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HomeMy WebLinkAboutPermit Electrical 2004-3-2 J . " \, :, , I' _ .' <. ~... :. . " _~: I . -. ,<;" .. - - CITY OF SPRINGFIELD' OREGON <>' f',,-.;~<: . . ". +' :'~, +. ", ",'" ",..,,, . , -,r:II~"" I -.,}_ :.'~., .,.,,'. """'\:", ~,-!",'!>--5t:f ::;t/ 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", '.. , \. , ,. " ",......, "'--,- .- 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 . .