HomeMy WebLinkAboutPermit Electrical 1999-2-10
The tOllowing project as
zOning. and does not r:Ubmltted has the following
approval. qUire specific land Use
225 FIFTH STREET Zonlng-Lf\Q.
SPRINGFIELD, OREGON ~?l~r7 ~ . \1) -.G\ G1
INSPECTION REQUEST: AUl~i%ilJ!i~nalu (-=7ti
OFFICE: 726-3759 re . / .
1. \.llCATION OF INSTALLATION
t.J...';)...C/ "5.,., ~A- A..t<>.
LEGAL DESCRIPTION .,,1 / "
,aJJ ,,v,,,_..r...J 1763" 7 · ..., f t; '). ( 14
JOB DESCRIPTION /) 1000 sq.ft. or less
fhrL ~0-l.-4 J.41H-rv.......p Each addi tional 500
. . sq. ft or portien
Permi ts are non- transferable and \lIffii:."1N'T\ON:Oregt>l1ffl6<'fQUlrElS YOu~.u
if IJork is not started IJithin 18Cfo~ilwrulesadoptEaldlY~r@QP%l MY?{
of issuance or if IJork is suspe'l1lSffliJ!llOn Center.llDd91fj.~liI!l9E!'l'l':l. rR>rt
1 BO day s ' in OAR 952'001-001llQIIr~ ~RFkl?1'lQ;<t1'
090. You may obtain c?pies 01 the rules by
2. CONTRACTOR INSTALLATION ONLY<> calling the~llnte'i~!1Votee!ll~Iij!~~s ,
be lort~\lUJlia~ntlliQ\'11IP"hatlons
Electrical Con tractor ~ ~ f.i~.:.772,2~~<eA~1!ldte3~lld0}l:
Address f n t311J<: :J-flq'2., "t., 200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100,00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
Nrar1rfekporary Services or Feeders
THIS PElns'fa;L-1!at iron~IFWI]tlHftli>\~1qVor Reloca t i on
AUTHOPzl00Dal~~2.~~/f-lr~!sER~IIT ~ ~OT
-201' - ~~" "'''O'OO''"''!:'' $ 40.00
" ,: .!amps,i'~o"4' amps un $ 55.00
Over 401 .to 600 amps $ 80.00
Over '600 a~ps or 1000 volts see "B" above
.
'..
"
Ci ty.q"!-'-e
Phone 6f'c?-It-./ L(
SupeL-visor License Number J.#-'97 c:,.
Expiration Date
/1)-1 -0'
Constr Contr. Number 71lR?C,
Expiration Date---1Jl-l~/")o
Signature of Supervising Electrician
1~c-AvW-- .
OIJners Name i--t+evl../ t? (4-'''" ~
t
Address I,)-}-"'f oS ~Jt/h,~ R-"'........v-A-
Ci ty 1t~ f I"~ Phone 73 b ~J)4
OYNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
.
Ovners Signature:
--------=-r~l--------------------------
DATE: 'J.f(~( 11 . .
RECEIPT 11: ?J ::> L.fi J'i) /
RECEIVED BY: M WP-/'
ELECTRICAL PERMIT APPLICATION
3.
Ci ty Job Number 97V / (,,S'--
COMPrETE FEE SCHEDULE BELOY
A.
NeIJ Residential-Single or
Multi-Family per dIJelling unit.
Service Included:
Items
Cost
Sum
$ 85.00
$ 15.00
.$ 40.00
D.
Branch Circuits
,.
NeIJ, Alteration or Extension Per Panel
I
35
$ 35.00
One Circuit
Each Additional
Circuit or IJith Service
or Feeder Permit
2.00
2-
--f- $
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40,00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00'
Limited Energy/Comm $ 36.00
5. ? 7 'V-
_ SUBTOTAL OF ABOVE ~
5% State Surcharge I jo r
3% Administrative Fee 1./1
TOTAL ~ 'I ./I (,