Loading...
HomeMy WebLinkAboutPermit Electrical 2010-10-29 225 Fifth Street+Springfield, OR 97477+PH(541)726-3753+FAX(541)726-3689 I'. ' . DEPARTMENT USE ONLY '.---,.... SPa.'lb'U - 00 ~O Z Permit no.: Date: 10 .C 1-1 C This permit is issued uuder OAR 918-309-0000, Permits are nontransferahle. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 1,000 sq. 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, altera,tion, relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 401 to 600 amps (2) $158.00 $ .llt~ 601 to 1,000 amps (2) $205.00 $ '7 7 Jc:ll Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63.00 $ ", 'L;0CALcGOVERNMENT" .6:BPROVAlli?J.?,\i'(;';(i'i'i'l'(, Zoning approval verified? 0 Yes 0 No .".dC,6;TEGORYi'00F,;;CONSlRUCTI0Nl,;'ff' ~~ Name: s:"........ 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). E-mail: CCB license no. Signature of signing supervisor: ATTENTION: Oregon law requires youto follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952.001-0010 through OAR 952-001- << 0090. You may obtam copies of the rules by calling the center. (Note: the tel~phone "~,, number for the Oregon Utility Notification \ ~ Coo"";, 1-800-332-80"). ~ ~ 440.2584.J (91G8/COM) ~W;~'~<~f&vZY5~!~f~;N1Jt<~{0EEE~.S'CH~[j.Ul!!I;~~1-~~~f}~~,;r$;?~~.b;;~J .,N~~~er:~f)n.~p'~,~t~'e;~~'~~T:!F~.~:p;,~;~~~:'8!r' x;~~~~' :.;. l ~~;~I ... Residential, per unit, service .in,e1uded: 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, exte(lsion per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit I $ 6.00 I $ b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) Each additional branch circuit I $ 55.00 $ I, $ 6.00 $ Miscellaneous fees: service or feeder',:/ot included Each pump or irrigation circle (2) Each sign or outline lighting (2) Signal circuit or a limited-energy panel, alteration, or extension (2) $ 63.00 $ $ 63.00 $ $ 63.00 $ Each additional inspection: (I) $58.00 $ tJti1lfi~~r~t~'b,~~tJ~~~A~e'i2TCANT~~U:S.-E~(~t(:~;gi:~,~}[~~;~3'~~1j~~~::;':'~; (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) $ bf (B) I\r.t,~.).m.s.urcharge (.12 x [A]) .. ,. $ 73&.. (C) if'r~~~i?~r,{,r~,q;~ eM{\~) ~)(PIRF IF THE WO!$K-S Cl~ TOT:Aq~~~~~~~~";h.':~(*I~O/lgIgMlT S NI$1?,"37 COMMENCED OR IS ABANDONED FOR ' , ANY 180 DAY PERIOD. .7 ~ www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00608 770 HARLOW RD APT 410 CITY OF SPRINGFIELD 225 Fifth 51 Spririgfield,OR 97477 541-726-3753 permitcenler@ci.springfield.or.us RECEIPT NO: 2010000699 RECORD NO: 81 I-SPR20 I 0-00608 nATE: 10/29/2010 i DESCRIPTIO/ll' '". : f__,. ':;',":' -.,-_-__2.:*-:: ;,..'. -, 'f'.'-.:AC-COUNT'CODE;:;;,; '.," .:AMOUNT DUE' .0 -- - t!::""_"__..,~".__.___~_"._~~_~~_,~.,.,~_.,,...,_~~.., _w '_'," ....,..._. .... ..,. _ _~~....,."'_,.",....,_...._.""",._.,,"_ Technolo~y fee (5% of permit total) 100-00000-425605 $3'9~ Branch circuits with service or feeder each circuit 224-00000-4261 02 $6.00 .- "..'-----~"..,"'-"""--,,---_._~~,.__.._- ---- Branch circuits without service or feeder - 1 st circuit 224-00000~4261 02 $55.00 .--.----..---.- .~---, 821-00000-215004 $7.32 TOTAL DUE: $71.37 -z'.'::_" .' AMO_LlNT PAID - - State of Oregon Surcharge (12% of apelicable fees) [ . PAYMENT TYpE' . pA 'r'bR_,;CASH~':LR:DI30W"SBY' "',cPlVIMgNJS ,. 1 ," . j Credit Card 515220 COMPLETE ELECTRICAL INSTALLATIONS INC $71.37 $71.37