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HomeMy WebLinkAboutPermit Electrical 2006-4-26 ;0 ~ ~~~~;;;~~='~(~~z.l~~~~" 0- t' omng City Job Number L.OV\/\ -z..O oc.( - 0 I 4 ~ l' Dale 4/26.00 00111;; I. WCATION OF INSTALLATION 3333-ea",e ~."" R98d \Z\\\eiOO1\ '\lV LEGAL DESCRJPTION 170J2-2-00 DC 70Z. JOB DESCRJPTION RNe~ndHo~IDDC PermitJ are non-tl'llnsfel'llble IlDd expire jfwork is not started within 180 days ofissullDce or if work is Suspended ror 180 days. 2. I CONTRACTOR lNSTALLATlONONLl' L_______ _ __~_ Electrical Contractor L.H. Mortis EIecbic, Inc. Address 483 Shelley Street City Springfield Pbone 541-747-0811 Supervisor License Number 3Oll6S Expiration Date 10/1107 Constr. Contr. Number 1838 Expirntion Date 6J8I(J7 20fS4:~:_ ~-?1 - Owners Name PeaceHoalth Address 1255 HilYard Street City ~nA Phone h-Db-t,. ~~5' OWNER INSTALLATION The insta11ation is being made on r--r~'" 10"" \\bich is not intended for sale, lease or rent Ownern Signature: Inspection Request: 726-3769 3. COMPLETE FEE SCll.Ii1Qmilllt iliJi'f3lilW : A. New Residential- Single or Multi-Famil)' per dwelling uniL. - - Service Included 1000 sq. fl or less Each additional 500 sq. fl or portion thereof Each Manufact'd Home or Modular Dwelling Selvice or Feeder $106.00 $19.00 $50.00 B. Sen."ices or Feeders - Tn11nllatinn1 Alterations or Relocation: 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIV oIls Reconnect Only c. . Tem po rnl1' Scrri('eJ or Fecdcn Installation, A1lel'lltion or Relocation 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps Oyer 600 Amps or 1000 Volls_ see "B" above. D. Bl'llnch Circuit. New A1lel'lltion or Extension Per Panel One Circuit Each Additional Circuit or with Selvice or Feeder Permit $63.00 $ 75.00 $125.00 $163.00 $375.00 $ 50.00 $ 50.00 $ 69.00 $100.00 $ 43.00 $ 3.00 E. l\fisccllancous (&en'ice/feeder not included) -Each Installution ; Pump ar irrigation $ 50.00 Sign/Oul\ine righting $ 50.00 Limited EnergylResidentiaI $ 25.00 Limited Energy/Commercial 200 $ 45.00 59000.00 Minimum Electric Permit Iuspectiou Fee is S45.00 + Surcharges 4. SUBTOTAL OF ABOVE 8% State Surcharge I (lOA. Administrative Fee TOTAL $9000,00 $720.00 $900.00 Shared Drive(T:YBuildma FonmiElcclriW F\:tmilAppIiabon 1-ll6.doc $10.620.00 .~ . .. , . . City of Springfield Permit Fees-Riverbend Hospital DOC A. Residential Per Unit Service included: Items Cost (ea.) Sum 1000 sq ft or less 0 $106.00 $0.00 Each additional 500 sq ft or portion thereof 0 $19.00 $0.00 Each Manufd. Home or Modular Dwelling Service or Feeder 0 $50.00 $0.00 B. Service or Feeders Installation, Alterations, or Relocation 200 amps or less 0 $63.00 $0.00 201 amps to 400 amps 0 $75.00 $0.00 401 amps to 600 amps 0 $125.00 $0.00 601 amps to 1000 amps 0 $163.00 $0.00 Over 1000 amps 0 $375.00 $0.00 Reconnect only 0 $50.00 $0.00 C. Temporary Service or Feeders Installation, Alterations, or Relocation 200 amps or less 0 $50.00 $0.00 201 ampS to 400 ampS 0 $69.00 $0.00 401 amps to 600 amps 0 $100.00 $0.00 Over 600 amps to 1000 amps see B above 0 $0.00 $0.00 D. Branch Circuits New, Alteration, or Extension Per Panel One circuit 0 $43.00 $0.00 Each additional circuit or with service or feeder permit 0 $3.00 $0.00 E. Miscellaneous (Service or Feeder not included) Each pump or irripation circuit 0 $50.00 $0.00 Each sign or outline Iillhting 0 $50.00 $0.00 Limited Energy/Res 0 $25.00 $0.00 Limited Energy/Comm 200 $45.00 $9,000.00 Minimum Inspection Fee 0 $45.00 $0.00 SUBTOTAL OF ABOVE $9,000.00 8% State Surcharge (.08 X Total Above) $720.00 10% Administrative Fee (.1 X Total Above) $900.00 TOTAL $10,620.00 Q