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HomeMy WebLinkAboutPermit Electrical 2005-9-19 CITY OF SPRINGFIELD, OREGON - o,<,~<<..c' 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3~~"~~" 1-:. ELECTRICAL PERMIT APPLICATION or)\:~~~~<>..i"''' - City Job Number L.~ &> III!!# D~\Y'?.'" - _,\.(\~ >..0"'- /' /' ~ 1. ,- LOCATION OF INSTAllATION 3. I COMPLETEFi!'~stHEJ)vLE pltLOJY' - - .r."l......L A':,.o":;o~'I>' 1"Q<,"H /' ,,/' ~~~-~~ - /'~ LEGAL DESCRIPTION A. I New Residential- Singl€or~iii-Family per dwellillg IIl1it. I t!Pz-oI1<f 4)01187- Service IlIclnded <:,0'" "',/~~v ,-' ~'- 1....../+ l'~fJ,I_,.., . Permits are 1I01l-transferable and expire if work is Each Mannfact'd Home or not started withill180 days ofissnance or if work is Modular Dwelling Service or $5000 Snspended for 180 days. Feeder . 2. I CONTRACTOR INSTALlATION ON~l;J~~,\ B..I Se~ices or Feeders -Installntion, Allerations or Relocatioll: Electrical Contractor r.# ,?).R:.~ ~~ 200 Amps or less $ 63.00 ""h ,~~'{; ~~ 201 Amps to 400 Amps $ 75.00 Address rL h~/G..\:~~~;t~Y L/ 401 Amps to 600 Amps $125.00 , ~. ~ 'O~~~'_.. 601 Amps to 1000 Amps $163.00 City 6: 0 /.~,\,f\J_(.~~ {tlP,'rl ~ -6Jt:?";:>:?tJver 1000 AmpsNolls $375.00 8 '\'\~'O ~ ~~\; ~~'\:) ~((; Reconnect Only $ 50.00 '\ ~'\~ ~<:;.~-~ .n Supervisor License ~~,~ /7 S Expiration Date . /jJ" _ /- /)/.: Constr. Contr. Numb'C) / /r~ '5 ~_;; Expiration Date //J - /- e:J lib JOB DESCRIPTION Signature of Supervising Electrician ./ The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: IlIspectioll Reqnest: 726-3769 \. . 1000 sq. ft. or less Each additional 500 sq. ft. or . portion thereof I Z . $1 06.60 !1J{;,pe;> $ 19.00 36a:> c. I Temporary Services 9r.{F~~~.eh.y, Ill'" v. ;>,." ~\\ O~ ~'O \' IlIstallatioll, Altef.:llon:(ir Rel7;cafill'n.~'\ ,~ V' ~~ 9l':>v ",.n 200 Amps o~,I~s~e ~e'" .....<?-- \,::,.e ~. OV ,~-.\ 'v Of- eo" 201 Amps.to~400 Amp~~ ,'S' ^'0""~ $ 69.00 ~. v -..'10.,_0.... ,\'0 0'" ~e., 't>': 40~Amps,to 600 ~mps e'" ~ \.e c.\,c, $100.00 ~,\'I. '/)." ,e" () '" ,,'0' ,"'v ~\)- ~'\<<:. \OVe~60()~mp~'Or(1000Nolls:see :B:\ above. \'- ~!>. ).Branch'Circnits' . \0 ,t\\vt. ;-:>.... ~., <;-.'\.'-' I..'t ,.;~""" _'O~ Ne~ Altt.>ation or':'E~'ten~ion Per Panel ,-- 01('-' .JU'" ,:,,\'l1 - eo VV \~ One, CircUit ,'S' ,\'" cE"'-h"'A\'d~d' .\0 1 C-.. . h ~ ac.;; thona . 'lfCUlt or Wit Sekice7'6f'F{etler Permit ~v E. I Miscellaneous (Service/feeder not included) -Each Installation I $ 50.00 {( $ 43.00 $ 3.00 Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residentia' $ 25.00 Limited Energy/Commercial $ 45.00 Minimnm Electric Permit Inspection Fee is $45.00 + Snrcharges I l44 pO lO .O~ _ \~ :"tV _ HoB. 46 4.1 SUBTOTAL OF ABOVE 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)fBuilding FormslElectrical Pennit Application I-03.doc I 225 Fifth Street " Springfield, Oregon 97477 541-726-3759 Phone . .'!~R.~a,~~ _...._.__ ., 1I;r' . t ';' '.'Ii I . ~. 'T ~ty of Springfield Official Receipt .velopment Services Department Public Works Department Job/Journal Number COM2005-01184 COM2005-01184 COM2005-01184 COM2005-01184 COM2005-01184 COM2005-01184 COM2005-0 1184 COM2005-01184 COM2005-0 1184 COM2005-01184 COM2005-01184 COM2005-01184 COM2005-01184 COM2005-01184 COM2005-01184 COM2005-01184 COM2005-01184 COM2005-0 1184 C'OM2005-01184 CbM2005-01184 COM2005-01184 CbM2005-01184 CbM2005-01184 COM2005-01184 COM2005-01184 COM2005-01184 COM2005-01184 COM2005-01184 COM2005-01184 COM2005-01184 . Payments: Type or Payment CreditCard :r ~~ :. :( ;. .. :< 9/27/2005 RECEIPT #: 1200500000000001406 Date: 09/27/2005 Description Addressing Assignment Wiliamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sidewalk Pennit Curbcut Pennit PW Disc - 2nd Pennit (Street) Stonn Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Stonn Admin SDC Transpo Admin Building Pennit 2 Baths One or Two Family Furnace - up to 100,000 btu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Fireplace Appliance Not Listed -Mechanical Issuance Fee- Plan Review Major - Planning + 7% State Surcharge + 10% Administrative Fee Paid By HAYDEN HOMES Received By jmp I of I Item Tntal: Check Number Authorization Batch Number Number How Received 077550 In Person Payment Total: 12:1I:48PM Amount Due 31.00 1,000.00 106.00 19.00 80.00 80.00 (30.00) 789.74 526.47 400.47 182.69 805.70 82.03 865.31 10.00 116.21 66.91 744.40 254.00 12.00 18.00 9.00 6.00 4.00 15.00 18.00 10.00 150.00 84.38 120.54 $6,576.85 Amount Paid $6,576.85 $6,576.85