HomeMy WebLinkAboutPermit Electrical 1999-4-14
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
3~S'1 c:; 'Rt:;'f) I, '1"'I)D n Q ,
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JOB DESCRIPTION \~O(~
SI\. 1.01 F c::Amcit t t!Re;,... ;JtJ.....)
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 INSTALLATION ONLY
Electrical Contractor ~l.1T1= t=u::;'p^
Address 40'4 ~\\lF'Q PHLF. ,
Ci ty FLl (I:, , Phone l.,t)'3 - 540 I
Supervisor License Number 413';'i~
Expiration Date
lot Ilnl
Constr Contr, Number ZZ.I-'5Sr'
E><p;n<i., D''':~I qq
Ownel's Name---BP.\t\) . . \.lDmp::;.
Address ?:,Q5'2> P\,,\'-!rJ"-l
Ci ty S'PRL~H.W Phone ,"\4-'-l"QloLc>
OVNER INSTALLATION
The installation is being made on
property I ow~ which is not intended
for sale, lease or rent.
Ovners Signature:
~/D~L/O~
DATE~-~l-~-l21-=Z1-C7------------------
RECEIPT ,*: /-':3 -<,,<.,6/>
RECEIVED B~:, h IV\
ELECTRICAL PERMIT APPLICAT~~L1
City Job Number G. q 0<301.
3. COMPLETE FEE SCHEDULE BELaIl
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
Sum
lOOOsq.ft.orless I $85.00~'o!!'
Each additional 500
sq. ft or portion III (J)
. thereof ~ $ 15.00 '3Er:
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder ,$ 40.00
B. Services.or Feeders
Installation, Alterations
or Relocation:
200 amps or less 4::
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnect Only
S 50.00 ~
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 .q.mps"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "Bit above
"
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5X State Surcharge
3X Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included
$ 40.00
$ 40.00
$ 20.00
$ 36.00 ,
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Job. No. q9.C~SL{
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME: \:\~~II
ADDRESS: ~~ ~.,,'~ ~~
LOCATION OF PROPOSED BUILDING SITE:
Street Address: '6 ~ q .1. ~ ~ v..su,j
PHONE: '1L{.Y.-Cr-<t.fo~
STATE: 0"'1 zIP:<;'1L(,1~
Pial Name: l ~~t')~A..l
Tax Lol Number: f)<\:;). c..o
1. PEVELOPM.ENT TYPE (Check appropriale dwelling(s). SDC calculallons and dwelling l
ype definitions are on the back.)
A. Sinolp.-F~milv Dp.t~r.hp.r!
t Single Family home. --
NO. OF UNITS '\.
Manufactured home not in a park
$ $ Lr... -. c;.za.
X 1,000 per unit = U'-^-'
B. .sinale'-F~milv Att~r.hed
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. Manufactured Home Pari{
NO. OF UNITS
X $699 per unit c $
WILLAMALANE SDC $
2. SDC CREDIT (II applicable) SDC-payer must furnish proof of
Willamalane Credit approval. See sac Credit Wo/1(sheet. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
(If SDC reduced for Credit)
$
\. (.Jvn c:;nL.
m.pment Services Department
City of Springfield
I
I
Date