HomeMy WebLinkAboutPermit Electrical 1999-3-11
The tal
, ' wing
zoning, and does not require specific land use
approval. ArTENTION 0
, I i)f2.-. . : regon law requires you t
Zonrng -6J. follow ~u'es adopted by the Ore on UtiliO
Dale ~-II- "'f"'l \ ~~ol!flcatlOn Center. Those rules ~re t f ty
" \. :JAR 952 001 00 se orth
Authorized SiQ....U.....~M ".,.""".,. 1<J.J.JJO' 90 v - - 1-~ through OAR 952-0n!;ECTRICAL
. U.'JI"__r_ ~........ . ,ou mayobtam cop fth ,'"
, SPRINGFIELD, OREGON 97lr7Y'ling the cent les 0 e rules by
. INSPECTION REQUEST: 7rzJi~9lplbrthe O~~ (Notuet:,t,he telepho~eCi ty Job Number
OFPICE: 726-3759 ' gon Ilty Notification
Center IS 1-800-3323';344WHPLETE FEE SCHEDULE BELOY
1. LOCATION Of INSTALLATION
t65 t:-lvJIt.- k.'j.tIJL..( w~ ,A. New Residential-Single or
t/ Multi-Family per dwelling unit.
~GAL DESCRIPTION Service Included: ~
/703'].. 34"3 cJ'fMrJ Items Cost
1000 sq.ft. or less $ 85.00
Each additional 500 /
sq. ft or portion
thereof $ 15.00
Each Hanuf'd Home, or
Hodular'Dwelling
Service or Feeder
,
"
JQB DESCRIPTION
7~ fht.t 41.-
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. CONTRACTOR INSTALLATIO:YDNLY
Electrical Contractor ~
...
Address 1\1""'~IP' .
. . " ,,':',.,. .ilT p"L-IAII, EXPIRE IFTHE vVurlK
Ci ty , 1I0i'r~, ---...~ '" NOT
./ ~....' '..lr."" 'MI;:) r-L.,I\lV'" .-
""/i,,\1 :. ' '
Supervisor Li'1ns~,~umbe~ ,'~ dr.:.'.nhir-O FOR
EXPirationLoft/".ao n-e.'ii ~tl=l\t\IJ,
"" " C.
Constr Co tr. Number
EXPira0n Date
Signature of Supervising Electrician
i
I
I
Owners Name ,4,vS;{w J 1Rj.tJ/l/R.....11 D.
Address 19~j C~ Av../
Ci ty 'it'1".."p Phone '1'i 0- t1~.? d
cJ
O\INER INSTALLATION
, I
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners SignatureM:
~ /?"'0
~l~~~
-----;;;[lJ------ --------------------------
DATE: :3 {, '11
RECEIPT : () '!, ~"l-.:? II .
RECEIVED BY: oJ! I/JM..JI
PERMIT APPLICATION
110 Zj<j
Sum
B.
,$40.00
Services or Feed rs
Installation, A terations
or Relocation:
200 amps o~ess $ 50.00
201 amps to 400 amps $ 60.00
401 amps t ,600 amps $100.00
601 amps t6 1000 amps $130.00
Over 1000/amps/volts $300.00
ReconnecVOnly $ 40.00
Tempora~~ Services or Feeders .
Insta11~on, Alteration or Relocation,
200 amps' 'or less I $ 40.00 '10
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
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. 1./ A (IJ
SUBTOTAL OF ABOVE 7y
5% State Surcharge 2- rJLJ
3% Administrative Fee j. '].-tl'
TOTAL I-f ~, VCl