HomeMy WebLinkAboutPermit Electrical 2001-10-24
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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.-
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..,.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