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HomeMy WebLinkAboutPermit Electrical 2011-2-16 225 Fifth Street. Springfield, OR 97477.PH(541)726.3753+ FAX(541)726-3689 ':..., DEPARTMENT USE ONLY '., -O'~,j,: 2:.l}n~O(( _O~ 2.c..( b Date: 2 - / b -/1 This permit is issned 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. .;'t:100CAL':GOVERNMENT' M~ROVAU:"\"",,;f-f;~"it" Zoning approval verified? DYes. D No i:,},:;~iCATEGORY;:61; ::,c6NSTRUCTI()N!~i!J';",' ,.~, 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.:\ 'is' Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor. '~~ ~.~ \.; ~~V-V t>,t) ,1\~ 440-2584-) (9/08/COM) >~i?::~}t;i~]1i~\jf~j1'~~}7:}r~~:F;EE:~~SG'H EJ)"O 8EW,~r~~~~}\~ff!~fJ;f~~~~~.Y~ : N ~~. ~~f'. i.!~,!n-~_pe,,~;i~~~j ,p~'[.~!~~,.~::_~',)','~:~<:1 'q!_r. ' Cost 'Total .i:'~~ao:: c.ost. 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) $ 81.00 $ 201 to 400 amps (2) $ 95.00 $ 40] 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 pane! 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 3 $ 6.00 $ /'€?~F- Miscellaneous fees: service or feeder ':lot 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: (l) $58.00 $ :+~~l~r?10'il;j3At;~xtl~;~~ARPi1IC'ANTI;'':.,US>E~:'';'> .':~:!1;~\,W:~~'{'~~'::i'~!J',..,'~; , >l'h ,,'?iM\.'31,e:t.if0,Y;,:tK.i'>A'f,,;, .,",,-, _ m' _ ,:)! __ _ k/!,,,'J. "f~,.~:r~.~~:'o~,>1'~;'!,"v ~:::: (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) $ 7'! (B) Enter 12% surcharge (, 12 x [A]) $ ;;"1r- (C) Technology Fee (5% of [A]) $ 1'.1' TOTAL fees and surcharges (A through C): $ RS'i - "__'.::;.-! .': '--4,.. SP~~N::.IE~ L~ ~~EGON www.ci.springfietd.or.us TRANSACTION RECEIPT 811-SPR2011-00246 3161 GATEWAY ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenter@cLspringfield.or.us RECEIPT NO: 2011000298 RECORD NO: 811-SPR2011-00246 [DESC:Ri e.'iiON - '. "., '.i':-;:l-~', ",~? ii, [.: .",' . ',:Y, lfr"iJ.f~;:.!;: ;'i.-;A:'C:~C:0U NJ=c:bDE"~;"':::" Branch circuits with service or feeder each circuit 224-00000-426102 Branch circuits without service or feeder - 1 st circuit 224-00000-426102 -~~--,------ ~te of ()."egon"::;ur0arge (:3.:" of ~plicable fees) ___~..1_::CJ1!.000-~15004 Technology fee (5% of permit total) _..2~0-01!.000-425605 TOTAL DUE: ~1t~5'MENJ=TYiiE:" -PA,(Q~_~f.;';SHlERDEii:iwtsBY'~':;;~:;'G.ONlf,jf~NI~? ;,-,': Credit Card COMPLETE ELECTRICAL INSTALLATIONS INC DATE: 02/16/2011 ,'-~ ~ ':AMOUNJei5UE< ';:r:.-;q 18.00 55.00 ~-_._"-,-_._~--"-~- 8.76 ---~-----_._....'-.- 3.65 85,41 "AMO(JNT.PAID~ -:J 85.41 073759 TOTAL PAID: 85.41