HomeMy WebLinkAboutPermit Electrical 2000-10-25
DEVELOPMENT SERVICES DEPARTMENT
The following project as submitted has the following
zoning, and does not require specific land use
approval. A:rJ (L;
225 FIFTH STREET Zoning
SPRINGFIELD, OREGON ~J477 16 r)-<;;.,.-rf)
INSPECTION REQUEST: /26-3769 ~
OFFICE: 726-3759 Authorized Signature
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor C~AlV\ <[ fuM.. fl'
Address ~tg 3f1 C ~ .,llinJ\)AA\\ rI\
~ ~
Ci ty 5p4tl Phone 7ttl OCJS-~
Supervisor License Number 3// CY ~
Expiration Date {(:) 111 () I
Constr Contr. Number I ~{I},<,,()Y
Expiration Date I () 10J
Sign(::J~~;:'~~ectriCian
Owners Name "I ~{\A' I ^ nf. l~
S;~'^X{,
~rJ
~ \
OVNER INSTALLATION
1.
LOCATION OF INSTALLAfION
/ ,~(,) ( Nl () (\ cL r...
LEGAL DESCRIPTION
!:rG~~~~ . O~10S
JOB DESCRIPTION .
5..u.~(a C~~ : Od()tlLd~"
V I .
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
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: L. i... 00
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SPRINGFIELD, ~~~~~GE:
FAX (~~f~S~59
ELECTRICAL PERMIT APPLICATION
City Job Number
tiO-O 13d.+- 0 (
3. COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
Sum
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less . I $ 50.00 50- b"'V
201 amps to 400 amps $ 60.00 .
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
NOTId~'fe.r 1000 amps/volts $300.00
THI. 'Re'connec t Only $ 40.00
S PERMIT SHA I
AUBMOR1~mI1orarlj. ES~lf?:[q(tsrl-o-r &-~~ders
COMMEJll~ltJ..jfl@ltli?qI)lHS{tft.erkCt~[if1l6r Relocation
"". CEDORISAB 11 f)~ HMIT/SNOT .
rll\}Y 180l2/~9F't:~S. orA'~e's.s'\JEDFOQ $ 40.00
201 amp~Dto 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
'-" .. f' _. New, Alteration or Extension Per Panel
: ?IIOt~ rtlie_~> a'd '" ~~9(:', :aw require. ,
, Juf/CElllor One (\011t~@]f1jhe Q S you tc
'71.fl1 q /(:q)AR 952.~'~f'fie,^d))iD~~IfD~fegon Urlllty
. UU9() You ~ 'CrfJrud)~hP.JUaY;L.rtflrSl2lDVi&j~t
callinO ~h aJffJtEe.ep..v&.JPi~eiJli!fB952-0n1. $ 2.00
,-,_ '''-ib,~'-'' _~ center (f\lote' ~ oUhe rules hil
"E" ,- M1~s'0eJj.spep.~s€ ZtS~PJN~,G.eTfeeder no t included)
" - E h ,.. 11!,f';tJ1>dl.J'~ Ie
..: ac - In~'~~~~7alIl~l"'iJkation
Pump or lrrlg"M{ii}~m $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
,.f;-""J ~
5. SUBTOTAL OF ABOVE . )L/
7%, State Surcharge -;..7 (5
3% Administrative Fee 1.;;;00>
TOTAL 55'J 0CJI
Address'
Ci ty
Phone
The installation is being made on
property I own which is not intended
for sale, lease or ren t . ' -.
OWners Signature:
---------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
IO.~5-00
:3 t; 0 :2.
w~
....,.
D.
Branch Circuits
$ 35.00