Loading...
HomeMy WebLinkAboutPermit Electrical 2010-8-20 Electrical Permit Application . 225 Fifth S'"eltSpringfield, OR 97477tPH(541)726-3753+ FAX(541)726-3689 .. . ,'..,' .., DEP~AfnNiENTuSE ONLY. I; sfttlo -000 {oS 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. ',:' . --'I1'OCAL;GOVERIIIMENTAP,P.R0VAG'-\-'\-_;-;W~":!i:' Zoning approval verified? 0 Yes 0 No .~ '.\..:.;';CATEGORY;C;OF,:iCONSl'RUCTION'JF- , ~._~:,~\":':/"' '.c. 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) ~V''};~\1Zi_~;~%.:{t~q,~~'zS:~ms~-~~.~I7'EE~.S'CH ED,U 13E~";~1~\'~j~~g~~1~~~~~~~0 N~~~er6Jin;p'e~t~o:~.~.~~r}t~~J):;~It:iiy._. <;,~~~ ' /~~~I " 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 I L $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 $ :;f\;r~'::J,~~T~~~-'g\i}~Y;k~/;~k{;0~A"ri'ni~'--'1 C-, "-A::'N' T"'~ -U': '5' ---E.:"~:;..,\~.f;f'\tii:.";:~~~~,,r.'t, ';'~'~',' _: '; lc",''?:',,_,.'rs(1;'5i1Ufl~.,;~;,~~~',-:'i,,\ __ r..r::,L; _, : ,:~, _, "':."",;"',_f,:~:f,,,,"':;-J,pE~.,~"',;~",<., ~ (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): ;Qf' . $ h 7. 06 $ 'h,Olf $ ,?,]5 $I$L)~ . . TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 www.cLspringfield.or.us .~ 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 r'p;t..YM];,NT TYe!='i' p AYOR'1'..CASI-IIE!,,[)BoiNlTS~B~F;{C.Q1I.iMEiil:ts ""-&&:'*,-, : "'.:ht~~I'!!().Ullli~I_I2....J_ .-,-,:2.:.D Cash DOUG MANSFIELD ELECTRIC $78,39 LLC (',' ,'> .....:.:::::-:::.:J ',:~;;:c,7E '"."'.':(4 ..-._, ...,~_....._, .~.'.'-'-'~-' '1bij~1h'{i, ,. ~ir: .. ",-" ,,>[,, -,- ....~ ~~.-. '$\T~d\-l;~;:" r;,\.;