HomeMy WebLinkAboutPermit Electrical 1999-1-11
,)S3-.tZlf3 -0/
".FIELO .".
The following project as submitted has the following
Lonmg. and does not require specific land use
approval.
Zoninr
225 FIFTH STREET Date
SPRINGFIELD, OREGON 97477 .
INSPECTION REQUEST: 72t;~'j'1rlMd Signature
OFFICE: 726-3759
C-Q..;
I-I,-qc:r
~
ELECTRICAL PERMIT APPLICATION.
:':.y Job Number q q tJDSS.
COMPLETE FEE SCHEDULE BELOII ~
. New Residential-Single or
Multi-Family per dwelling unit. .
Service Included:
Items Cost Sum
3.
1. LOCATION OF INSTALLATION
/B I /In,,:~ >f/\.d+ A.
LEG~ DESCRIPTION /703 :3 b 3~ 0 ~.6 0
e{J~,,:,M,J- P'o."YJI I~;../l 4'>~
ATTENTION:Uregon law reqUires you 10
followeBeDES~<FI'l'Jj9N1e Oregon Utility
NotificrA;J...~eollWt1il}qw.i- ~I~es are set forth
in OAR 952-001-0010 through OAR 952-0U1-
~U!I~ ll\!l' cJlClllifltcltllJis1etltbieJlaniiyexpi re
i ~cHi~pj.tt*kl!l<<&r.!l.W~:~ile1f41~ilOna,80 days
oJuJ1~\lft!l<llleQJretJfm\{9\~ky WbtiSiusllended for
180 dax;bnteris 1-800-332-2344).
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ADT S",:"rhv
Address 1501 Pe~rl ~~
Ci ty Eu"ene
Phone 342-1 ,1 ,
Supervisor License Number ?;<;"f .TT.R
Expiration Date 1l/01lqq
Constr Contr. Number 59944
Expiration Date ~ ~~~ 57
, ,
Ci ~5?fP/fl.-----
01lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
....-
D~TE1:::'-/7-::Z!(----"h3"jS~-:::"---~
RRrRTPT : /1,~ '
1000 sq.ft. or less $ 85.00
Each additional 500
sq.NftTotEPortion
thereof'''' . $ 15.00
EachllH'gn'?{j;:<'cWHoiriel.br:XPIRE IFTHE WORK
Modu1aro.DweHing,
..",." ,"L." ua'''JER THIS PERM$'T4'~ONO~0-
Servlce,or Fee er .
"OiVIf\f:r'CED OR IS ABANDONED FOR
Ser~fces.o~.Feeders'
" ., ".-,'}
Installation, Alterations
or Relocation:
.B.
200 amps or less
201 amps to 400 amps
.401 amps to 600 amps
601 amps to. 1000 amps-----
Over 1000 amps/volts
Reconnect Onl.y
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps -----
Over 401 to 600. amps .
Over 600 amps or 1000. volts
D.
Branch Circuits
New, Alteration or Extension Per Panel
MiscellaneouS (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
Signature of Supervising Electrician
MJ/~ .~ -- .
~wners Name]20/V- .tL..../)"-ey
Address /-33/ mil L/J :5;
Phone ~'/ 1-726 - 9 Uo
..."'.....,
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
$ 35.00
$ 2.00
I
$ 40.00
$ 40.00
$ 20.00
$ 36.00
8u.00
.,--{;
.:;::t:.X-X
.
, I.':" , jll ~ ',"., II '.:':" '
~ 'r.l', 1 ". .J... .: I
- - . - --
,-.
- ,-.. . -'.'
vt-V-
~ . V-
,/ ~ t\~~
q_}' D ,l
v;n
.
, t .;..
.e
\
,