HomeMy WebLinkAboutPermit Electrical 1999-11-18
;he. fOllowing project as s~bmitted has the tollowing
onlOg, and does not require specific land use
approval, .
Zoning . L 6/2..-
225 FIFTH STREET Date I/-,.t ~ "i ' ""ELEvfRICAL PERHITAPPLICATION
SPRINGFIELD, OREGON 97477 "
INSPECTION REQUEST: 726_~W9ized Signature ~ Ci ty. J~bNumber <1?/ /7 t, '
OFFICE: 726-3759
1.
LO~/T)~OF !;iJ:CA-~fo aL-
I 18t2!1tJbfJ1tJo r
JOB DESCRIPTION
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work ~s suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contractor Yo/..fhwQSI :c~fe;.4L
, " '- { ~EZecf/e~.7?Ve-.'
: Address.4-Sl'.snQ.lle.LI ll.I\t,fc.
. . ,{'
., City S.D,h I /Vg,..f=.[eUPhone 7.,,(16 -~Oad.
I v
Supervisor License Number /'(/7/7~
Expiration Date /~~/AG/
Constr Contr.Number ///Jt,13
- .
"Expiration Date' ()11e/JoI
Signature of Supervising Electrician
~re~
Owners Name ~e.J eAase"
Address .706 R(/.J(!.!e-S+ottJe
Ci tySp./~e&:l,-Jhone 1 ).,.q~~/::;S,
mINER.. INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DAiE~---lrr7l-zr/'C?~---,-------------~
RECEIPT i: l / ( , L2!'{Il))) J .
RECEIVED BY: ~ c'l1--- lL I
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd ~ome, or
Modular 'Dwelling
s~~e or Feeder
fJ../ C ~ .
~er~ ~AAor Feeders
. a~~~~lterations
aa~e ~~~U}n. L ~XPIA
-4"ib08:fs~Qtv~~~ fHIS A~~H~~I~O. 00
201 a1li'f'~~ 4'0(j8.4~ ~S rwD.oO
401 amps to~@D9 anip~iVf"/),.._ ~O.OO
601 amps to 1000 amps~A $130.00
Ove~/I000amps/volts $300.00
R~~onhect Only $ 40.00
'lIa.' 'vlIj/ " J'
C if)T",llli;J,::;., ri.;/~f.,~.S+;' . F d '
.,., .empor@rJ",:, erv:],ces or ee ers .
vo.~B~HH-ia(ti.ol.,fR.~/(:Ai:tera t ion or Reloca t ion
,.. -. }'o, -<':-Or.~. 'Yfew ,-v6 -, v" , '
"'ql'. U ..1/ '. /-., }'I-i.. ~y ,
I] I/J", q) ~01' Ii'" Ie Lt/j'
(;rr.200i lamp's::oT,hless$'~ Or. ti.::, " $ 40.00
11'> ~ ' IF:; - t..ir)i "': "L. C'.oj. L'"'I. 'r!.
20ilftoamp'9Ij,t 01/;4 OO"cani P,'S:Ois. -&,' 'on -I ~'$.',- 55.00
r.... . 1".... . ~.~ '../0,.., \eJi'$ ,
Ove,r:.. 4Q~.. t'O(/~OQ;:.,.gr.nP~)A:::,/€.:.<:-- 1/1.1- 80.00'
Over "'6QO~ra~!yp.!5-::>/QF '10.0p'r:v~~:l:fsb.see "B" above
." ,:. or) 'f', tl)e. ,I}E, ~ ~-o.'O l;~.'
. i' ,,-~. ell/. leI. 1 Uj. 1.
D. Branch Clrcul"~~~:/lIo ~.bho Gs OJ'
.~ "4q ~/~c. ":Is
N Al . .'} C:J/;,.... P I
ew, teratIon or-ExtenSIon er Pane
.::::F- $' 35.00 ~
$ 15.00
,$ 40.00
/oa.~
~PJv
,.
One Circuit
Each Additional
Circui t or wi th Service , " <,0
or Feeder - Permi t ~ $ 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/Camm $ 36.00
5. SUBTOTAL OF ABOVE ~~,~
7% State Surcharge '7. '{4
3% Administrative Fee _~, 3"
TOTAL .L2J :La