HomeMy WebLinkAboutPermit Electrical 2011-1-11
225 Fifth Street. Springfield, OR 97477+PH(541)726-3mrr~4))12G.6!l~on law r qUlre~u to
follow rules adopted by the Oregon Utility Date:
Notification Center. Those rules are set forth
. . . . OAR 9 j{~iR 952..001-0010 lhro' 'C1h (lAP. %?,n01.. .
This permit IS Issued under 18-309-lj Igl P.~~WI~~ are nflntransfera6te.tfer-Dllfs.expue If work is not started within 180
days of issuance or if work is suspended for M 'days. ay 00 am caples OJ I e rUles by
'. callmg me center. (Note: the telephone
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onmg approva yen Ie . es 0 . , ~;."41
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Residential, per unit, service include"d:
o Residential 0 Government 0 Commercial
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Job site address: - '5>
Electrical Permit Application
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:
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Business name: ' 5 f,J
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NOTICE:
THIS PERMIT SHALL EXPIRE IF THE
AUTHORIZED UNDER THIS PERMIT IS
COMMENCED OR IS ABANDONED FOR
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.i1t<W;DEPARTM'.Em1tusE~W.N&W~i,j
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1,000 sq. ft. or less (4)
Each additional 500 sq. ft. or portion
thereof
$134.00
$
$ 25.00
$
Limited energy (2)
Each manufactured home or modular
dwelling service or feeder (2)
$ 32.00 $
$ 63.00 $
Services or feeders: installation, alteration, relocation
200 amps or less (2)
201 to 400 amps (2)
401 to 600 amps (2)
601 to 1,000 amps (2)
Over 1,000 amps or vnlts (2)
Reconnect only (2)
$ 81.00 $
$ 95.00 $
$158.00 $
$205.00 $
$469.00 $
$ 63.00 $
Temporary services or feeders: installation, alteration, relocation
200 amps or less (2)
$ 63.00 $
201 to 400 amps (2) $ 87.00 $
401 to 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 circuit
$
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2)
Each additional branch circuit
(J)
$ 55.00 $
$ 6.00 $
Miscellaneous fees: service or feeder not included
Each pump or irrigation circle (2)
$ 63.00
$ 63.00
$
$
Each sign or outline lighting (2)
Signal circuit or a limited-energy panel,
alteration, or extension (2)
Each additional inspection: (I) $58.00 $
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$ 63.00
$
(A) Enter subtotal of above fees
(Minimum Permit Fee $58.00)
(B) Enter 12% surcharge (.12 x [A])
(C) Technology Pee (5% of [A])
TOTAL fees and surcharges (A through C):
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,~....tt.\. OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 FiHh St
Springfjeld,OR 97477
541-726-3753
www.ci.springfield.or.us
811-5PR2010-00777
216 MAIN 5T
permitcenter@ci,springfield.or.us
RECEIPT NO: 2011000062 RECORD NO: 611-SPR2010-00777 DATE: 01/11/2011
[bESt:;'RW~.TION ,0, ,:.t.:"!c:.:,,',,~::; "'''r'('J1"::;i/,'' -""'::1;:,:, ,'t',,"'1\':ACCo.uiiiT:C:ODEj,.> .,-,' ;:"cd' LAIVIOUNT~D.UE~~
Branch circuits with service or feeder each circuit 224-00000-426102 54.00 _
Branch circuits without service or feeder -1st circuit 224-00000.426102 55.00
---
State 01 Oregon Surcharge (12% of applicable fees) 621-00000-215004 13.06
Technology fee (5% of permit total) 100-00000-425605 5.45_,__
TOTAL DUE: 127.53
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Credit Card L YNNS ELECTRIC COMPANY $127,53
65464p ______~ ._____~___..___
TOTAL PAID:
$127,53