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HomeMy WebLinkAboutPermit Electrical 2010-8-23 -~"\.;. 225 fifth Strcct+Springficld, OR 97477+PH(541)726-3753+FAX(541)726-3689 .~. This permit is issued under OAR 918-309-0000. Permits j~frti~XPire if work is not started within 180 days of issuance or if work is suspended for 1.80 days. , 'DERARTMENTUSE ONLY . ,...... ........ Permit $1 Cl . b 0 3 3 , no,: Date: City: Phone: E-mail: This installation is being made 0 . sidential or fann p owned by meor a member of my imlTl . te family. T property is not intended for sale, exchange, 479.540(1) and 479.560(1). ZIP: '. .,. , . . " FE':E SCHEDULE.' No N'u~ibeE~finspcctiol1s'pcr 'iteiri1O Qty, egst :rotal . ' .. '. "'. " ~ . i' "." ea. _~cosL mercial Residential, per unit, service included: lOW...., 1,000 sq. n. or less (4) $134.00 $ Each additional 500 sq. ft. or pOltion $ 25.00 $ thereof C{7L.jil Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ '. '. dwelling service or feeder (2) ~ Services or feeders: installation, alteration. relocalion 200 amps orless (2) $ 81.00 $ '.C',,; .... 20 I to 400 amp; (2) $ 95.00 $ L 401 to 600 amp; (2) $158.00 $ 601 to 1,000 amps (2) $205.00 $ 97'f7J Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary service's or feeders: installation. alteration, 'relocation roperty 200 amps or less (2) .' .~, ,$ 63.00 $ his. 201 10 400 amps (2) -- ,.~\&O $ enl. OAR 40 I t2li~0 amp; (2) ,vOl?.\: \f ~\1-= ,~ij)ao . $ .' ;71'';1'''" ~ '6~cW~05~\r\:2lil:;.e.~~1'i\1>lS ~e,~tion abo," ~ ~B~imtJtoo'P.ll }. ,;.qj~1\\4 I perpallel . _, ./1 Pa.\Fii~\?ti&~\f1rE.JO;Qt\t~~ilb purchase ofa service or fceder fee: ~ 1\ 1\ \U \,I'w"w j)pllbli't"" I I $ 6.00 I $ _ .~~rl~Ij!;~V<lli . "t 9"M1'" b:--1Yee for branch circuits without purchase of a se!"Vice or feeder fee: IV First branch circuit (2) ~ $ 55.00 $~.a> Each additional branch circuit $ 6.00 $ 1& I l\-tiscellaneous fees: sen'ice orJeeder 1/01 inclu_ded Each pump or irrigation circle (2) $ 63.00 $ r Each sign or outline lighting (2) $ 63.00 $ J. ........... Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (I) $58.00 $ . ",";''',,'>:;:'''; '.APP~I cfi:N~f"USE "'.:. ~y ";;;, : .; h (A) Enter subtota'] of above fees $ 5i.<u 1. (Minimum Permit'Fee $58.00) b /y\) (8) Enter 12% surcharge (.12 x [AD $ lo.'H. (C) Technology Fee (5% of [A]) $ l..'lD n .\ TOTAL fees and surcharges (A through C): $ ~'htJ., LOCAL GOVERNMENT ARRROVAL Zoning approval verified? DYes D CATEGORY OF CONSTRUCTION o Residential 0 Government .5:Com JOB ;SITE INFORMATION:AND LocAT gS M4Yd \J... City: State: b'Q. ZIP: Reference: dh1r DESCRIRTION..OF. WORK. '. . o.ll..tM~~ Signature: ...CONfRACTOR:INSTALLATION .' Business name: ~ Sl-. Signature of signing supervis ATTENTION: Oregon law requires you.t.o follow rules adopted by the Oregon Utlltty Notification Center. Those rules are set tort . In OAR 952-o0j.()01 0 through OAR 952-00 I . 0090. You may obtain copies of the Nlell ~ call1ng the center. (Note: the tele~hone number tor the Oregon Utiltty NotlfIcatlo ~ 1-800-332-2344). ~ 440-2584-) (9/0S/COM) . ~ . _-;-...,--_"",""",l~"'''''-_.''# ...........-->_..--'''-,,--~ ...-..-.~ . .r-- S,~:~N.:-FIE~ ~,- 'IN. %.~ _.~~ icifj" . OREGON www.ci.springfield.or.uS TRANSACTION RECEIPT 811-SPR2010-00339 3855 MARCOLA RD CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitce nter@ci,springfield.or.us RECEIPT NO: 2010000357 RECORD NO: 811-SPR2010-00339 DATE: 09/20/2010 IDESCRIP;ri6N;;~,""""~,;c ",,,',,,,.V::.",,'; "..,' ",.:;.'6r:i.7f.!.'":[AQ.ti.Q@.T::cj>JiE~";'; :..-2A.M9J!.NJJ2.U)(: -:' ;:.; :. "1 Branch circuits without service or feeder - 1st circuit 224-00000-426102 $55.00 Balance of Minimum Electrical Permit Fees 224-00000-426102 $3.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $6.96 Technolo~'y fee (5% of permit total) 100-00000.425605 $2.90 TOTAL DUE: $67.86 /".pM'MENT.TYPE:, _"dPA:iOR'L;".CASHi1'R!D.B9W(SBY",;~..CO.MME;"H.S<<; .'5"?, Ji ',. . .A.'M9l!.~'fJ'AID... _~!":.ctJ." .1 Credit Card 020403 james carter $67.86 $67.86 .