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HomeMy WebLinkAboutPermit Electrical 2003-6-10 u~~-~~-u~ u.;~~ ~.u' """ ~~. . ELE.AL PERMIT APPLICATION .,City Joh NUmb~on dtJ7l~ '-()(Jit~ '.' .. ne 10\IOwing 3;. COMPLETE FEE SCHEDULE BELOW bmille<l nes I d use . ~ . 'ec1asSo cit\c\an. .: ..' :Ii.'l:\oliowing oro\ nOI requiTe soe , A. New JWidcnlin~ffi.plglOl'dOes 1"i"I,~ '_ MUlli-'f~cr dwelling unll. .-!.a" /15 ~ LE~ALJ>~CRJP110N, K""7' Semce lududel!.bning - ' 0 /70.:5 (;(7 ~ U O:=?-=> U v 051 S 1 /) Da,e .AOJlADES$;~TIO.l.t'f II J L lhJ . /-'. ,_1900.wJ\;,'lf,~'Ii~~ii'.dSi9!l.'t\'tl~d" \'OU$J06.00 - ~ CI (JM,C.._(.JfI ;11 r.... -~OiiO\',\'ffi!\~vI12~l:.~y the Or3gon Utll,y \I ' ,,~.,!1 pr P9,r'~nThose I ules ara sot 1[1; Permitsurcnon-tmnsfcr.'bleand.."piTC DlIllOdllicreof'" tJ. hOA'" ..._ $.19.00 OAL) ....'-r....."'.. ,...,....."th.."UCl .~-\I....' if work is noC sInned wiUlin 180 davs 'n n I!8ch'Manlil'd'Homc'or .., " . ~" of issuance or if work Is suspended 'for ,,090. 'Modular'pm:JUi\/fl copies 01 th r: fLI :es u, 180 days. cc1':il~'Y.i~!!r:J:~~r(~J;]te: the tel~nhnrs)5u.00 _ n' \mi:>o~r fei \i1:'> Or('gon l ltili!v Notification 2. CONTRACTOR INSTALLATlO~ O~Y B. Sem~o.':!,e~!len'.O~~"'I,)';~ ~4). . Al It,," IIUI\j.~';l0~UIIIA\:ry\~;1~IIt:S.. OL \~ C\Rth' IDstnlba~,Alterationsor . ElectricntConlmclo,Ht;j,Xl.'},I\' ( !, Y l~doeallOll: follow fUltJ" a=...',:~ --..., ." a" , <:: t ': < . NOtihC<~ff.l~Q~...a!eh~ " (,- 200 amps OT less S63.00 . in OAR 952 ~J"-U\! IV ,r"uu~"'~' .. . ---", .;',. .; '. 201 amps 10400 amps -.-:.: S 75.00 0090. 'qty.r ",;.co~PIiOn~~JlI/~rI,llf~li38.t: 4OIllI11pSl06Oliamps $125.00 . calliT\Cl thp. C';rjier. (r~ota: tt;q~'~~9:'. ::.";~' '60lampSloloooamps. . SI63.00 . S LiCCIISIC,N\onber;,i, , ' ,- ~!!rl;iO,1.. .......: NO...Ovcr 1000 .....".. ,.JJs S375.00 . nUlllDbilUI ill..J ~':;I""~""" ..... .~.. ':' " . ..:..' tU' .. , - Ex{~~.riM"~-;nl;:,HV<!. ~'~, :::.: '.fHIS: PEnMrf.~lyAlLEXPIRE IF THE W~~'1lO . CimstrCoutr. i:.~~ _ jlj9';~7.;;::,~~~~:~'~\' f~~~~M~TF~~ NOT .:' ..Expirationo..Je~ ~ 'j_::g ,:-::~~~';('; .., 1lNY;:\ii8~cliiiiiio.D. . Sso.Oo ..:.:~.: '..,,:., .;.'.,:2Qh!flPSto.~ooOmps S69.lJO_ _. ..'..:Signauuur7,,,. ',iucEla:tridaa . .:<'~:<<t(lD~O(j'amps $100..00_ .. "...-y. . .. . ~ o-6IlliiimpsailOOlholls.... "',,::.: .:' " ,..'::;'i:~~:;" ;~'" . //. "8"a!Jo,-.:' . ;. ',~""-'., <:'i:~:~ :..' -,t:{o ..~,. '. . . .e .' ... ". D. Braacb Cir'aIIls . . <~:'~'Niaiae.'. . . - 'PrY'~ New..~~.laiODorE......:_..PC.-I':II~I. , ..".., "'7f<s' ~,..&~ W- ~.~~.. ~. {SO ...... .;:>::,~:-Ap.P.:.. ....~.::.:.:: FlcbM1i~CilaritOT\\ithSc~ce.S43.00. .. :..~.\i~~IlDisr~noN::~~.i..' . orFeedc<~ _~3.oo ~ -;:::..Thc insIaDationisbeingmade~. . E. M<,.. .., :.:.,. '(Scrrice/fccdcrnotlneluded) " I - ....:.-J.. . . 1 '. _'O;.:.....:.:..-aJ. ---"-ft " : --=. .'.t...... Pl,~,,' own WIIAOIlIS DOt "............ . a;.ca..u ~-~- . :~~forsa1c,..ICasc.orlClll. .. ; . F'~I"'Dri.,'.".',~..," .:.~ . .. ... ~neLightiI18 '.';. Omtcn Siguata1'c: . . Limiti:d EriclgyIRcs , . - :. ~ EnergylComm 225 FIFTH STREET , '. SPRJ!'lGFlELD. OREGON 97477 . INSPECTION REQUEST: 72.6.3769 . ,OFFICE: 726-3759 . J 1fijCA~N~~ftt/;:N ~ S5O.OO'_ S5O.OO $25.00 $45.00 .. ' Minimum Electrie Pcrmitlnspeetilln Fce i. S45.00 + Surcharge. . lJO ... SUBTOTAL 011 ABOVE 4.~ 7% StatuSun:hnrge ~.S V 8% Adailuistrativc Fee .a . lc..,~ ~'d. _&5 TOTAL Jun 04 03 02:49p Dec-19-01 04:46P CROW VALLEY ELECTRIC GRAY 2. CONTRACTOR INSTALLATION ONLY B. ScrviworFe.ders E....:..: 6..unlClD,C-enW \ 1illl!1\.[lw-v ic;::;:.A",.,..or Ad4rc5s~ A.1\aril. Ln Sk.C-- 2OOmnpsorl..... ~.. . ,c'..', "1" 20lampslo.oolllllpS Cn,' ,,'..': .~IOJ\Oti~-f~;~~,~/ ~~=:~::. Stipe", LioenscNUmbcr 1.f1if:l5'. .....',.: .Ovu lOOOampsf,'Obs ~~~. .~~. ;~;;~~~:~!:~~::~~~::,J r;,:,.T~=::._rn COnstr Centr. Number j!/9--1/ '? i:j.. :.:;':" '. "lnst!'ll"li'!"o Af.'.....~.., or ReIoc:ati... .E.'Jliration D:1;c..l.2 ~j3 ,-:::;'i:~~;':;~(, .. . '.~:':zOO ~~~... .. .' .. '".- .;.' .'~:2l!I'3!DPSlo.~a.np. '. ":"o..;r~riD6(llf .. . - . amps o-6llO amp. oi 1 000 _ ..., "8" abo\-e . . . ...... Lf ~ 22; FIFTH STREET . '. SPRu.vr""""O. OREGON 97411' IN~r",-..ON REQUEST: 726-3769 . ':'OFFlCE: 726-37S9 . I. LOCAnONOFINST~TlON ..' .:J..Sl ~ 'S C<1.Jj:. GlM'\' QL LEGAL DESCRIPTION JOB DESCRIPTION J\Otlt piA rr-f Pcmtits arc non-trnnsfentble and e.'q)ire if work is nol Slancd \vithin 180 cL'~"s of issu.nc:e or if wotk i. suspended for 180 dil)", . ."::~~~~r;' <; :,01 s~peniJmg Elcclririaa , ':::;:~~~,~...j)Qi:((IIJfi('-/ff'{J nil . ~:...' .:;.~::?~}~~\..'.~: :~.~, ~~. !.".\. .~~:.~~;:.;~'~ 1 '-._.." . . -. , '. ",--' -::~ ~:~~~ ':: ..~:jLi~753X ",- - '.';.o..Da'S SiJll"lllm: -........ 541-461-4062 p.2 P.02 . '.-"' ELECIlUCAL PERM1T APPLICATION ,:; City Job Namber 3: l;:OMPLETE FEE SCHEDULE BELOW ,,: Nen' Rt:..idCDli"l-Sin~ or I\lultl-Fomlly per d"'dlin~ anil. Semite Included: he",. Cost Sum 1000 sq.l1. or less Ea.]\ additional SIlO sq. 1\ or ponion thereof Eaoh M.nul'd Honle or ModulO( Dwelling SclVice 0' feeder S loo.no S 19.00 S SU.OO _S63.oo _ --.:..: $ 7S.00 $125.00_ 'S163.oo . S375.00 - S 50.00 $SO.OO $69.00 _ S100.00 --:- '';:~ D. BraDCb c;i~.. Nen}I,'.";.;.;.... or S,1ttlSion Per P:meI ' O~,Oii:ui~' ~-S~3.00~d) ElIch ~ CUatit 01' wilb SerYi<e '. or Feeder ~ $ 3.00 . . -.' ~ '". L MiKIOO.,,,,,,!.(Ser.icdfee<kr ItDt inclUded) : -Eiich inst:iIlatioIl . Pii!iiPor'. ,:"";'.,, '.' ~Iitll:LigldilQl Umib:d Ezi:rgy1Rcs :. ~.... isueqyfCoatm $50.00 $50.00 $25.00 S.U.OO l\tinimmll; ~ric ~it Inspcclicm Fee is SotS.OD + Surr;b~s 4. SUBTOTAL OF ADOllE 1% St.", Surc~ s% AdaiiDistratl,,, Pc. TOTAL 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone JoblJournal Number COM2003-00450 COM2003-00450 COM2003-00450 COM2003-00450 Payments: Type of Payment Check 6/5/2003 City of Springfield <. Development Services Department Public Works Department, Official Receipt Receipt #: 2200200000000000990 Description Minimum/Adjustment Electrical Add, Alter, Extend Circ + 7% State Surcharge + 10% Administrative Fee Paid 8y MAG ELECTRIC Received Hy ddk 10:28:53AM Date: 06/05/2003 Amount Paid Item Total: 2.00 43.00 3.15 4.50 $52.65 l.:heck Number Conl1rm No Amount PaId How Received In Person Payment Total: 52.65 $52.65 Page I of I . . cReceipt.rpt