HomeMy WebLinkAboutPermit Electrical 2004-3-2
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,<;" .. - - CITY OF SPRINGFIELD' OREGON <>' f',,-.;~<: . . ".
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225 W' In STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F~6(?o1W26-3689
Ing prOJeCI a. submitted has the followin
ELECTRICAL PERMIT APPLICATION zoning, and does not require specific tand use g
C / .j U approval.
City Job Number oM.1.tJO~ -0/)).1 Date ,;l. .Jl.7f197 Zoning (l_L
1. .)!iXiATiONqfijlST).'r\'-7..\ijo.Ni!;';,~'!t!g 3.!OOMPi.6fE;FmirS~if>>i.".~:il~ifiiiA3;;:2''9i,:f'{:;j!'1::
-25'/0 hltn1/" (Mi1<..r /Cd. Authorized Signatur. . ~
L13GAL DESCRIPTiON . A. .N~ R,-;i~e~ti;;t-ii~;lil;~'M-;;it~f~.iiii)i"~r:d.~:i!irif~-;;it"-;';~
tit'M./ TI.e",1iC- f]y./ khlt'J Service Included . . ..,...
JOB DESCRIPTiON / 1000 sq. ft. or less $106.00
~ /l /J /J Each additional 500 sq. ft. or
~~< yt:r1~ l1o-rO _ portion thereof $19.00
Permits are non-tr!nsferable and ex~ire if work is Each Manufact'd Home or
not started within 180 days of issuance or if work is Modular Dwelling Service or
Suspended for 180 days. Feeder
, '_" _ . .. '. '\, .. _ ,.;...:" ;';,i..."....,' :"\'" (,>';,' _ . i:.'~ "'':;'..Y' ii,:_j.)_c._)....~;..'~f;~. "
.OONTRACTOR'INSTALLA710NONLY;'
2. '." " "-', 'J'-' . ". ":-,. ...~..,. ".,. ., .',., f".
Electrical Contractor :::)K 1: It;> 0+r, ('_
Address L{lD<;I;"S I::;Cl bE'J \ <'" 'S~.
City E'-'.Il '2,...<"
v
Phone Lo"i<l-SllO
"Supervisor License Number '6 <1!; ,), - ~ .
Expiration Date
i () - ! -0'-4
Constr Contr Number i (J '-1 q J q
Expiration Date 2>- l'-l. Gy
~
Owners Name "5//.tx.IA!!J'; E;A.:f~ C.
Address No) 5"" J k/ ~~Uf$(bk ) eRo .
City ~1J<7ZPJL Phone
'17o/JS"
OWNER INSTALLA TION
The installation is being made on property I own which
is not intended for sale, lease or rent.
NOTICE: .
OwnrHISi~Prf,~IT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
i:.JMfilWCm OR IS .4.6.t>~D()NF[) FOR
ANY 180 DAY PERIOD.
Inspection Request: 726-3769
$50.00
,~;'> '.<'. ;_, ~ ,< 1, .'::',i.:{"',: ,:' Y<;:'<' ::-...::s:~ ,,~, -,":" ;.'\';':::~.'::~~'.}. ':"~;"~\ .~"_~_ ~~- r'",~.r.;'<~\!'~' :':'~~'~'U"_'~~~~':.'(.,~' j:':
B..SerYie:es. or 'Feeders :"'IiistaUiitioiij"Altei'atioits' O'r Reloc:atiori:.~..
. -,--., 'r ." --', "';-", ',' - -" ,'-'...;,. "':":~ -'" .-. -: y', ' ; ,.',';. ~, ;'", ", ~ . -;'.'J:;.':;.~~:' ,:;:"'1:.'.,' '::,'.,: '. 'N,' \',.,' ( . .
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsIVolts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
C.' ....~,r~~~.~~:~;'~,~ffj~_~;::or;i.~~~W~~~~~j:~:!;~:i{i;;:i;';~~:~;:j:::'f~\;.:~JN:~~{~~m~~~:~Z\~:~)*,
Installation, Alteration or Relocation
200 Amps or less / _
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts s~ "B" above.
D. ' ~;~~~~I{~J~_~~!~~;f;"~f:i:\~;~H;'~\~;iJ.i~j,~~1~i~?f:{~q~i;t~D~;\i';.~j;~~!g~}~~tiJ~;~r~~~
$ 50.00
$ 69.00
$100.00
50 ".
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
'.': ,',,_~:, .,,:,-~: _~,~ '\;, ..:/"': -:;,' ;."....-:..'::./ ,:';' " '_.~ ,:,_';,:..!,f~';{"; :;"~:: -.f .,;; _'.C"_'~:-~'''''~':;;',~ '::--'
E. . Miscel1aneou..(Servictlfeeder.'nofincluiled)"Eitciij'.Jst8l1iition'
.' " ..' ", '. ~ '-', . ;-."." '.' - "'_'_ :".' ......, ~ ~', '-",'" ,'. 'c';': " .. ...:.. ...... h,'
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25 00
L. 't..'''lErE'~I;'',:\l\I'~'''''''I,on law ,,,'-tulless yt~f}~r
Iml QU. nt:lgY1\:.vmmertIa II - C\-.... r'FutTilt\l
i IlflW rilles arlopted by. ,~c.=;lv '.
Minim.. um Electric Permit Insp.ection,<Fee;is\S45:00*Siirtb!i\rges
. ~{jllll()at.lo('l, yetll':" ,,'w_ - - _
...... .""r:'~VE')throughOAR 9.5200
4. Su::r~~~aYObtaincoPieii'onhEirUles _'-S/J --
7% StatelS&cli'ai-gcl! center. (Note: the tele?hone 3 so
o ; ...~.;. I.... 'hA Oregon Utility Nott"~~hn" ( _
10Y. Araillmlstr~~~f~~;~ 1_!>N'_"lQ9-2344). 5
TOTAL 5~'~6
225 Fifth Street
Springfield, Oreg~n 97477
541-726-3759 Phone
Job/Journal Number
COM2003-01224
C0M2003-01224
COM2003-01224
Payments:
Type of Payment
Check
ltIE:~. )~a,~.!!t.'~~.--'.i.
',_U", '.. ,
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,. " ",......, "'--,- .-
Receipt #: 1200400000000000250
Description
Temp Power 200 amps or less
+ 7% State Surcharge
+ 10% Administrative Fee
Received By
dim
Check Number
Batch Number Authorization Number
Paid By
J B ELECTRIC
3863
City of Springfield Official Receipt
Development Services Department..o
Public Works Department
Date: 02/27/2004 3:04:08PM .'
Amount Paid
Item Total:
50.00
3.50
5.00
$58.50
How Received
In Person
Payment Total:
Amount Paid
$58.50
$58.50
.
.