HomeMy WebLinkAboutPermit Electrical 2005-7-19
225 FIFIH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753
ELECTRICAL prf1J,l\'II;{,4PnICATION
City Job Numb~r \. 'J0 . \.I\,)' V Date
1. ~W1l4!t2~{?W.@STAiiOO~9~~ 3.
LEGAL DESCRIPTIO):!. ~~,' _
. \~\Ql.L.L1\~~~
JOB DESCRlPTION
~-Pd..AJ~,~
Pump or irrigation $ 50.00
::... ~ignlOudine Lighting $ 50.00
. OWNER INS rM'ffo'N10N: Oregpn-raw requires youu.1~ted EnergytResidential $ 25.00
. 10llow rules adopted by the Oregon limy. . .
The ~tallation is p.'i\M,e'J\5\s19I!:PJ~!'1Y~loW;which; are _s~t f~\ted Energy/Commerclal $ 45.00
IS not mlended forihii\SA}.ll55"ol-'Sa~-0010 through OARl\'llnlIRGJ1rElectric Permit Inspection Fee is S45.00 + Surchorges
. 0090. You may obtain copies 01 the rul~ f">;:".;';","~~",/.,,;:~,,,~ . ,,,,,,,,,'0 ~.:;:::.''\tl; '."li'~ '.:":~ ,.< 4\0 ""'"
Owners Signature: (N t . th telep4'lllil{tVBTOT1ffiOE-:ABOVEii~';';'#f?~'?i"" ~ l,.\.;'
calling the center. 0 e. e . .' T - y.,'<",..""',"".,1"..,[f.l;:,,....:<t~""."""':;,:....ii'-.dl"'i"Lt~ii'i .. --
number for the. Oregon Utility NOllhcatlo,n.. '.l. {1' I
~v..~;., :: ; ~'}~ ?12-2344). 7Yo State Surcharge . ~r //~
10% Administrative Fee "-\ .l!X)
5~.~L
PermitS are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended fo! 180 days'-
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2. ~~'"""'--'.......~l.""W~~,'ff"'lfi~~~~N~...r~
Electrical Contractor R(')D5 E \-etW I't."
\SOX ~~'d--l
Address
Po
fU~€Ml .~
. Phone fiJ r;. -S;,\-j y....
City
Supervisor License Number L-() 4/..f S
Expiration Date /0- O/-IOt.
Constr. Contr. Number 1'56 {,71< ...
Expiration Date. 8 -/ Lf -0 S-
,.1 II..
.Signature of Supervising Electrician
~
Addres
City
Inspection Request:
726-~~fo~ 1
1000 sq. ft or less
Each additional 500 sq. ft or
portion thereof
S 106.00
$ 19.00
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
S50.00
~l:.i,!."""::m;.~- ...~~ ~:p:'~1S',y))"t"'W7~'~;g~~t!4f.Jt\: o;l: ....(.~.AJ' ^-;:l~;~';....~1.i
B.lSSiivices1i!tj,FeederS:.i;-"UnstiIlla ti6tiflAlte,j",ationSjor,:Reloca tio'rf:',,;:r
,._<&~~~"",.....~~"I~~ic.;.'ti"""'1.~",,,.. ',~l~,~' ..'.., .,tJ........!.i'~ ",
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 Amps/V oIts
Reconnect Only
$ 63.00
$ 75.00
$125.00
S163.00
S375.00
S 50.00
c. ~~~'a!YlstI;\;~~1Ft(d_~W;.~ls';~7':'-~~~~~1i~~tt
L'III
Installation, Alteration or Relocation
200 Amps or less S 50.00
201 Ampitci40q }\mPt',:, $ 69.00
, 401 Amps to 600 A!!1P~. U i' $100.00
c. "Over 600'AmpsorlOOO Volts see "B" above. .
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' .... 'D.'-~Br;an'cIrCir:cuits~i1" ..~~". 'i-' t.;,,,",:, ',~"'.c<!;~.s;~;",?'k""' ,~:' ;t 1i~...';;:.{'".,,'r;.-' "'"
...",__,..."-_~..)_~~~....,,.-. ~~. ~ ,~ -,:,<. 7: "'~. ~.,;..Fl::::'<'\" ,.~ .. _'" ,"".~
New Alteration or Extension Per Panel
One Circuit f
Each Additional Circuit or with {
Service or Feed~ Permit
S 43.00
S 3.00
~~--..
~{)V
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. r~Wl see aneous er.YIC~;lJee er'.no cll1C U e '-~ lac r ns a a nOIl::J
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TOTAL
Shared Drive(T:}lBuilding Forms/Electrical Pennit Application 1.Q3.doc