HomeMy WebLinkAboutPermit Electrical 1999-7-13
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rhe tollowing project as submitted has the following
~onm9. and does not require specific land use
approval. '
225 FIFTH STREET . vf}tZ-- ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonmf ()
INSPECTION REQUEST: D'1I1647fQ 1/ /'0 ,qq City Job Number ~l.qJ1K04.
OFFICE: 726-3759 "",nur".o Slgnatura /?oy I
U 3. rOuPTRTE FEE SCHEDULE BELOY
1. LOCATION OF INSTALLATION
lQ.lo3 1\.llA-110 \oj. I-;;l. A
LEGAL DESCRIPTION
Not'~~ -< s t,lkE,~J~ '
=r~~~~p~M[r_\S.~T
I"NeED OR IS J'AI::tU.)~~'t.r.t"
P~fs a~~~5Dtransferable and expire
~~~~s~rroY s(arted within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY .B,
Electrical contractor1\'l(,~ \~ CLC~"T~<:'"
Address 3?Z;J ~~ '/lD
Ci ty f.,,~ Phone \<)~ ffi"
Supervisor License Number 3<C-<J3 <;;
Expiration Date 10/61
Cons t r Con t r. Number 1031./ r 7
I z/'7~
Expiration Date
Sign~ure of Supervising Electrician
/GJ~LP
Owners Name~r,,~p~<,lJ l\A;o\.)\? ~<\."k.
Address \Va"'" I~
Ci ty S?( I h..?- W Phone
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------7--r-----------------------------
DATE: ~//<)-7c; ....../1
RECEIPT 'J!: ~A.:, J"\
RECEIVED BY: n. rYl ~ r>h '('L:.), <oJ
New Residential-Single or
Multi-Family per dwelling unit.
Ser,:vlilQ~f~In(')'uded ;'n iawf '
. rt.n't...........gv '?9.U1res YO''':' to
10~low rules adopted by the 'CPe'1lon uln?t~ t
l~'6W!calt~E C.ergfr,'-~h~~e rules are ~e{f~rtiJo
,fl~l~q\",.!('Ol-\lQn..~:ou - ''''952
~~lb additional::lOO ~"vrm -001-
sq~. . ~.Pu(wCJ~3f'alb'rFoPies 01 the rules by
th";~~2flne cemer. (Note: the telep$oIHi. 00
Ea'SilIlMallWlt'd3 ffil!j\~()atJlIIIlY I"otitication
Mod u la FttXfei'll nOg'J0-332-2344).
Service or Feeder .$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
t../o . cfi
A.
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
C.
200 amps' 'or less L
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see liB"
above
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Servi~e
or Feeder Permit (~
$ 35.00
$ 2.00 J),. (JL)
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E,
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
5::2. (J?)
L - G. (.)
1 "S (p
'b/~ /~-
40.00
40.00
20.00
36.00