HomeMy WebLinkAboutPermit Electrical 2011-5-5
Electrical Permit Application
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225 Fiftb Street. Springfield, OR 97477. PH(541)726-3753' FAX(541)726-3689
SPRINGP1ELD
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Date:
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This permit is issued uuder OAR 918-309-0000. Permits are uontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
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Address:
Phone:
E-mail:
This installation is being made on residential or farm property
owned by me or a member of my inlmediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560(1).
Address:
City:
Phone:
E-mail:
.CCB license no.: ~
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441l-2584-J (9108ICOM)
Residential, per unit, service included:
1,000 sq. ft. or less (4) $134.00 $
Each additiooal 500 sq. ft. or portion $ 25.00 $
thereof
Limited energy (2) $ 32.00 $
Each manufactured home or modular $ 63.00 $
dwelling service or feeder (2) Services or feeders: installation, alteration, relocation
200 amps or less (2) $ 81.00 $
201 to 400 amps (2) $ 95.00 $
401 to 600 amps (2) $158.00 $
601 to 1,000 amps (2) $205.00 $
Over 1,000 amps or volts (2) $469.00 $
Reconnect only (2) $ 63.00 $
Temporary services or feeders: installation, alteration, relocation
200 amps or less (2)
201 to 400 amps (2)
401 to 600 amps (2)
$ 63.00 $
$ 87.00 $
$126.00 $
Over 600 amps or 1.000 volts, see services or feeders section above
Branch circuits: new, alteration. extension per panel
a. Fee for branch circuits with purchase of a service or feeder fee:
Each branch circuit
$
b. Fee for branch circuits without purchase:-of a service or feeder fee:
First branch circuit (2)
Each additional branch circuit
I
$S;-
$
$ 55.00
$ 6.00
Miscellaneous fees: service or feeder not included
$ 63.00 $
$ 63.00 $
$ 63.00 $
$58.00
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,~(~ OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
www.ci.springfield.or.us
811-SPR2011-00757
4095 FRANKLIN BLVD
permitce nter@ci.springfield.or.us
RECORD NO: 811-SPR2011-00757 DATE: 05/05/2011
< "'AC.C.QUNLC..ODE"s,_ '., " Al'JIOUNT.DUE
224-00000-426102 3.00
224-00000-426102 55.00
821-00000-215004 6.96
100-00000-425605 2.90
TOTAL DUE: 67,86
L)'AiME.NT TYPE.;.: 'PAx98; fciiSll1ER:DI39~LSBY :":':::::':c~,-gQMMENJ:S';:'L"'::""'$..::::.L. A~qUNT P;AI~t:_~_o. "'.J
Credit Card JEM ELECTRIC INC 67.86
294327
RECEIPT NO: 2011000881
IOESCRIP-TION -.. . . . '.' c, "
Balance of Minimum Electrical Permit Fees
Branch circuits without service or feeder - 1 st circuit
State of Oregon Surcharge (12% of applicable fees)
Technol09Y fee (5% of permit total)
TOTAL PAID:
67.86