HomeMy WebLinkAboutPermit Electrical 2006-3-28
CITY OF SPRINGFIELD, OREGON
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SP~~LD .
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ",~0~ ,v' -.
ELECTRICAL PERMIT APPLICATION 0~~",:~,,0 ~
City Job Number a -009J Lj. Date _(:'~ - QIJ 2/.-1. ,6\0~~O' ,0 /
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I. I LOCATION OF INSTALlATION I 3. I COMPLETE F$SffflEDflVBEj<l:5W,/
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LEGAL'DESCRIPTION A. I New Residential- Singl~M\llii:Family per dwelling unit.
1,- ~ ~
<1"V?_1'f '!.o.fo 'J1-oo Service Included \.".. f'
Signature.o Supervising ElectnZ' cian __
/. New AUeralion or Extension Per Panel
( .~ One Circuit
Each Additional Circuit or with
ers Name Ans\CJ..J:)+- DeGetrlo.o Lt-service or Feeder Permit $ 3.00
~ \tA 56 6()J[ri,f.1J~E.1 Miscellaneous(Service/feedernotincluded)-Each Installalion I
City J Phone ~ . f1)V Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50,00
OWNER INSTALLATIO Limited EnergylResidential $ 25,00
ATTENTION: eqol, I'lW requires you to ' , .
The installation l's. 'g made.on. eTlv J own which.. LImIted Energy/CommercIal $ 45,00
. .lliIlUd"'dll I~ .' re....iJj..JlCU ue: t. .-0re~vd \..Hlll';Y
IS no~~@(' e ,on 'e~lll~ate?fll)g~ rUle - are set forth Minimum Electric Permit luspection Fee Is $45.00 + Surcharges
Own'n iglilall!??:-001-0010 through OA,~ 952-001. 4.1 SUBTOTAL OF ABOVE I rro
009U, You may obtain copies of the rules by ..z ,C; I
calling the center, (Note: the telephone f;..:r% State Surcharge 20 .01;
number for the Oregon utility r~otlllcation 10% Administr.l\lGty;E: _ _ .;>..~~of:
Center is 1-800-332-2344). THIS PERMIT SHALL EXPIRE Ir ,Ill.. OV,UJ
Inspection Request: 726-3769 TOTAL AUTHORIZED UNDER THIS P.E.B:lal1Zl2:l\ll:J r
Shared Dri~t{9w.\Wi!~~~tli<aA,gfl.rtl.l)O~Q, f.OOoc
ANY 180 DAY PERIOD.
JOB DESCRIPTION
S~~"",ll... lJo},..t..u ,,_.I 'U_pukty
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Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2. I CONTRACTOR INSTALlATION ONLY I
GAoel Co")r/ e, .J;.O'" s
Electrical Contracto!C./ e leu,.. ,', ~ ~~'1 'j
Address ....2./0 uJa.../J,"( st. II' e
City e'f lP /l {> -
'1351-b'/"l1
Phone
Supervisor License Number , i 0 Y 15
It) _/-d07cfL6
100<)08
7- /~ () 6
Expiration Date
Constr. Contr, Number
Expiration Date
.'
$106.00 10(.,,00
$ 19.00 9'c:-tHl
-,-
1000 sq, ft. or less
Each additional 500 sq. ft, or
portion thereof
-<
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50,00
B. I 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 AmpsIVolts
Reconnect Only
$ 63,00
$ 75,00
$125,00
$163,00
$375,00
$ 50,00
c. I Temporary Services or Feeders
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
$ 50,00
$ 69.00
$100,00
~o,oo
J
Over 600 Amps or 1000 Volts see "B" above.
D. I Branch Circuits
$ 43.00
, ~25 Fifth Street
Springfield, Oregon 97477
5.41-726-3759 Phone
.
~
~ity of Springfield Official Receipt
Wevelopment Services Department
Public Works Department
?f
Job/Journal Number
CpM2006-00214
CpM2006-00214
COM2006-00214
,
CpM2006-00214
CpM2006-00214
COM2006-00214
COM2006-00214
COM2006-00214
COM2006-00214
COM2006-00214
COM2006-00214
C;OM2006-00214
OOM2006-00214
~M2006-00214
COM2006-00214
COM2006-00214
COM2006-00214
C0M2006-00214
. CbM2006-00214
CbM2006-00214
CbM2006-00214
c'nM2006-00214
COM2006-00214
COM2006-00214
COM2006-00214
COM2006-00214
COM2006-00214
COM2006-00214
COM2006-00214
CbM2006-00214
.,
COM2006-00214
COM2006-00214
COM2006-00214
COM2006-00214
:l'
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P,ayments:
Tb,e of Payment
C:[~ditCard
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3/27/2006
,\
RECEIPT #:
3200600000000000155
Date: 03/27/2006
Description
Addressing Assignment
WilIamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Curbcut Pennit
Curbcut - Additional Driveway
Mountaingate Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Stonn Admin
SDC Transpo Admin
Plan Review Residential
2 Baths One or Two Family
Air Handling Unit Up to 10,000
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
Heat Pump
-Mechanical Issuance Fee-
Plan Review Major - Planning
Stonn Sewer Each Addtl 100'
Backflow Device
Building Pennit
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
NANCY DEGENAULT
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
dim 045908 In Person
Payment Total:
Page I of I
2:50:22PM
Amount Due
31.00
1,000,00
106.00
95.00
50.00
80.00
40.00
1,375.62
676.89
514.89
182.69
805,70
82.03
865.31
10.00
162.93,
62.73
19.01
254.00
8.00
12.00
6.00
9,00
6,00
4,00
15.00
12,00
10.00
150.00
14,00
14.00
1,030.40
130,83
163,54
57,998.57
Amount Paid
$7,998.57
57,998.57