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HomeMy WebLinkAboutPermit Electrical 2010-10-1 . 0 sPl2 2f)iO -DOLI Il Electrical Permit Ap . ., ,,~ 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 jA,,~,,''''':.,H:0,</:;;;''''''^''"'''''''' .:,....... ._ - ""-""', -.. "'-'-'-", _.-.~ .. ',y. '!\'j;"t.DEf:>~R1"MENT,USEONbY s....... INGFlEL.I)tij :',- <,;,-:i:/,,;:>"i";~:,:..:.:~'::.' :'::", "._::>:.,..........., fIirL 41/ . Permit no.: 5/0. 00 t:- Date: ./-, 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. . . .'tOCAl'~GOVERNMENT Ai>PROVAl. . jL <0 ~ Zoning approval verified? DYes D No !\J ':.:.~CA1"EGORYOF.CONSTRUCTIONH'.' ~ .... . ;%','0~ T::':"::,c..M ",--"""",,,<,,,,., l-rll This installation is being made on residential or fann 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: ~'l'?,]]'~~]]]?CONTRACTOR~INSTAl.l:.ATION . lu~fn .(.. E-mail: CCB license no.: BCD license no.:2iJ :5<: Signing supervisor's license no.: Print name of signing supervisor:l1"vY} "'- Signature of signing supervisor. NOTICE:' .... "',,;t~.l'~.i;;"'~;<" THIS PERMIT SHAll EXPIRE IF THE WORK ~ AUTHORIZED UNDER THIS PERMIT IS NOT" \ \ COMMENCED OR IS ABANDONED FOR d~y'\ I\) ANY 1Sa DAY PERIOD. ,~., ' \\\\0'\ 440.2584.J(9108/COM) .~ ~Ta~ .~ 1'?,'Sd" " ,.FEE.SCHEDUlE '/Qt.r. c~ ..!\' Cost :Jea.-- , Total cost p ""-7' '.', Residential, per unit, service included: 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) Senrices or feeders: installation, alteration, relocation 200 amps or less (2) 20 I to 400 amps (2) 401 to 600 amps (2) 601 to 1,000 amps (2) Over 1,000 amps or volts (2) Reconnect only (2) :1 $ 81.00 $ 95.00 $158.00 $205.00 $469.00 $ 63.00 $1 &i2. $ $ $ $ $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) 20 I to 400 amps (2) 401 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, exten..sion per panel a. Fee for branch circuits with purchase of a service or feeder fee: Each branch circuit :z. $ 6.00 I $ J 2- b. Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) .... 1t;>\M I 8au\I'e~$ ':55~~~: $ Eaclp{ilfdill~~I!\,}:i!,Eit~~'Qj'ijbV th 3 Or ,g$~6~~~~ ;;~ M iscellil~~'UN~~i (eciif.~~r fi~de;: ~JN~!:!4./#'d' Q52 -00 i . Each_iJ;~t1iiiJanGh1!2)1I~~n ~~ 0 \~.$310b3. r$V Each ~.fij,oMllIHig\\\{.~~'!l)" INotE: thE i$\%.~.~~;I,~~ Signalci"'ilil\\}(H~'i1'1~il:enegy,I?)lililI, It\lllY ''''~~~'o~'' $ alteratIol'\lS'~t<iiiSlO\\ fZ), <.ROO" 32.2~'r'T . Each additional iirSpection: (I) $58.00 $ ""LL.Le.. . (A) Enter subtotal of above fees (Minimum Permit Fee "$58.00) (B) Enter 12% surcharge (.12 x [A]) (e) Technology Fee (5% of [A]) TOTAL fees and surcharges (A through C): . ~n:s 1 7<</ 'tO~a e7. $ 1/'1& $~ $~ ~c..'1{ 'Zo"!. ~ ~.. . www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00416 3350 GATEWAY ST CITY OF SPRINGFIELD 225 Fifth 51 Springfleld,OR 97477 541-726-3753 perm ilcenler@ci.springfield,or,us RECEIPT NO: 2010000713 RECOIlD NO: 811-SPR2010-00416 DATE: 11/01/2010 ;"~-""-":":~' ,,- '- '~-' ",'t", ;,'; Ke_C_QUNj,-C_OO(:;~;;'-+_:,;++~MO.i.J~'(R.l.J~"-"'+ '.i2 "I 224-00000-426102 $162,00 224-00000-426102 $12,00 821-00000-215004 $20,88 100-00000-425605 $8.70 TOTAL ~UE: $203,58 Ll'A YMENTjYF't#~,-:PAy'OR'+=:'C(>.SH""R\~W\!SBy;,;.;:iC.9.MJ'II.ENIS";!:;~;i~,,;;';,,;; .,;" .--, \"AMOUf'-lJPAIO", , Lb.Ig:BlPTiON" ".'.', Services 200 amps or less Branch circuits with service or feeder each circuit State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) 1 Check 33364 LANTZ ELECTRIC INC $203,58 $203,58