HomeMy WebLinkAboutPermit Electrical 2010-8-20
Electrical Permit Application
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225 Fifth S'"eltSpringfield, OR 97477tPH(541)726-3753+ FAX(541)726-3689
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.., DEP~AfnNiENTuSE ONLY.
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Permit no.:
Date: gr '2-0-( ()
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.
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Zoning approval verified? 0 Yes 0 No
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Name:C~
Address: '3 J I
City:S(4. (
Phone:
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).
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-001 0 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
440.2584-J (9/08/COM)
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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) Services or feeders: installation, alteration, re/ocation
200 amps or less (2) $ 81.00 $
201 to 400 amps (2) . $ 95.00 $
401 to 600 amps (2) $158.00 $
60 I 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,: installation, alteration, relocation
200 amps or less (2)
201 to 400 amps (2)
40 I to 600 amps (2)
$ 63.00 $
$ 87.00 $
$126.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: new, alteration, extension per peine!
a. Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit
$ 6.00 $
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2)
. Each additional branch circuit
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$SS'
$IZ-
$ 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 $
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(A) Enter suhtotal of ahove fees
(Minimnm Permit Fee $58.00)
(B) Enter 12% surcharge (.12 x [A])
,f\ (C) Technology Fee (5% of[A])
\ \; TOTAL fees and surcharges (A through C):
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$ h 7. 06
$ 'h,Olf
$ ,?,]5
$I$L)~
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TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 5t
Springfield,OR 97477
541-726-3753
www.cLspringfield.or.us
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pe rmitcenter@cLspringfield.or.us
RECEIPT NO: 20 I 0000 1 03 RECORD NO: 8 I I-SPR20 1 0-00 1 03 DA TEi 08/20/2010
~DESCRlliTlON"",;t~." _f"". .-;. :i~.~~,:';c,'~:',,, -~ i;-,_ AC'C.OUNLC.Qi.:fE:' '.,':.'t<;;;:'lIMO_lINLD..U]:., :.<<1
Branch circuits with service or feeder each circuit 224-00000-426102 $12,00
Branch circuits wilhout service or feeder -1s1 circuit 224-00000-426102 $55,00
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $8,04
Technology fee (5% of permit total) 100-00000-425605 $3,35
TOTAL DUE: $78.39
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Cash DOUG MANSFIELD ELECTRIC $78,39
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