HomeMy WebLinkAboutPermit Electrical 2010-8-23
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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) . ~
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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
.