HomeMy WebLinkAboutPermit Electrical 1999-2-23
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SPRINGFIELD
approval ~ ATTENTIO
~ J' N:Oregon law requires you to
z~n~ ./ Inlln... .. ,I,,~ ~rI"pted b th 0
f\ , I . . . y e regon Utility
DateN- . ~l NotIfication Center. Those rules are set forth
Authorized Signatur.lk\ ~ O~~ ~52-001-U01 0 through OAR 952.Q01-
225 FIFTH STREET 33".', t.u '",u, ,-,...tain copies of the rules bllLECTRICAL PERIilT APPLICATION
SPRINGFIELD, OREGON 'i,fif1}'f9 the center. (Note: the telephone
INSPECfION REQUEST: '1P6~'31J189 the Oregon Utility Notification Ci ty Job Number 0/90 Z S 7-
OFFICE: 726-3759 Center is 1-800-332-2344).
3. COMPLETE FEE SCHEDULE HELO~
200 amps or less $ 50.00
NO'i'/CI< 201 amps to 400 amps $ 60.00
541-92,6.:t:Z~: 401 amps to 600 amps $100.00
,nTIjPE:RMITSJ 601 amps to 1000 amps' $130.00
3257S\/I""-'D=--o I'IALLO'J;'W'/r:M)Q.O a.!:lps/vol ts $300.00
.. flu.t:D UNDt:#j.con'mlE:tTH:JnIJ.lUJRK $ 40.00
lo-arQiJ1MF^,f'I:D' HIS PeRMit I.~ AI"
't/', n - CeUs IT:i;Il1l),,~Fl'i.Y. Se'tiil'lTes or Feeders
22-1SC lP, P~"/3r;fi:llpl InstanVa.DiIdllf,f Alteration or Relocation
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1O.Q1-99 200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts see "B" above
1, LOCATION OF INSTALLATION
2005 Olympic
LEGAL DESCRIPTION
Snrin"fi"l<l rilli:lJgo~ /7/)325 '(1
~ofZJb
-!Ol} 9ESCRIPTION I
I'h/pf !We) Cou.... 5
Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
JOB /I 69902-19
2. CONTRACfOR INSTALLATION ONLY
Electrical Contractor E C CarpanY'" Albany
Address
POBox 925
Ci ty Albany. OR 97321 Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
~t~~;:?J"f. Supervisin
~-X/.-'\...\
OIJners Name p/tJj J UAlRhlllf
I
Address '}.O{)~ a/, h-,1'1'L
Ci ty <;/JfIA-,{r,l) Phone
, /
OVNER INSTALLATION
The installation is being made on
property I o~n IJhich is not intended
for sale, lease or rent.
Owners Signature:
----------------------~- -- -----------
DATE: ).. tlf1
RECEIPT H: _I; 'j'lM...li.l- /,
Rr.r.r.TVED BY: .
A.
NeIJ Residential-Single or
Multi-Family per d~elling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'DIJelling
Service or Feeder
S 85.00
$ 15.00
$ 40.00
B. Services Or Feeders
Installation, Alterations
or Relocation:
$ 40.00
S 55.00
$ 80.00
~D.
Branch Circui ts
.'
Ne~, Alteration or Extension Per Panel
One Circuit
Each Add it i onal
Circuit Or ~ith Service
or Feeder Permit 1
$ 35. 00 35..00-
1
$
2.00 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
TOTAL
37.00
1 A<
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':In nt:.
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ilJOTlc~.
THIS p~ .
AU RMIT SHALL E ELECTRICAL PERMIT APPLICATION
97477 THORIZ~D XPIR~/FT.
726-a7.f!.?V1~NC UND~R THIS Pg HF&fJ.R/{lob Number '?/O 2.S' 'J:-
., 'I, ~D OR IS RMIT IS No
.. ' lr~ f1i:' P~ AL::31NDllWHl)LETE 'FEE SCHEDULE BEL01J
1. LOCATION OF INSTALLATION ' '_RIO'" '" "OR
2005 Olympic A. Nev Residen tial-Single or
Multi-Family per dvelling unit.
Service Included:
DATE: 02-05-99
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
LEGAL DESCRIPTION
Sori.ru?field Cill€!MS 1103 z.S" '11
6DSDC,
Sum
Items
Cost
$ 85.00
JOB DESCRIPTION I 1000 sq.ft. or less
ArI.I I'Anu Ctll (;.. t S Each addi t ional 500
. "1lt121V sq. ft or portion
Permi ts are non-transferabl& ~d~\Ji(j)4':O thereof
if vork is not started vi thi'RtiNIJ9t'&'~do regOnlH,ch Manuf'd Home or
of issuance or if vork is B'il~~gqp(f'll}jt :Otedby;M661AAf.r Dvelling
180 days. 090 y, <<'001 er. thos ~eydg."'!.161[JI!')eeder
JOB 1/69902-19 cali, OUrnay~0010throeru/esaronUtilit
2. CONTRACTOR INSTALLATIOfMJ1iJs'l? the CentbtainIt'o:oIf;@rr:;A.flsSOjfo~lfeders
rforthe er. (IVOI !%GJtih1:ElP~, Al tera t ions
Electrical Contractor "" rr.qp=jgerllAiji1!egonu:'!Ysfflf.f'ol:tloJsiB,n:
'800-3 tlllly/xo ~~hone :v
Address D" D_.. M< 3<<.~ \V~io9,r less
20I~'amps to 400 amps
Ci ty Albany, OR 97321 Pho'1e 541-926-4266 401 amps to 600 amps
601 amps to 1000 amps
Supervisor License Number 12'i"(S Over 1000 amps/volts
Reconnect Only
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
'-
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Expiration Date
1(\",,/)1.../"'11
C. Temporary Services or Feeders
Installation, Alteration or Relocation
22-1SC
Constr Contr. Number
10-01-99
$ 40.00
$ 55.00
$ 80.00
see liB" above
200 amps' 'or less
201 amps to 400 amps
Signature of. Supervising Electricia,n J 8n '" Over 401 to 600 amps
? ~ ~ /2JAHtxlt) Co '~Over 600 amps or 1000 volts
I D Branch Circuits
Ovners Name 5J;1J-,,... ksf/ c-/~ RIl4c./ C,t:JeF:ia'
i I Nev, Alteration or Extension Per Panel
Address '].005" tJ/Y/I1,or c:..
Expiration Date
"
$ 35.00
. .JS..OO-
One Circuit
Each Additional
Circuit or '.lith Service
or Feeder Permit 1
Ci ty SfJ!2tKf{;oz,,/'
Phone
$ 2.00 2.00
01JNER INSTALLATION
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
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
37.00
1.tl~
1.11
39.96
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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DATE: oz,/;'3tf'f
RECEIPT~: (j ~'l.'i""z... . if "
Rvr.nVF.O BY: '4' W;>P