HomeMy WebLinkAboutPermit Electrical 1999-9-29
, The following project as submitted has the following
zoning, and does not require specific land use
approval.
Zoning
JOB DESCRIPTION 1000 sq.ft. or less
fEe u. I?/ 'T'''/ 5V$/t"-v? IV Each addi tional 500
/ . OTlOJt& ft or portion
Permits are non-transferable and expire THISp~~~~eof ,
if work is not started within 180 days AI'7i ~~P~~d Bome, or
of issuance or if work is suspended for ryu HOR a~~~~~
180 days. COMMENCE, Mi1Effrnfi~~eJ! rt~~
. ,,' ANY. DORISA~A' cRMITlS
2. , CONTRACTOR INSTALLATION ONLY ,Jl!JQI$~:~Jb~A '(tf"1flJ/Q~1=f':I NO;
r-' Ins tal'l~Qj,on, Al tetcM:l'Bons
Electrical Contractor-1?Eu#NI....)EC~"''T1- <;,f' or Relocation:
. / '
225 FIFTH STREET
SPRINGFIELD, OREIOON 9l.4lJ
INSPECTION' REQUE~Ttf oriz~~%rgt~R:?e
OFFICE: 726-375/ju I
LO~
q -dq-gj
Cff'
1. LOCATION OF INSTALLATION
83C. R :::>/{?~
I LEft) ~E~/I~ (Y) ~ / '2---.
:Address /i,frO LtJI?~AlF .l7WfI'
Ci tyj?-UhP//e-' iPl Phone -3.!1:1.- f)/JI; X--
.1 .
Supervisor License Number _:-)L~ DGC,-
/CJ-/~77
Constr Contr. Number l~tJ9~1
Expiration Date C;; /30/cPc/
.,,".
Expiration Date
. '
~r~ing Electrician
Uners Name /1./ /-/- / ~n
Address) 1-/ '{., /3 tl--S: tlue-
City S~/c;(Phone iJ& --!?K' 2-
, OVNER.. IfIs~ALLATION ' .
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~---~;i:2~-~;ft1'tt'--------------~
RECEIPT #: l - I I '
RECEIyED BY: LA . fJ/1bt..---.
I '
ELECTRICAL PERHITrAPPLICATION
City J~bNumber 0/ 90 70 (0
, 3.
COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
$ 85.00
$ 15.00
,$ 40.00
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to' 1000 amps $130.00
, !O~~r: 1000 amps/volts $300.00
"'Re~onnect. Only $ 40.00
;'/j ~,,"":f'-'Af' '-'1&.., ....r .
, 04 r, ~,I'J!;;: q(jo.. ~~v
C~~~)O.T~mp~.~ap~!.<..~eJ:'cYi'c~.~ r:2r . Feeders .
, C&/,.I'n'~Jtal'ili~~):;Of).'h ~~I:F)er-a:,n.ffjon or Relocatlon
fJ{-/,;.IIf;~qt/"t)qJI (Vl0.:0So?"eOI'~ €Is;/,
'flb~20o'%mp~J.}"0T, 'Pess'llles> '.C)Ot} 1011 (($ 40.00
"('i'~ ... I>"'/C, ...y;,. ,~ h,
/20" r, r,al!1ps.it.to, 4Q0, anfP.s~;s s'~,' ',..b.$ 55.00
-"""1.'", -'-t-o ~., ft' . f"""fS, ""T _ 'J
Over"10~!~c,S<?~C6Q9~ aIJ1P~, ,9S!::I'_'Ottlj$ 80.00
Over 600j,:am"p:st/,OlG ,),POOt(,jvoi".t1s see "B" above
'J..), ~':). 'Ii} Ii V/0IJ.h is'S/)' ,
. v,.}.?_,....., VOt.. . liO/}, ~ '
D. Branch CUCUl tS4qJ 7/tCql-' 19
'. .,/. 1101}
New, Alteration or Extension Per Panel
,.
One Circuit
Each Additional
Circuit or with Service
or Feeder-Permit
$ 35.00
$ 2 . 00 .
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res J $20.00 ;t~,~D,
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE Jt) - 0 0
7% State Surcharge . /.. Lf 0
3% Administrative Fee . 0.f (;
TOTAL _ J;L..J:LC )