HomeMy WebLinkAboutPermit Electrical 2002-10-22
ELECTRICAL PERMr' ~LICA TlON
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759'
City Job Number aEZoo l.. ~ 001 Z.Z-
3. COMPLETE FEE SCHEDULE BELOW
1. LOCATION OF INSTALLATION
326 Centennial A. New Residential-Single or
, b 'tt d has the follcM"~i-Family per dwelling ,unit.
LEGAL DESCRIPTION Th~' t~1I0:;:~;;;~~~i3Ui~ s~eCifiC land u~rvice Included:
i 703 Z b ~~;~~val b j7L;O Items
Zoning
lo,')./z..~D 1.-
~
JOB DESCRIPTION
Miscellaneous CkUbrkr Date
, 1 000 ~'1 it.. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
Authorized Signature
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
B. Services or Feeders
Installation, Alterations or
Relocation:
Electrical Contractor JB ELECTRIC. INC.
Address 4685 Isabelle Street
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps 'JOl\ \0
Over 1 000 amps/vol\<eQ,U\{es \ ,,\\\\'1
~\a'illl ' nO'"" - ""'"
Rec ~ \ne Ote~ '"" \0\ ~\ \
~11\:.\'iI.\U~ ;do9\e b~ e luleS a~2..oo"
'\OfJ1'f~f.tw's.emtt:~~9~ep.~~ "U\eS '0'1
iO X On \,Je1 \\"" Q'\ Q \ntoUW"'- ~ \ne \
~O\\\~~ ~5'2:-QQ'\ -~b\a\n CO?\~~n~ \e\e~~O~~n
\n ~Q. ~ ~~~6$S\~O\~\\\\\'1 ~o~\\\C~
() ca\\~~~tg~~F~'3'3'2-2'3l\Al'
u~~~A~ t\t~ @~.alfWs
(\, Ove('~\imps or 1000 volts see
B above
City Euaene. OR 97402 Phone 541.687.5770
Supervisor License Number 3872S
Expiration Date 10/1/04
Constr Contr. Number 37587C
CCB
104929
Expiration Date
~
3/14/04
Si
Electrician
D. Branch Circuits
New, Alteration or Extension Per Panel
Owners
Hamlin Middle School
Address same
City Springfield, OR 97477 Phone 744-6356
The installation is being made on
property I own which is not intended
for sale, lease or rent.
One Circuit
Each Additional Circuit or with Service
or Feeder Permit \\t. 'NO"'"
. , ri'''t. 'f 1 ,S ~01
l\01\t\1i~~~os~~ Si~~J~~clUded)
\\\\s ?t.l\ n ~'t\s r~~~t.O
:n-\Q\ft~tlhl~a~~~ ~
p.,~~~t.~Ct.\si8Ri~\ctl'0e Lighting
C ~ '\ ~O O~iK-tffed Energy/Res
I\~ Limited Energy/Comm
Owners Signature:
5. SUBTOTAL OF ABOVE MINIMUM
7% State Surcharge
8% Administrative Fee
$45,00 $
$
$
JB Job # 02-799
TOTAL
Cost Sum
$106.00 $
$19.00 $
$50.00 $
$63.00 $
$75.00 $
$125.00 $
$163.00 $
$375.00 $
$50.00 $
$50.00 $
$69.00 $
$100.00 $
'$
$43.00 $
43.00
$3.00 $
3.00
$50.00 $
$50.00 $
$25.00 $
$45.00 $
46.00
3.22
3.68
$
52.90