HomeMy WebLinkAboutPermit Electrical 1999-3-15
The, follbwilig project as su~mitted has the following
zoning. and does not reqUire specific land use
approval,
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
ModuLarl?,-,elling
SIIo.I^." r It" "",.. F d $ 40 00
~'J;\Wl~Gep!Or ee er '.
'1''.1'::: r:.'f::!!vllT SHALL EXPIRE IFTHE WORK
B., Sei~~~~~'~r Feeders .' 'OT
'I "'t '-l'l"Q'":\,,,\'7,-;r) \ \~Ji~~Fq Tl-IIG PERMIT IS N
ns a '-arH-OR, <,.. ~~.:era: t 1 dns' .
Jt9....r T^ ,c;>r .Rel~~3-.,fj(?n,:)\:, l;~ ,:3ANDONED FOR
200i\1Ei.'mp~() 6Y',,~'l!~PsIO: " '
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
~c:.
225 FIFTH STREET
SPRINGFIELD, OREGON 9747~OIlil'lg
INSPECTION REQUESTC)ate7'lh-1769 3-15 -~ 'l
OFFICE: 726-3759, ' - .~)
Authorized Signature ~ '1
1. LOCATION OF INSTALLATION
<;S 3 ct;, , &-U-~ R-o c-a^-
LEGAL DESCRIPTION
'"1 0 3 d-d..) h ();). 4-o-V
JOB DESCRIPTION
~~
\J
Permits are non-transferable and expire
if'-'ork is not started ,-,ithin 180 days
of issuance or if '-'ork is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
Electrical Contractor lYl~r+-"" '[J~,f.
Address 20 '1 J<!ffi:.rl,,,j stru.:k
"'l ~ ,"1' 1.-
City e......&jQ'"""-, oY'-- Phone '3'i2-1r-c;e;
Supervisor License Number
I
Expiration Date
--Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
.4-~~
r r
O'-'ners Name C;Yf Q..-..' n 1<2 va.-LnP~
Address "< 0/. 0 S Sc.lcly v; (.j) U:.-~ ,
(
Ci ty 5',fPr.-.,f\c.Lk Pho~e i-r 6 -g~'1'1
OVNER INSTALLATION
The installation is being made on..
property I o'-'n which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: 3~ I S ~9 9. "~. ,~~\\ "\.
RECEIPT #:'1,.1 ,\JJ
RECEIVED BY: ~
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number q ~ b 3 d.-O
~~LETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum'
$ 85.00
$ 15.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
2Q,~v~lilWttofl1Oa-eS'P3lua:) $ 40.00
UO'lB~R4:b~!'in tij)~ ~p9! A:yU.\1U $ 55.00
auoUifJt~l ~~laltlP,,)600ui!m~slllju!ll~o1 $ 80.00
li.q saln9~ !&~~!claw~B~ JiI:Og~UJo1J~Osee "B" above
_ _ ~~6 H~O 116noJ41 0 ~OO- ~OO-G96 8'VO U!
lag ~a'S~{!<s%I~~tsalua:) UO!lB::l!!!lON ,.
ll~ll~ll uo6aJ,Q ~lllli.q l?aldopB salnJ MOllO!
ol'n~flE1.iirfula~~~ ~J!1gfU(9'N~~tj'~.$.l'dn, Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or. Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or -irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVEd$~O, ~
5% State Surcharge cJ. ---
3% Administrative Fee I . ao
TOTAL l(-~. ~
FROM MARTIN BROSS IGt~S I NC
PHONE NO. : 5416833291
ft/h rc'j
l' ~,- J( 7" .
Mar. 16 1999 09:33AM Pi
225 FIFTH STREET
SPRINGFIELD ,OREGON 97477
INSPECXION REQtmST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
o lS+~ ~ S'+....p.p,~ <i...........(C..J . A.
.g-,B CL21+-li~tt.lC\,dt S,-,....,f,...rA.)tJA... ~hn
LEGAL DESCRIPTION (J .
~<?- TJe H-/,'n.tL 201< ~
JOB DESCRIPTION
170 J "ZZ,20 0 Z- '100
Permi ts .u:'e non-transferable and expiJ:'e
if work is not started within 180 days
of issuance or if york is suspended for
180 days.
2.
CONTRACTOR INSTALLATIO~ ONLY
Electrical ContractorJl)~,...i{h &-~( S#,..~~)
;r.~ .
Address ~f:',! Jf!f+e~s~n 5f~ .
City ~kqenJl. 1()..t. Phone 1'1;1-11--<,;
... ..
Supervi.~or Lic.ense Number 11.2-;"" cf,;L
Expiration Date te:>,/ p~t:)t"
Cons tr Con t~. Number ~l"J C; I 'i(
sloq/oo
ELEcnuCAL PERHITAPPLICATION
City Job Number 990:J 'Z-C>
3.
COKPLETE FEE SCHEDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included.:
200 amps"o1:' less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
Items Cost , Sum
1000 sq. ft. or less S 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Hanuf'd Home or
HodularDwelling
Service or Feeder .$ 40.00
One Circuit
Each Additional
Circuit O~ yith Service
or Feede~ Permit
5. SUBTOTAL OF ABOVE
5% Stite Surcharge
3% Administrative Fee
tOTAL
S 50.00
$' 60.00
S100.00
$130.00
$300.00
$ 40.00
c. . Tefnporary Services or Feeders
Installation, Alteration or Relocation
.B.
Services or Feeders
Installation, Alterations
or Relocation:
Expiration Date
Signa ture.. ()t,f"P~.' ng El~c tdcian
Jt~O~1
o~rs Name g...,... I'a.. _ O~.....ekp'~ D.
,. --
AddresS.1'iQS2?ec /dy v;ev L4-'1fL.
,-
ei ty 5"";~t-IJ Phone 7"Y6~ ~
OWER INSTALLATION
ZOO amps or less
201 amps to ~OO amps
401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
S 40.00
S 55.00
$ 80.00
volts see "B" above
.'
New, Alteration or Extension Per Pane~
$ 35.00
$
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting S 40.00
Limi ted Energy IRes $ 20.00.
Limited Energy/Comm S 36.00
The installation is being made on
property I own ~hich is not intended
for sale, lease or rent.
Owners Signature:
. , '
.-------------------~------------------
DATE:. "3 -/5'-? 7
RECEIPT #: . 'Z z.CJf) b
RFoCP.TVED BY: Jt!"'.1IA1
4t). -
'-:2-. ---
I. t,a
II 3.1-0