HomeMy WebLinkAboutPermit Electrical 2006-6-12
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125 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
c.l4liI1lovVIU' ~..1f 3--0 1'~1 ;1-/
ELECTRICAL.IT APPLICATION
City Job Number COM LP eJb - 004" -,
3. COMPLETE FEE SCHEDULE BELOW
I. LOCATION OF INSTALLATION
.-:) d R-~ Y'1I'./ A':; gt;;I-- A; New Residentlal-Single or
. . '?7/80J 0) t '-( Multi-Family per dwel\ing unit.
)'~~~~S:RIf;.P?~ . -; ;' _ k-..:.<<1'900 ServtceIncluded:
f/.L<Vf d~1V Items Cost
.' (J -
JOB I)J'SCRIPTION /J/J
/<-I/./U4/ /1/1, ~
/ //
Permits areVnon-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACfOR INST ALLA nON ONLY
Electrical Contractor~Di SU..!)" i t~'
Address lfll S SW 153 t! Or.
City B~cl\lt.doV\ Phone5D3.1I&1.7,DO
Supervisor License Number !..EI1 3 %9
Expir.tion Date /q/ / tJ f"
Constr Contr. Number 5'411.1'1
Expir.tion Date 5' 7.C7
Signature of Supervising Electrician
~ ~~;~ J _ Gj~f,
.,fd- J . '/~
Owners Name >~,...~ NII-<.~.f LLC.
, .
Address?C> ~.tc Z:z..Z 'Z.
City I~. WAhone Z 'S'J-
OWNER INSTALLATION
The inst.ll.tion is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~
$~~
Swn
$106.00
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
S \nf7I-:7-;-OF~('d"'\""''1-~ ~r J"" ~')
UO!lE:.;!Tlr;t1~.r ^~f;!~ne u~Jc ,"1~~ """/' j
AUOun::l'pl -F" n . ......... ) .' .
B. Services lor , ee~ersl.l . Jl :l" J:-i
Aq Seln'Irisi'allalioii;'rAlterationsor" "\ . .'
'~OO-GSIR'eI<ifation:aJlIj o~C'6".,' 1 , . ..: .
4)JOj jes em s31nJ ()sc~!J_ r;: J~ , - ,C" ' ,
Alll!ln '200all,lJls~odessr' ,.'" oJ . ..j $ 63.00
01 noA29JJ~WPJJt~:~p~'amps":' ". nJ ....,., :/ $ 75.00 =
401 lunpS 10 600~sl) .~;C[l; jJl"!'y-'$125.00_
601 amps 101000 amps $163.00
Over 1000 amps/volts _ $375,00_
ReconneclOnly _ $ 50.00_
$ 19.00
$ 50,00
'.'" .1
C. Temporary Services or Feeders
InstalIatlon, Alteration or Relocation
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
$69.00
$100.00
D. Branch Circuits
New Alteration or Extension Per P~nel
One Circuil $43.00
'OOI\Bd AVO Of! ~ ANIJ
H IBMJ =A'd'Cii'i'ibWa'iI '<tiFculi ror(V{ith'S~h'iqeJ:l
101\1 ~or.!I1l;etlerrP{rrtJjl H30Nn 03Zltl()'~l()\.$ 3.00 -
)ltJON\ 3Hl ~I 3HldX311\'HS 111"JH::Ir1 SIH 1
E. MiscelIaneous (Servicetfeeder,olot ircluded)
-Each installation .:. .' ).111\1
Pwnp or irrigation $50.00
Sign/Outline Lighting $50.00
Limited Energy/Res _ $25.00
Limited Energy/Carom i- $45.00 ~tJ
Minimum Electric Permit Inspection Fee is $45.00 +
Surcharges
4. SUBTOTAL OF ABOVE
8% State Surcharge
101'. Administrative Fee
45.00
~~~
---H.50..
_53./0
TOTAL