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HomeMy WebLinkAboutPermit Electrical 2002-7-15 /.". q- . /',.r . 225FIFTH STREET :-. , . \ f ---.rl~" 1"': r,'~:\ EL..C.AL PERMIT. APPLlCATlON'.' ' ': :-, ,! .SPRlNGFIELD~ OREGON 974771 ...J i '~ . ii' --' I .' ,z . . .". . \.:,~. I' ~~~~~I~~'~5~~,W/tr69;! 'i ,.CSI f .;Cr;JOh to,mber .'.~ ., OO,? ~lh -0 I , ';, i~,OJ: ! f 'r, i i ; .;1 d.>! 1. r i Clf,:-CQfv1PLIOTEFEESCHEDULEBELOW: . ". ..' \ . i:1. LOCATI9N,OFINSTALLATION " '.[.:1/ I, ,:' .' ',.', ' '-. ..-' L.' '7- g 17' _. iM ff-tVd'rI.::=: 0,L(L:----.-J A'.-Ne;';'Residenti:\I-Singleor-'~'-'--' ---'-'---. -'---.. l\1ulti-Famil)' per dwelling unit. . LEGAL DESCRIPTION Service Included. .' ~ )70_<-- '2332 017..o-O.J u'lledhasthefollowin9 1items Cost Sun{ The follOWIng proJC:iLI ~ ~ ....:~e specific land use ~ ' "'"' Ming and does not requl ' t" ' JOB I}ESCRIPTIOJ' ro~!ll'r L~L 1000 sq.ft. or less . _ $106.00 _ fl-'DO el/P L.....tZ.c-"'-~ Em:II additional500' . , . , , ,L.__ ' " ~ . . ~ .,' 1-1<-0 'Z. 01 ,i or portion ,:. :.~; PenUlts are non.tranmtWlJ.. ,,"u _-,plfe ..(vJ ther;of . ~ $ 19.00 ~' if work is not :started AyjtI1ljI1zL8~~Wre Each Manufd Home or <<as '10 ~i~\~'1 . " of issuance oiifwork is suspended for Modular Dwellin~2->o/'llao.~ aQ,Ofl U ~\O\\~ . ' ]80 days, :". Service O{J~l;j1? ~~eOI '2-113:2 ()Q'S'50.00 ~' \ _ ,,\O~' ~ao '0'1 a lu\0S "'~ ~es '0'1 .'.: 2. CONTRACTOR INSTALLATION ONLY B. scp:lc~o~!i'~1~~.i~0~ ouQ,~O~\~e~ j,.,a ; " .' ~\\o'Ih~f:\\li'!io'*~J~r;/fi~g~I'JS 0 \0\09~oi'i.\Ofl : ' Electricaj'Contiactor " 'o\i~~IO~!iQ.ni\' o'o\?>>flC 0\0"\'r\.0. ~o\i~\C., " .:.: .' .'. i' ( /c\ ~ QJI.~9 \\\112-'1 ~el.~ u\i\\~ '],IJ,IJ,'), . '" " ,,' . Address r' !., / ." '" \fI ~e19.a'~P\i'\13leS'~O~eQ,ofl ?,?''2;1. ~ $ 63.00_ ~ . .\ [\'- / ,''', 002 U.~,\\WI~ \'I>~QlJ~a)~~~()Q' ~ $ 75.00 ~ , City I, Phone /.' . . ,'''.,4lhi\dlJSl;I\bAQQliln-1PS _$125.00--,-' ,) .. ~, / 6Ql amps}tlo00amps . _$163.00_: Supervispr Licen~eJNumb~r.1' V Over,!OgO amps/volts -----.:$375.00 i . ./ D Y ,/~V ".ReconnectOnly ." ' ~O~.oo_. I ExpiratIOn ate. '-'7'" . ." .\f J\\t. .' ~ " : \-' [. , . ',V '\. .' C. TemJ1l!1i.'l'l.~Cr\'lC~S L~~~~t. tjI,\SI\\ \~ "0 . , t i ; . . 'Constr .C;:.o.ntr. N}'l11ber ' In'\Lll\H\!t~\~. ~?Rfl!\\ElIR;Q"t\) f\)~ . , ,'" -- 1\\\5 ~ ~t\) \I~ f>.'Of>.~\)O. . . .; .'''-:.Expiration Date ------.~ ___ f>.~\'lll~~ \S .., _ $50.00 ,---,-' ". ...---...:....-.... ~ ~~ ~\). $69.00 ' t ,. '. < ,'- .signature of..~uJlen'ising Electrician -.~ m,-4.t.i)\}., amps' S100.00;: . . , . "" 'er 600 amps or 1000 voits see. ,'" -.,,-- . ,.;:' ~~_':':,,,~_ "Bu <lbovc ........--.....:.:..... '. "', . 1\ \" "ri l' .,.'''..tC_' ;'\..r\,. .p.~l'anch Circuits ~' , Owners Name.L" A f) . ,'--I ~ (JV Ne'/6iter;tion or/,Extension Per'P~~el .. .'"\'> \A." \ (\\ I.; \ '. I . Address ~ ld.- I \~(lt\n'r1l:;Jl" Od~~Circuit ~ $4300 1/(3, cityS0r: 1. ~_ Phon;'l.f~:3 7 /z,.. ~~:X'~ddit\On~I'~irbuit or with Sen:ice. '., '1. ~ , ' or,FeederPe,nllt. .,' ~$3.00 ~" . OWNER INSTALLATION ..! . '.'1.' " , \ , ' . The insfalla.tion is being made on . E. Miscellaneous (Servicclfceder not included) property I O\vn wh.ich iSJiIltended , ..' ,.Each installatioll :' \ . for sale, lease or rent.. ,; Pump 'ori~r{gation ", ~ $50.00 ~ @' ' SiguJOutiiile Lighting '$50,00. , '. l~er'\'{. ;"gr""~,>v==--'. I ~, L _ ) : Limited Energy/Res . $25.00_ !1M>?\. \ .<<.L1A~vV\ . Liliii:ed Energy/ConlIn!' $45.00 190:~ElIHS\Kl C.......... Minimum, ,El,e:'ciriC pennit'lnsJlection Fcc is S45.00 + S,,'rcharges : 39N\!H:J , OS"6S $ (3:0:J3H i.IV, ,'. 4. SUBTbTAt-OFABOYE 5Z-. ;;003 9t lnr: 31\10 ' 7% State Surch:.rge .. '5 b 'f. ~i:66000-1O:#SN\1H1 8% Administrative Fcc.' l// b f Cc,!!!- TOTAL ./ / " ~ .:,' " ., iiI '..,! I . .,.. 1. ,'" ,,' . , '. ' , " ... I .. . " f ; (". .' . " ~' (; !, . ,',' , I , ..7 ",' 'i i' .' ,~. . ......), (--;",.. ',S" 1"-",'-" '!;~:;'~-'-'r- ...V.", "".225 FIFTH TREET r' ..ti^'ff.' ,".' f," iX,l U:~J !)1SfRJN9F;~LD', O!ZfG?~.?7~~7 I,;:l:.j '. j \ "."'" ~ .,INSP,EC T..1..0. N,RE, ,QUE." S T".,:726.,:3.76?f:--' ..1 \,.";;' "'OFF"I'CE" 7'26' 3'75'9" ,l'0 ,,'i"",d , .....,,'.oJ,\,' . ~ . I -,''\',\':'..tt', L."'~ .'~-fitll ,1 t~, '" r-'! ,-".r",,\, 'V' "'I' ,";';' ~/',d! .t ;,.i I-j L"I ~';'.( (<, j 7'''',:-' "1 oJ ,~_l \, ';:':; Ii' 1. LOCATION OF"INSTALLATI~~' 1 ,.. '" Z<Y 'Z'l" :::'ALhF,,.LP' P' I ~/ ",' "0 I' ~ YYI{<r!v-'O' "'-) -, , (j)- ~9 r,;,:~;" Et.;~CALPERMjTAPPLICA1'ION ,. Vi r~J~\)'~Oh J:;~i):Y:.q~Jjp6,:'tG~qJ. r j ""~) '. i. ' '" ',"', ,M' ~,( , , r i ~,; ~,:t ~--\>,":";,:><~_~-'J_ """!,;!"f'i',.,,,,',",;_. ,. "~co', '3~':COMPLl'TE FE~ SCH];;QULE BELOW, " "i,l (">c- '. I' " .,', ~1'.' I :'"". .'...', '" ,";'.- ,,' .'" t '" t".-:.!'lr"I',,/./': :",,\ ",~,._,",t;, "J; "'<" ~>. 1 .1::., dPl' "-~'~", _:r ~ ',1' - - ,',:;"~,'~_':':::',,;.,,..:-.;,,'" A.~'Ne,Y'Residentiill:'Single'rir-~~-"4. Multi-Family per dwelling unit. Sen'ice Included: JOB DIj:SCRIPTIOJ'l- ',1000 sq. ft. or less AI&vJ VMt:,""U'iog p,nj.r.t as submitted has 1I':I8UIl11!lrti\\9onal 500 0:; zoning, and does not reqUIre speclflcsty.nft ~lf"ortion Perrilitsare l;?n.transferahl~ire ~ ' thereof f;. If work IS not started wIthm 180 daySZoning ~ Ldl,,;lI iVlanlli d Home or ;',S,:/,l' \ of issuance ,6f:.'/fwork is suslJ5!1t'l.ed. for 1 .-' ':')1) -'1)')..- '\ """,';':.::- "oiling .. /.. " .::': .~.'lI 180 days. i.'~: ,(Ji\ltJ ServIce or F:,eder ti!,"~i:~ti~ $ 50.00 r~;.;Z. ,i, AuthOrized Signature. /t;:.~~~,,~;'~:,r::t:;'i~:':<.\ 2. CONTRACTOR INSTALLATION ONLY B. Sen'lces or Feeders /"/"/0,':" >: ' ~.';!:\. ;>~~".,>\ L.:'~ Installation, Alterationso'or: I' :~::.;'. \. : .;~\. f%-:~'_:f'\f Electrical-Contractor;:'/~ Relocation: /;,-,"., ','::-~,i;!.~:'2; .,}~,;:j.\.;.)~:.~ h(':~:~,~ l:Sh:<.:~ '~}4~~\ ~~!'t-. Jl~~,;;-. ':~.::~~~:.,.OS';~i:;j,i"..:.;;.;l'L tt::jj Address r~~."':~;) f~:~J,):~, ../:\{-',:.~.>_ 200 amps or less<c:'L ':'~<,:;,:~":i<:'< ;,}~f63~60~..t-'-B t .\ f.:".,,\ ::' .' ~'" 201 amps to 190. aIJ:ps::'. '; ~. o>$}.ji,OO,,:;',,; City , r',' Phone ' , , "'-'.. 401 nmpst"l600aJ?ps;, . '/',,:'" ';$125;00,~1 . i'.,r, t' .' i /.8' 2" ,,' '-~~I amps to 1000,amps .ni.t\NO\\~lqOQ~: Supervis9r r;ic,'<n~e.tNumbh.,.(}:.t ',' , '- ~"r )Ooo~'l'P~/~l\t. 't::.:c. ~l1;37500" , : ':! r ",,: V' I ~vv - . . "O'\'R~~\'(~~ \o\\S \li.f''''U ~ $.50:00' :: ~'pirati?!'jD~t~',';, ,.'~' '. '. :1~S~?~~ 'U~t)~~~1l."\)Qt\EO,!""~",':'\'~l ~,\':. C.. 'i" '., .eV', , C. ~\~ers:':, '", i-'" ,0,J ConstrJ~~~~~lrb.e(:" " -: .. ij.~N t~~~t ~e~ocati~n",~:. ';,'..:..~ i:;i';'::~>:-E,XPiration Dat;"-'-0"< ' ' Ai",: Ji.tti201l"Illlps'or'le~s \ ',::: ' -.----:-- $50.0.0,:' '." ~"?<'~:~~~1' '~'.,:'~' ~;'!.t.,-. -',,^.i~;~" ~,,~;~, iQl.a,Thps t'(46~'amps'--:_~'" ~..~ .,,' "'.- t"~"~~, '~(5,,~:oo' '- ~">';;i ~\:~><;-f;,~~',::~'/;~!~I~~~u:i"c:,'!r~~uJlcr\'ising Electrician -~~--;;:. OY~.s.101 t9~6?O a.tnps: ~" :, ".~~.. \ Q\'~?' $100:0~ ~~ '0 <0"".'.'" :" .', "".,'.:',. ' Over 600 amps or 1000 vol\;;,~s'l.. \:\\\\~ ' " '...' "., .".. ':.. ",~ ~""~~' l\v fI.'(I .' fi'.' ",,' ";:r.. '." "B" aboye l\\a.'<' :<)'I0~~' e{\O'1\" : I: ":! .', '''!;~, 1;:j\.Ote9,o 'O'l\'Y,Ia es'~te'O 'fJ?;()"} . ',. --.,' " "/;:.lc" tr::. \ D BranCh~\ijciiits60~\eo oset\).\ O~t;l U\t!s'01 . : ,O~::I~~'S N am,~ ~.~ I',:', ~~\I r ~I" "'- . ~~~I~~<Mlr~~~jJ,~!9n-i'~rd\3!t'fl :noi)e ; I,,., ,., ' r', \ \0\\0 i~4\otl~' .()(}.I:. CO~ie.,... \I;j.ey:' '9.~of\,. , i, . '~ditre~s;2-:/5; 1'2._,; ,'t""~IA..'JOAr,^ ~\oQi~'CI{Cllit\)()\ d-,'O\0-\(I ~IO\a,;\~eit;-\0\\~;i3'00 ' : ,. ',. ., \~ 0~~"'~~\'<I"'l :rii\et.~' \)\\\\\ iAb..~' " . :'. , Cit).' '5 {yft6': ';h~n~':~c} b - J 7! Z \~ A'\fc\i1i.l11!~P~if~trit~b'P~.t!J:S'e?vlce'. . : .. .' ,',; or ~\I)l\,~l]ii~", VjiVe\) ~ p.OO" . ,'" .OWNERIN~TALLATjON"'?",,: : I ~\)\,\\'OeGel\\e.:,.,,' , ,\,' , . ;', " ' 'Theinstallation is;being'madeon E. Miscellane?us (Service/feeder not incloded). .'.' ':",! .. ,: i ':" pr~perty I<;.'vn ::(!i~~ls~9tin:~nded: :' i-Eachi;{stai1ati~h " ' ,; \..".,.',. ' ,:'" ~. . for sale, lea~eo: t.,~"::,,.;~, ;~,. ~plmlp.'bf;)rrigati~Kt..~(,~", ~~~5?.bO,~; , '." i Sign(OutlineLighting:.' _ $50.00 .1;', . .. .. ~~~~'s Si '~-~r' 6x'~~,".' -, 'i~0;. " Limite9EnergYIRes:,:'. $25.00' ~ " 7,' ;,>"." ':' '~.'\.) :Lil!lit;d~!}ergy/Conlln.; . ' $4500:":"""":': . ',1\ -, -'.', ~J\~ 1" ", ','''': ~ \,-'., r,'-- ,_ 1:90: ,~3IH8ti:J .. Minimu;liElechiic Permit'Insllcction Fcc is S45,()O + S'urch,;i'gcs ~~~~lH~Z ~a:J3~lW~ 4, SUBT~{~LbF.'~BO~!: b'3' :: ' ZOOZ.OClnl':31\io 7% Sialc Sti~h!lrge " Lfl.(lr 6600jPO-!Q :#8NI;!~r' 8% Adniinistrath-cFc~. SOLI . \..,., . .;,; ~~. ( 72'1.L LEGAL DESCRIPTION 170-s233Z Items Cost ,0/200 ;,'; .."",,, $106.00 $ 19.00 (~.~~~;'; :;,' : ~, .. " ~ '?:f~~'~ ('.\ :,-,~<.,.... :,.f,~4:~': ., ~,.... ' "...... -~_... , TOTAL . ,-<