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HomeMy WebLinkAboutPermit Electrical 2010-9-27 225 Fifth Streei.Spcingfield, OR 97477HH(541)726-3753HAX(541)726-3689 SPRINGFIELD ~ Lt"" ~. ~,OO' .'.' '"r., .". __' _' ,,- 'DEPARTMENTUSE ONLY ___." oJ-. Pennit no,0'f7rC.2-0/ 0 ~ 00 I Date: 9/;;;J7//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, ;0 ,': ,;:i'."-~OCAVGOVERNMENT:ARPl~OVAlJ]f:;!V'{"."!;''';'.:r~~ Zoning approval verified? 0 Yes 0 No ,;;! :J;,:,,(i,:;mC,6.TEGOK'r'iiiol' ,'CONSTROC1UON~~ii!'::;:" ,< o Residential 0 Government 0 Commercial !rf~~fJ_OBiSIJ;EWNI'ORMA"IONf;ANbf,jI!O:C'AtloN~~t'~!::~f' 2. Ch ,c> e-e. r City: ZIP: Taxlot . 'DESCRIPTION,. 'OFWORK:}'V i:~":":\'"~,,\,, ,j: -h :;T Se<V\oe-, ";t. ;;; ZIP: City: 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), Signature: City: Phone E-mail: CCB license no,:1 '5'';;27 ------- 440-2584-J (9I08/COM) ~0~~~~~~~trffi~~~E~EE~S~~EpO~E~~~~J@~~~~~~~~~~ .i.:N~~~~J:9.t;,i~-:fP~~~~~;~~,~r[(!~)t~~X)~r;~~~< ,gtf :i.F:t.~,~~\, \:"1~~~'~,: Residential, per unit, service included: 1,000sq, ft, 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, relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95,00 $ 40 I 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) 401 to 600 amps (2) $ 63,00 $ b) $ 87,00 $ $126,00 $ ) Over 600 amps or 1,000 volts, see services or feeders section above Branch circuits: new, alteration, extension per panel 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 $ 55.00 $ $ 6,00 $ Miscellaneous fees: service or feeder not included Each pump or irrigation circle (2) Each sign or outline lighting (2) $ 63,00 $ $ 63,00 $ Signal circuit or a limited-energy panel, alteration, or extension (2) Each additional inspection: (I) $ 63,00 $ (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) $58,00 $ ~~m~~" , $ (0 ~ ov (B) Enter 12% surcharge (,12 x [A]) (C) Technology Fee (5% of[A]) TOTAL fees and surcharges (A through C): $ 7,'~ $ ']' - ." $ 7J"/1 SPRIl-4GfIELD ~-;l'\.. . "'-" ..."'. .,;,.(~. "' MM.; OREGON TRANSACTION RECEIPT 811-SPR2010-00381 3572 CHEROKEE DR CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 www.ci.springfield.OLUS permilcenter@cLspringfield.or.us RECEIPT NO: 2010000405 RECORD NO: 811.SPR2010-00J81 DATE: 09/27/2010 IDESCRIPJlbNc".~;r""" ,'if!"":;-,,'20t<z;,, "",.".~,;~; ~'Y~::1'Yf.::'t'~;;~C'<:.9jJJlY"::'C.ci.r)g::t:2;'; .g;:.'AM6jiI:lJ@iL:.~ . .1 Temp services 200 amps or less 224-00000-426102 $63.00 Technology fee (5% of permit total) 100-00000-425605 $3.15 State of Oregon Surcharge (12% of applicable fees) 8l1.0~.15004 $7.56 TOTAL DUE: $73.71 f-;:P.A)'MENH.YPE~;:-;PAY6R',~,'c~siiIEfJNMACH_ADZ~C_QMMJ:l:liS2l~'i:~. "j-~"_';0t':AMOl.JNT'PA.lD'" . .', ," "'J Credit Card 361421 COMPLETE ELECTRICAL INSTALLATIONS INC. $73.71 $73.71