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HomeMy WebLinkAboutPermit Electrical 2010-8-24 225 Fifth Street. Springfield, OR 97477 HH(541)726-375H FAX(541)726-3689 " .,.. ,-, ",:.. '. DEPARTMENT USE ONLY - . , Soil- 2010-00 \ I 't Permit no.: Date: l?"'ZL{- rO 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. , ,.! .130C,6.VGOVERNMENr'.MRROVAl3'f"f"i~;)t':":;)~ Zoning approval verified" DYes DNa (;,';'i::\",',;lCMEGORYJc5f~<::ONSl'RUeTION":!j , D Residential D Government acOmmercial t~~jV~:rJPE3.1;ISITEfjINfQRIIJI~;rIQrilt'A:N[)~rQCA'liI()N~~~~:.l1 Job site address: City: Reference: c.Lr 740\ 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 S Print name of signing supervisor: Signature of signing supervisor: ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility ~otification Center. Those rules are set forth ...."U ~ In OAR 952-001-0010 through OAR 952-001- ~ \ ~V. 0090. You may obtain copies of the ruies by 1\ ~ J>c,: calling the center. (Note: the telephone' \J\.~ number for the Oregon Utility Notification Center is 1-800-332-2344). - ~ 440-2584-J (9/08/COM) ~- . , " C" ",'" . '.,,; - ".~ ,Num~er of,insp'e~tioni p~r ite,m Ov..Qty. ',".,.' . _ \,' '.,...',.,,,,........'l .-t., '.....'\. .,",,-- Residential, per unit, service included: 1,000 sq. ft. or Jess (4) Each additional 500 sq. ft. or portion thereof $ 32.00 $ .., $134.00 $ $ $ 25.00 Limited energy (2) Each manufactured home or modular dwelling service or feeder (2) $ 63.00 $ Services or feeders: installation, alteration, relocation 200 amps or less (2) 201 to 400 amps (2) 401 to 600 amps (2) 601 to 1,000 amps (2) Over 1,000 amps or volts (2) Reconnect only (2) $ 81.00 $ $ 95.00 $ $158.00 $ $205.00 $ $469.00 $ $ 63.00 $ Temporary services or feeders: installation, alferation, relocation 200 amps or less (2) 201 to 400 amps (2) 401 to 600 amps (2) $ 63.00 $ $ 87.00 $ $126.00 $ Over 600 amps or 1,000 volts, see services or feeders'sectlon above Branch cJrf~\t~~~~, alteration, exte a., Fee for;b~.ch~'FlRf\'\w] Each br~cncl@uUIE I'"\U ".~ Each additional branch circuit $ 55.00 $ $ 6.00 $ Miscellaneous fees: service or feeder '!ot 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 extension (2) Each additional inspection: (1) $58.00 $ :,~:~t~~~~(~i~i,;'t~:~'p.'~tic,~NIlusEI'~:f\1;~i.5.~*~iG;?Jf;;:Y;. ._~ ~ (A) Enter subtotal of above fees (Minimum Permit E ~.lIO).:> (8) Enter 12% surcharge (.12 x [A]) (C) Technology Fee (5% of[A]) TOTAL fees and surcharges (A through C): $58. $ $ 2$"0 $ .:..;;. h'" '1~("-' CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 TRANSACTION RECEIPT www.cLspringfield.or.us permitcenter@cLspringfield,or.us RECEIPT NO: 2010000126 RECORD NO: 811-SPR2010-00JI9 DATE: 08/24/2010 rDESCRIRtION~1~ :,.;; ~-;fifTJ;.:' X' ~:'4:,Sj .':'ti~i, 'f: "-!-:. -;,:!~ :'.AccdJJ N'T~C::di:)E, -. ., 'i:: _'" . ~M(:i.UI'IJjR.U): - ...cJ Security Alarm 224-00000-426102 $58.00 Technology fee (5% of permit total) 100-00000-425605 $2.90 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $696 TOTAL DUE: $67.86 F,%?f'AYMENT;TYf'E .",-~,PA.YOR' --"C~SHI€,,-:l)aOWlSBf~~X'S(;PMMENItSi~":::}-':': '; .'. T:~?::::~~MQUNTI~IR--" - ,I Credit Card odysseyav $67.86 052144 $67.86 . ~ , -\-:r"" . I..... '\\, u. I'p -,'!" v.' r." ~": . ......,~ ;J 'I