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HomeMy WebLinkAboutPermit Electrical 2010-8-23 225 Fifth Street. Springfield, OR 97477.PH(541)726-3753+FAX(541)726-3689 SPRINGFIELD 14l,~;.''''-)I;"'t' ff i,. -,. .~,J ~ -..w-~--$i' :Z?.::r.~"'""'''i.g7l ~~J}~~>':. _~~':~I; DEPARTMENT USE ONLY SPi2.IO '00 I' z.. PermIt no.: Date: :f;' Z-::r -/0 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. LOCAL GOVERNMENT APPROVAL Zoning approval verified? 0 Ves 0 No CATEGORY OF :CONSTRUCTION' Residential o Government City: Reference: Name: City. ZIP: c..""","'"\ Phone::>41 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: CONTRACTOR INSTALLATION Business name: ~ -:t: Address: City: c.., Phone',5-iI- E-mail: c:..._ CCB license no.: Signing supervisor's license no.: Print name of signing supervisor: \0. Signature of si ning supervisor: . regon aw reqUIres yo 0 foUow r~les adopled by the Oregon Utility Nollflcatlon Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by caUing the center, (Note: the telephone number for the Oregon Utility Notiflcatio\nC".'(] / Center is 1-800-332-2344). ~ l~ tw 440-2584-J (9/08/COM) ~.:>;j .-..... . :.,:c'-;.': ., .i...........FEE SCHEDULE.' ~,' '. '.-1''''-';'- '.' ....' Number' of inspections per item O. . Qty. Cost Total . ' . ,'.1 ea. - cost Residential, per unit, service included: 1,000 sq. ft. or less (4) $134.00 $ Each additional 500 sq. ft. or portion $ 25.00 $ thereof Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) z... $ 81.00 $/bZ 201 to 400 amps (2) $ 95.00 $ 40 I to 600 amps (2) $158.00 $ 60 I to 1,000 amps (2) $205.00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ Temporary services or feeders: instal/ation, alteration, relocation 200 amps or less (2) $ 63.00 $ 20 I to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $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) $ 55.00 $ Each additional branch circuit $ 6.00 $ M'iQTiI.Gmu,s fees: service or feeder not'incIUclea' iLl<i/,.'j,J'n~RMfTigSlib\\klr~~jRE IF THE fWOO!60 $ lNliJ tllm~o~ ilt; t'l:HMJf .00 $ ~fill~if~i~ t - ~:u t J~ 6300 $ te tih\l, d:biIMrJ?m/ili~D. . '. . . Each additional inspection: (I) $58.00 $ :-:-;k.;',:('S;L~j;:;';'iApPLlCANT 'USE. ., (A) Enter subtotal of above fees $ 1hZ (Minimum Permit Fee $58.00) (B) Enter 12% surcharge (.12 x [AJ) $ I 7' <1<( (C) Technology Fee (5% of [AD $ 8'0 TOTAL fees and surcharges (A through C): $ /'0 ,S ~ --. I . . ' S~~~.~G_.FI~~..D ~~:'\'. . .~ 00~ OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541.726.3753 www.ci.springfield.or.u$ ....".. /, :it!.. . ..1 ,~.,~ _"_,, .; .' _ \ '"'tlj,,". " ;~; ",; . permi1center@ci.springfield.or.us RECEIPT NO: 201000011 7 RECORD Nq;8'h-sPR20\?-00112 DATE: 0812312010 [liESCBI~T19~;. '.. ~:. ",.Ji: -J:;;,' .J:;;'jjj'~J:&f "c,',,',: .:ft.-CCb.UN'(C.OQE,;' "':~~;;;' .'~_ivIQU~'LD,UE....J:""" "',1 Services 200 amps or less 224-00000-426102 $162.00 Technology fee (5% of permit total) 1 00-00000-425605 $8.10 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $19.44 TOTAL DUE: $189.54 ~::PAYivlENtj;YPE' "':i~AtOB::"c"CASHIER::DElbWLSBY";;': .CJjMM~:'N:tS~'.i.t2i::i:::'::'.:" . AMOUNT pAID' v. Credit Card RITE ELECTRIC INC $189.54 321465 L'I' ,~; t . ~ ..~~~~~ ':'~~i~tI~~~~:,:" ~ . ,:.' ':~!'~:~i,l.. ~", '~~'\fi; ,....,'..,~:. -" .:'" ,,: . ~. 'k. ':\b~: ~~~:~::~.:: . '~;Ji:;i~j~:~ ' "1,., :'r,;;~.::~.J ~ r ' .,~.; ,