HomeMy WebLinkAboutPermit Electrical 2006-4-26
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City Job Number L.OV\/\ -z..O oc.( - 0 I 4 ~ l' Dale 4/26.00
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I. WCATION OF INSTALLATION
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LEGAL DESCRJPTION
170J2-2-00 DC 70Z.
JOB DESCRJPTION
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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:~:_
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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
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.
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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
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