HomeMy WebLinkAboutPermit Electrical 2005-9-9
225 FIFTH STREET .
SPRINGFIELD, OREGON 97477
IlISPECTION REQUEST: 726-3769
OFFICE: 726-3759
,o'~- 0
~0 O-Vr::J
~''''<'
ELECTRICALPERMI~LICATION ~:. v
.., s-S .(,
City Job Number CO..u.Z.O 01.{- ol.~,~4"'->'
~9,9\~ ~o
*"<' <:,00
3. COMPLETE FEE SCHEDULE BEL~ '>><<<:,
J(,,'(\e..\\{I.~'~"h\' i?<:-Cb
1-(.)" \0 1,.0
A. New Residential-Single or dOl
Multi-Family per dwelling unit.
Service Included:
1. LOCATION OF INSTALLATION
471 5. A 51.
LEGAL DESCRIPTION
/7033S31
1"3"300
,->'
<<'"
'i>.q;
'&\~ 00
Q '\,,1,:
<,0
Items ~.", Cost
Sum
JOB DESCRIPTION
Misc. Electric on east side of building & kitchen are.
I 000 sq. ft.. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$106.00 $
Pennits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
$19.00 $
$50.00 $
..
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders 0
Installation, Altg~~
Electrical Contractor JB ELECTRIC INC RelocatioA<\i\10 ~ \j" ~~
..,1""'- e<:!'O \\0
'~'l" 01 e ",e r::J:::'\-
Address 4685 Isabelle 51. O\e~'.~eo.4!is'f\" 9<>'/-' '0'1
~\. ~~'P" I\)' .o.~\' ~e'"
(\,0'" ooQ~~~ t~~w ~~s;\) ~0
City Euaene. OR 97402 Phone 541687 ~ \)\e"'~ ~,e'lOI~&9111~Ri!)Q'I\O 'i..,n~
f' ~\o'l'l \. O~ (je :\_(l.I)r ~\ 10(l\ll~lJ\'\\C.~
Supervisor License Number 3872-S \0 i\\\C.~~9<>'1;<;;:;<;;j ~~1.~~~1\~1l.'\'
t<v Ol'-~ ~~~6'l'-~~'1;'/-'.)
Expiration Date 10/1/07 \~ ::J9<;;:;'-J,0 ~ ~e \'I\e 0\._'0<;;:;<;;:;-
cco \) ~~~clIi\~~~ervices or Feeders
Constr ContT. Number 37587C 1 04929_ ~\)~ (je~
$63.00 $
$75.00 $
$125,00 $
$163.00 $
$375.00 $
$50.00 $
Expiration Date
7/1/06
3/14/08
200 amps or less
20 I amps to 400 ainps
Over 40 I to 600 amps
Over 600 amps or 1000 volts see
B above
$50.00 $
$69.00 $
$100.00 $
Signatur~Cian J
1/ (/ D
Ownerspme Les r6t- SvJ!rC-C-M.-T
3"2 76 LA-~~UAo.-. +-
Address~
City 3~",,_:;o;j OR Phone
OWNER INSTALLATION
$
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Branch Circuits
New, Alteration or Extension Per Panel
\1'10"-""
One Circuit r \~ II-\~.I ~C.$43.00 $ 43.00
Each Additional CircuitlorS~i1h~Service\ IV Q
.!"v I-\~\.-\. ~ S \'''-' " ill'
~or'Fe'edet Permit \'."- 11-\\ ~~\I'IJ 'i7 $3.00 $ 21.00
~\S ?~"',~~D \l\':;\) i\\\",~\Jv
E. Mis2eUaneouS'(Servic6'feed1r not included)
f\\\\'- ,.-.\1 t"\,) - \\jIJ.
"Each installationCl~?\
r.\'\'l\\-- \)~, '{
Pump or itrig~ti",il\)
SiWVOutline Lighting _
Limited Energy/Res
Limited Energy/Comm
$50.00 $
$50.00 $
$25.00 $
$45.00 $
Owners Signature:
5. SUBTOTAL OF ABOVE MINIMUM
7% State Surcharge
10% Administrative Fee
~.oo $
$
$
64.00
4.48
6.40
JB Jab # 05-339
TOTAL
$
74.88