HomeMy WebLinkAboutPermit Electrical 2006-1-18
SPRINQPII!LD r- -l
1"" . i
I ;\1\---------/'---
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 !o~O~~ ~ '--..
ELECTRICAL PERMIT APPLICATION , ..\",0~,~0 -J
. - ~ ~.
City Job Number Ct::, - (')1JcJ ~ Date ~~ /"
I. I L~CA110NOF INSTALLATION I 3. I COMPLErE F~~;;~~M ,~, //
rz...I., el~-1'"".,.~ 'O\,o":;'ooJ. ", 1 O\"/"
,_.,.,~tLlll (,Jtt. -<~e ... 'a; . I ./
~'LEGAL DESCRIPTION A. I New,<~~\l~~'Sfng~IUI~i1)" per dwelling unit.
,;, ~ ./
Service Included ..\.;,0
.",Q," ( e;,...
1000 sq, ft(oi'1e~~\').00 ,$106.00j/Ob
Each additio\l,u,'SOO sq, ft. or
portion thereof /
2. I CONTRACTOR INSTALLATION ONLY I B.I Services nr Feeders -Installation, Alterali9ns or Relocation:
Electrical Contractor h. '" X"U.J"">4 [II' c.h;c.. , 200 Amps orless $ 63.00
~ - '0 ./ 20 I Amps to 400 Amps $ 75.00
Address ~N..IK \3'L (n-;~-L \.);,)isiOl\ ~"{_ 401 Amps to 600 Amps $125.00
601 Amps to 1000 Amps $163.00
Over 1000 Amps/Volts $375.00
Reconnect Only $ 50,00
Phone lW 32"l-15"0 I Pump or irrigation $ 50,00
Sign/Outline Lighting $ 50,00
Limited EnergylResidential $ 25,00
Limited EnergylCommercial $ 45,00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.1 SUBTOTAL OF ABOVE 1$12.. 'S c::&..
7~T~~harge
10'ftfi!lnjl@MQveSldALL EXPIRE IF THE ,^U,KI\
TcN,\lHORIZED UNDER THIS PERMIT IS NU I
COMMENCED OR IS ABANDONED FOR
ANf''flro''b'S{'fftllW9B?nnslElectrienl Penn!' Applien'!on I.{)J,dnc
.
JOB DESCRIPTION
l'Jt.w Wl'lV"~~ ~W'-
~ AwlO """'Vle..!
,
>j\e.IPW"
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
City
C,1OCn'L-
J
~l-f"r:ID~
Phone
. Supervisor License Number ef( Or) 'i(S
Expiration Date ( 0 II I z001
I ,
Constr. Contr. Number t'?l (n -sll
Expiration Date '% IL -z. Jc\'f
Signature of Supervising Electrician
14r L~:1l1
Owners Name 'II (o.e..l D"'\I\V\\c....'.<
dd It,.. \' ~CO~~"', ~~.c1o...~ ."."'(<HI NI~'"
A ress ,_, d:t""r-
City ~l"""""-lt
OWNER INSTALLATION
.
The installation is being made on property I own which
is not,intended.for1sale;,lease\dBrent()quires you to
1-\1 I L."11 ,....",j. ......v;;:l~. . .
lollc"'! rules adopted by the Oregon Utility
OwNners,SIg1)atu\e:enter Those rules are set forth
OIlTlC"oIon v "
in C^" ":':' ""1 ""1 n lhr<:>uoh OAR 952-001-
. .' _ _ _'__ ~,J:;t....... ..,.leo') by
uu~u. YUU IIlOY UU~C.WI..........t-"............. -"'7" .
calling the center, (Note: t<le telephone
InspectinnIReque.t,9726f3-769 Utility Notification
Center is 1-800,332-2344).
.d.,.~
$19,00 ~
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50,00
c. I Temporary Services Of feeders
Installation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
Over 600 Amps or 1000 Volts see "B" above,
D. I Branch Circuits
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 50.00
$ 69.00
$100,00
$ 43,00
$ 3,00
E.lMlscellaneous (Scrvice/fceder 1I0t included)-Each Installatloll I
.
225 Fifth Street
Springfield, Oregon 97477
511-726-3759 Phone
,
6
IlliiJ.ty of Springfield Official Receipt
~velopment Services Department
Public Works Department
Job/Journal Number
COM2006-00065
COM2006-00065
COM2006-00065
CO M2006-00065
C.OM2006-00065
COM2006-00065
COM2006-00065
COM2006-00065
COM2006-00065
COM2006-00065
COM2006-00065
~~M2006-00065
Peyments:
Type of Payment
Check
:'
:t
.;(
'j
,
:i
4
\
;\
,
"
'(
;
"
I
,1
1/1712006
RECEIPT #:
1200600000000000045
Date: 01117/2006
Description
Fixture
Air Handling Unit Up to 10,000
Vent Fan
Exhaust Hoods
Dryer Vent
Heat Pump
-Mechanical Issuance Fe....
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Minimum/Adjustment Mechanical
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MD CONSTRUCTION
Rete; ved By
dim
I of 1
Item Total:
LUecK ~umoer AublonzatlOD
Batch Number Number How Received
3667 In Person
Payment Total:
IO:36:03AM
Amou ot Due
98,00
8,00
6,00
9.00
6.00
12.00
10.00
106.00
19.00
4.00
21.44
26.80
$326.24
Amount Paid
$326.24
, 5326.24