HomeMy WebLinkAboutPermit Electrical 2006-7-26
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225 FIFTH STREET · SPRINGFIELD, OR 97477 . PH:(541)726-37S3 0 FAX: (541)726-3689
ELECi1K'(GU" PEIf:?JVP\" T 1H1'L1CA:?I:OI~
City Job Number Q. ~. A~ J
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JOB DESCRIPTION
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Permits are Don-transferable and expire if "'u'.:" is
not started within 180 days of issuance or if work is
Suspended for 180 days.
Date
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Service lnduded
A. .j~z..v~;R~~i~~~~~[~S~l*if~l~1-i;~!<:i\~~~liffj1~'.!i"~~I~Jrig-?,iii;., "
1000 sq. ft. or less
Each additional 500 sq. ft.. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
\ $106.00 \.Tio.(1)
fL $19.00 Q.5f1?
$50.00
. .
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Address t~~~;lfwltle<;~ if ~tIb5::=:::=
c C4A" 7lt/-~qj 601 Amps to 1000 Amps
City Ci At/t,Y\. -c.. Phone f/{;-67tt? 7q;"~ Over 1000 AmpsIVolts
J R............ect Only
Supervisor License Number --PI t/O S
Expiration Date / (J-O /-07
InstaDatio~ Alteration or Relocation
200 Amps or less \ $ 50.00
. 201 Amps to 400 Amps $ 69.00
NOTICE: 401 Amps to 600 Amps $100.00
THIS rCRMIT SRm:~~on=t~w~rm"B"above.
SignafuJej9f" Superyfslng Electrician AUTHOR I ZED IlJNfJl!~rHf8~~ffMrrl SN6T ..
/1 l/;l_. ___ COMMENCED (JlJl\ef5~~J:\'litJUlfl'tfFrJfrnperPaDel
! (dd/, .'4/,// _) ^NV 10n DAYP~~~lt ,
v , " v v 'f!a1dtr Ndditional Circuit or with .
Owners Name \lllQier ~~~-\ro\ ~rviceorFeederpermit ..
Address ~ ~ (0 P Jf1111 0 0 E'<:~~~~~;~~~#~~~:r~,~r:~i~#i~i~t1j~#~t)~c~~~~~Y~1~~~:'~ii.~i~~!aH~i?,
City tt ?~~ Phone lv 133. LP3SD
OWNER INSTALLATION
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Eleetric Permit Inspection Fee is $45.00 + Surcharges
'2-t;J \ .(XJ
Wlf6
'j.. en. \0
'2.. ({Co, t ~
Constr. Contr. Number 1<. L- z9<i
Expiration Date i - ('-07
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
ATTENTION:Oregon law reqUires you {U
fol ow rules adopted by the Oregon Utility
Inspew&'i '~Ymfi cMf?rhose rules are set fortt
in OAR 952-001-0010 through OAR 952-001
0090. You may obtain caples of the rules b
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center Is 1-800-332-2344).
c.. ..~:~~~~~p~:~t~.p(S~~Y~~~-~-~~~~.:.-f:~f~dr)~-#~';.~;-:", -" .
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
8JfXJ
$ 43.00
$ 3.00
4.
8% State SurehaJge
10% Administrative Fee
TOTAL
Shared Drive(T:}lBuilding Fonns/Electrical Permit Application 1-06.doc
Job/Journal Number
COM2005-01437
COM2005-01437
COM2005-0 1437
COM2005-01437
COM2005-01437
COM2005-01437
COM2005-01437
COM2005-01437
COM2005-01437
COM2005-01437
COM2005-01437
COM2005-01437
COM2005-01437
COM2005-0 143 7
COM2005-01437
COM2005-0143.7
COM2005-01437
COM2005-01437 .
COM2005-01437
COM2005-01437
COM2005-01437
COM2005-01437
COM2005-01437
COM2005-01437'
COM2005-01437
COM2005-01437
COM2005-01437
CQM2005-01437
COM2005-01437
COM2005-01437
COM2005-01437
COM2005-01437
COM2005-01437
COM2005-01437
COM2005-01437
Payments:
Type of Payment
CreditCard
Check
cReceint I
RECEIPT #: . 1200600000000000419
a: 04/05/2006 .
Description
Addressing Assignment
Willamalane Single Family
Residence Wiring 1000 Sq Ft
Temp Power 200 amps or less
Sidewalk Permit
Curbcut Permit
PW Disc - 2nd Permit (Street)
Mountaingate Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
SDC Sanitary/Storm Admin
SDC Transpo Admin
Plan Review Major - Planning
Plan Review Residential
Building Permit
3 Baths One & Two Family
, Storm Sewer Each Addtl 100'
Furnace - up to 100,000 btu
Vent Fan
Appliance Vent
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Gas Fireplace
Heat Pump
Appliance Not Listed
-Mechanical Issuance Fee-
Residence Wiring Ea Addtl 500
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
WALTER CUSTOM HOMES
W ALTER CUSTOM HOMES
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
djb
005772 In Person
In Person
Payment Total:
1688
Page 2 of2
11 :25:34AM
Amount Due
31.00
1,000.00
106.00
50.00
80.00
80.00
(30.00)
1,432.51
752.10
572.10
182.69
805.70
82.03
865.31
10.00
173.07
62.05
150.00
14.79
1,118.15
306.00
42.00
12.00
18.00
6,00
9.00
6.00
4.00
15.00
12.00
9.00
10.00
95.00
126.57
180.82
$8,388.89
Amount Paid
$8,000.00
$388.89
$8,388.89
7/26/2006