HomeMy WebLinkAboutPermit Electrical 1999-7-29 (2)
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Jul-29-99 02:12P
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P.02
225 FIFTH STREET
SPRINGFIELD. OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. ..LOCATION OF INSTAL!.ATION
.5~e~ t/1c.LA-GE JW/~/L€
I~ ~E~PTr~~ () O~ 0 I
Jon bESCRIi11~}
'2-80 Aw<...P s.ee.v ICe U;7r;,I!/HJL
Permits are non-transferable and expire
if york is not started yithin lBO.days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLA.TION ONLY
ftII~frcbFS~Ntew~t'iM,r 1,,3,
Addres!lo86 tames agat'
Ci t Roseburg, OR 97470 Ph
Y PheR9 life 9873 one
'.~ .
Sup~rvtsor License Number
4/7/$
,.,"
Expiration Date. 10 -{)i-Zl7ef/
Con~tr Contr. Number to 7 'I,,> II O-ltY/~'
Expiration Date ID~DI-q"l'.
. Si~~~~p~rvising Electrician
~&'j-,--, ~ ~
OllDers Name l2ot>6 ~ T~-V E'S
Address :J3"1?-i G4?21Jes te.,cj
Ci ty f2.tJiR~(,l./2.6. phone 911679&173
OVNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for' sale, lease or rent.
Owners Signature:
DATE:
RllCEn"1' a:
RECEIVED 1lY:-
Electrical Service & Cont. Inc.
3986 Carnes Road
Roseburg, OR 97470
Phone 679,0873
ELECTRICAL PERJiIT APPLICATION
City Job Number
COMPLETB FEE SCHEDULE BELOY
New Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
3.
. A.
Items
.n.
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular.Dwelling
Service or Feeder
Services or Feeders
Installation. Alterations
or Relocation;
200 amps or less --1--
201 amps to 400 amps
401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Cost
S 85.00
SUm
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
so ."""
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"ol' less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D. Branch Circui ts .'
Nev. Alteration or Extension Per Panel
One Circuit
Bach Addi tiond
Circuit or vith Service JJ~
or Feeder Permit "2 $ 2.00 ...,.
E. Miscellaneous (Service/feeder not include~)
-Each installation
Pump or irrigation .
Sign/Outline Lightin~
Limited Energy/Res
Limi tcd Energy/Conlm
SUBTOTAL OF AIlOVE
'l'bS ta te Suc.charge
370 Admini5trative Fec
TOTAl.
5.
$ 35.00
$ 40.00
$ 40.00
$ 20.00
$ 36.00
- .? 7K'
- 1.73_
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Jul~2i-99
P.02
225 FIFTH STREET
SPRINGPIELD, OREGON 97477 .
INSPECTION REQUEST: 726-3769 : rf,u
OFFICE: 726-3759 . r
cJuf" 3.
1. .J.QCATION OF INSTALI...ATION' 1-/t;'{I f IV
.5~c~ t/lc...LA6E JtA;/)~/Ltr . A. New Residential-Single or
/70 '3~'1t.( 'f Multi-Familr flcr dl/clling unit.
~tEP.TION~';,:'!/=H 1) 0301 Service Inc uded: Hams Cost
. Jon DESCRIPTION 1000 sq. ft. or less S 85.00
'2.&0 ~ seM Icg U~(';~/I--tJL Each addi tional 500
/0".(,./ ~m . sq. ft or portion
Permits are rion-~nSferablA-..1~.!l.l1!i!JCpire.--. thereof
if york.is not startod Yit~ l~days Each Kanuf'd Home. or
of issuance or if work is l~ltlSl'lklAl.LEXPIRElfOll.\m/liOlilfelling
180 days. AlJTHORIZEDUNDERTHISP~tIl9NCtJr Feedor '. $ 40.00
2. CONTRACTOR INSTALLATIO~NCEDORIS.tJlAN_imY~n:eX~~~~ations
Electrical Contractor 1l1\IV1enn4vP~810D. or Relocation:
AddreS$FI~r.trir.~1 !';~n/ir.p JI. rolln! Inc. 200 amps or less -1...
3986 Carnes Road 201 amps to 400 amps
City DoseburQ. OR ~96 401 amp'S to. 600 amps
:il; Phone 61Q-OR73 4' 601 amps to 1000 amps
Sup~rvi.sor License Numlier /71 S Over 1000 amps/volts
:;': Reconnec t Only
Expiration Date II) -lJ/-Z&e1
Con~~r Contr. Number II/'7 it",> //D-/~1i'
Ex~LJ.on ~a2 ! ()- D/ - qtt ' .
. SiY2:!tii!l~PQrvisin:_. Electrician
~~? '--' -\..--
Oll'Ders Na'me 1201>6 ::> TC?-V i:.::.
Address ZYf?t c-MtJes rz.,q
Ci ty fZ..t::&e/l.c.L/U Phone 911 C79t;!73
ELECTlUCAL PERMIT APPI.ICAT!ON
Ci ty Job NUlllber 1110?:,1
COMPLETE FEE SCHEDULE BELOV
Sum
$ 15.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
56. ,y<>
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amp~.oT less $ 40.00
201 alllps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see liB" above
Branch Circui ts .'
D.
Nev, Altoration or Extension Por Panel
orie Circuit
Each Additional
Circui t or wi th Service J J.,...,
or Feeder Permit "2 $ 2.00 '-/.
E. Miscellaneous (Service/feeder not inelude~)
-Each installation
Pump or irrigation "
Sign/Outline Lightln.
Limited Energy/Res
Limi tcd Energy/Conlm
---.+' 5. SUBTOTAL OF ADOVE
DATE;--'(j/r 7ii.----- p---------------- 'l'bStatt! Sut.chuge
MeEtl'!' n:--..: /1.".e~JJJ.__. ..__ 3Y. AdministriJ.tive Fcc
RI~CElVEO IlY:;;;z7 M TOTAl. uto
ATTEN"IIUN:url:l\;jI.II' to.W 11:l4UIleS yo .,
follow rules adopted by the oregons~~"~:%h
Notification Center. Those ru~e~:~952.001_
i30~~~y~~~2; ~O~~?nt~~~~s of the rules by
calling the center. (Note: the tele,~ho~e
number for the Oregon Utility Notification
Center is 1-800-332-2344).
$ 35.00
OiIHER INSTALLATION
The installation 1s being made on
property I own vhich is not intended
for' sale, lease or renl.
$ 40.00
$ 40.00
$ 20.00
H~'80
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Ovncrs Sign~turc:
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