HomeMy WebLinkAboutPermit Electrical 2005-11-29
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EC 0 , 27
Job Number
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ELECTRICAL PERMIT - CONTRACTOR
INSPECTION LINE: 726-3769
City of Springfield Fax line
225 Fifth Street Electrical Inspector
Springfield, OR 974n General Information
[] Job Address' 'o<.f=j'C/) (~F<INW'-
Owners Name: Po.-tric.i1AN"t lYbbk.fknnDate:~C1"')
Description of Work'
COMMERCIAL a RESIDENTIAL a INDUSTRIAl. a PUBLIC 0
rID Electrical Contractor: LnK\~~
Supervising Electrician 34;Q:Q, .~ "-
Supervisors License #;. 8I>ires: ~~~t1 ~
Construction Contractors Board #; X'::JIO +4 Expires; / 1 fM,
THIS PERMIT IS NOT VALID UNTIL SEcrlONS I & 2 ABOVE HAVE
BEEN COMPLETED AND SIGNED BY THE SUPERVISING
ELECTRICIAN PRIOR TO AN INSPECTION BEING REQUESTED
541-726.3676
541-726-3663
541.726.3759
IHSPECTIONTYPE
{ TEMPORARY
RGROUND
U ERSl.~
ROUr;t4
I SERVICE _ _ _
I lOW VOlTAC".F
MANUF HOU~ ,(IORVlCE
IIU.NUF HOME r:n~NECTtON
c: --
ApPROVAL DATE
INSPECTOR
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CITY OF"SPRINGFIELD, OREGON . ~
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICA4f,~I'~.UCATION
City Job Number ~ ,\ Date
200 Amps or less
20 I Amps to 400 Amps
40 I Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above.
Signature of Supervising Electrician D. i'loi!r4!<;ji!:~~,i~J;~~~~~_~~
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
n E. l\J~t~!!l2i~::(~~m.~~!~g~~~~}i~'"~lt!!k~5~~~~~~j€s~~I~~!~~~1
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial S 45.00
Minimum Electric Permit Inspection Fee is 545.00 + Surcharges
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4.SVBrO~t"''''A'BOl!]i'~;:-' "..l'c;~~ '. V'-"
'....- ','. -. !('~ ",,,-~,,,"~''I:'" "___ .~.~ _'. .
~'ll tate Surcharge _ .4: \ ,
?;J(" dministrativeFee - lO'~
Inspection Request: 726-376k'" \J) ~ /\. \ vr TOTAL f\ ~ ,'1l
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JOB DESc;RIPTlON
~~~ 6Mb
Permits are non-trans r ble and expire if work is
not started within 180 s of issuance or if work is
Suspended for 180 days.
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.CO " ' t;.;1..v","'miST. ' . - PI01'liON1JY,.
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Electrical Contractor La nt-;z E.I~-fn'c..,
Address 3J-l~31 -\-\w~F115
City ~W\e......~ Phone -:r2110f0~'1
-V .
Supervisor License Number 3 t.J '1.;l:,,)
Expiration Date Ill{ 1128O-::t-
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Constr. Contr, Number ,.Q (') - 3 ~.~L
Expiration Date ::t I \ I W00
Address
City
The installation is being made on propeny I own which
is not intended for sale, lease or rent.
Owners Signature:
.
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$106.00
$19.00
$50.00
4'~~1s~~~~J~n~i-:~t~::rRelocation..
200 Amps or less' ~ $ 63.00 to 3.W
20 I Amps to 400 Amps $ 75.00
40 I Amps to 600 Amps $125.00
601 Amps to 1000 Amps $163,00
Over 1000 AmpsIVolts $375.00
Reconnect Only S 50.00
B.
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c. (:~gt.I!!l.rary:Sery~c~_,9r.t-1te.e~eJ3~~.~~ia~~"....~~ : _~ J
Installation, Alteration or Relocation
$ 50.00
$ 69.00
$100.00
$ 43.00
$ 3.00