HomeMy WebLinkAboutPermit Electrical 1994-11-4
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SPRINGFIELD
The following project ... submitted haslhe following ~
zonIng. and docs not requlio Gpeclhc land use
225 FIFTH STREET approval. (L ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97471 . rf\ D (\). \ Q ~ LL.
INSPECTION REQUEST: 726_376~o",no City Job Number '-'\"\ ~Y,,-)T
OFFICE: 726-3759 Dale.J-l-Lj ~'1 'i
p~OHPLETE FFE SCHEDULE BELOII
1. L~IJ;Qlj..OF t:~IA\oJ.ArtOtfz~d Signalure
~' \ ~\1~ A. New Residential-Single or
Hulti-Family per dwelling
Service Included:
\f}~'Jt~IBQ.rr:c>
~B~~In~
,-
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. CONTRACTOR INSTAIf'\TION ONLY B.
Electrical contract~}{~ FW
NW ?q-' ~T
Phone~)~7'i~"':J6
'20o'i.S
Address 40 I
Ci ty ~JN.tJ ~ ('
Supervisor License Number
Expiration Date
J 1 -2.y3L( C ~
(0 I, ) 0S:
(
Signature of Supervising Electrician
\fu ~ t1, 4o-JJ
owne~s Name ~~ ~ (\~.
Address~() \~}\I)k~J
City ~ Phone ~~.~
O~~S~LATION
Constr Contr. Number
E .\ . D
xplratlOn ate
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
5j~::~-~:=:~~\'
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular, 'Dwelling
Service or Feeder
unit.
Cost , Sum
$ 85.00
$ 15.00
$ 40.00
Items
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 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40,00
..
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less ~ $ 40.00 ~
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 100u volts see "B" above
D.
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
CD
.
.
The, foiJowing project as cubrnf~cd han the fo!lowln~
zoning, end does not require epwific land usa
225 FIFTH STREET approval. r-.I' . ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonino m 1ft-""
INSPECTION REQUEST:- 72~-;d,769 iI-3>- <I'-(
OFFICE: 726-3759
/oJ ('/'S..;- COMPLETE FEE SCHEDULE BELOV
Authorized Signature
1. LOCATION OF INSTALLATION
.J:2.A-'::> ~~CtFZ>/.?
- ,
LEGAL:OESCRIPTION
/7 . ~"-2. '2 _ ~Y'~ &'~~
,
..aJO~SCRIPTIO~_
~/ ~.P ~,,;;W'"~
City Job Number
.:::; ~ As-Y
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost ~ Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. It or portion
thereof $ 15.00
Each Manuf'd Home or
Modular'Owelling
Service or Feeder $ 40,00
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. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor ~~ ~~~~,-
~.... -'I'.J;..! ........
Address "";;j "77 ~C' -::z/~ ~-~
City~~. Phone ':;;r:~#K~~7?'2...
Supervisor License Number
Expiration Date
Constr Contr. Number ~ ::r/~
I
Expiration Date
/-/~~"7
Signature of Supervising Electrician
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 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
.'
C. Temporary Services or-Feeders
Installation, Alteration or Relocation
Owners Name
~~/ 7~R?O'
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
--------------------------------
DATE: //-T-'9o/
RECEIPT 1I: /~ Y (::>
RECEIVED BY: /?' ~__-
'7
200 amps or less ~
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00 ?~
$ 55.00 .
$ 80.00
see "B" above
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35,00
$ 2,00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~~- ~
5% State Surcharge /~. _~~
3% Administrative Fee I~-
TOTAL -5jt Sl . ::II c::>