HomeMy WebLinkAboutPermit Electrical 2010-10-26
Electrical Permit Application
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225 Fiftb Street. Spr;ngfield, OR 97477. PH(541 )726-3753. FAX(541 )726-3689
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$ PtL "ZO I 0 - Cc:> '58
Perrmt no.:
Date: / 0 ~ 2 (; -/0
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not slarted witbin 180
days of issuance or if work is suspended for 180 days.
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Zoning approval verified? DYes D No
..CATEGORY:.OF.C(jNSTRUCTION':'....~ .
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Name:
Address:
City:
Phone:
E-mail:
This inslallation 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( I) and 479.560(1).
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-<-t;--,'t'_.- ." .-"'''',) QtY;f' Cost I Toto\;.
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L._.' .J.: -;,"",'~" ,;" '.' '. "'>"'"".'"".L..- ... . ..f ea.. I.. cost
Residential, per unit, service included:
1,000 sq. ft. or less (4) $134.00 $
Each additional 500 sq. ft. or portion $ 25.00 $
thereof
Limiled energy (2) $ 32.00 $
Each manufactured home or modular $ $
dwelling service or feeder (2) 63.00
Services or feeders: imtallation, alteration, relocation
200 amps or less (2) $ 81.00 $
201 to 400 amps (2) $ 95.00 $
401 to 600 amps (2) $158.00 $
60110 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) $ 63.00 $
201 to 400 amps (2) $ 87.00 $
40110 600 amps (2) $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 circllit $ 6.00 $
b.Fee for branch circuits without purchase of a ,service or feeder fee:
First branch circuit (2) $ 55.00 $
Each additional branch circuit $ 6.00 $
Miscellaneous fees: service or feeder not inclkded
Each pump or irrigation circle (2) $ 63.00 $
Each sign or oUllin;lighting (2) $ 63.00 $
Signal circuit or a limited-energy panel, I $ 63.00 $ bJ
alteration, or extension (2)
Each add;tional inspection: (1) $58.00 $
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(A) Enter subtotal of above fees ~>
(Minimum Permit Fee $58.00) $
(B)'Enter 12% surcharge (.12 x [A]) $ ?Sf:.
](s:j\I~~nology Fee (5% of[AlL r ~..r HJnQ\( $ ?;Ir
'1- --~~m <;'l;'.i\~J.!.r~~rln'(A;.r'" .. $ 7~?1
I, liOTA:E,fees'llnll ~ rc.!!m':~~ J~,mugl1, ~).'lT
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, . you to
ATTENTION: Oregon law reqUlre~n Utility
follow rules adopted by thr~I~~eire set forth
Notification Center. Tohthose hOAR 952-001-
. OAR 952-001-001 roug
10n090 You may obtain copies of the rUhles by
. (N te' the telep one
calling tfhe tChen~:~go~ Uiility Notificatio~ N
number or e 4) ,
Center is 1-800-332-234 . T
.~AUTHU
~~ I ~ COMMENCED OR IS ABANDONED FOR
, "Q ..-...[I.NY 180 DAY PERIOD.
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440-2584-) (9/08/COM)
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"-:':f\.'OREGON
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00580
3333 RIVERBEND DR
CITY OF SPRINGFIELD
225 Fifth 8t
Springfield,OR 97477
541-726-3753
pe rm itcenler@ci.springfield.or.us
RECORD NO: 811-SPR2010-00580 DATE: 10/26/2010
[pESCRIPTI9N' "~;o.,:" .-3~';ts-<;.:.i:-'i:;i-- ":~",::.;;..;,A:ci::o.uNJECODE-;: j;'t<i"/-AMQut-i:r'::QLJE_c'::':::J_#'~ :J
Data / Telecommunications 224-00000-426102 $63.00
100-00000-425605 $3.15
821-00000-215004 $7.56
TOTAL DUE: $73.71
I. . P~X'lL@jT(J'E'Sf"rlii>AYbR-_;:fcAsHIEg'5B6I^iLsJ(y'j~?_\i(')_QMj"'1j;}lIS:i~:,:: "~'~'):;':E;i ',' 'AMO,lmJ PAID' ".f>' "j- t "
RECEIPT NO: 2010000659
Technology fee (5% of permit total)
State of Oregon ~rcharge (12% of applicable fees)
~
Credit Card
026658
CACHE VALLEY ELECTRIC
COMPANY
$73.71
$73.71