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Home My WebLink AboutPermit Electrical 2001-12-24 . ,O\\U~-0 . ~0 O~~ '(\'?J.s. \'Of" \\\00 C\\\V 225 FIFTH STREET ~~'O<S' 0 ~<i0 SPRINGFIELD, OREGON 97477 (}f.Y\ ~'1 INSPECTION REQUEST: 72~~W'W\"::. OFFICE: 726-3759 \0\\0"'0<,0 Ii <..'(\ef..\('\~ ~'3\ \(I.~ 1. LOCATION OF INS 'ffi5N \Olm..-Lro ':>'" . ?J,\0 06 LEGAL DESCRIPTIO!'}.. O,r;";:, n.ctL7A. \\ .~ 'f D."u..A.' MSCRIPTION. n 'I. A I"C'\ Q"~li"'wY \~b-' Pennits are no erable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. .-# 2. CONTRACfORINSTALLATIONONLY Eleclrical Contractor STeVE )fAod<. Address ~?p, S 1./6 t!> sf City.2rri~_~i(LPhone A;),)-;'U,S Supervisor License Number .3S 1 ~ $ Expiration Date 10 - ) - 'J.,() 0 3 Constr Contr. Number I 1./ '+ J, I B Expiration Date I.f - 30 .- 20",3 Signature of Supervising Electrician o 1/!-A.A.->. '1J:H'8'1 OwnersName-Ln'( - ~CUffj)1 Address~~\.D G...'Dt"~( ~ ci~llr\... Phone~ :-trfU:> O~TALLATION The installation is being made on ".V,M'! I own which is not intended for sate, lease or rent Owners Signature: ~I tftfoZ ;(crr IF 111i1 ,tf~ . ELECTRICAL PERMIT APPLICATION obNumber 0\. D'A:Ot.O\ A. New Residential-Single or Multi-Family per dwelling unit SeIVice Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion lIiereof Each Manufd Home or Modular Dwelling SeIVice or Feeder -L$106.00 \D(o I -3- $ 19.00 .;2] $ 50.00 B. SeIVices or Feeders InstaIIation, Alterations or Relocation: 200 amps or less 20 I amps to 400 amps 40 I amps to 600 amps 60 I amps to 1000 amps Over 1000 ampslvolts Reconnect Only $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 C. T ~..."v...ry SeIVices or Feeders InstaIIation, Alteration or Relocation 200 amps or less . Phk-.. ~..~ $50.00 ~ . 201 amps to 400 amps '(s::ao~ $69.00 _ Oyer 401 to 600 amps $100.00 Over 600 amps or 1000 volts see liB II above D. Branch Circuits . New Alteration or Extension Per Panel One Circuit $43.0.0 Each Additional Circuit or willi Service or Feeder Pennit $ 3.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited EnergylRes Limited Energy/Comm $50.00 $50.00 $25.00 $45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 5. SUBTOTAL OF ABOVE 7% State Surcharge 8% Administrative Fee :~~1~ ~/3- _ lfJ7.45 TOTAL . . ELECTRlCAL PERMIT APPLICATION City Job Number ()/~ON08 -01 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 3. COMPLETE FEE SCHEDULE BELOW 1. LOCATIONOFINSTALLATION /J h707 J/Jl05e---<;' 'f"AJ)'S A. New Residential-Single or Multi-Family per dwelling unit Service Included: ..\1'~ \0\\0 \",e 0 ..,se JOB DESCIgPTION /J \'C.eOl~OiJ.~q.ft. or Ie -rE7vr P vc>w'Fa- "s s"''O~e S~~~Ch ad . . 500 er) eo..lJ. . . <lO\ 1'0\< s. po Permits are non-transferable and expi~o"'\1'~ ooes .., , 1P. ereo if work is not started within 180 da~ ;1''' ..~ '" of issuance or if work is suspended~<o.e 1.01'\1'<1 (Z-::. 180 days. e ~ _ ervice or Feeder a.-....).\r.) ~\!. S\9\"\ 2. CONTRACTORINSTALLATION~L~~e6 B. Services or Feeders "..,\'1' . Installation, Alterations or Electrical Contractor S7EuE. HIIIJcI<. Relocation: Address eJ.'3 ..s L/ 6fl} 5~ 200 amps orless 201 amps to 400 amps City 5fd ~; < ic:l Phone ;1\?o1 - ?,,, b,S 40 I amps to 600 amps 601 amps to 1000 amps Over 1000 ampslvolts Reconnect Only LEGAL DESCRIPTION 170z 3'-111 CB 032= Items. Cost Sum $106.00 $19.00 $ 50.00 . Expiration Date 10- I - "2.003 $ 63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 Supervisor License Number 3.S ~:+ ...s Constr Contr. Number I "/~ b 18 Expiration Date '-/ - 30 - 2. a:,.3 C. Tempornry Services or Feeders . Installation, Alteration or Relocation d d~ v - 200 amps or less 20 I amps to 400 amps Over 40 I to 600 amps Over 600 amps or 1000 volts see liB" above ( $50.00 ~-C> $69.00 $100.00 Signature of Supervising Electrician Address crS:Sb ., 1.3-(,~B,\ OwnersName en! k__ s/,&/lkrL G-/Ac I crt... 5Z ( - 7CXJb D. Branch Circuits New Alteration or Extension Per Panel One Circuit $43.00 Citv sf r= (j Phone OWNER INSTALLATION Each Additional Circuit or with Service or Feeder Permit $ 3.00 The installation is being made on ".V"...n). I own which is not intended for sale, lease or rent Owners Signature: E. Miscellaneous (ServiceJfeeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited EnergylRes Limited Energy/Comm $50.00 $50.00 $25.00 $45.00 ']:90 : ~mH81j::J : 39NIjH::J Og'L~,]: $ G:O::J3~ lWIj ']:002: 02: ::J30: 31 \JO ~8gLOOO-,]:0:~8N\J~1 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 5. SUBTOTAL OF ABOVE 7% State Surcharge 8% Administrative Fee s-o 3~~ /fo;)} TOTAL ~7~