HomeMy WebLinkAboutPermit Electrical 2011-3-9
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Electrical Permit Application
225 F;fth Street.Spdngfield, OR 97477.PH(541)726-3753HAX(541)726-3689
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.> "DEPARTMENT USE ONLY
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Sp(l;!e(( -OC. '3 bF
Permtt no.:
Date: 3 - -//
This permit is issued 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.
IECC,' AL'GOVERNMENT"APPROV AIi,?'-;;~'r{,,,7j'>fi
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Zoning approval verified? 0 Yes 0 No
;:deA TEGOR'(-;Of, :C()N~TRUCTION'5,il":
D Residential ovemment D Commercial
l!i'f,.iJiI2t~)lJOEl1fSITEf)INF()RMATIONr_AND~r;:()CArION~~1;:i\jf?
Job site address: W
ZIP:
Taxlot.Oo6 DO
OF- ,WORK HY";::>" :,N"<',;:',!":
Name:
Address:
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).
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Notification Center. Tho rules are set forth
In OAR 952-001-001 0 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).
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'115 PERM
IJTHORIZE
}MMENCE
"Iy 180 D/i:
440-2584-1 (9/08/COM)
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',:' .,' .'" ,,'.-.'.' ;'" .' Cost:," Total"
,NumberofjnspeCtio'nsiper iteinO. ....... Qty. .;',"~~3.;"';,. ' ,'cost "
. _., '~ I. ';- '.' .. 'le'... ,3",",,:. :- ..,tl ";-,(." '\.'l~'i... '.._ "" ,
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 $$fT
201 to 400 amps (2) $ $ ~
95.00
40 I to 600 amps (2) - $158.00 $
60 I 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 $
20 I to 400 amps (2) $ 87.00 $
40 I 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 $ 6.00 $
Miscellaneous fees.: service or feeder no! 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: (1) $58.00 $
~~
(A) Enter subtotal of above fees 8/
(Minimum Permit Fee $58.00) "I , $
_ "0
i rCl.lj'Ehh!r.l\2o/.Ps'~thl e'/)',- lKll:~ $ 'f7"'7:
) ""!'IC,", 'W'i'n ." CfOS'
'IJ(O)q;echn~l~. :,~er'l' o~i'r/!.o.J/:l $
:IiJroir-AE f~~s"a'~:iS'~;charges (A througb C): $9V77
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Y t"'cnIVU. I I
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TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth SI
Springfield.OR 97477
541-726-3753
www.ci.springfield.or.us
811-SPR2011-00368
1451 WALNUT RD
permilcenler@cLspringfield,or,us
ir;i:i:1~':::;lz'~iiti12JIL4fif~{;Acc,o.'U N:tZCODE~ ; ~
224-00000-426102
821-00000-215004
100-00000-425605
TOTAL DUE:
DATE: 03/09/2011
,~:,.-; '':'".cAMOUNT'DUE.:5:(';;.~:::'.!]
81.00
-'-~-
9.72
4.05
94.77
RECEIPT NO: 2011000431
lDESCRI~TI6N;:c- :'';:';'"'' '.<j'Jr~.Ii)""""'''
Services 200 amps or less
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
RECORD NO: 811-SPR2011-00368
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~MENT lCYPE :',,: '1, "'PAY9Rci.?1fCASHIER~DBOWLSBY0;4~ COMMENTS:jrifrhi!:;'{C~";Ji?:t1tt'.;'~;';.iJ1b~"1ANL~UN ,PAID.. ,; ,,'~V'ot;~Ar$,;h;;2i',
Credit Card jim davis city of eugene 94.77
057563
TOTAL PAID:
94.77