HomeMy WebLinkAboutPermit Electrical 2010-9-3
RUG~31-2010 11:30
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LRN TEL SVCS EUGENE
llS flft. S.....tSprlll.,..k1. OR 974770 PHlS4 1)726-1753. YAX(S41)7Z1;-3ll89
15416884642
P.02
.pmNomu:t
DEPARTMENT use ONLY
?e~~c.IO..oOZOO
.
Date:
9- 3. 10
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Thil permit II Issued under OAR 918-309-0000. Permits aTe nonlTanlferable. Permits expire if work .. not Itarted within 188
day. of i...uanee or if work b luspendod for 180 days.
LOCAL GOveRNMENT APPROVAL
Zoning approval verified? 0 Yes 0 No
CATEGORY OF CONSTRUCTION
o Residenlial 0 Governmenl Commercial
JOB SITE INFORMATION AND LOCATION
Job site address: b?5L '5\- ,
City:
Subdjvi ion: \
PROPERTY OWNER
Name:
Address:
City: ZIP:
PhoneSt(
E-rnall:
This installation is being made on residential or fann property
owned by me ora member ormyimmcdiatc family. This
property is not intended for Islet exchanget lease, or rent. OAR
479.540(1) and 479.560( l).
Signat....:
FEE SCHEDULE
Nombe. orin.......o., per Item () QIy. Cost Tolal
... ....,
Rnideq(ial, per trnit. servkt! includt:d:
1.000 sq. ft. or I... (4) 5134.00 5
Each additional 500 sq. n. or poltion 5 25.00 5
,hereof
Limited cn",gy (l) i 5 52.00 532
Eae" manufactlued home or modular S .3.00 S
dwelling servic:e or Ieed~r (2)
Se"ic:es or feeders; installation, altcm/ion, relocation
lOO amps or I... (l) 5 81.00 $
lOI to 400 amp! (2) $ 9UO $
AOI to 600 amI" (2) 5158.00 5
(,01 to 1,000 amps (2) 5205.00 5
Over 1.000 amp. Or vol!.! (2) 5469.00 5
Reconnec' only (2) 5 65.00 5
T~mporaty Itnittt Or fHdtr!: installalion, aI/era'''''", rPl"cat;on
200 amps or les. (2) 5 63.00 5
201 to AOO alt1JS (2) $ 87.00 $
401 10600 amp; (l) 5126.00 5
Over 600 amps or 1.000 volts, see services or feeders section abow
Dranrh rlnulu: ntw, alterotkm, at~nsion ~ l'(lnl1l :?, '.
a. Fee for branch chcuirs with purehase o(a sel"J~<< ~i~:
~~~~. "reuit ~,'~, ,_ t~I}\r~' ..5\1.bi f'lf' I .
h. Pedo<bf8@!\1>1t'c ~ . H~der ree:
.. \.4.\:'l \
fi~\ ~WiF'il\?.M.Iti , ,,0. IS "or ". 5 55.00 5 .
EOchla!!<!!Hi>iial' IOD. S 6.00 S
Misc:;n8\~-epUS feJsHr~ice Qr feeder not included
Each pump or irrigation circle (2) S 63.00 S
Each sign or outlim...ligl1ting (2) 5 63.00 5
Signal circuH or a limitcd-cl1crgy panel, S 63.00 S
alteration, or extension (2)
Eatb Bdditiol1al inspection.: (1) 558.00 5
APPLICANT USE
(A) Enter !>ubtotlll ofllbove (ees S '58
(Minimilrh Permit Fee 558.00)
(B) Enter Il'Yo s.rc~arge (.IZ >[AlJ S b1b
(e) Technology Fee (5% or[A]) 5 ZJ'O
TOTAL fees and aun:harges (A IIlrough C); 5t..?Rb
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utilitv
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may ob.tain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification :\ ~
.~_~,C"",,). HOO~3223441. 't~
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TOTRL P.02
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~OREGON
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00200
632 SHELLEY ST
CITY OF SPRINGFIELD
225 Fifth St
Springfield, OR 97477
541-726-3753
permilcenler@ci.springfietd.or.us
RECEIPT NO: 2010000228
RECORD NO: 811-SPR20 I 0-00200
DATE: 09/03/2010
~""__ :.~d~,,~: .~~~_C9_m:lT::'c'QQE '_ -"~_ < -
224-00000-426102
100-00000-425605
821-00000-215004
TOTAL DUE:
L~A.YJ\lI;,t;lT T,(~I;;:_ '"'tPAY.Q8,:::- "'CI[SHIER "BOWLS-BY, -: - C::'Or.1ME_t;lJ:.Sc~,:~~'r::- ~ ~-_:-- - _ - -",-
i, c.
8!'!!91JNT DU,!;""'#,
$58,00
$2,90
$6,96
$67,86
AMQy,t;lTPA!Q
",j
tm:stRlpTIONC'1E_~',:' ->dc;';'-11'-;'_'-,"~<_1C
Stand-alone limited energy, multi-family
Technology fee (5% of permit total)
State of Oregon Surcharge (12% of applicable fees)
,-:J
Credit Card
06628c
steven cochran
$67,86
$67,86
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