HomeMy WebLinkAboutPermit Electrical 2001-11-16
ThE: Ning project as submitted has the following
225 FIFTH STREET :;~%g~a~nd ~oes not r~;;e specific land use ELEI.. .JCAL PERMIT APPLICATION
SPRINGFIELD, OREGUN 97477 , Ly", ' '
INSPECTION REQUEST: 726~~IVJ lor' ,",' City Joh Numher LJ { r-O II C )~O (
OFFICE: 726-3759 Date " '" ,n1K' .
1. LOCATION OF ~~r~~1~~g~~ur€]:>~,v~mMELE.TEFEE SCHEDULEBELOW
J~d In U. S +. A. New Rcsidcntial-Single or
Multi-Family pCI' dwelling unit.
LEGAL DESCRIPTION Service Included:
I/O -3. '2 S- 4 "3 OS 800 Items Cost Sum
JOB DESCRIPTION
(L6-{?( ~ PtASt: tZ? (j Y
L./ I E (Z~ "-- (-<un.....
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
1000 sq,ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manui'd Home or
Modular Dwelling
Service or Feeder
$106,00
$ 19,00
$ 50,00
2, CONTRACTOR INSTALLATION ONLY
B. SCl-viccs or Fcwers
Installation, Alterations or
Relocation:
Electrical' Contractor
Add"" \ /
City , '. Phone R"
Supervisor Licen, "N":}'~, II
Expiration Date ~
i;/',
Constr con~l1ber
Expiration Date
200 amps or less
20 I amps to 400 amps
401 amps to.600 amps
601 amps tol000 amps
Over 1000 amps/volts
Reconnect Only
$63,00 &3,00
$ 75,00
$125,00
$163,00
$375,00
'$ 50,00
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts see
"B" above
Owners Name fV) t!'I1Lr':.. (,iL- TY) 'An!
Address 23a (0 .J". $-\.
Cit~ ~~Phone (PLJ I') 1 L.n-~ ~ 7 I
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit
$43,00
Each Additional Circuit or with Service
or Feeder Permit
$ 3,00
OWNER INSTALLATION
The installation is being made on
property I o\vn which is not intended
for sale, lease or rent.
O\V/J1:t)t~
/
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$50,00
$50,00
$25,00
$45,00
Minimum Electdc PumitInspection Fee is 545.00 + Surcharges
4. SUBTOTALOFABOVE
7% State Surcharge
8% Administratiye Fee
C:,3
TOTAL
11';-
72