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HomeMy WebLinkAboutPermit Electrical 2004-4-8 ~ , CITY OF S. .dNGFIELD. OREGON . , , 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F~f!~Jill1WJ1W:tassUbmjttedhasthefollowing (t, tffll1lifnot reqUire specific land ELECTRICAL PERMIT APPLICATION approval use City Job Number Cc~"2.!:X:l~.'C I Z:'2.%ate do- l - 06,- Zoning l!..~ . Date 4-8".0 Cj. 1.'iiXJAiioNiQF1NSt:A.Ki~TioN:.;.:~tli;i:f;, 3. ?iJOMi>LiHi;Fiii~~fii:i?;iiEWW!h.ci.('t.9'.~:,i,i:~,~~:;\,~i . ,. ...., ...... .'.,.. i ".".. .. ...... ," '.', .' gnamrli'C'" v " ". .f:,.)., ,.',,',' '.,.., '., '2. 5 \0 G.A\o<\.E. E"1'\.t'M ~'\;;) Constr. Contr. Number i 0'-1 q;) q /'> n tn Expiration Date 2l- I '-I. Gn s'~~"""f)~ I Owners Name Eo'- E~<;'f<.O-.)t2:t1..S Address 140"'2..$ S~ ~~l /'1"- To~ ~-oE.Mi~~J.I~n~u~~}~&if~~ii~!!~~l~'~~~~iF.~~.~~:i,;t~ti;~i~~" City ~\.l E.~ ,Ot-\. Phone(,S't>3) EA4. tOd.;4-4.- Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited EnergylResidential $ 25.00 Limited Energy/Commercial $ 45.00 LEGAL DESCRIPTION l1 O~ ~ '- 00 O'Z.. '10"L JOB DESCRIPTION t--l€(J..) 0 E-b\'\f'tL t;\) u...Ot t\c; Permits are non-transferable and expire if work is not started within 180 days ofissuaDce or if work is Suspended for 180 days. 2. ',' ;"'.~". .', c' ). :' .. -~:'. , ..,'> ;.~, '. ,:,J. .' I -.'\': ,",', '," .,;~_.'. .~,I""I.I' v ..roNTRA,,~~~1:NstAti:ATiONONLYP ",' ".'" . .'....~....' "', .,", \:~ -, ...._'.':"'.:-.';/...... ,,' .':Y',':',"'",\;; Electrical Contractor ~ L. \ l? ('+r, C Address 4(0<;1; S :I~ Q 6e..i \ (0 'Soi City E........11 ~.....c oJ Phone (D<;("1-6'1l0 ,. Supervisor License Number 3'% 1.;;\ - 'S Expiration Date I ()- !-O<..f OWNER INSTALLATION The installation is being made on property I own which is not intended for sale. lease or rent. Owners Signature: Inspection Request: 726-3769 ';"(' .",'?~~,__: .~'l"",+;,,,. <.'~.'~'~; .V", 1;"\~:~;~'~;;~".,'-':;l;y\ -.;c ',-:'_i)i....~?; ~tof~~i1i.><""''':''.J'i;,;l;, ~"":~f".:'t.;;'l,'t,t 'l'_'L~."tt~~~~ A. 'New.l{esident~I':" Single or Mtilti'-FaDlily'jier'i1wellinguliit:' ,.' . ., - .-. '., ". ,-.' .,'- Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufac!' d Home or Modular Dwelling Service or Feeder . $106.00 $ 19.00 $50.00 _.... ',,,:,~~":,; ':': ,:"~'C~ .' -,-:,.t,~:.'., _ d s': ':. "";.:::.,,,' ~~. 0-~'.-~". ~{':< .,>~:;..,~, :iff. l.~,,~':'Y\S;"'~; ',.~~~__,,-~" l _/: B.::semces'or'FeflIen <':.In.stallatioD't<\lteriitioii.'.6lRelo~iitioii:A\ ~ '.' ~".! ','. " '::''- >.-' .',' :~,', 1': . ,1' ,:p, '. '. " ;, '''!., '.~. "., - ':," --c; .','. ,;:-<."'" -....~.. S;,' . ,-,~~,." "', 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only 'Z... $ 63.00 ~ "2.'=>.00 $ 75.00 $125.00 l1..S.oo $163.00 $375.00 $ 50.00 G. ::;T~~~~~,6~1~~,W~~~~~::.if!~~~~~:::,~i~i~~~~i:iK,:~.~iui{;;~f(f~t~~t'0~r~.~!i~ Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above. > _'':J~-'',.'_ '. ~ \ f. .,~-"~..i, .:'~'-~~<...: A ~1~,~; ,,:':i;~.'-P;- ~-""R'):Vl\.,~'i;r~: ',,~:.;;::::~,' .~ .;-:,,, -~"",~~~;;.:K~v,'~~-: D. "~ BrancbClrcultJ%':\~V~;;,~:';;t~"~~-f;'-7h~..'-~~";_',.'1.JV'~<{, Jt,"'\~,'\}i~"~~";lY~'J~:,J:?:'i/t"j. ',:~". '_,', " ,; (';,--", ,u,u ,,'-!!'_'.(A;;. ,t,j,~-':-{,ti,~{fA\", 1 ',':;:,,~~','~.'~~;;~ 1).,,- '.~~"Ift ',-~'.:',"p",..:t.,:;:':, tr';'~~'i~:,:"'~(l~ $ 50.00 $ 69.09 $100.00 New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 ~"L $ 3.00 t86.cc> Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. ~~UBnjiif:6jf,~(WiI:.~~Y;i.i~:'<;??'i:~;:~~it;;ii;.\. de-:, 1.00 '30. S,,> 1:!,,-:,.'10 5l t .1...~ 7% State Surcharge 10% Administrative Fee TOTAL . '"' . t!~ _'" .;,. :\(~\. '" ..-'~:' ',:,. ;<< .,,;. ,," -t., 1>1::"" ~ ~.. "<'i.(';'~f.'!' :'.:,<:,l,':..;~, ~;\:;~~'.' ,. :";> CI I YOE'~~RINGFIELD; OREGON :'~\<""-._,.,:'J,<i\i'),,/:: ....., ..~;'".f.."-:,.~ ",t..,:; .{~ ., t-""".-~'" ~ ,f:I,~' """-"i'{;"I"/'f, J ,"~^'" <b"'r\'~'_'l,::../, ,>" -~':>::"'\;::t~""";t~......;~..t:r;,(li:: 225 J<1J< 11:1 STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION 4-"( 04- City Job Number ((1M;L" 0 3 -0/).).'1 Date ,;;zp-(f)J/.. 1. .f:ifcAfjON QFjiffST'Aii:Aifro.N?,:':{'/i'~ 3. ':COMPUITEFi1iSqJEDifi1iJifji.(jW0':::'~i's:'r~j:<f;' :-25"/0 ~~I!v- ~~'2-7.b? . '.'-' , '., .~" _, 'J, ". '. '.'.. . .,.. LEGAL DESCRIPTION ('1 0;' '2 'L 0 ''-7\.. New Resi~ential- Single or Multi-Family per d.welling unit. . . O N./..u.) 1J.ei1:r;d.- t?t,J'ilc/';/I'7 Service Included . JOB DESCRIPTION / 1000 sq. ft. or less $106.00 Each additional 500 sq. ft. or portion thereof $ 19.00 Permits are non-transferable and expire if work is not started within 180 days of issuance or jfwork is Suspended for 180 days. . >, - , . (~ ;"':0' ., c......-, _ _.', .: -,-:',;'.x.'-: ".,",.~::::.:' CP~CTOR4NSTALL:ATIO!(ONL<Y' .. 2. .... " . ." Electrical Contractor :::rt\ E. Ii? 0+r, (' Address 4lD~5 I~C\bej \.0 'S.i City E..... 3 <2..\<'\ 9 Phone (091-51,0 . Supervisor License Number 3"6, J - 'S . Expiration Date I a - 1-0'-4 Constr. Contr. Number i (]'-j q J q Expiration Date 3- /'-j. (V-I Sign ~ ......... Owners Name FlfjeVlP, S k(}(ff/-cs Address 14{J;26 50 Ftu-ml1Jfoh ;ef City Ifr:ruJerl-fJJ1 Phone (50~)M"I-4I/I/,/ OWNER IJI/STALLA TION The installation is being made on property I own which is not intended for sale, lease or rent Owners Signature: Inspection Request: 726-3769 Each Manufact'd Home or Modular Dwelling Service or Feeder $50.00 .. ,...., "'_'" ~~,f/. .'_," ',' .~_.~. .;~: .,\.--.....-_,.':'-_ -~:._";.::5.i._~., :"',/,<.,-<_'_<",',"""'- B.ServlceS cirF~~fs''- Jijsi8ii~tiOD;AIi~niti~ns oj:Rel;;~~iiori::::' ,,- " -. ....,. ,"', ".' '-. , . .' , . . .' "'0 .-"-'", --',....'...,;.. .;'-....,:-;,....N.....;-:.~.',: . 200 Amps or less 2- $ 63.00 \,-,,",CO 201 Amps to 400 Amps $ 75.00 401 Amps to 600 Amps J $125.00 \'Z.5'.OO 601 Amps to 1000 Amps $163.00 Over 1000 AmpsIVolts $375.00 Reconnect Only $ 50.00 C. '\..T..'..e' ..m'.' .p".o".'...ra'..'.ry.....'...S. ..,".'.rv'.....'.....c....'e.'..s...'.'..o.r."........F'...~.'..'...A..'e.'.r...s:t...;.......',. ' ......, " .." .., - - - - - - - ,,~ _ - _ _ _ ~cu - _ -.;.':~~>~!;:' ~.;.p:;:.j,::,~'\;~~;:!.(i:::"~;',':~Q:::i;~;~~~~;~;;:. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50.00 $ 69.00 $100.00 Over 600 Amps or 1000 Volts see "B" above. D. ",: ~~~.~~~.:q.i'rc:tii,'~-;. ~ ~;~:~:.,'~: ~'~:.,~~"~; ii;~i:~!}~_:}f~!;~\~~' :;;~. .i:ft~' ;~~ ~:i~~~ ~S:~,.~>~~\~:~f~~~:: New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 ~J- $ 3.00 l8b.OO . .'.-';.' "": :":, ::" "....-"'.. ...:;."-'..-.;...,c::..>.,.,..~"...,'.,.:.",...:...:...-., '.;.,~'-'~""~",,:--....>-...,:, E. . Miscellaneou.(Servicflfee.Jej'.DotiijCJ~,i1e~);~~adiIr,i.tan~ti~~ Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00' Limited Energy/Residential $ 25.00 Limited Energy/Conunercial $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges "'. ' 4.SUBWTAL OF~vE;' .. ".,. .. 4:?il.00 110.5"'> 4~.'"7o 5l\..Z.~ 7% State Surcharge 10% Administrative Fee TOTAL