HomeMy WebLinkAboutPermit Building 2006-12-12
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. . CITY OF SPRIl"<\lFIELD, OREGON
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Date 12.. II - 6 fo
225 FIFTH STREET. SPRIi'iGFIELD. OR 97477 . PH:(54I)7l&-3753 . FAX: (541)72&-3689
ELECTRiCAL PERMIT APPLICATION
City Job Number CiJrvI:;;;ODI", _f)lri../f)
I, . LOCA110N OF INSTALLATION: 3. COMPLETE FEE SCHEDULE.HELOW
1.f32.. m OUV\,+;:) (Y\ 6~ t-e
Service Included
1000 sq. ft. or less I $106.00 }D{o'
Each additional 500 sq. ft. or I I I U
ponion thereof t.a.. $ 19.00 ~
Each ManillliOililf!llbliulloiUIE::gUllldw 1(:;'4".1"':' yuu Iv
Modular1eJ!!~ni11&'.S~icll:brpted by the Oregon Utility
FeederNotification Center. Th.:,;:,.:; ;;;1:;) d(t9.~t fg.'"
. n.aI111l;?-001 -Q.Q1Q thrqyah OAR 952-001
2. CONTRACTOR INSTALLATION ONLY B. ser~O~K~ote~iW6Ot!r.\\08b'P1~!Nlrl'r'it\lrrB~'!f~011:
Electrical Coniractor f11 f t: lee + C l' C. ~ ~ 200 Amps 6ilfJ~9 the center. (Note: th~~~!~hO~e
~ - 201 AmpF/cl'4b'o~A~~the.OreIlV" ;';,;I;(y~tmcc;.:;;:;;.
Address t> 0 00 X I (p 96 40 I Amps to 600 ..frrlP~ter IS 1-850-332 -2$12~.bO
Al L 51./1 601 Amps to 1000 Amps S163.00
City f,)~Vl Y Phone qloT ~ 102 7 Over 1000 AmpsNolts S375.00
Reconnect Only $ 50.00
LEGAL DESCRIPTION:
110'), 34 340 ::;l4efU
JOB DESCRIPTION:
V\ e u.J
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Permits are non-transferable and expire If work Is
not staned within 180 days of Issuance or If work Is
Suspended for 180 days.
Supervisor Lic.ense Number :.:J.. q p> 0 S
Expiration Date
ID ./-09
:JLf';l15~
to ... I - 0 9J
Constr. Contr. Number
Expiration Date
,~:enngEI~~.
I~ ~ V
Owners Name 'l11.//'fy VlAlleu BldJ:r
Address -tJ. o. f1 OK 'l3.? I
City~ Phone Slt[-7:JC. -D!OD
OWNER INSTALLATION
The installation is being made on propel1y I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspectl~n 4BltJ.q: 4~~
f\ ~5 '. 5 \ \ ~ \ 'd-
~" 00..
A. New Residential- Single or Multi-Family per dwelling unit.
C. Tempor~ry Services ~r Feeders
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
New ,{1'tQ.ltlbrfo'r Extension Per Panel. IF THF WORK
One CifWii) PERMIT SHALL EXPIHt .$ 43 'SD <'T
Each "Kdtjili"/t~!~L'l:@t\:lt,~lhq I HI~ I'ttlMlll Nu.
Service q( F~eiler P.ennitOR IS An, "",,"rb3:Qil~
CuMMtNCtU u....__..L'
E. J\lisq~h\llll!o?IMIl~lfJ.w~J;l not Included) -Each Installation
$ 50.00
$ 69.00
$100.00
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is 545.00 + Surcharges
:;)0. 0 '
_I 7 , If2..i2
ff,'ffJ
:2.70, (aO
4. SUBTOTAL OF ABOVE
8% Stale Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL
Shared Drive(T:VBuilding FonnsJEk'Ccrical Permit Appliculion 8-06.dOl;