HomeMy WebLinkAboutPermit Electrical 1999-4-19
Th@ fOllowing proje f '
l@nlng, and does ~o~:eSUbmltled h,a,s the fOl/owing
ijpproval. QUire speCIfic land Use
2. CONTRACTOR INSTALLATION ONLY ,B. Services'or Feeders
, ,fO/f, ":" . Installation, Alterations
Elec trical Con t rac tor fJJ....a.", L .- n:f/tui1".9!-ti/oo lMJr Reloca t ion:
l/ O..q itllO ~."
Address P.D, Box </05"';'K 00.90 ~.9.'i':>'JCfl~c~".?.OO amps or less ,$ 50.00
C~/.i lOll "00, Iflr; bOl~yamps to 400 amps $ 60.00
Ci ty t(, uq ,nP. Phone 5",/!%~~p'9IJ0,0~ K'mP05 t() 600 amps $100.00
'l'JS C\9 OO'itl 6f)-.l1 fI~~sr~ 1000 amps $130.00
Supervisor License Number '3'1:( I JOJ:;.II}/f} 1116>1; (;.Qytfl{gI)l(:J,'fJa'f?'i!tp~ltvolts $300.00
6>/'l 0/'6>0. '''~.~~;f'}.;o 'ty $ 40.00
'& '''8. ~Ol) : (1,6> t. 11,6> !o?-o. 'Ill)
8. 2f~;s,ces or Feeders
~~~~~Alteration or Relocation
9. >>'01)
200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Zonln~' .l...D~
~z. #-1 eJf. t:; ""
726-37b'J -"7
AtJ~ SignQluIo '9'<t.c.J
J.
1. LOCATION OF INSTALLATION
1.1,7 rnI'Kln1;,'/ (lrtr<t. iJr. A.
ftGAL DESCRIPTION r7
rt6C,1.]C{] 6.)(uV
JOB DESCRIPTION
lo,u vllI/-nqp P/PI+III,f,J'
Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days. ~
Expiration Date
10 I qq
Constr Contr. Number Q"','-I5
Expiration D~~
Si?Jfi1!h~r/g
Electrician
Oyners Name~/
Address :p, n, M,..,,,,
R tdillr.1 JJ
7L/'Z~
City r, I1qfr>/ Phone 7"'L/~ 'LuuO
OVNER INSTALLATION
The installation is being made on
property I oYp. yhich is not intended
for sale, lease or rent.
Ovners Signature:
------~~~7----------------------------
DATE: 'it (7; f'i
RECE!'PT #'_ nj)~)'f .1
RECEIVED BY: ~ lJ~
,
ELECTRICAL PERMIT APPLICATION
'Ci ty Job Number q 1/3 7-7--
\-ullrt:ETE FEE SCHEDULE BELO\l
Ney Residential-Single or ~
Multi-Family per dyelling unit, ' '
Service Included: '
Items Co ' Sum
,
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
, thereof
Each Manuf'd Home, or
Modular 'Dyelling
Service or Feeder
$ 15.00
$ 40.00
D.
Branch Circuits
.'
Ney, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or yith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00 ~
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
'1()gE
/ (l/').
...1L.Q
'1/. /.0
'I'M fallowing project es submitted has !.he following
lQftlng, ond does not require specific land use
approvol.
Zoning L 1) {7...-.
225 FIFTH STREET hAm , -.;lA.- "i "\
SPRINGFIELD, OREGON 97477- J
INSPECTION REQUEST: 72~ Signalure t::...z
OFFICE: 726-3759
1. LOCATION OF INSTALLATION __.L
~67 MC'~A12/'=' r:~ /J,f!
NOT'''!:.
, ~Al;' D~SCRIPTION
TY,I~ i6E~Mff !;~r 1 J:VOlor Ir T.,,(J..f:l () v
-.. ...-.. "IL.. YVvnr\
AUT%'B9IoESdR:i::p:fffid"NIIS PERMIT IS NOT
COMM~~f'LIQ 1'<: AQ^""^,,~~ -~-
- -........., 1.-"1
A~IY .1 i ,id:W'f pJ:ornQ .
Permlts are non-transferable and explre
if work is not started within 180 days
of issuance or if work is suspended for'
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contractor Aon h7tv. J;:1D~t.
!(,1Ut 7br.!o/ 1I n ve......-
I
Phone bCf,c, 7113
~'7 70;-5
/O-O(-OJ
. .
Constr Contr. Number '20- ~,~~ c..
Expiration Date JD- 0 J ~ ')7
Address l$CJ
Cityf'v: ~
Supervisor License Number
Expiration Date
s~~rZ1Q~supprVis:~g Electrician
-~:.!f- ;;JAV
. ~' D
...--t....-" IJ .
Owners Nne "--t'u.,-rI.A OL/ t<,
Address r () . .J3{) '1-74.:)-.5
City~~ / Phone 7Gjt....j ';;2{jt;o
OVNER {~STALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
. / P.
~~~~J~Z?:;rJ i'-----,-----------
RECEIVED B'i:/I.Qy1a/~
,
ELECTRICAL PERMIT APPLICATION
1" ty Job Number tf8/] 7 7
3.
COMPLETE FEE SCHEDULE BELO\I ~
New ~~~ji.@~n,tj~b~~.I)~~e or . "
Multliot . ' s I 8 I ~lfijl' ngqllK'l'Hou to
seJ:N~!t=~ffit~~h/ t~e Oregon Utility, '
in OAR 952-001-0010 h ~H!hI!ls are Got1on" Sum
0090 ~ t rough OAR 952-001 (7- ,--
1000 C'acj,. r~~oj?liSiSl copi~s oftl$J B.!ieSlQ, \') .)
Each illlmtmij~::}~O(I)NOle: the telephone
sq.ntf~ 3\-lop~~i\gon Utif'!YNotification 7S"
thereof Centefls 1-800-332223446 15.00
Each Manuf'd Home, or ,.
Modular 'Dwelling
Service or Feeder ,$ 40.00
A.
Services 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 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
I
"
$ 40.00 Lf (J
$ 55.00
$ 80.00
see "B" above
volts
Branch Circui ts
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included)
5.
SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
IJ eg.
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