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HomeMy WebLinkAboutPermit Electrical 2006-11-3 Date ZON U)t? j INITIALS . tfi DATE\.'.:,~ ~~.; SOURCE ~ \O}ol\L.U\.?<P SPRI.LD '1 t. ' .~~"~--"?;;1 '\.~." ~~' . ,~~..' , ~~ -, ~~., 225 FtFTH STREET. SPRINGFiELD. OR 97477 . PH:(541)7Z6-3753 . FAX: (54t)726-3689 1000 sq. ft. or less ~ ( Each additional 500 sq. ft. or ..:")P17_-, ~ !l.JVtL'2f"ion thereof $ 19.00 Permits are non-transferable d expire if work is Each Manufact'd Home or , . _' ,'" ,:>, uU.'.v not started within ISO days of Issuance or if work is Modu~f r>~,el'!J:tg,Service,or' .~ the Or::90n 'i1g'b~ Suspended for ISO days. Feedibnow rules adopted bYo,e rules <J,I t) set ..v.ll .~~..; '-,...l.\r.' .. ......;.. " '.'_~ ~ ..._~~.'. '~.:.;~"""""';.'_.."l:<;..,.' ;:':.f,::.~:!~~~~~~\t"~f}::t~r:f.-11'JS~::~;r.!' r'~~R:.~5fl.-:...QOrt~~~~~........,;;.~',j,';. 2. ~; c.OtJT~~!9~JN~T ALLA;T!J?i'l.CJ.NL ~\ B. ~..~el'1'lces. or.!!ee~,ers.:;,!Tn~tuJI~tillri?IAlterat!on~, or~Rs.l~call~.n, /.,,; EIec~c~I'~'~n:ct~~'''~:;';;;.l~ (;;:;:~ 2~~~~;~~~~;;"cY~;n-~~~~f;~~~~;~~~~~.~{-~~~'~~ ~ \I\n"'t\l.C u.... U't.\tY1'Clotl\\\"C;L\ 201 Amps~to 400 Amps" Oreoon \ \ _, $ 75.00 '2.'.1 h ( t' _ / b(..\r~01 ,II"'" .... . . 441. Address :;-/ ,/0 0 -x'a.v1'. (,... 401 Ampsro60<L~p,~riS 1_f\()()'~'~~-"v $125.00 /'" 601 Amps to 1000 Amps $163.00 City '7 i.Jc ",,,,,(7 Phone t{tll-'9/'.- mJ Over 1000 AmpsIVolts $375.00 / Reconnect Only S 50.00 New Alteration <?r Extension Per Panel One Circuit Each Additional Circuit or wirh \ -.. \/"' ...-.-;". ,-.- Service or Feeder Pennit . Owners Na~vV- ~<:; ~ Y'Mh.-rb^" \'''-VJ' : '. '':~'~I'!''''''i'~l',.'''\'''''''' .\-:.':,.,.....'-~;(..,...."...')... """-"-",,,,"-:" ',1,."'. '''Jl'r"'1'' Address l~5 ~t:;l(~ ~,f-' _ E.}!i~~~Il:'I~~~i(CS:~~i~~{[ee~e:.n~~~l:.l~.,!:d? :-Eii~h,.Illii.~II.~t~o'~. City ~WJ 6../ (c('U Phone ..., U. -S;;)f:'7 Pump or irrigation $ 50.00 \j Sign/Outline Lighting $ 50.00 OWNER INSTALLATWN Limited EnergylResidential $ 25.00 Limited Energy/Commercial$ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ". ." I;;),~ ..;~.:.:~,:~.::~:--:,::~~..':: <0. )0 (::2..lOg ~ 154 .q('\ . #~4'g~ff~'r;~'::. _.~' Xj S% State Sur~rge t'I.~~~.~<\ 10% Administrative Fee ~ IT TOTAL ELECTRICAL PERMIT APPLICATION City Job Number ~2.{'rD([, "'0 '. \ '7 '~, . "'. ,,". . . ",";'. . :_.'~"".-':"" ....-1,;,._ ..;,.....,~.:-:- 1. LOCA~O;:F.INSTALLATION ,,'.....i!.,.,...;;," \5c\S"" .'c"'''hr:~'>''''';D7~<'''''' LEGAL DESCRIPTION ~ \'103 ':lS ad- t\ q- L\ eJ0 . JOB DESCRIPTION hQ.lA,\ ~ Supervisor License Number sO &;0 c::; Expiration Date F()~(j7 Constr. Contr. Number ISV~B'l9 'S-o?f I The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 t"'~'\- ..'~,.', . .,' ,"'.',. "~,,,,~'. .l. '....~.'. )~",~~....~"t;-.,..! .. ",'<'.-.'''' .., .( . '\'<:1.'1. ~"'~~"~' "":":';.'4".~ .1"-;;"', 3. ;:CQM]>LET'E fIifiSPIEDr.;u:;BELOW J:':J/~8:},~~t"~,:;t,1 f,-_ ......"r -'-l.""..-.....~.~ ~~..........,_..."-.. .,_ ~....l"" ....~ ,.' L ::-,.;,:,. *'''1; J .~ ....~~.t ...".l"jJ~:J;J ...__."<10 . ~,;,' -i:'~"]~ -':.........i.:~1,- .3.~.7 c;.'.t.l':;!,~"""', ::-/:: ",'~~:-"'i'~r'.,.l," -1,,-),:-:,'\,' '~",~.l..~.~:jp.~"~r;;~':z:" l,}f'lf'~'..:. A. i:New, Resideritial":'Single or,Multi-Filmiliper dwelling uriiG0" ~..."" .-:...,;.0<........'. ,~""" ~"'.tr..,j: .......... ..c. .......a~...<.:,,,'d~~...,,.;'........... .' ".~..4...-'...:"-...~....~-.,'.,~ Service Included $106.00 c. ~J~~~!~s.m[ifg~~-r~~~~,~lS%~i~~!~~~~~.~~~j~~~[ z:r"'_!.i.-",+_.,""",-.,~~-.!.~_..:;.a~,~7..:..Jo'loJ""4~~~''4~~~~'';\..''~ MnlICE: HE WORK IlIStallailon\,A1t~'1ation..IlF\r'Rel~\li1110lE IF 1 1HIS 't\iIVI11;''' \:'l: .' I I~ NOT 200 AR\~~OWSfZEO UNOER 1HIS PERM\s jO:OO 201 AmEs!6 4,SOAmPSOR IS ABANOONElJ$FJ9~o rl1MfvldH.tO '401 Ampst\J'600 AlJ1PSpcRIOO $100.00 ~NY iBO DA\ l . Over 600'Amps or 1000 Volts see "B" above. :( .. :-...,'- .- ,.',.:1 ':"91~T;..';;..~_}} "..I.:"~\"~~l~,,;'J...}i'-';t;';li 77:~"'.U~"c"fR,,"'.:r~'6:,.,'~' D. .1'Bra~ch .C)rc ill t~.:~.o;,i"~:..:;;'~I:'Jj\."~.~~,:,l':, 1;~ ~.;1"i.,;:..~"l:\~.: i\..fV't...:-'....':;,!i~t .~it",~~; ~~:: .~." ...-,' """"'.-..-.--:..""".....::',.!.':I.-, 1.<.~"'.'l::i..,.~....,..J:'l.....~vr.i'_:r-...." ::}t,;;".r._l;:~~'. _...i..~..-.--=- $ 43.00 $ 3.00 0-0 SO Og-' Shared Driv~T:)lBuilding Fonns/Electric:l1 Pennit Application 1-Q6.doc , 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . ..~~:~ Wit Ci_f Springfield Official Receipt D"pment Services Department . ' Pubhc Works Departm.ent Job/Journal Number COM2006-0 1172 COM2006-0 1172 COM2006-0 1172 COM2006-0 1172 Payments: Type of Payment CreditCard cReccint 1 RECEIPT #: 3200600000000000559 Date: 10/3112006 Description Perm Serv/Fdr 200 amps or less + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By SUNSET ELECTRlCfBRAD ROGERS Item Total: Check Number Authorization Received By Batch Number Number How Received njm 086982 In Person Payment Total: Page I of I 1 :39:56PM Amount Due 126.00 6.30 10.08 12.60 $154,98 Amount Paid $154.98 $154,98 10/31/2006