HomeMy WebLinkAboutPermit Electrical 2010-12-8
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Electrical Permit Application
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225 Hfth StreettSpringfield, OR 97477+PH(54t)726-3753tFAX(54t)726-3689
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DEI"_AF~tMENTUSE ONL.Y
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Penn it no. 510- '6S'0'
Date: 12-~~ - ZO ItJ
This permit is issued under OAR 918-309-0000. Permits are uontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
ZIP: '171f77
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).
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E-mail:
CCB license no.:
Signing supervisor's license no.:
Print name of signing supervisor:
Signature of signing supervisor:
440-2584-J (9/08/COM)
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, - -.. ","';';..', ", -', ," ,-'.' Co,t' , Total'
~Nuniber'of:inspeCtio'ns per.ii'em;(.). ,,~'. Qty.
'-' ':0_ -,-~,~ . "";,'.." .' <' :;j;~?'..'. ."~(,;- """t..; \..:i~i". ", .',; l;.';ea~.( " ;'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
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) I $ 61,00 $I(,I<P
201 to 400 amps (2) $ 95.00 $
401 to 600 amps (2) $156,00 $
601 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) $ 63.00 $
201 to 400 amps (2) $ 67.00 $
401 to 600 amps (2) $126.00 $
Over 600 amps or 1,000 volts, see services or feeders section above
Branch circuits: new, a{teration, 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) $ 55.00 $
Each additional branch circuit $ 6.00 $
Miscellaneous fees: service or fteder ~ot included
Each pump or irrigation circle (2) $ 63.00 $
Each sign or outline lighting (2) $ 63.00 $
Signal circuit or a limited-energy panel, $ 63.00 $
alteration, or extension (2)
Each additional inspection: (1) $56.00 $
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(A) Enter subtotal of above fees g/~ -
(Minimum Permit Fee $58.00) $
(B) Enter 12% surcharge (.12 x [A]) $ Cf'~
(C) Technology Fee (5% of [A]) $ "'t.9"'
TOTAL fees and surcharges (A through C): $ qlf?!--
S~~INGFIE~
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OREGON
www.ci.springfietd.or.us
TRANSACTION RECEIPT
811-SPR2010-00850
291 S 18TH ST
CITY OF SPRINGFIELD
225 Fifth SI
Springfield,OR 97477
541.726-3753
permitcenter@ci.springfield.or.us
RECEIPT NO: 20 I 0000995
RECORD NO: 81 I-SPR201O-00850
DATE: 12/08/2010
L[)ESCR[PTioN~';~;::';9<-li:~l'J>:W;<c '~2,;r "'. ,.~_H, };!C.c'i.;Ai::~.QlJ~rtTLc:9Jii:.!*"J ':"'''f''~MQlJ}jT-P-.Qf,L"; "., -I
Services 200 amps or less 224-00000-426102 $81.00
TechnolcJ~Y fee (5"(? of permit total) 100-00009-425605 $4.05
State of Oregon. Surcharge (12% of applicable f".es) 821-00000-215004 $9.72
TOTAL DUE: $94.77
1-'PAYMENfoTypl:~::'i::--PAYOR=" '~C~SHIER';BkICH~R@:;;;:C.QMMEI'lIS~;:~~;:-:--Z: ~ '0' 0 ;~ Z'AMOUNTy-~!b: ,;>', :'-'0 ,'I
Credit Card
118092
THORNTON ELECTRIC INC
$94.77
$94.77