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HomeMy WebLinkAboutPermit Electrical 2005-8-23 , ClaSSUbll1ilta' i R~9g 01 leaUlfe 5 c ~~. ." I'" SPRING....... 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PB:(541)726-3753 . FAX: (541)721ll~'nn -l-,,-, ~~~(;/1 if ELECTRICALf~UCATION S( /,,~ J (',Ie _ ~_0 City Job Number J' n- ~' I Date ~ () ') _ "",,,"rlzud SlgnaWe - . I. ''lOCATIONb.FJNSi..h;r;;4.flOMt~~~f;"'; 3. ~ih'l';;;j.iilirs€lf;';,iUiEIBEr;(jw,r:ji}':;;.::-;:~:::~:~27 1~"i"7::;,-p;:;:;r ~ ~-~~-~~.~~ " . A. l,Ni~R~d~titr~~fsi~:"lt~Miilii~1i~'~'l:~',aw'eiiih,ii-iliii~1~3 LEGAL DESCRIPTION h, ~. ".,,-_"_'- ......,-Jl""'.,. . ,C' c.-",-,..<.r~~,__~."""-.....,,,,,., J~24-II03~ JOB DESCRIPTION DJo J"'ll . Service Included 106osifil'."'orl~ C'pgon law require@ou 5106.00 212,00 Elich additioDal500~~ift! Or/the ureg~~~tilitY porti(!'t~Ccnter. Those rules ar 't 1$(tllOO ~8,oo Pennlts are non-tnmsferable and expire Ifwork Is EScRMimikaiR.riIcillIJ g,.through OAR 952-001- not started within 180 days oflssaance or If work Is M&!illai'i)weumg sc!:rVicbe o.opies of the rules b~ Suspended for 180 days. F~ling the center, (Note: t:-,~ l~!~;;~"n~ .00 \~co~8Pj{wsiAiliffiONaN1lm B. ;.i~~~''l:',F~e~IoI",/~~~~~~~~;:It;~~'Jii;ii::'"'.J 2., ,,=;.' ,'_.. ,~"""~""~,,,,,,,~"'''P "" .,....' ;"'"iJ""""",GeI"li!ili;gfJ&I\3ti~f.. """- . .',' ,,,..' .', I Ele~=cal~:tra~~r '~(~~~n-'~CU"l E \ec:hiG~OAmpsorless -'~-;3.~-'" ( ' ,,-. ,I !Jf Ie 201 Amps to 400 Amps $75.00 Address ~.,' '-\ "l6 \ IU 1rY'.C:Ov.{. 401 Amps to 600 Amps $125.00 _ I... (l:~ (), L.t!.. \",.e... 601 Amps to 1000 Amps $163.00 Citv \ \J \'\L''{"I on u Phone ",P8, --=-=n.<6, Over 1000 Amps/Volls $375.00 Reconnect Only $ 50.00 ,-!] DOlo S ID-I-bL? \~ \ q \ \ ltJ-2\- 0 ~ supervisor License Number Expimtion Date Constr.Contr.N~ Expimtion Date Sigtlature of Supervising Electrician City ~~c /. . dv Phone Lo~I' q~~ OWNER INSTALLATION The installation is being made on ,.., ..:/ I own which is not intended for sale, lease or rent. Owners Signature: Inspection Request: 726-3769 ~~,,~.~ __. . ~,,~~-~'-'v"""""'. -_"t'''_'~'''''''''''_~ --- C 'T""'.'..;o.R;ii";" .t'i"~S"''!:.;'!i'''~;'''fW'F~''''''''d f'-.9~~"<;;"....,. '~:'-;'-';'i;~:i'';':: .....'>:.. t ..<t; ~"'.' . .. emJM!rary elYlces.or ee ers" t:.....~:"'i,........~'.F'..~~":', :"""1 , -~.-'-~~": ",L'l ':':I:IHritrHe~\i'tf1lt....,..."....;-:~..:..,. Insta1li1tion;A1terat\oDor~~~n IS NOT '200Ampsorlessd i::i ,C\j",',JU;.,r-n mD $50.00 '201 Amps.to'400,AmpsJ. - . $69.00 401 Amps to 600 Amps $100.00 Over 600 Amps or 1000 Voils see "8" above. ~-..'" ...~.-:~.~7::"""~y,~_.....".;nt':'::rrt.=-.,,,,,~.,.-~~....--.-"""'~""'- o ''-B'-~' Cb~<::..CUitS'J;" ,f~';"', ~r.'~ .......{:~ ..~i<Jt'.~..~~.....,I.,,-::... ';,(".. "''':,,'' ." "1 " . :'.;..lE~.;..:!f~.. ,_...>~,jj~;~~:$.t:,~!.7~'''~:;:.~:u'':::~~' 'F,,~,. "';r-~',~:",.I~~; New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 "';';~~\."'i-:'-'Y',~l~ ,~.."'.rr:-'~,~, -:v.:'T"J"~'~r~""",?,.....t:""'''''''';.19.p",.,. ~'.. E. lY'~lli,tD~,jS'(S~rvi~r#~"r;n,!~iDclii<l~fE~.Kiiisiiillatioo- L,"~"""~'-"'.j;;.u........".,... r_.-~.,_"""",,,,,-, .._.~:".jlo......l.lo-:"'~''''''''''''''-' Pump or irrigation Sign/Outline Lighting Limited Enetg}'lResidential Limited Energy/C.__.._ .:.1 $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minlmnm E1eetrie PermIt L~r ""J. ~ Fee Is $45.00 + Sorcharges ~. ~;- :./ ';:~~~~~"'-~1'X~'r.~.~i'(tr~c.-:-, ._1;::-J'"~='17"'" ;:-"1"' 4. :.,"SlJ"Lv~:OR~OVE;'!~"Y\>;{"";:)',:~,:':! n "'V, 00 J h':.l..t:::~,:,::--.W.;.'~..:::...il~z..:l:,~'~i~'rf~r.~.1.J~.1 k-> (, I 7J-. S'O ") s-; DO 12-q~~ 7% State Surcharge 10"10 Administrative Fee TOTAL ~. __ "-I:.. _ r.~_tclA-";A..llJ_;. A....lir..rinn l-03.doc 225 Fifth Street ,: Springfield, Oregon'97477 541-726-3759 Phone . ~ ~ty of Springfield Official Receipt .velopment Services Department Public Works Department r \ JoblJournal Number 1. COM2005-00857 COM2005-00857 . C.OM2005-00857 COM2005-00857 COM2005-00857 COM2005-00857 COM2005-00857 COM2005-00857 COM2005-00857 COM2005-00857 : COM2005.00857 COM2005-00857 COM2005-00857 COM2005-00857 COM2005-00857 COM2005-00857 [ SOM2005-00857 CbM2005-00857 CbM2005-00857 . COM2005-00857 C8M2005-00857 CbM2005-00857 COM2005-00857 COM2005-00857 COM2005-00857 COM2005-00857 COM2005-00857 : COM2005-00857 COM2005-00857 ;, Payments: Type of Payment r Check " :~ " ~ :1. :, " I i 812412005 .. RECEIPT #: 3200500000000000513 Date: 08/23/2005 Descriptlou Addressing Assignment Willamalane Attached (duplex) Residence Wiring 1000 Sq Ft Residence Wiring Ea AddU 500 Plan Review Residential Sidewalk Permit Curbcut Permit PW Disc - 2nd Permit (Street) Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC SanitarylStorm Admin SDC Transpo Admin SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement Plan Review Residential Building Permit 1 Bath One & Two Family Vent Fan Exhaust Hoods Dryer Vent Appliance Not Listed -Mechanical Issuance Fee- Plan Review Major - Planning + 7% State Surcharge + 10% Administrative Fee Paid By DUANE & SUSAN KNIGHTS Item Total: Check Number Authorization Received By Balch Number Number How Received njm 5882 141 Prasad In Person ct Payment Total: Page 1 of I 8:55:14AM Amount Due' 62.00 1,848,00 212,00 38.00 449.35 80.00 80.00 (30.00) 1,162.48 651.82 495.82 365.38 1,611.40 166.83 142.75 10.00. 1,730,62 164.06 449.35 845.15 290.00 12.00 18.00 12.00 18.00 10.00 150,00 10 1.16 144.51 $11,290.68 Amount Paid $1 1,290.68 . $ 11 ,290.68