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HomeMy WebLinkAboutPermit Electrical 2007-8-15 .::lb '-Q~ "'1 'L '6 '2. ~ , CITY OF SPRINGrfELD, OREGON 22S FIFTH STREET. SPRINGFIELD. OR 97477 . PH:(S41)726-37S3 . FAX: (S41)726-3689 ELECTRICAL PERMIT A PPI.lr.A T1()N ) /72- , C,oY'Y){) O~ I - CX:::r~, ~ ~ _ I City Job Number 1. I LOCATION OF INSTALLATION: Medica..! . Offioe.. Bu i Idine. LEGALDE~CRIPTION: l"03~O<r'OO ~o).. _ R\\IUD~ Medic.o.l PCl\Jlliotv " JOB DESCRIPTION: Cove... <t S,1jC/."'\ \ Permits are non.transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days, 2. ! CONTRACl"OR INSTALLATION ONlX I ~PAIN.D occ-~ c:::; ZON mil (' J : . j'cr ~ _ .../'-...1 ~ INITIALS N Y\'\. I ~----'..- i DATE 'K-\S~61 I ,,-, ~~ SOURCE~ Date ~-14--0'7 3, I COMPLETE FEE SCHEDULE BELOW A. I Ncw Rc'Sidential- Single or Multi.Famil)' per dwclling unit, Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modu)ar Dwelling Service or Feeder $117.00 $ 21.00 $55.00 B,I Services or Feeders -Installation. Alterations or Relocation: E)ectrical Contractor \=-c. Com'pt'l1\'1 200 Amps or less 3'1 $ 70.00 2,7:30 - 20 I Amps to 400 Amps ~ $ 83,00 315'-1- Address Po Box 0,1..".> 40) Amps to 600 Amps Z. $138.00 2..,6,- 601 Amps to 1000 Amps 3 $180,00 5L10 City .Alnn.Y\\.1 Phone !N\\C\U,-Lj2f..b Over 1000 AmpsNoIts z.. $413.00 '82.c,,' . Reconnect On)y $ 55.00 c. I Temporary Services or Feeders 1\I0TIC~: THIS PERMmI3W11tMi,\qall~~~a'fm~tt AUTHOR@ilIMl~BElt.JHIS PERMIT IS MOY ~OMMENef~t6$db~ONED Fuit ANY 18a'PJIM''VIi1ill0~ Amps I Over 600 Amps or 1000 Vo)ts see "B" above. D. I Branch Circuits Supervisor License Number '~i2.515 Expiration Date \0 -1- 01 Conslr, Conlr. Number l1C1131 \-1<:> -0'8 Expiration Date Signature of Supervising Electrician tJ~lr0-9 .--/' Owners Name Pe.ac..e.. \-\~I+h Address 3~3'2., l'1CUY\ll_ FaNrn Ih\. City --.S.p' i n~~.p~ Phone (SCl(\ "I'i!"i'-12Yo $ 55.00 $ 76.00 $1)0.00 1\6- New Alteration or Extension Per Panel One Circuit I Each Additional Circuit or with Service or Feeder Permit $ 48.00 $ 4,00 y~- ~'-I'\I;- 137 E, I Miscellaneous (Service/feeder not includcd) -Each Installation: Pump or irrigation $ 55.00 SignlOut)ine Lighting $ 55,00 OWNER INST ALLA nON Limited Energy/Residentia) $ 28.00 The installation is being made on property I own which Limited Energy/Commercial 4 $ 50.00 LbO - is not intended:fl>'I'~ffleft.'\!)ffillon law l'GCjulrOO ~imum Electric Permit Inspection Fee is $50,00 + Surcharges o S' hllow rules adopted by the OregOll,lml!i17i SUB1"OTAL OF ABOVE --~- ---r .. 4 3'2.- wners Ig9a~l1hcalion Center, Those rules are sI'J2 fd i lJ i . nAI'l o"~_nn1_nn'nth",,'{'h OAR 952.(ll)~o 8% State Surcharge (;,145.. ,)090, You may obtain coplesofthe rulso IlV 10% Administrative Fee 'i'$4 ~"<.U calling the center. (Nole: the 2\l1ephono 5%,Technology Fee 4 '1.\ ~o number for the Oregon Utility Notlfio::l2\Cl:iil Z5~, Plo..n 9.e.\lI"CU) F<<. 2. lOll' Inspcction Request: l.t<h!eP~s 1-800-332-2344). TOTAL ., 12.41"1. ~ Shared Drive(T:)/Building Fonns/Electrical Permit Application 7-07.doc