HomeMy WebLinkAboutPermit Electrical 1997-8-28 I .. 225 rJoUr> STREET SPRINGFIELD, OREGoN 97477 INSPECTION REQUEST: 726-3769 OFPICE: 726-3759 j.."!... WC~TION OF INSTllj.WI~ 'L?' LY? rYVU ('\ ~ I. . '-1'" \.f II ~~~\ONlil4(() ~~~6~~~~'/STE:lY\ Permits are non-transferable and expire if vork is not started vi thin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical ContractorSeeureCom,lne Address 1126 Gateway Loop. Suite 122, Ci ty Sprin9field Phone 988-3585 Supervisor License Number 794JLE Expiration Date 10101/99 Cons t r Con t r. Number 3-353CLE Expiration Date 1W01197 Signature of Supervising Electrician ~ -?-~~- Owners Name~ &.YS~ Addms1",1,'lh f'"Y'ILl-l (\ c::., T City~~l,() Phone . OIlNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: iim~----------0Ji6 qrr- RECE.l.0' ii: \,J \ I\~f\.. 1\':"';7l"5j, RBCEIVED BY:_O\\j-.;\J_0 In.. 1\ ELECTRICAL PER/lIT A1'PLICATION City Job NUlllber C\\\~ l~ COMPLETE FEE SCHEDULE BE LOll New Residential-Single or ~ Multi-Family per dwelling unit. Service Included: Items Cost um 3. A. J.OOO SQ,!t. or less Each additional 500 SQ. ft or portion thereof Each Manuf'd Home, or Modular 'Dvelling Service or Feeder .8. Services or Feeders Installation. Alterations or Relocation: $ 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 or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconnect Only 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits Nev, Alteration or Extension Per Panel $ 35.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm One Circuit Each Addi tional Circuit or vith Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 55_00 $ 80.00 see "Bt! above $ 2.00 not included) $ 40.00 S 40.00 $ 20.00 $ 36.00 ~ "'1::lt,p.CO 1.'iU ~'h . . Tho following proioct as submltledhas tho following ;.".:-r.ing, and dOElS not roqulre opeclflC land us~ ,-:;,}~roval. 225 FIFTH STREET ' Zoninp r 0 SPRINGFIELD, OREGON '9H7f'lj(/IC1~ INSPECTION REQUEST: c''7'i~~' OFPICE: 726.,.3759 Authorizod Signal re n '1. .J~;..o~TION OF INSTAId.!>T:tO.N L I -, 'L.;-1'LYJ iV\tLl(\~\. ~I"I . A. LEGAL DESCRIPTIO' Ih13 A \ \l2..4U) JOP"DE~PT1;91'! 1000 sq. ft. or less '2E:..Ll.X\1 \ "I .S'lS'TE:r<\Irt'5TP\u.D-\lO\Eo..oh o.dditional 500 sq. ft or portion thereof Each Manuf'd Home. or ----- Modular 'Dwelling Service or Feeder Address 1126GalewayLoop,Suile122, 200 amps or less $ 50.00 ~ 201 amps to 400 amps S 60.00 Phone988~65 Qv~ 401 amps to 600 amps SlOO.OO 7fW;:/S/ -"lVa (>9..1 amps to 1000 amps $130.00 Supervisor License Number ~l} ././~ QiV'b-'~ OW\37.)~OOO amps/volts $300.00 , ':r/.J, -v::rct S. p.~J'.0"ffil1!'M... Only $ 40.00 Expiration Date 10101/99 ''-'-;//'1.' rlt./.~ <:tOn rVOnl ~q/q~C.~~~p~~~ S4~es or Feeders Constr Contr. Number3.353CLE a77~Iffs~a~,.,!titeration or Relocation 'ItS 76'a "'.? 20&~/11i!J1 '~~ss S 40.00 201 SM.;t,OO amps $ 55_00 -0...;, ~--.tU600 llmps- -'S-OO.OO- Over -~O;rps or 1000 voJ. ts see "8" above D. Branch Circuits Permits are non-transferable and expire if vork is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical ContractorSecureCom,lne Ci ty Springfield E~piration Date 1ID01~7 SignRt1l1:e of Superv~sing Electrician ~:.-.?---- ~-- .... Owners Name~ ~I,,)"S\-\ Address 1-'l-:l'lh rYVLl(\ ST. Ci tr.--P~ Phon.. 01lNER INSTALLATION The installation is being made on property I own vhich is not intended for sale. lease or rent. Ovners Signature: ----------------------m9J-- - DATE: ' ,n, RECEIh Ii: ~ ,--9. -~~ RECEIVED BY: "() \'-f"U::J_~J . ELECTRICAL PERHIT NN :CATj"Oh Ci ty Job Number, Lt'., S~ 1......\ * Cost Sum COMPLETE PEE SCHEDULE BELOII New Residential-Single or Multi-Family per dwelling unit. Service Included: Items S 85.00 S 15.00 $ 40.00 ~. Services or Feeders Installation, Alterations or Relocation: New, Alteration or E~tension Per Panel One Circuit Each Addi tional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm ~ not included) 5. $ 40.00 $ 40.00 $ 20.00 S 36.00 ~.OD !,~U LP'b "r,"I... '1-.", SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL