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HomeMy WebLinkAboutPermit Electrical 1999-7-29 (2) 1(" , Jul-29-99 02:12P -. . 4:> D I F rz.o.rn.tcJ If). .... "....~...u.=....u 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_ _.'<; 9...:>-1-. . ~53\ F~illlk:J(jl. ":u.~ ,.... 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 .~" 7r _. t. 7 r _/(, Z __s:2..0...L Ovncrs Sign~turc: rll ~-