt '-.! ELECTRICAL PERMIT APPLICATION K-""onzed Si~~re.. _ City Job Number _{~'2.t:Jn~-Q/'2..?1 _ ~ate .. /11~t;- * I. LOCATION.oF INSTALLATION 3. 'COMPLETE FEE SCHEDULE BELOW .' LZ:L~E~~O~JZ/I": (:;?e~j- MA. Ne..' Residential-Single or Multi-Family ;)~r-dwelIing unil. ' /711? 274..7 (!2/:.4/J a , , - JOB DESCRIPTION Mtv ~/;rAd.~ -Al~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. " l \., CITY OF'Sf'RINGFIELD, OREGON \..../ -. " 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ~-+f,\ P 1111 ~ Address s:;l'). 0C) Sl\~ I') f-/r ,- City F.lA)G~ Phone0111o'61_/,y,L-j Supervisor License Number ;::K"J- "'\ II C L t. '_, '\ ::)101o.'-L~1\ Expiration Date \ \) 1 \ ').::ri. Constr. Contr, Number \;:JS (.,., ,~"'\ ExpirationDate \'0,1 1'1.1 ~/ ~. Signature of Supervising Electrician '/<. ~ Yv1~ I Owners Name ~ .~~ Address ~? r 5~ ,~ City ru"'- dJ~ Phone), ~4 -In t) OWNER INST?ltfo( .' The installation is being made on property lawn which is not intended for sale, lease or rent. Service Included 1000 sq, ft, or less Each additional 500 sq, ft. or portion thereof Each Manufacl'd Home or Modular Dwelling Service or Feeder $106,00 $ 19.00 $50,00 h B. Sen'ices or Feeders - Installation, Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN oIls Reconnect Only r - _"____.__________u C. L,T~".'pora_ry~e~~c_es or Feeders Installation, Alteration or Relocation $ 63,00 $ 75,00 $125.00 $163.00 $375.00 $ 50,00 " ! 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. r -. .--- -- ---."- --+ -- - --- D. ~ Branch Circuits l......-~._ __ .____ New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Pennit $ 50,00 $ 69,00 $100,00 $ 43.00 $ 3,00 r--+ -- -~ - - - --- --- --- +--- E. Miscellaneous (Sen'ice/feeder not included) -Each lustallation ' L______________ __ _" _ __ Pump or irrigation Sign/Outline Lighting Limited Energy/Residential Limited Energy/Commercial $ 50,00 $ 50,00 $ 25,00 $ 45,00 2~O" Minimum Electric Permit Inspection Fee is $45.00 + Surcharges Owners Signature: Inspection Request: 726-3769 (" ------- --- - -- 4. !!~~TO::AL OF ~OVE _ 8% State Surcharge 10% Administrative Fee TOTAL -I-5"'.6<J ;L" tl ~ro ,'110 Shared Drive(T:}lBuilding FormslElectrical Permit Applicution 1-06.doc - -. o 225 Fifth Street ,wrinlfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-0 1231 COM2005-0123 I COM2005-0 1231 COM2005-0l23 I I Payments: Type of Pa)1llent CreditCard " " '(I : :/ 1;1 '. '11 .~ " :( I ;.1 r .. 1/1112006 . ii:~ lfiiijty of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 1200600000000000035 Date: 01/11/2006 Description Low Voltage - Residential Minimum/Adjustment Electrical + 8% State Surcharge + 10% Administrative Fee Paid By TONI A DOVERl Received By dim I of I Item Total: I;heck Number Authorization Batch Number Number How Received 429069 In Person Payment Total: 2:30:29PM Amount Due 25,00 20.00 3.60 4,50 $53.10 Amount Paid, $53,10 $53.10 . ,