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HomeMy WebLinkAboutPermit Electrical 2010-6-16 , , Ihe~t~ical Permit Application CITY OF SPRINGFIELD, OREGON 225 Firth SlreettSpringfield, OR 97477tPH(541)726-3753tFAX(541)726-3689 iiiii:~ DEPARTMENT USE Or'lL Y '-'-" I \ r!!7tfJ'". . '75~ .. .".-.,,-. ._, Permit no.: Date: ? -/&- /() This permit is issued under OAR 918.309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Each pump or irrigation circle (2) Each sign or outline lighting (2) Signal circuit or a limited-energy panel, alteration, or extension (2) Each additional inspection: (I) ATTH TION: Oregon lawAPE!~I~ follow \(k)slllft\RlItllii Ifqy, allr~t;I;'set forth Notilica 1~~(;;iinnJ~~'.!', .;R{j >.uA:~I\!A 952-001- in OARl'm-Em~rdBrl!lll1rOOpl. e~IQM\WJJules DY 0090. ~ . callin :fI\1\Q~l!01l1O!iY ttlq~1, \lfrAW' . . . numb ~f~<~ _ _ @~4\\ through C): LOCAL GOVERNMENT APPROVAL Zoning approval verified? Yes 0 No CATEGORY OF. CONSTRUCTION iI .j D Residential D Government Commercial JOB SITE INF.ORMATION AND LOCATION" Job site address: I'Y\ a I WI City: Reference: ","" - .'",,- ~, . Name: q7lf# E-mail: This installation is being made on residential or farm propertY owned by me or a member of my immediate family. This property is not intended for sale, exchange, lease, or rent. OAR 479.540(1) and 479.560(1). Signature: Print name of signing supervisor: Signature of signing supervisor: ~~ ~~~~o ~("\'O NOTICE: . \1.re+(W r~~SH~~~~~ SHAll EXPIRE IF THE WOR~ COMMENCED ~~DER THIS PERMIT IS NOT ANY 180 DAY PER:~;BANDONED FOR 440-2584-) (9/08/COM) F.EE SCHEDULE Number of inspections per item (~ Qt)'. Cost ea~ Total cost Residential, per unit, scn>ice included: 1,000 sq. ft. or less (4) Each additional 500 sq. ft. or portion thereof , Limited energy (2) Each manufactured home or modular dwelling service or feeder (2) $134.00 $ $ $ 25.00 $ 32.00 $ $ 63.00 j; ,,'. Services or feeders: installation, alteration, relocation 200 amps or less (2) 201 to 400 amps (2) 401 to 600 amps (2) 601 tu 1,000 amps (2) Over 1,000 amps or volts (2) Reconnect only (2) $ 81.00 $ $ 95.00 $ $158.00 $ $205.00 $ $469.00 $ $ 63.00 $ Temporary services or feeders: installation, alte..ration, relocation 200 amps or less (2) 201 to 400 amps (2) 401 to 600 amps (2) $ 63.00 $ $ 87.00 $ $126.00 $ Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extension per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit $ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) Each additional branch circuit $ 55.00 $ $ 6.00 $ Miscellaneous fees: service or feeder not included $ 63.00 / $ 63.00 $ $13 $ 63.00 $ $58.00 $ $ C3 $ 7.S-C; $ 3. IS $ /3. 7 ) 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000705 Date: 06/16/2010 2:02:54PM Job/Journal Number COM2010-00752 COM2010,00752 COM20 1 0-00752 Description Sign - Outline Lighting Each + 12% State Surcharge + 5% Technology Fee ~~, i" \ l'R 'i}" !( " Item Tot.l: Amount [)ue 63.00 7.56 3.15 $73.71 Payments: Type of Payment Check P.id By METRO SIGN & AWNING Check Number Authorization Received By Batch Number Number How Received Amount Paid njm 1587 In Person Payment Total: $73.71 $73.71 " " j:J;';/: "''''- "Of, ...,...f.' , t', ;" "r'.-' \.' .' :L.'. ': ' cReceintl Page I of 1 6/16/2010