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HomeMy WebLinkAboutPermit Electrical 2001-10-24 -- i . TIIS.-" "--." . ~ . i8RiR"' prOI~I:' ar wh."i~.d has the fol/owing , . - CI does nOI fa utre . . ) 225 FIFTH STREET '6ilf6iiiil. q specific land use ELE ~ PERMIT APPLICATION "SPRlNGFlELD, OREGON 97477io;:ling~ INSPECTION REQUES1:l~i~26..-.37~~_.'Dl~ LIlY JOU 8umberf)I - 009 C\ 7_ -0' OFFICE: 726-3759. . . . '* ~'UihoflZilo Signaldll;, . .QMPLETE FEE SCHEDULE BELOW . I. LOCATION OF INSTALLATION . 51 (,,~ l'Y\n:........ A New Residential-Single or . Multi-Family per dwelling unit Service Included: LEGAL DESCRIPTION 1"0'2.. ::>'3. -1,1 . ~1"lO 0 Items Cost Sum JOB DESCRIPTION :5 i """ 'tJ-<.chr.. u......Q.. U Pennits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $ 50.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations or Relocation: Electrical Contractor City Phone 200 amps or less 20 I amps to 400 amps 40 I amps to 600 amps 60 I amps to 1000 amps Over 1000 ampslvolts Reconnect OulY $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Address Supervisor License Number Expiration Date Constr Contr. Number C. Temporary Services or Feeders Installation, Alteration or Relocation Signature of Supervising Electrician 200 amps or less 201 amps to 400 amps aver 40 I to 600 amps Over 600 amps or 1000 volts see "IIBII above $50.00 $69.00 $100.00 Expiration Date C::=:-' /". ~~ /~.,~ - / Owners Name Lt..N, '1 p" I....:r-- Address ;l,.19'1 0\ ~ fL" c- City oPkL Phone '1~ II - oWNEj( INSTALLATION D. . Branch Circuits New Alteration or Extension Per Panel One Circuit $43.00 Each Additional Circuit or with Service or Feeder Pennit $ 3.00' The installation is being made on property I own which is not intended . for sale, lease or rent Owners Signature: E. Miscellaneous (Service/feeder not included) -Each insla1lation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm $50.00 -.L.. $50.00 ~- $25.00 $45.00 Minimum Electric Permit Inspection Fee is 545.00 + Surcharges TOTAL tso.- .l\ ~.~ ..,.4.- ~ 51, 50 5. SUBTOTAL OF ABOVE 7% State Surcharge 8% Administrative Fee ...- , . I 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1. LOCATION OF INSTALLATION 5-?/, R MI4:Z:A) S+-. 97477 726-3769 LEGAL DESCRIPTION JOB DESCRIPTION .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 SUV\ - T-ec S~~/1S ., \ i I Address 'X'ES I ':1 f); I/e~ /",. CityLvc....tl-'" Phone 7f/,?, -7!LL / Supervisor License Number I/~<.. ~ TG Expiration Date /t"J //0/ /"",.._ Constr Contr. Number go U_;;::Z- Expiration Date /' -/,~ -- 03 Signature of Supervising Electrician ~~ ~~~~ Ovners Name /' Address City Phone OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or ren t. Ovners Signature: DATE: RECEII'T jf: RECEIVED BY: ELECTRICAL PERMIT APPLICATION City Job Number 3. COMPLETE-FEE SCHEDULE BELOV A_ Nev Residential-Single or Mull i-Family per dvelling uni t. Service Included: Items Cost Sum 1000 sq. ft. or less $ 85.00 Each addi tional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home. or Modular.'Dvelling Service or Feeder $ 40.00 .B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. Temporary Services or Feeders Installation, Alteration or ~etocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 $ 80.00 volts see liB" above D. Branch Circuits .' Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith 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 5% State Surcharge 3% Administrative Fee TOTAL