HomeMy WebLinkAboutPermit Electrical 1996-3-12
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225 FIFTH STREET Zoning ~ L 0 ELECTRICAL PERMIT APPUCATION
=~~~:;>img=~ 9~~~~:flb~ ~[nl't ~ City Job Number C(fdJ327
OFFICE: 726-3759 AuthOr1zadsig~~tu~ LJ.A) '*
/ 3.r COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATIpN
1:3.1J..~ ff}j;.LJ.l..... ,.,71?FFT lu.f-fE1€- f5uxs \ A. New Residential-Single or .
;; Multi-Family per dwelling unit. '
~~n'2l1Q.7~, Service Included: Items Cost
JOB DESCRIPTION
ALARM S'(.S,P"M
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Elec tri cal Con trac tor ADT SECURTTY
Address 1501 P"arl StreD., ~..i.D R
City EU2en". 97402
Phone (503)342-1111
Supervisor License Number R-1777 TT,!'
Expiration Date lO_l_Oh
Constr Contr. Number 59944
Expiration Date~Q
Sign~eng
Electrician
D.
Owners NameE.c. r. ,-<,fl:) () /YJFm~PrllI ~
Address_"l.-30S !22fili JSJPFPrO-lfPER. &h&)
City:SPJ:Lf>, /)/2 17.f77 Phone__~. 71/(",53//
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~---------------~-T~~CI~-~---
RECEIPT II: C 1, , Vir. L1.....L-
RECEIVED BY: --G\}J- ~ A-Av ~
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.;;;;~;.;.>.~ !::.:;.~.:~: ..:.... : .;.'
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1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular 'Dwelling
Service or Feeder
B. 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 -----
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
"
."
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'
New, Alteration or Extension Per Panel
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
:!. ,;,:,.:,.:.
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
SignlOutline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limi ted Energy IComm $ 36.00 .?I"OlJ
'Branch Circuits
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
3&,OD
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The foliov:ing pro!9ct all 6ubmttted hss the followi
zoning, and does not roquira 3pacillc kmd use
apDrova!.
225 FIFTH STREET 7 '$(;'\ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 _omng r I
INSPECTION REQUEST: 726-13'169 '2.,1 q {, City Job Number QwOZ,27 to.
OFFICE: 726-3759 ~ fl.A) *
l\Y1hQrtzed gnature ,"J.j- -COHh.",.", FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION
&1"" IlJfillJ ~ "iT/?FEI (Lr;l.J..1FY.1. 6.~A. New Residential-Single or
',Hi-h.il, po, '.oW.. "l<. ..
\I\~~~N' D~DV Service Included: Items Cost
... -
JOB DESCRIPTION
ALARM SU,TFM
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical ContractorADT SECITRTTV
Address 1501 Pe",., St':.l:..e.t _ S"i~
CitY~2ene. 97402
Phone (5031342-1313
Supervisor License Number R-1777 TTF
Expiration Date 10-l-On
Constr Contr. Number 59944
Expiration Date 4/?9
Signature of Supervising Electrician
~~
D.
Owners Name~fl,.'L....,2fFL{) f'Y\EIYl hf\R/)a.lS
Address 7::1,rv=; fYlPn rJ C'.5fT2EE'l r Lrv, 1EP - &.00
Ci ty.'V~d) l?/4-77 Phone 5J./J. 7"u,S31/
.
01lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
O\Iners Signature:
DA~E~----------:~ ,:;l~t-------
RECEIPT II: J - .,~.- r
RECEI\TED BY: U)~0-:~
. ',' . .' .
~/:::":::'.i.::.....::
:."\ .
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1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular'Dwelling
Service or Feeder
B. 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 ampslvolts
Reconnect Only
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
"
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
,
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
SignlOutline Lighting $ 40.00
Limited EnergylRes $ 20.00
Limi ted Energy IComm $ 36.00 !~(..()(l
..'-",
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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