HomeMy WebLinkAboutPermit Electrical 2010-8-25
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225 Fiflh Strcct.Sprillglicld, OK 97477+ PII(541)726-3753+ FAX(5-41)726-3689
..DEPARTMENT USEONL Y
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Date: g -Z'5: -/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 Yes 0 No
CATEGORY OF. CONSTRUCTION
ZIP 1f-l1 ~(
octO l
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E-muil:
This inst:.lllation is being made 011 residential or farm propel1y
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540( I) and 479.560(1).
Signature:
Business name:
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing- s-llpervisor:
-
.. .... ~ FEE SCHEDULE
.Number offi1~'p';'ctionspcritei11{)' Qty.
Total
cosh
Cost
ea.
ResideutiaJ, per unit, service included:
1,000sq. ft. or Icss(4)
Each additional 500 sq. ft. or portion
.thereof
Limited energy (2)
Each manufactured home or modular
dwelling service or feeder (2)
5134.00 5
5 25.00 5
I $ 32.00 $ '5'2....
$ 63.00 $
Services or feeders: installation, aitera/ioll, reiocation
>
200 amps or less (2) 5 81.00 5
201 to 400 amps (2) 5 95.00 $
401 lO 600 amps (2) $158.00 $
60 I to 1,000 amps (2) 5205.00 $
Over 1,000 amps or volts (2) $489.00 5
Reconnect only (2) $ 63.00 $
Temporary services or feeders: illstallatioll, ai/era/ioll, re{oca/ioll
200 amps or less (2)
20 I lO 400 amps (2)
401 to <>DO amps (2)
5 63.00 5
$ 87.00 5
$126.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: /Jew, aiteratioll, extcflSioll pCI' pa;,~r-.. _1'
a. Fee for ~~l~~~ircuits with purch;~r5f~te'Fc~~~~~\.ft\c:t '.
."..l,H.... \.1~\LI-'''I_ .VI
Each;bca~cI)..,cFF,~lhY'i '5,,"--. .,-\.11<.; I' . ~t $ ..
b. Fee1dtl~~lf1\i6~~~e ~tJlOtl~u~~ ~~'e'e r feeder fee:
First ~iall~I\:~lrgui1~.O Ut\ :~t""\n S 55.00 $
1 L'l"".. ~\I;;W\lV
Each adClitional:btah"cJi\<;i . $ 6.00 S
^..'''' l'lU\:':
1"'\1'"
Miscellaneous fees: service orfeeder 110/ incfuded
Each pump or irrigation circle (2)
Each sign or outline lighting (2)
Signal circuit or a limited-energy panel,
altcrdtion, or extension (2)
Each aliliitional inspection: (1)
'<,,0....,. . .'<.,.;~Af'f'L1CA~rt'USE
(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00)
$ 63.00 S
$ 63.00 $
$ 63.00 $
$58.00 $
<
5 Sf.tY
$" ruL &Jrt
$ 1, '}o
$t,.7.~
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952<001-0010 through OAR 952-001- (8) Enter 12% surcharge (.12 x [A])
0090, You may obtain copies of the rules by (C) Technology Fee (5% oF[A])
calling the center. (Note: the telephone ~ ~ TOTAL rees and surcharges (A through C):
number for the Oregon Utility Notification ~\ ~"'.i'.;
Center is 1-800-332-2344). "' ~ v-.
440-2584~J (9/08/cmvl) ~V
.~
TRANSACTION RECEIPT
I
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-726-3753
www.cLspringfield.or.us
pe rmitcenter@ci.springfield.or.us
RECEIPT NO: 2010000128
RECORD NO: 811-SPR201O-00123 DATE: 08/25/2010
"Ttz?iY;f;jifJ:'!\"!;':C'H~ ,;; ~c_i::,OlJ N:TiC,oQI'E'~' :: ':-"8Mb,UNJ-,PJJ,I" .1
224-00000-426102 $58.00
,.":-;;! . -;'-1iL .100-00000-425605 $2.90
.:"::;1. .,.., ,. 821'00000-215004 $6.96
'; TOTAL DUE: $67,86
-C_ONlI\IIE:N:r:S,'';;-~>4.-;I.- ", ;L4I'1!.OUNJJ~AID~
$67.86
-" ~.
~DESCRipTION:-X'!l-lf4:" /
Other Limited Ener9Y
Technology fee (5% of permit total)
State of Oregon Surcharge (12% of applicable fees)
r--p~.MI'NT T'i:Pg:t'::;.tP{!;fOR-~~0C~SHIER;bBdM:SBY,
Credit Card VYANET OPERATING GROUP
INC
'J
025997
$67.86
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