HomeMy WebLinkAboutPermit Electrical 2001-12-17
_ T. .Iowing project as submitted has the following "ff1'(' "
22) FIFTH STREET . lOni!l9:~.nddoes.not requ. i.respecifiC land use ELEe.lRrCAL PERMIT AP.PLICATION
SPRINGFIELD, OREGQ~~77
INSPECTION REQUEST: 726-n~lh9 .. U.~. rity To!) Number (7 r '-OO~ 7iIJ -ot
OFFICE: 726-3759. \I~.. 01
Date . .... '. II....,. ~3.. ...90 '. NIPLETE FEE SCHEDULE BELOW
1. LOCATION OF INS-mwgWlI1(QlN1ture' ~~^'d."
Ql?J ~ 5 I ., Cf ~ ..S..h"e..& A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
/lua ~~ 30 -t'L. OIJ~ Lc;,~38
.. ;0.
Items Cost
Sm:n
JOB DESCRIPTION
-:s.v~\\ /}Je-t.U Vvl. I~ ~ ;;xD4:WIp~~vt't:--'L
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$106.00
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
$ 19.00
-2 $ 50.00 /D 0
2. CONTRACTOR INST ALLA nON ONLY
Electrical' Contractor P.o..\JV ~ ~ I dfl ~
B. Services or Feeders
Installation, Alterations or
Relocation:
Address LfJ (~~ W,,vbe.rr\j e,..J( RJ
City (~\\(' -lU.-\<. Phone q?J "1'" ~""14J ~
NOTICB1R q'''I~fJ
TAl~~J;,Li~~l}~e Number <f gJ..,.-S
n::nlvlIl ~NAll EXPIHE IF
~It!QijIlS6hItlNDER
~~~~~~~~ffBAN~fj~OR
Expiration Date d }~~Joa
Signature of Supcrvisi ; tlect'"t'Ci:
.~~ ..~ .
L ^ 1/- ~
O&lers Name Db."; C\
200 amps or less $ 63.00
201 amps to 400 amps $ 75.00
401 amps to 600 amps .....,:,.,;$l~.QO,,,
601 amps to,IOOO,anws,,:r':J '~, ~~:;;$~G3.ob :.
.. . '" . ", ..'Y "".. _uull (,;1.. ,.,
Over 1000'~Il1ps/vQ~ts),ipr T tJ"'''8 "HiM .'$17(~..oQ'_ J,.I_
, '- .',.:"",,,.- -,".-"'.'>- _ .....,1.;;1 ~ .._........v _~""_..3.t;fl ~""'.l tl'
Reconnect,OIl~.Y'.t!{{; ~,'"\(J 10 ;'hr'o' "..l~ 1""\ {\$_,; ?,Q ..oQ1I\ '"'
:;~. :-:".: '. '.' ,,':-',-, ".'.'" '.' ","' _L.tr'_._I'\f")-v::Jd.'~UVI-
,}tJ~~O'~: -!~~:\U :J11t1\t :C.bt8in ---,~_::~:j~)iGS;_ Ofr:t:m.e :'yuJes by
Temporar'y ~e.rv,lc~S!m~~~~l( .
Installation enlti
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts see
"B" above
D e"-' 'e~
Address-=rJG-S . S. AS+i'e.e-~
City-.Srlrv~Phone ,41- 157.9
OWNER INSTALLATION
The installation is being made on
property I o\.vn which is not intended
for sale, lease or rent.
D. Branch Circuits
New Alteration orExtension Per Panel
One Circuit
$43.00
Each Additional Circuit or with Service
or Feeder Permit 1
$ 3.00
].
Owners Signature:
E. Miscellaneous (Service/feeder not included)
-Each installation
PlImpor irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$50.00
$50,00
$25.00
$45.00
H:3f:1:J
::i) ~;'39NfjH:]
1; 2: a:J3~j lJ,jij
..." ('lDN ~ :lL t~lG
: ~~BNbd1
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4. SUBTOTAL OF ABOVE
7% State SUI'charge
8% Administrativc Fec
103
~. 2.,
,.-
rZ'1
TOTAL
.I
<s IIB~
1