HomeMy WebLinkAboutPermit Electrical 2003-8-11
~>' ". ' :CITY OF. sC . m-QFiE;Ei5~ OREGON' :,' 'r"\''';, of.
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: 1541l72h-jJliI\:!;submitted has Ihe following
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ELECTRICAL PERMIT APPLICATION lOlling, and does nol require specllC a
CityJobNumber LO(yy2-(m2--01?{)~Date 1,-II-[)? approval , ~D(Z. "
ZOning , I~..o ~
3. COMPLETE EJaE SClIEBVLE JtJ:.LU \'I'~L0
k-.lthonzed Signature -
I.
LOCA110N OF INSTALLA110N
CjJo ~C:1 'IT'
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J08 DESCRIPTION
P.z.o"MC" t..'<.,itT<; c,' fC)v...['A M. b~(f"
Permits are non-transferable and expire if n'ork is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2,
CONTRACTOR INSTALLATION ONLY
Electrical Contractor vY1 ,4, I,{{ -r:t.r
Address 'q)O .....,E'S'I t'>,w>A<
City
)(1"'-7
Phone 447-'-'4 15J
Supervisor License Number
Lj 772 ~
Expiration Date ) 0 - 01-0 l,
Constr. COlltr, Number CGf:> I Lj '7ll '> -
-
Expiration Date 1 - ('( - <0
4--
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Owners Name ~ "1 1H,c:(,<~, , )......
Address G ,h:) (J"A~ SC, I t..11I
City <;/J t.-o
Phone
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726.3769
A. New Residential- Single or Multi-Family per dwelling unit.
Service Included
1000 sq. ft. or less $106.00
Each additional 500 sq, ft. or
portion thereof $ 19,00
Each Manufact'd Home or U res you \0
Modul~r.D~~IVM~tli<<eglDn laW req I on 1$!\lilJ6
Feed~\ It: d ted by tpaOrea .
folloW r.uleS a oPr Those rules are set 10:
B. *rj'{i~e.ld~,qt~lA'WJatitn:Jt*lwr.li'lig~iiPRelocatioll:
in OAR 952-001- bta~~I~loPies 01 the rules L
200<1'\WIU,oYn.ismay 0 (Noto' tJ.A tel'$r63~e &'? 00
201 Ampa'/6nlj)6t'A'nf'~n~r~gon I ItiliIV No~1i~:'OBO\1
401 AmplA\\'J6lfa9.~,lp. 1r 800_"''1?234~125,00
('.Ant lrlS .
601 Amps to 1000'Amps $163,00
Over 1000 AmpsNolts $375.00
Reconnect Only $ 50.00
C. Temporary Services or Feeders
Installation, ~N~I~~"e~fI''\~ EXPIRE IF THE WOR\{
200 Amps or I~~THORIZED UNIWR THIS $1[610611 IS NOT
201 Amps to 4~'l1fv\'m~NCED OR l~ ARANlSii91[Q) FOR
401 AmpsI06~~O DAY PEalOO $100,00
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
New Alteration or Extension Per Panel
O C' . L
ne If CUlt - ~
Each Addilional Circuit or with
Service or Feeder Penni!
;p
1-7 l~
16
$ 3,00
48.00
E, Miscellaneous (Service/feeder not included) -Each IlIstallati"n
Pump or irrigation
Sign/Outline Lighting
Limited EnergyIResidential
Limited Energy/Commercial
$ 50,00
$ 50,00
$ 25.00
$ 45,00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4, SUBTOTAL OF ABOVE
/11.00
{,7i
---LL-'O
!d-.q,'n
7% State Surcharge
10% Adminislrative Fee
TOTAL
Shared Drivc(T:)/Building Fonns/Elcctrical Pcnnit Application 1-03.doc