Loading...
HomeMy WebLinkAboutPermit Electrical 2006-11-27 '" - CITY OF SPRtl~JFIELD, OREGON 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number CDW! z.c,Cb ~ D/S' '3 2.- I. I LOCATIONOFINSTALLA1'ION: I 3. I COMPLE1'EFEESCHEDULEBELOW l'tzB$k/U.o l..-n :.2:P/Z-/tI {.f~{)fU5, . LEGAL DESCRIPTION: } /<) 3 Z. ':), :1 DI)15't> A. I New Residential- Single or Multi-Family per dwelling unit. (Jrz.IUC f5-T },(/ I~ Service Included JOB DESCRIPTION: I /LLc.Jf/h ~u r 2-1 y / Q 11- "1 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each M:lIIufact'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 Permits "are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. $50.00 2. I CONTRACTOR INSTALLATION ONLY I B.I Serviccs or Fccdcrs - Installation, Altcrations or Relocation: Electrical Contractor lJ1er:en SCC,d C/J tJl:! tJflE'200 Amps or less $ 63.00 /J . 201 Amps to 400 Amps $ 75.00 Address It;:;''Z.o r- S"tJ 74"tJl /T7It5 401 Amps to 600 Amps $125.00 FL .601 Amps to 1000 Amps $ t 63 .00 Cit;-[i '-. I'H't.M L//tPhone 003 c,?-o .1J:,z.. oD . Over 1000 AmpsNolts $375.00 - lVullllt'ReconnectOnly ~,,$50.00 THIS PERMIT SHALL EXPIRE IF THE WOII" Supervisor License Number )'6 {:> s::r: 6i AUTHORq8lTemi>'Orar);rse'l[\.iw.\ft\MiJelj~~U I COMMENCED OR IS ABANDONED t-UK Expiralion Dale 10 - 01 - () 8 '''v 180 .Jnstallation,-Alteration or Relocation "r. UJ-H icnlUU. 200 Amps or less 20 I Amps to 400 Amps 40 t Amps to 600 Amps Constr. Contr. Number C,4tJ /4- Expiration Date ' / - '3 0 ,... f) 7 $ 50.00 $ 69.00 $tOO,OO Over 600 Amps or 1000 Volts see "B" above. ~ature isin D. ..B~'al~~.hCircuits .'all..' ATTE '\I i Uj~.VilClt'""j, '-" ,-.,- '. .. I ~ el.",A1terati.n.o'!'...xtcnSiOJilp.erIPiiliel' f IIOWrU~f::lSi:1UUf!"'''~ :t.. - ::> . /l 0/ o. . . ne,Circuit Those rules are set lort' $ 43.00 PH-< <.... V --= ~ JI/ 0 u:5.s ~\Iuljhcatl~.1_~I1~A~1!i~~Hri(51:!1lIlr&A~1952-001 l--"'" "7 ..11" .1 ,1J1,Q~R 9.~N,~~ or Feeaer I':polil. of the rt:-':-: h. $ 3.00 Owners Name It<-\ -v.lr-l""'~'" . -,)(j9bl\.I:OU~t~;Aoll~la_l~ ~o ~~;i,~....leptlG;: a . '. .'. Address ID 0 S<r CiLy('~1 flt-IC-(::I"' Ca I1Ig Nf,sce ~neous .' .,~~/J~~II~,'tfllUe~!uded) -Each InstallatIon 1 . _ _ .J/~ [j. LV&' ,number tttJ:0r ,~u City G:ra..-vA-tl,\ 'hone 7S7- 2/TO ellJIlltlJfliTigam;',0-332-2344l. $50,00 -- Sign/Outline Lighting / $ 50.00 ~ 0 Limited Energy/Residential $ 25.00 Limited Energy/Commercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. I SUBTOTAL OF ABOVE -SO 8% State Surcharge ,,/ 10% Administrative Fee ., 5% Technology Fee 't l U $b/~ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 TOTAL Shared Drive(T:)lBuilding Forms/Electrical Permit Application 8-06.doc 225 Fifth Street Springi'ieid;'o'regon 97477 541-726-3759 Phone ~F11lU> . )'.....":;_.~ .... ....... ~_..} ~'h Ca..of Springfield Official Receipt ~opment Services Department Public Works Department Job/Journal Number COM2006-0 1532 COM2006-0 1532 COM2006-0 1532 COM2006-0 1532 COM2006-0 1532 Payments: Type of Payment Check cRcceintl RECEIPT #: Description Sign - Outline Lighting Each Sign 0-35 Square Feet + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By MEYER SIGN CO 1200600000000001766 Date: 12/18/2006 Item Totat: l.:heck Number Authorization Received By Batch Number Number How Received djb 16614 In Person Payment Total: Page I of I 11:27:09AM Amount Due 50,00 80.00 6.50 4,00 13,00 $153.50 Amount Paid $153,50 $153.50 1211 8/2006