HomeMy WebLinkAboutPermit Electrical 2001-12-20
. . The 101. ~rOjeCI as submitted has Ihe loll owing A
225 FIFTH STREET lonlng, and does not require specilic land use ELECT_AL PERMIT APPLICATION
SPRINGFIELD, OREOOP1~77 Cf.." ~ I
INSPECTION REQUEST: 726~ 3'J .:JJ Numbed)/-O / J 0 7-0
OFFICE: 726-3759 Date \:1 . ~ ,f)1
, 'DVLIl.t.o/ COMPLETE FEE SCHEDULE BELOW
1. LOCATION OF ~S1~t'Artib'l.!/ature .. -- . !
~lJqr; /Ylt:UAl S+ A New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
/7()'/., 3332
o.s-30 0
JOB DESCRIPTION ,
in,s fa II $eoady
Permits are non-transferable and expire
if work is not staned within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor (~YJ ,"+r)) / ~(Uflty
Address 14)( G~Of1<;h.de I~. ReI.
I
City EU(j'eJU Phone..!lfo!-5(P-Zff
Supervisor License Number /(08'9 f( E r
Expiration Date /0 - / - 6 2...
Constr Contr. Number &'5 /4q
Expiration Date
tf,-?JI-DLf
Signature of Supervising Electrician
a~--
Owners Name cS U/'W Le f'
Address 615q5 /J1tJ/iJ 5-1.
City .<nr ,~t1.q fr e MPhone 744- /, 25?>
O~~ALLATlON
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
T90:CJ3IHS\7::J
: 39N\:!H::J
SL'tS $ G:0::J3CJ 1W\7
wOG L1 ::J30:31\70
T~SLOOO-TO:~SN\:!~1
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
40 I amps to 600 amps
60 I amps to 1000 amps
Over 1000 ampslvolts
Reconnect Ouly
C. Temporary Services or Feeders
InstaIlation, Alteration or Relocation
200 amps or less
20 I amps to 400 amps
Over 40 I to 600 amps
Over 600 amps or 1000 volts see
tlB II above
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with Service
or Feeder Permit
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited EnergylRes
Limited Energy/Comm
~
Items Cost
Sum
$106.00
$ 19.00
$ 50.00
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
S 50.00
$50.00
$69.00
$100.00
$43.00
$ 3.00
$50.00
$50.00
$25.00
:::x $45.00 450"0
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
5. SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrative Fee
TOTAL
4SOV
..5J75