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HomeMy WebLinkAboutPermit Electrical 2005-11-29 '. " " - " ... ~ '. '..' ':. . ~ , . . , , ".:i: \ .: '. :':.~' :.., ' '. .,' /.,. '.i.,> :,\:;~' .':~....: i, '. . ~ ; .... . ,:,,:":.. '.."." :..... ..... ., ',7, J:: ~'. '. . .: ':.'1:" ::~~. ,I."":", "_. '., ":.',', '.. ....,;.., , ,i"~ ~., .j ":'(",,:,,"1 ::~ ~. . ..... './ .' .. ..,......... , '.; '.";., ..'.. '. '.' " " "', ,..../ ::'''~'L': ...~::;~ j:~:{ :: :-.J..':(....:.i:...~ ,,":. ....;.;.'} "... :.:.".' \.'-".,',1,' '. :,.:.' ,'. ;, ...., '" ., . " >. '., .'.\ . . .' : ~ '.' ..! "1 EC 0 , 27 Job Number ',. 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 I I i I I I I I -, I J 1.."j~"j...j.2o:~~I!:(?:\:',~, 'I"~ "\ :~~"".':"\.-::..' ---._~ -- --. -.------.- --:-----:-'...~......,.,. ~,..' '.' t. '0 _.~'~:. . ''1{,.ry,1 , .,~'>- , , CITY OF"SPRINGFIELD, OREGON . ~ ../' '. 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 ."'.,."""'-".,w....-ff"~'(_.. . oO;:!irla'''''''':"'''' ',"" ~~ t.,f..... 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 ~<;J~~ -~.,""-~-,~^"~~,~~ I'~!r~{~~~~' L\C\bb\~b n3\[Q) 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. ~-:~~.: "''''~-'''"l''::'~-~_~~~~A'_~, .CO " ' t;.;1..v","'miST. ' . - PI01'liON1JY,. 2. ", ''1.....~,~...":!;li..:."''~~.. ....,...._~:i".lY.1W'i"!... 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- i 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. ID.r....-"'''.-'''"'.~_.._.,-''~~~'~ 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