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HomeMy WebLinkAboutPermit Electrical 2009-7-22 Electrical Permit A . 225 Fif.h S'r....Spri.gfi.ld, OR 97477.PH(541)726-J7SJ.FAX(S41)726-J689 RE-50+N PErZ B,RicHA~SO/V ,'ZS:gJ iYjt~~ . I Date";1 /7f?-/ 0 q I This permit is issued under OAR 9IS-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days ofissuan~e or if work is suspended for ISO days. ~ ~ ' " ~'Er;li$:qIiIE '.' !~9 , " ~9.st'~~'.l~ If~~~~~~J.W.~]'~I~ 02; '. ~ttll I Residential, per unit, service included: I 11.000 sq, ft. or less (4) $134.00 $ I I ~~oaritional 500 sq. ft, or portion $ 25.00 $ I I Limited energy (2) I $ 32.00 I $ , I I Each manufactured home or moduhr I I " I dwellins service or feeder (2)' $ 63.00 $ I Services or feeders: ins/aUation, ~/Ieration. relocation I I 200 amps orless (2) I $ 81.00 I 5 ) 20 I to 400 amps (2) I $ 95.00 I 5 ,.1 40 I to 600 amps (2) I 5158.00 I 5 ./ I 601 to 1,000 amps (2) I 5205.00 5 'I lOver 1,000 amps or volts (2) I S469.oo 5 I I Reconnect only (2) I $ 63.00 5 l.tf.:> I I Temporary sen-ices or feeders: i~tallation. alie,alion, relocation r 1 200 amps or less (2) $ 63.00 5 I 201 to 400 amps (2) $87.00 5 1 401 to 600 amps (2) 5126.00 $ I lOver 600 amps or 1,000 volts. see ~ervices or feeders seclion above I I Braoch circuits: new, alteration, e..xlension per panel I I a. Fee for branch circuits with pur~hase of 11 service or feeder fee: I Each branch circuit I 5 6.00 I s I b. Fee for branch circuits without purchase of a service or feeder fee: I y. 1 Fax:t First branch circuit (2) : I I 5 55.00 I 5 '1 rOS(~ ,nfftlrtU>n l'n-l.( ,Enchadditionalbranchcircuit I S 6.00 5 I I CCB license no.:/ I BCD licelle no.:QlD - tf~ 't I Miscellaneous f.es: smice or feeder no' included I I Signing supervisor's license no: Lf 1 :::J. I 5 I Each pump or irrigation circle (2) 5 63.00 5 I I Print name of signing superviso .S;~~Vfl _ vyr-f I EachSlgnorouthnehghtmg(2) 563.00 5 .1 'Signature of signing supcrvi"4:'" I Signal. CircUit or a h!TIlIed-energy panel, S 63.00 S fU" , ~ aJreratJon, or exrenSJon (2) , V I Each additional inspectinn: (I) S58.00 S ~~~,6;p.p.I!\6'".o;~It~lfSE,~ (A) Enter subtotal of above fees I (Minimum Perml. Fee 558.00) 5 1&>1, I (8) Enter 12% surcharge (.12 x [All 5 '1, ':1.0 I I (C) Technology Fee (5% of [All S ?,.\ ~ I TOTAL fees and surcharge, (A through C): 5 .\ ~:1l r~lr0.C~LlfG,<:l,V;ERNMENTIf~p.P.RO.v.4\l:~~' I Zoninja)'provaJ verified? 0 Yes [) No '~"i!~c~:r:EGl:5RY[..oFJc.0t:lSJJ;Rl1J:1JiJON~~~ 1 0 Residential 0 Government 0 Commercial I 1~!m!'JOBJfSIif,Eii,.)F,qRrr!.Aml~~iil'~~OJilf~l'ON~1 I Job site address: ~~~ 5 ~ 'J};/) I City: a t'Q 'e}ui 1 State: O~ 1 ZIP: ~"'TI I iluheHciQll: Lot no.CX'OCl:::> i~I::~~~, I . I ;'W'x~ .~. ..,. .. . ...,- . ":11!"J': ",.... e'~'~.!lI~i' ~P.B0F1ER:r;v~O~~..1''':''~1 I Name: c.' ~~MO 'f-'b I Address:\ ~ ~\.."t) ~ ~t'*\OO I CityGD'D... v..\~ I State:~1 ZIP~%\"'lO I , Phone: ) Fax: I I E-mail: I This installation is being made on residential or fann property owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR I 479.540(1) and 479.560(1). ~ ~ ~ ~.rJ'. ~cf\ '1 44()'2584.j (9/08lCOM)