HomeMy WebLinkAboutPermit Electrical 2003-3-5
',225 FIFTH STREET
';"'i'SPRlNGFIELD OREGON 97477
~;:.>_- _. ., '-- :." . .'-. _ _' -. >:i/
'~;JINSP.E:CTIONREQLJE:ST: 72t5.-37
if OiOFFICE: 726-3759 , i,;",:;,;;
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;r'1. LOCATION OFgiSTAL:Ci\TION ~;?
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LEGAL DESCRIPTION
Multi-Family per dwelling unit.
Service Included:
Items Cost
JOB DESCRIPTION. ' 9 proj'eC' as submitted has th?rll :R\\O#l~ft, or less
7_ . _ J"'O. ~.::.. ..~ ia!.loWln . peclflC 1,1h'C!'\(J
~ ./ r~ <>nrl doeS not reqUif8 S ' Each additional 500
Ii '.V" '.0
. a~,prov8\ , / '"[2rC- .:.C]. ft or ~rtion
Pernuts are non-transferable and expmnmg' 5- 0 thereof_
if work is not started within 180 days '=? ..- acll ManuI'd Home or
of issuance or if work is suspei\'d~Q~ 'elling
"'.: .. ...(" Signature - S' d
180 days.,: ,,,;lI.J[lLt:; erVlce or Fee er
$106,00
$ 19.00
2, CONTRAqTOR~,. STALLATIONO~Y
..'.',.'...........'..,..... 't,' \
Electrical' t~~~racto~..:~) f!A \N S l-! eAR \ G
~~.~ f).. ~ ~~
0D'1-
hone
B.
Address
.. Expiration Date ,
:: t f'S .' EI t <6'00 (<'A
1(1I1a ure 0 upernslllg ec nCIa~l1 ~ v Q <::I.
t ' ~ ~/, ~ ~ Over
'" ~ <S'~ ~ ~/B" above
___- ~ O>~ <S' ~ 1<- ",
. ~~c~r~uits,
. v~;~....,~..,'..,'.,.,.'"..,..,],ra.,}.l..,.on
v~ (p~:rQL)"
~~~kt'
Each Additional
or F ceder Permit
E. I\Iiscellancous (SclTice/fee(Iernot inclulJed)
-Each installation ...'.
Pump or irrigation .
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$50.00
$50.00
$25.00
$45.00
Minimum Electric Permit Inspection Fee i~ S-J.5,On + Surcharges
4. SUBTOTAL OF ABOVE
7~/o State Surchargc
8% Administratiyc Fce
50,"
~.~
S.-
TOTAL
5 <6'. ~"()
225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number ~;;)Ln):3 . 00 I IODate 2 - )...4 - 03
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
a, fJ4tO- 60 I Amps to 1000 Amps
City (W?Jeyv~ p~Ul!~1::;- S-SO?7 Over 1000 AmpsNolts
J Reconnect OIllY,
THIS PERMIT SHALL EXPIRE IF THE WOK"
Supervisor License Number Kgm~~ED UNDER THIS<P.
GOMM!:NGED OR IS ABANDO
Expiration Date /6 ' 0 I1\N'i2:ooldAY PERIOD.
Owners Name -r~ Bl~
Address ?tm-c '7 c./- 2. ~
I
City 2vt~ ' :PrE?pe,v~H~;'1 :Z~!W4ulrt:.. ru~~ or irrigation $ 50.00
)1I0W rules adopted by the Oreg;n ~ffl('putline Lighting $ 50.00
OWNER INSTALLATHill'fcation Center Those rules are Seifl5~frEnergY/Residential $ 25.00
!he in,stallation is being ~MeR~,~?oRPJyqCbUht~~h OAR 9~~~LEnergy/Commercial $ 45.00
IS not mtended for sale, lease orgeif!fay obtain "oples Of~i~mctric Permit Inspection Fee is $45.00 + Surcharges
'-lllmg me center \ Note: the tele
i r08( 'or the Oregon Utility Nsti
~nn-13?-2344).
1.
9;4 L" h\.i.v1% (V\.u..toc..J
~
LEGAL DESCRlPTION
11. 0 3 . 'Z.-~. ~3' I.). 400
JOB DESCRlPTION
~f.e.-
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.
Address
'Ler,'(Z\c,
../ .'
f. e>. ~~ ~~2~
Electrical Contractor
Constr, Contr. Number ~ ~ S' 1 C\
Expiration Date ~.... A 0 - iJ- ooL1
Signature '{ SUP'M)ing E~CtriCian
b___,___
Owners Signature:
Inspection Request: 726-3769
3.
A.
Service Included
1000 sq, ft, or less
Each additional 500 sq. ft, or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106,00
$ 19.00
$50.00
B.
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
.;0. -
Over 600 Amps or 1000 Volts see "B" above.
D.
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
E.
7% State Surcharge
10% Administrative Fee
50.-
'3.c;O
$.-
~ '5~. SO
TOTAL
Shared Drive(T: )/Building Fonns/Electrical Pennit Application 1-03.doc
Report 10: SPRA103
Voucher ID : 00059435
Handling Code: RE
Butler Development, L.L.C.
3824 Meadow View Drive
Eugene, OR 97402-5927
City ofSpringt.~'ld
Voucher
Accounting Date: March 6, 2003
Vendor Number: 0000008966
Invoice Date: February 24, 2003
Invoice # : 2-26-2003
Approver : Puent,David
Operator: WILS5940
Gross Amount: 423.61
SubClass BY ProilGrant Amount
2003 3.50
2003 380,11
2003 40.00
Descriotion Account Fund OrQ
Plan review refund
215004 821
425602 100
426102 100
Comments:
15 day check
return of 70% plan review
return of 80% electrical permit
return of 100% State Surcharge
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~ 2..cro "3 ~ 00 \( 0