HomeMy WebLinkAboutPermit Electrical 2006-8-2
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FA,'(: (541)726-3689
ELECTRICAL PER1HIT APPLICATION - /, i.
City Job Number c.oWll..oQb-OD0I2.Date ~/yOb
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LEGAL DESCRIPTION
1703 "2732.
JOB DESCRIPTION
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Permits are non-transferable and expire if work is
nol started within 180 days of issuance or if work is
Suspended for 180 days.
?eo'NiiiAcr.(jRINSTAiJijjf'fr(i&:QNfi~'
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Electrical Contractor D - ,('In \r:i~ 'SI.c6n<...
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Address d lIS ( 1-' :::::2 ,....C\ A \J e
City eCiLj9'l\1'
Phone ,~ :1;::;)<:\ l
Supervisor License Number :;(S;;lCl
Expiration Dale \ D . I . C'I
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Constr. Contr. Number :::l ('" \ ~S G
Expiration Date 'I - \ - n G
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~ers Name 'lttovY\.,.t'S .J+ I d,; cJ,
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S.:PF~ Phone 7111- OS()~
Address
City
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale. lease or ient.
Owners Signature:
Inspection Request: i26-Ji69
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Service Included
1000 sq. ft. or less
Each additional 500 sq, ft. or
portion thereof
$106.00
$ 19.00
Each Manufact'd Home or
Modular Dwelling Service or , 't $50 00
F d \ req' ,""~ \IOU 0 ,
ee..,L 'T,0"!' Oregon aw '. .
t;:""',..:,~,~.:. . ,.' . nmnnoJ.JtI!,tv __
B. t(Ser:V.i~~~~f~a~?L~Ifuci'i~6~~Aitk~ra~.;~i~tib~~;~~
<~"~l)~ .~ro.......\!:.C""l..:.:..-:;r.Cl"~"'I-;...-~,....."j, . ._",_~"", '. .- ....~ -,'_'._' _";
I" ,:7' ~.. ~,j\ I 0t.; ..";:)'- ' OAR ~::>~-uu 1-----..........
. ,,-,-, ~"1.0010 through ,
i,~O.o Amps:or less , pies "I thp. rulES>o3\OO
, "_" .,--" nbtaln co
'&OIJ~~p:';~ :~['~rJ'l (Note: t1'" tp.leoh(\$I'15.00
40tAmps t01600 Amps on Uti lit" Not,licaS\l2S.OO
,~:".r lar the \jreg .)
60llAmps to 1000 AmpsllOO.332.2344. $163.00
Center to "
Over 1000 AmpSIVolts $375,00
Reconnect Only $ 50,00
c. :~.PR~?~~'~eQ.il~o~t~~arrsl~;1f:~~2:;::J;;~2~if;;"?;~~~~~~~
Installation, Alteration or Relocation
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above,
.,.'"":'-::" -.:;,.......C-:- - ..~~'~~7~?~;r~~~"~;mr;-~~:::':'.~' .~~',>=..,..'~;'.;i,..i.=J'::'Il'!';...
D. _Brancli\ trends". ""'-{'Y''''\;;;},l,'f''='~~~J-;;t.>;-:.. ''''''', ~ \"'" ~(I"'_, .\J...,
_~-.o-'''''~, _ ."',., .,..,,- "'-.- -,.'~ "':.--""",~..;....:...;..~'~'~""',' ..."z..~..,..
$ 50.00
$ 69.00
$100.00
New Alteration or Extension Per Panel
One CircUIt r ,," ,/11. $ 43,00 l.{ J
E~chAddl,tiona! ~irc(l1tlo~Fw\fh 1H~ .. : Q1 '
.. Servtce or FeederrPenm!l PtRI'I1I1 IS \ I $ ,.00. S
, llh.ll'l) \J\~Ul , ":, '~Ilfl~~
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" 11M.} !:\L;....1.1..1. .... ...."'--. ... '".',
" E'li\ 'Miscellaneons (Ser.vicelfeedel:not<inclilded) '-Kacllllilstllllatioml
.. .'~ "', ~'l';::R\l:H:~';" _:..;~-:-_.- _._~. - ..;....~~.:-. ..._,.-....~
Pump or irrigation $ 50.00
SigniOutline Lighting $ 50.00
Limited Energy/Residentiai $ 25.00
Limited Energy/Commercial S 45.00
Minimum Electric Permit Inspection Fee is 545.00 .;. Surcharges
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lf60
270
4. 'SUBTOTAL,OEABQVE;':o .' ", ,
~_." ....-. _~M.'._.M_.h_ _.._. ~'~_..," '_"'''''v''~_""";",~__,,,,,,,"-,
7% State Surcharge
1 0% Admmistrative Fee
TOTAL
s1
terc.rf
Shared Dnvel,T:)fBuilding FOrmslElecoic:l1 Permit .-\ppiic:ltion j.03,coc
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<& of Springfield Official Receipt
_Iopment Services Department
Public Works Department
225 Fifth Street
Spr.ingfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-00942
COM2006-00942
COM2006-00942
COM2006-00942
COM2006-00942
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
2200600000000001093
Date: 08/02/2006
Description
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ELLEN REYNOLDS
Item Total:
Lheck Number Authorization
Received By Batch Number Number How Received
NJM 022503 In Person
Payment Total:
Page I of I
12:00:15PM
Amount Due
43.00
3,00
2.30
3.68
4,60
$56.58
Amount Paid
$56,58
$56.58
8/2/2006