HomeMy WebLinkAboutPermit Electrical 2010-8-23
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4. 08f20/10 FRI 13:53 FAX 5417263689
225 Fifth Strcct.Sprin~fidd, oa 97477tFR(S41)726-37S3tFAX(S41)726.3689
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CITY OF SPRINGFIELD
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Permit no;;"'
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This permit is issued under OAR 918-309-0000. Perniii> are nontransferable. Permits expire ifwork is not ,Urted witbin 180
days of issuance or ifwork is suspended for 180 days: .
MiscelIs"eous fees.: ~"ervir:e or je~der not included
Each pump or irrigation circle (2) $ 63.00
Each sign or outline lighting (2) $ 63.00
Signal circuit or a Iimited-energy panel,
.Ite",tian, or extension (2)
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Notification Center. Those rules are set forth (A) Enter subtot.1 Of above fees
in OAR 952-001-0010 through OAR 952-001- (Minimum Permit Fee $58.00)
0090. You may obtain copies of the rules by (B) Enter 12% sW'eharg. (.12 x (All
calling the center. (Note: the telephone
number for the Oregon Utility Notification (e) TechnOlogy Fee (5% of[AJ)
Center is 1-800-332-2344). ~ ;S:) TOTAL feesaud surcbarges (A througb c):
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Zoning approval verified? 0 Yes 0 No
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0 Residential D Government ommerci<il
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Address: I '1 0 .S .
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Name:
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City:
Phone:
E-mail:
This installation is being made on residential or fann property
owned byme or a member of my immediate family. This
properly is not intended for sate, exehange. lease, or rent. OAR
479.540(1) and 479.560(1).
Signature:
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Business name; V h;;5 ~ / t" 0 '/'
Address: IYcJ /30 ,!ptJ(P
City: b
Phone~ -
E-mail:
CCB license no.: ~ BCD license no.:
Signing supervisor's license no.: ~ IS'
Print name of signing supervisor: Ii//'
Signature of signing supervisor.
:415"
440-2584-J (9/08/COM)
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Residential, per uni~ service included:
1,000 sq.l\. or less (4)
Each additional 500 sq. ft. or portion
thereot"
$134.00 $
$ 25.00 $
Limited energy (2)
Each manufactured home or modular
tiwcJling 5~rvlc.: or fecd~f (2)
Services or feeders: installation, alteration. relocation
$
$
$ 32.00
$ 63.00
200 .mps Or less (2) $ 61.00 $
201 to 400 amps (2) $ 95.00 $
401 to 600 amps (2) $158.00 $
60110 J,OOO.mpS(2) $205.00 $
Over 1,000 amps or volts (2) $469.00 .$
Reconnect only (2) $ 63.00 $
Temporary sen.rices or, feeders: installation, alteration, relocation
200 .mps or less (2) $ 63.00 $
201 to 400 amps (2) 'ni7.00~.\l$
40It0600.mps(2) ,t:' ~1r(l\,1
Over 600 .n)1)s.or 1,000 V?~tH't~l.Vi Ion above
BraA.ftl ~iH~ilf.;,~ -z.,~cl};;\\~n~ _.~r\J .
'\: Feft'o0.rM'\lJJLlg\ilt~1li ~r . service or feeder fee:
. E ch^.'j) \ "h- i' "",..IJ- _dr\" $ $
. I ~ . !~,,:f rFplt~- _ n~~\\Jv' 6.00
b. Fee to'r"tiranc~VC;:lrcw.lis\withDut purchase af a service or feeder fee;
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First oranch circuit (2) I S 55,00 $a.:>," .
Each additional branch circuit $ 6.00 $
$
$
$ 63.00
$
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$ S8. oE
$ ;;', tJ(p
$ ,2, 1ft)
$ {pI/.. iI.!f
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www.ci.springfield.or.U5
TRANSACTION RECEIPT
811-SPR2010-00192
130 S 32ND ST STE A
CITY OF SPRINGFIELD
225 Fifth 8t
Springfield,OR 97477
541~726-3753
permilcenter@ci,springfield.or.us
RECEIPT NO: 20 I 0000 199
RECORD NO: 811-SPR20 I 0-00,192
DATE: 09/01/2010
IDESCRIRTJ6N.;" 4;"';: ;rA:~t);';~~::~ ;'~': ~~',:~J~~;~'0 ;:;F~e~.:.::;:~;~~::,~/vf~~QgJ;t(i~~t;LCj::~Q~,:~~:-,::tf~N4Y+';i~~~MQdNT+I:iU~~':;"''- :;/y'>,,~\: :J
Branch circuits without service or leeder - 1 st circuit 224-00000-426102 $55,00
Balance of Minimum Electrical Permit Fees 224-00000-426102 $3,00
State 01 Oregon Surcharge (12% 01 applicable lees) 821-00000-215004 $6,96
Technology lee (5% 01 permit total) 100-00000-425605 $2,90
TOTAL DUE: $67,86
[:,P:.\\"MENT:tcYiP.E~';~~ 1>:.\\"013;::'" :~CASH1EFi,~~ovy,QSEl??;;!;0;CJ)MMf~J:~~~:~~'E',";t"ff#,,~-i[~,~:i!:.\MOUNT'pAf[)' , 'r'''';, I
Check
7481
WHISKEY HILL ELECTRIC I!,!C,'
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$67,86
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$67,86
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