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HomeMy WebLinkAboutPermit Electrical 2010-8-18 AUG-11-2010 WED 02:58 PM CHRISTENSON ELECTRIC, INC .;.-'\ 'Electrical Permit A 225 }<'irth Street. SJlrhlcficld, OR 97477. T'fJ(541)126.J753' FAX(5;~ 1)716-308' FAX NO. 95034193695 p, 01/02 tl -<"""'., 10 -O()()~~ ii,'PEP;4;RTMENi':Use:ONL'Y: ,,", '~ :.,,:'.. ' "'" .. " ;'. . ' ",':' :',:: -; :'.. .',', ',,,'. ,-, """ .. ',..' : .: -.. ,. 6PWf(aQ"'lIlI.I)\"" '.;....... .:,;i':' Permit no.: -ItS-I 0 Date: . Tbis permit is issued onder OAR 918-309-0000. Pormits are nontnnsferable. Pormlls expire if work is not storted witbin 180 days of issuance or ifwllrk 19 suspended for ]80 days. ", ,; : ':l,OCAIi;;::'G'OVERNMEN1\'APF'ROYAI(:,;;::::i,,::,'::::'"i'"ii, Zoning approval verified? 0 Yes 0 No ,. ":'. .GAJ1EGoftY'Of:,CONSTAJOC'TIPN::"'::::,',i1,,:i,:i,,:',i);!':il' Reference: ..',: '," ::::':::' ; :;~;: ';:',;"" :~\~;~ ~;\! : i: : :\:~:~D ',i: SI; ::::;i:~:J,::',!: Name: City; Phone; E-moil; This installation 'is being made on residential or fann property owned by me a,a member afmy immediate family. This property is not 'intended for sak, exchange, least, or rent. OAR 479.540(1) and 479.560(1). City: Phone: I E-mail: CCB license no.: Signing supervisor's license no.: Print name of signing: supc::rvisor: Signature of signing supervisor:. \ Su..i, J\oVlu,>@.>ChVl,:>+ef\S<J'n .(jJ.......... '. L '::I~t:~;~~f:~'u~~J:~,~~~#~:~~:J;~tt:}f~~;i<lJ~~';::::i,ii[~;~~!ll:l: Resldel~ti.llJ. per unit, servlco iocluded: l,OOOsq, ft, orlm (4) $1J4.00 $ Each additional 500 sq. ft. or portion $ 25,00 $ thereof Limill;d ~nergy (2) $ 32.00 $ EiU:h m.mlJfuctured home 01" modular $ 63.00 $ dwelling servic.e Clr [eeder (2) Serviculi or feeders: imlal/aJion. n//eraticm, relocation 200 .mp' or less (2) $ 81.00 $ 201 to 400 .mps (2) $ 95.00 $ 401 to 600 .mp. (2) $150,00 $ 601 to 1,000 .mps (2) $205.00 $ Ovt:;r 1 ,noo I1lllpS 01' volta (2) 5469.00 5 Reccmnect only (2) $ 63.00 $ Temporary !iI~rvices or feeders: il1!lrtlllar;oll" nlIi'ratio", relocation 200 .mps or leas (2) ,$ 63.0.0. $ 2nt '0400 'mp;.(2) .. $ 81.0.0. $ 40110 60n .mp' (2) ,. $126.0.0. $:' Over 600 amps or J ,000 volts. s~e services or ~eeders section above Branch elrcoit&: neW, nltercU/(J~. extensi(3nperpn~el a. Fee for bram:h circuits wil.h p1JTch3Sl:'of a service or feoder tee: E~ch branch drcuit $ 6.0.0 $ b. Fee tor brunch circuits without pUTchQ,c of a service aT fceder foe: First blilnch circuit (2) $ 55.00 $ Each udditional branch circuit $ 6.0a 5 MIscelhlneoul fees: ser"lce: or fe.eder not include.d Each pump or jrrigQtion circle (2) $ 6J.00 $ Each sign or ou.din~ lighting (2) $ 6J.Oo. $ Signal circuit OT a 1imited~energy pune!. I 5 63.00. $03 allt;l1ltion, or extensiol1 (2) Eacll additiunal inspection: (1) $58.00. $ ;::;i,!:!i',:j:!;:!",;.i',:':;i:":":::':.!',')i',i,ll;p,f:iDICAM:t:';:Us~::i'X}': :/ !~!l,:::.i :,) :1' ~:r:; ~':~ :::,:::i:!:F:i)!::!; (A) Enter subtotal of Il.l)ovo tees $ CP3,D (M:inimum Permit Fee $58,00) (B) Ept<or 12% surcl..rge (.12 x [Al) 5 ',.$/0 (C) Technology Fee (5% of [A]) $/ TOTAL fees ond surcborges (A througb C); /5~O,~ 110 440-2584-) (9IOS/COM) ~ 13. -? ( www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00039 3000 GATEWAY ST SPACE 518 CIIT OF SPRINGFIELD 225 Fifth St Springfield,OR 974n 541-726-3753 permitcenter@ci.springfield.or.us RECEIPT NO: 2010000075 RECORD NO: 811-SPR20JO-00039 DATE: 08/1812010 !DESbRip:floN::::::jiii!':'!."i:::::~::::~~q1lliq::dnt::b::::t_::::jiii!'i:::::::~J""~cj;;p:i.jNflc-PQ~::,~::::::::::.AMPVNf[Oj.lg"H.ili-::t ":d.' "'1 Signal circuit(s) or limited-energy panel, alteration, or extension 224-D0000-426102 $63.00 Technology fee (5% of permit total) 100-00000-425605 $3.15 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $7.56 TOTAL DUE: $73.71 llI':ilAYj;lENT:t\i:RE::-q1f:::PA'(OR::::,:::c~s8jEIg:tjMA]'Hg.i?Q::::,.:::;bQ.rdi\j~NTSt::::q:::::::::V::jp:::1f4~:;Y::;:::AMOUNJ':'PAID:::;Jv :.'VV: :tq:;:~ Credit Card 633878 Chuck Mcdonough/Christenson Electric $73.71 $73.71