Loading...
HomeMy WebLinkAboutPermit Electrical 2010-9-27 ( .,' ."" " Electrical Permit Ap lication ~IJ~~~('~': 225 Fifth Street. Springfield, OR 97477.PH(54I)726-3753+FAX(541)726-3689 ~ " DEPA,RTMENTUSEONLY " \ " Date: . 7:7--/0 This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if wnrk 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 esidential D Government d Commercial ':JOB. SITE INFORMATION AND . LOCATIONi o $, City: Refe Name: Address: City: Phon 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). S-i- ZIP: Signature: City: Phone: E-mail: CCB license no.:, '" Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: 440-2584-J (9/08/COM) ~ ~& \ FEE.SCHEDULE ,- "-" .',' ,. Qt}:. Cost Total Num~erof inspections per ite~ 0 > ea~ cost "." . , Residential, per unit, service included: 1.000 sq. fl. 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) Senrices or feeders: instal/a/ion, a/Jeration, relocation 200 amps or less (2) $ 61.00 $ 20 I to 400 amps (2) $ 95.00 $ 40 I to 600 amps (2) $156.00 $ 601 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: instaJ/ation, alteration, relocation 200 amps or iess (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 I $ 6.00 $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) / $ 55.00 $SS' Each additional branch circuit -, $ 6.00 $("'..-....,, Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or eX1ension (2) Each additional inspection: (I) $58.00 $ :';1~ -'~ ;_~"~~;>:"_~~:. :. . APPLICANT',USE .' . . . " (A) Enter subtotal of above fees $ hI. oC (Minimum Permit Fee S58.00) (B) Enter 12% surcharge (.12 x [A]) $ (C) Technology Fee (5% of [A]) $ TOTAL fees aod surcharges-(A through C): $ 7/.3 '1 SP~G~~~ ~ ~OREGO~ www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00109 510 S 5TH ST CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 permitcenter@ci.springfield.or.us RECEIPT NO: 2010000167 RECORD NO: &11-SPR20IO-00I09 r PAYMENT TYPE, PAYOR' CASHIER; NMACHADQ 'CQMME"'IS ' .)...<.)'~ DATE: 0812712010 ~]IIlQU"'H)_UE $55,00 $6,00 $7,32 $3,05 $71.37 AMOUNT PAID IDESCRIPTION,' '" Branch circuits without service or feeder - 1 st circuit Branch circuits without service or feeder - each additional State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of pennil lotal) ~~_C_d9N:tC_Of)E~~' 'ii' 224-00000-426102 224-00000-426102 821-00000-215004 100-00000-425605 TOTAL DUE: Check 4360 , GMD ELECTRIC $71.37 $71.37