HomeMy WebLinkAboutPermit Electrical 1998-8-10
v
zoning, a
approval. follow rules adopted by the Oregon Utility
ZoninQ H} :l"";,,,,,,ion Center. Those rules are set forth
eo-\()-~% in OAR 952-001-001 0 through OAR 952-001-
Oate_ - ,\ ~ ;0090. You may obtai.n copies of the rules by
Il~~~l.t- <:alllng me center. (Note: the tel~~ho~e
SPRINGFIELD, OREGOltn.9illlliJf7for the Oregon Utility Notlflcallon
INSPECTION REQUEST:'" 726G:al7ltel" is 1-800-332-2344).
OFFICE: 726-3759
1. LOCATION OF_INSTM:~IO~ ,')(] ~711"70
51c::n ~I 1\) "2,/ G~p/ VKr '1-'.::1 /e) A.
LEGAL DESCRIPTION
nO 'Z~Jl.,'q- ODS()u
J~B DESCRIPTIO~/ '"
V4-TJI} ~I,(:.Ii.'
Permits ~re,non-transferable and expire
if work is not sta,ted within 180 days
of issuance or if work is suspended for
180 days.
~
ZonIIlO
Date~
ELEC~PL~~ON
Ci ty Job Number3g 0 S'f.5" ,
3. COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modula, 'Dwelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
'"7\, "'^ /'. i I ! Installation, Alterations
Electrical Contractor~flY11 U\IOLlI1lGor Relocation:
Address l\~\() I\)~ /Zif' Sf . 200 amps or less
J I " ^'1t::.., ~A..'l Gi 201 amps to 400 amps
Ci ty \--\{\l..\b.'N-J Phone "IGJ '\TJL.JOJ~ 401 amps to 600 amps
( ~~f' r 601 amps to 1000 amps
Supervisor License Number''L'CI \ \ ~~ Over 1000 amps/volts
,(\ I \. Reconnec t Only
Expiration Date \'0 _
Constr Contr. Number miL J
co/4:
Sl~atur~~erViSing
J~~l
Owners Nam ::\ f"\N
Electrician
\)<W.:~~
Address
Ci ty
Phone
N~:rNSTALLATION
ThJ~~fM~1Jt~~~L~p~~~~ IF~~~.r'~RK
p r cfIIjlH0RIIZ&l'.Vl:lNOOt1iHlS;pg8~r1i IA: ~Qred
fO'C6i!iMEN~~ fS'"AllAIUlONED FOR
ovrMi't; 1 M ~tlUFcQI!JD.
---------------~!--t-------------------
DATE: f: 10 l' Y II
RECEIPT jf: I03//J ~J 1/
RECEIVED BY: ~ ~~
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"oT 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"
D.
Branch Circuits
above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
,
$
$
$
$
"l(.00
1.1H'
/,06
')~~&"
5f.lf'i;
~)
40.00
40.00
20.00
36.00
~'~.af~h);;iki' .
T~F'iHErt" . db t'!;g'
AUTHORIZED UNDER THIS PERMIT IS NOT follow ~ules adopteTh Y , e_
, Notification Center. os u hOAR 952-001-
COMMENCED OR IS ABANDONED F~~foIlOWlng pl'ojeeti~~~i;s of the rules by
ANY 180 DflY PERIOD. zonlO9, and doe8 notcr~~~e' the telephone
225 FIFTH STREET approval. lIT calling the c, enter. ~if~ APPLICATION
SPRINGFIELD, OREGON 97477 Zoni"9.L! .l- nllmberforthe.Ore -2344\. ' ___
INSPECTION REQUEST: 7,&3~91(l-~~ centerls1~Pt~3~oD Number q~ t) '34S
OFFICE: 726-3759 e
Ac.:_.:",j~.)0' 1.
1. LOCATION OF INSTALLATION/
6755 ;;??//'flpv
LEGAL DESCRIPTION
1'1 02- '3~ 4-Lt
JOB D)i?SCRIPTION
#-t./1/2m-
/)0 ~
Permits are,non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~,.1~~
///~ ~-c
Address C:;//<!J 512
Ci ty 4,er~
Phone /cf'<1d ~7b "'-&'4"7
Supervisor License Number ~2~-f.2/,f
Expiration Date /.0/,,,,,/99
Constr Contr. Number 37-7c;,gC2../.2.. C.
Expiration Date
Sign~~iCian
.:::::;...--_ 'V
Ovners Name
8 AiL t:-
YY\~
Phone ..
11'5
Address C07SCS
Ci ty S, p!;.J.
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
,
,
DATE: ~- ,0 ~ '1~
RECEIPT il: - ?II fRiO
RECEIVED BY: ~JI'
mMPLETE fEE SCHEDULE BELOl/
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home" or
Modular 'Dvelling
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
uni t.
Items
Sum
Cost
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "BII
above
,.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
no t included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
,...- $
~3{r -
l~/
~.~
'"
40.00
40.00
20.00
36.00