HomeMy WebLinkAboutPermit Electrical 2011-2-1
"i ... .
225 Fifth Streett Springfield, OR 97477+PH(541)726-3753HAX(541)726-3689
bE~tRTMENTUSE 0.NL Y
Permit no. S 11- 79
Date:
z- 1- ( (
This permit is issued under OAR 9]8~309-0000. Permits are nontransferable. Permits expire if work is not started witbin ]80
days of issuance or if work is suspended for ]80 days.
",li:OC~L;.'GOVERNMENT'~P.RR.OvAl1:iM";':::rYi~~1
Zoning approval verified? DYes D No
;?:!f1.;';,:';"'.CMEGORYlIOl7i;CONSTRUC'fION'f.;'i?",,
D Residential D Government ommercial
[~"l!;W:;tiJ.oB~SIiI;E\;INF.0RIVIMloNl;'AN[j!:a10C*T>ION:i~~'ffi?,;;;
Job site address: 3 (;
City:
',.'
Name:
Address:
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:
CONTRACTOR INSTALLA'fION-
Business name: tJ
Signing supervisor's license no.:
Print name of signing supervisor: (;;f;
Signature of signing supervisor:
ENTlON: Oregon law r res you to
foll.o.w r~les adopted by, e Oregon Utility'
~otlflcatlOn Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090.. You may obtain Copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344). ~ .\.\
if
440-2584-J (9108/COM)
,. . ,
i'i:'f.~,fu,f0rl;{~~1~!ti1iJ~~_1FEE~.SCHEp_lJl3efui1t~~!~~~~~~~~~f~f,~
,_N ~ ~,~~~;~~:f~"i~.~p'~,~ti~:~l,~~[; ;~t~~T:-~'I,:' .~:{'19~.' "'Cost . Total
,;:,~~it:f;". : : c,ost, t:
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 $ 81.00 $&.f
201 to 400 amps (2) I $ 95.00 $
401 to 600 amps (2) $158.00 $
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) $ 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 I $ 6.00 $
b. Fee for branch circuits without purchase of a service or feede~ fee;
First branch circuit (2) $ 55.00 $
Each additional branch circuit 15... --$ 6.00 . $ ,::?C.C )
Miscellaneous fees: service or feeder ~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: (J) $58.00 $
~t;~t~~!112~~~~Jt~~~i%~t;#.W~-~'eGIC'A~r~D:SEW~j'i~~~~~~~i;;~~1;2~~;tF{,~;.:_.~
(A) Enter subtotal of above fees
(Minimum Permit Fe. $58.00) $ "38/
(B) Enter 12% surcharge (.12 x[A]) .~. $ Llf 7
J l<S.i!t~chnology Fee (50/0 ofrA]j "g .. $ I,or
" T(tj~~'!l r.~H.fn\t".tr#:if~~[~ltl \~~ . $ l.(L{~ 7'
IIUhiITU UI'\lUCn I rill,,) r LIlli/Ill IV n\ol j
'....e.. . "",.,,, .',!it'.. ~'-c.-c~" ..
/
NO
THI
AUl
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
7
J
r
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00794
3266 GATEWAY ST
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541-726-3753
permitcenter@ci.springfield,or.us
RECEIPT NO: 2011000211 RECORD NO: 811-SPR2010-00794 DATE: 02/02/2011
!DESCRllitION~:;:.':"~:;;;";";' '>"":;;~'",::~~':r''h~,~'c;'''i.\'~{'i!1t~~Ac.cc5uNn.CODE;tit'''''y~' "',f;;;)\(\MQlJNT;DlJE~".:f" . . J
Branch circuits with service or feeder each circuit 224-QOOOOA26102 300.00
---
Services 200 or less 224.00000-426102 81.00
~_~~~regon Surcharge (1.2% of applicable.lees) ...____._~..1:.0000():~~5005 .._~2.?_...__.__
100-00000-425605 19.05
....---.---- --~---
TOTAL DUE: 445.77
:'-::;~-. "~';-d:;--.AII'I()U_NTPf~D'_-_'" . f'.'..:;.!
445.77
Techn~,~gy fee (5% of permit total)
l::~eilXM!:t{r~iijp"E:"'~- "';~A'd:)R,,~j;~SH!~1iE>!r&..f.!!!iDO::"~L' .;: Jf C.oNU~'E~jS\':-
Credit Card merle garges
03532c
TOTAL PAID:
445.77
,