HomeMy WebLinkAboutPermit Electrical 2011-5-18
225 F;fth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689
DEPARTMENT USE ONLY'
SPd:z..ot{:-OO /00
Permit no.:
Date: S -j B . /
This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspended for 180 days.
. .". "LOC~L:.GOVERIIIMEIIITAf>PROVAl':>:;~""';::'
Zoning approval verified? D Ves D No
, . ':,:C,6.TEGORY(Of;CONSTRUCTION.',>
ATTENTION: Of!?\l~f\ \!lW r@@I:!\r~~ ~f11:l.r8
follow rules adQRt~9 QY \r,~ \2r\l~9n ~Y!I\"
Notification Cent!?!, fhg~€! r!:!!~!l, iH!3 ~@.\ WA ~
In OAR 952-001.001 Q thrg!:!~h @Af! @3?=oe - '
0090. You may obt,i:\in ggp!@~ @f lh@ fW@.~ B~ ~NOTI
calling the cent?r. (N.9l!l, m@ l@'~R,,8ne \.V
number for the 9reggn .Vti,lIlY ,N9f.i!!2t!!!8i~ \ THIS
Center i? Hl9%l;?.?-.?!?.;\4I'). Y/l~ AUTH
D~ COMMENCED OR IS ABA
ANY 180 DAY PERIOD.
440-2584-J (9/08/COM) &
City:
Reference:
PROPERTY ,OWNER
I,'
j((
This installation is being made on residential or farm property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) a 79.560(.1). "j ,
Signature:
.~
TOR INSTALlATION
City:
Phone:
E-mail:
CCB license no.:
J ~<~~'.';:"'j~~~~:~.;,;;t"{\r;~o/~tm!::';:":;;"?,:,~EEtf'SCAE.p"LJOE:r0~i~{~'\fR't~Ni~;i?i~~~}1~f~~
,N~~~_~r' ?.f:jnsp~ct~o.~s "~~~),te.~_; 0" .'(" . . Cost Total
Qty. "ea.", cost
Residential, per unit, service included:
1,000 sq. ft. or less (4) $134.00 $
Each additional 500 sq. ft. or portion $ 25.00 $
" thereof
. !-.imited energy (2) $ 32.00 $
Each manufactured home or modular $ 63.00 $
dwelling service or reeder (2)'
- ~ervices or feeders: installation, alteration, relocation
200 amps or less (2) I $ 81.00 $BI.~
.
291 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) $ 63.00 $
201 to 400 amps (2) $ 87.00 $
401 to 600 amps (2) $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 $ 6.00 $
b. Fee for branch circuits without purchase of a service or fe-eljei-fee:
First branch circuit (2) - .
--
Each additional branch circuit \'t $ 6.00 ~ 7
.
Miscellaneous fees: service or feeder not included ,
Each pump ,or irrigation circle (2) $ 63.00 $
Each sign <;>r outline lighting (2) $ 63.00 $
Signal' circuit or a limited~energy panel, $ 63.00 $
alteration, or extension (2)
Each aClditional inspection: (I) $58.00 $
)E~~;:'~:'~~~~~"tSy;~~i:1~;t~K~A'R-FIDIQAN_t~,:USE\!~~~~t.~:<;;;'r{i,-:na};~y:;:/~,::]f;~',':;
(A) Enter subtotal of above fees IS;'
,~
(Minimum Permit Fee $58.00)
tlfl'l Enter 12%surcharge (.12 x [A])""" $, 163
1(~ffh891m'I!'~Xr.{f\J! iWlj[HE WORK 1 '7b"S"
frQ[~JlliIl+)!illldf~l-\lhli'Eg6lVlJif~C): $17 ~ '--
NDUNtU I-UIi
Z-
."
QL
/77
~ "'~""
I
S~::1~:".IE~
~(~
~OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541~726*3753
www.cLspringfield.or.us
811-SPR2011-01006
2830 MANOR DR
penTIi1center@ci,springfield.or.us
RECEIPT NO: 2011001146 RECORO NO: 811-SPR2011-01006 OATE: 05/18/2011
HYESCRlftTioN:';' -,~~;...t*7Y"4;:i;N ", :... "';,'; .',;0,v\fj~:,:;:." .; ;AcCbuNT.CODEe-""i" '.:.:.. ;(AIVI0UNtDUE:"~-'.:.J
Branch circuits with service or feeder each circuit 224-00000-426102 72.00
-'._-- ------
224-00000-426102 81.00
821-00000.215004 18.36
100-00000-425605 7.65
TOTAL DUE: 179.01
UP A Y.N1E.t:!T tie~ '; : v '~Aio.B::2s:ASfliER" bB6wGSBY:"'~"+.i.;';-;;' CO.MME'N.fl;:"7"+ ;,' :~; ":'94# i4,t;4#7',reAMOUNT.~AI[)~; :,[",;;.; .1
Credit Card tim usher 179.01
016726
Services 200 amps or less
_~~e of Ore~on Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
TOTAL PAID:
179.01
,