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HomeMy WebLinkAboutPermit Electrical 2011-6-9 .. .-" Electrical Permit Application , 225 Fifth Street. Springfield, OR 97477+ PH(541)726-3753+FAX(541)726-3689 , . :tDEPARTMENtUSE ONLy ....~>. ..' -- Date: Permit no.: This permit is issued under OAR 918-3.09-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. NOTICE: THIS PERMIT SHA AUTHORIZED UNO COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. ., .' . '::L{OCAVGOVERNMENT:';a:~PROVAl:!bt1i,\rnfi!"'n:. Zoning approval verified? 0 Yes 0 No ;':"';;;'f'..S3,CATEGORy,{OI7:;:CONSTRUC;1110N~:;t D Residential D Government D Commercial ~~o/rJ.oBlhSI;rE0HNF;oRIVIA"J;ION7;AN[j~L.:O.C'ATION~~~~'fi.' Job site address: "ILl C-A ~ /;:; t..t..JA i;;/.: City: ZIPor' '1 702.-3233 TaxlotDJ~ :'DESCRIPtION: 0F'W()RKjj~, '" :"\;"'?J:;;:F<' l7Jrt1 'T,' (;J Name: 'PROPERTY OWNER .. f' .J tI t1/Jt f' i n Business na.me: Address: City: Phone: E-mail: CCB license no.: ZIP: BCD license no.: Signing supervisor's license no.: Print name of sign in superv.isor: Signatur ( ~'1f(j R!'d b the Oregon Utility Notification Center. Those ru es are s in OAR 952-001-001 0 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). ~~.\\. \.a'~ .N~ 440-2584-J (9/08/COM) : P0~~~~~t~l~ffi~~~~~~EE~SG8~pQ~E~~~l~t~~~~~~~~m~ .. _ .' .: ''''''''''-'' .", '. -,'.-";".;,' :V""'_:" : "". .; , cost't,T()taI" ',_NlJrriber'o.f:inspectio:ns~pf;rjte~:__(-)" '." Q'ty. ','1"-."" ,/\-" _'. " ", .,;-:',.,'.,C t' ,.,' ;i'~'~'+"cf'; ..jc';.'I :,..q.. " ,'~::'.'~~. '. .''-' ,1_1",e!l.'~' '_' 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 Limited energy (2) $ 32.00 $ Each manufactured home or modular $ 63.00 $ dwelling service or feeder (2) Services or feeders: installation, aLteration, reLocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 96.00 $ 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 feeder fee: First branch circuit (2) .A $ 55,00 $ 5~ Each additional branch circuit 'I $ 6.00 $/ ~ Miscellaneous fees: service or feeder '.'lot incLuded Each pump or irrigation circle (2) $ 63.00 $ Each sign or outline lighting (2) $ 63.00 $ Signal circuit or a limited-energy panel, $ 63.00 $ alteration, or extension (2) Each additional inspection: (1) $58.00 $ ;,~t~~1g{<I~~~jt~j'~~\AR'F?G~'j~~N~1\,*US E~.~..:\;tt;:::;~ii~f;~~:;~~:~~?~~r~'::,~ (A) Enter subtotal of above fees 67 (Minimum Permit Fee $58.00) $ (B) Enter 12'Yo su,~,h.'";g<;,(.12 x [A]) $, 80(1 , (e\ Techno\< (~"{rmj(\]) $"<3 :;- ~ e,s (A through C): $ 7523< . ,\ ~ ~... SP:I:.~ G.:E~ ~..~ ~.~:;iO . >"""", OREGON TRANSACTION RECEIPT CiTY Of SPRiNGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-01014 4146 CAMELLIA ST permitce nter@ci.springfield,or.us RECEIPT NO: 2011001508 RECORD NO: 811-SPR2011-01014 DATE: 06109/2011 [DESCRIP..TION0l;/ ,:'~iJ.." c' ""~. "S;: c,7'":?~i;i.' ,:~"; . ,jACCduNT:.CODE:f.;'.' "::,,,c'~:AM()UNT;DUE'+;" 'c'l Branch circuits without service or feeder -1st circuit 224-00000-426102 55.00 Branch circuits without service or feeder - each additional 224-00000-426102 12.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 8.04 ~echnology fee (5% of permit total) 100-00000-425605 3.35 TOTAL DUE: 78.39 .". . ""YAMOUNTPAIQ.._ ',;. 'L-..J 78.39 l..:..eAXMEN:ro:.1ieE'c ..S ....~AY.Qi'l/' cASHIER:.DBOWLSBY 1,~.';:::''' "..c:.OMMENJ:S;;-~M .: --Select-- paul gross 192443 TOTAL PAID: 78.39