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Home My WebLink AboutPermit Electrical 1999-7-13 . _'NGF'EL~ The. following project as submitted has the following zOOlng, and does not require specific land use approval. '~ Zoning' { " CJ 225 FIFTH' STREET SPRINGFIELD, OREGON ntp.,7 /1,111 .c,q INSPECTION REQUEST: AZ~~iiJ6~ t (Mil' OFFICE: 726-3759.. gna uro \; 3. , Electrical Contractor ARr F:T FrTRTr TlllC.. Address 85783 HWY 99 S01JTH City EUGENE Phone 741-0494 Supervisor License Number 407QS Expiration Date 10/1/01 ELECTRICAL PERMIT APPLICATION .City Job Number C(([ J Iv 1- COMPLETE FEE SCHEDULE BELOII ~ Nev Residential-Single or ~ Multi-Family per dvelling unit. Service Included: A. Items 200 amps or less --L-- 201 amps to 400 amps 401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconnect Only Cost Sum li D LJ''6TTJ1fi ?1S~Wl~+- 111J~ ~Sf!}jrl7N {)52 0 D - ATTENTfO . ' , .,JOB DESCRIIj'l'ION. fOf/ow rul N:Olegon laWOO sq. f t. or less IV.; t-J .J,f ~tI/ CP Notifi",,,;~doPted by I1lcnlUiidd ~&J pJlal 500 . mOA~95 nter. ThOse '!cRr~rP.JtilHortion Permi ts are non-transferabl1llg11!l e~ elJ010thro. rt1lRfr~~e y if vork. is not started vi thi!Ja//i 8~Obta;nco T,9fcft~~W:'Home. or of issuance or if vork. is sw,snGrorl f&wter. (NorEflc)(J~F~I!1~~~ling' 180 days. ," ' e~ or the Oregon ~/S@ti'lliJflfloRJ Feeder . en/eris 1-8nn liMy Notiticar 2. CONTRACTOR INSTALLATION ONLY ~B:33;ge~.v4;~es '8P Feeders Installation, Alterations or Relocation: $ 85.00 $ 15.00 $ 40.00 $50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 50 ,rf) Constr Contr. Number 20-403C C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date 10-1-99 Sign V~ Electrician o ners Name LtL4 fA- Address 10 / n mO ~(\c:,h/" /lA Ci tUJdaLI ;QJd Ph~:- ' 7 N ~JS't.J ~ALLATION The installation .is being made on property I ovn vhich is not intended for sale., lease or ren t. Ovner~~~gnature: -, ". . , DATE: ~1T!/ '--f'Gf -----------;;)-- RECElh t 'O:55>lJ J,(, I / RECEIVED BY: .,;1 ~ I~ ~~ 200 amps"oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps o. 1000 $ 40.00 $ 55.00 $ 80.00 volts see "B" above D. Branch Circuits Nev, Alteration or Extension Per Panel .' One Circuit $ 35.00 Each Additional Circuit or vith Servi~~ I}\ or Feeder Permi t J..::2... $ 2.00 J..D.Lf.) not included) E. Miscellaneous (Serviceifeeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 40.00 40.00 20.00 36.00 $ $ $ $ eta: so g (t'. fJ# The fOllowing prOject as b . zoning, and does not SU ,mltted has the fOllowing approval. reqUire specific land use Zoning ~ 0 -1/llJ.qq 97,4lJo"4ElJi.Signal~re YJ-r\/ 726-3/b~ .. [\ 3. 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 Date 1. LOCATION OF INSTALLATION. tJMl1! J % 1/.141'"..t <;'1'V'N~J:,..(fl , , LEGAL DESCRIPTION . /,?I!'I~-~5'.'7"// ~.-t;--q-" JOB DESCRIPTION DJl/J'l (;,,,,,,,,",,V'lJlcl'1) lOW ~ Ar rt:N IIUN:urEJgon law reqUires you ,u Pe1fm~aj'S' raiE6 arblplill1iaty!1~eJQIl5l~rantilitexpire i f,J~lfiOOtii.1s CPD1!es t~l1lre:drLIM9:bdlhSilS'O~.ays ofn 0AlIl~6~lOCPI~ottfOWtlDkig!bs)ISIii~iI- for lllS09b!woo may obtain copies of the rules by , c_alli.!l9, !.h.!!..center. (Note: the telephone 2. n~e\'ml'IU~~~'I!fmtlt~lion Cen!eris 1-800-3a2-2344). Electrica"'l (;ontractor.J.r1I~dl:i1WuP n/W Address ZZz..s- G?,<( u of.L, n ,,>, ). Ci ty iZ uL,>;lO't/ S Phone lj t:,'-D'7 S ? Supervisor License Number 31S-t:: j( ET Expiration Date I/}-I - er9 Constr Contr. Number 12.3 <16>) Expiration Date ?_~.c.c> Signature of Supervising Electrician -0~. ~ ----- Owners Name i A L (/ J vJ Yo.s i+ f )))4 Address /0/0 J4//"'i IW 0::; 1. City c,P"11'<J.QIJ Phone 7zt,~2sJ </ I J OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: -----~-------~-------------------- DAT~ - /;D----; -j . RECEIPT fI: n<, ~(OLP. ._ RECEIVED BY:jJ . ryvJ ? AA ./LAJ , A. ELECTRICAL PERMIT APPLICATION ~i ty Job Number 9~//~ ?, COMPLETE FEE SCHEDULE BELOV 1t New Residential-Single or Multi-Fa~~ per dwellin&-~A~\NOR se~()l\\T1ll-C-lude~i.LE)(.PIRE It" ~(;?1 iHISPERMIi S~NOER-mI~MlirOR 100WS'il'l<i!~I,Z~~~~~A6"'NOONE~ 85.00 Eacl'c~lililOliM t'f&\8o. . ~~~N'b\ fab \llP."t $ 15.00 Each Manuf'd Home. or Modular Dwelling Service or Feeder Sum . $ 40.00 B. 'Services or Feeders Installation, Alterations 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 $ 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 Over 401 to 600 amps Over 600 amps or 1000 volts $ 40.00 $ 55.00 $ 80.00 see "B" above D. Branch Circuits .' New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with 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 ~ Limi ted Energy/Comm -+- $ 36.00 ('5(_ SUBTOTAL OF ABOVE 3(,. ~ 5% State Surcharge /. 0 ~ 3% Administrative Fee /.~. TOTAL ..:.:s){' ,~ 5.