HomeMy WebLinkAboutPermit Electrical 2005-1-5
225 FIFTH STREET .
SPRINOFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
I. LOCATION OF INSTALLATION
471 S. A SI.
LEGAL DESCRIPTION
170<c." 53 I
/3.-:;'00
JOB DESCRIPTION
New construction for commercial building
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
Electrical Contractor JB ELECTRIC. INC.
ELECTRICAL PERMIT.LICATION ...
City JobNwnber [OIM2.00C(-O/l.( 3 I
rl,
3. COMPLETE FEE SCHEDULI?~~h
~/Jf)fot. 1l"<1"9/Jroi"r:t
A New Residential-Single or llf <109s "o/'s siJb
Multi-Family per~ling~" f9QiJi/>tiIt9<11,
. _~ '/} 9S/J lis.
SerVJce IncludcwiJrl, 9CI" ''''9 "
0". C In. OrrO
~11 ~.lle ost SWW<1 iJ """~
Wtl~ S9 ~
tUre
.......... $
~~'
\
1000 sq. ft.. or less
Each additional 500
sq. ftorportion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$50.00 $
B. Services or Feeders
Installation, Alterations or
Relocation:
Address 4685 Isabelle SI. 200 amps or less $63.00 $ 63.00
201 amps to 400 amps $75.00 $ 75.00
City Euoene. OR 97402 Phone 541.687.5770 40 I amps to 600 amps $125.00 $
60 I amps to 1000 amps $ I 63.00 $
Supervisor License Number 3872-5 Over 1000 amps/volts $375.00 $
~ Reconnect Only $50.00 $
Expiration Date HMl/76 101/ 01. quireS Vou to
. \0 ~e UtiliW
Constr Contr. Number 37587C 1 049diENt ~~ tad bV \ c~'ijf~et \o1\h
1olioW f\lles ~~t~r. 1hOse IU~~AR 952-001-
Expiration Date 7/1/06 3/14/~lhllflcatlon ..()01-WJlI)dj;ll9}l~01 the rules bV $50.00 $
in OAR 952 tAAainpNlil~WItgl'ePhOne $69.00 $
Signat 0090, 'IoU l1\a~'\\!l.4(\~~1;' . . ~Dti\\Cation $100.00 $
calling \he ~ ~r~lIl/,~~9.<J\\yolts see
l\Ill1\oer lor '\&,,\,<800-332- $
J ~ .- center
Owners N:;:\.,;~ S~ q().JtG . D. Branch Circuits
New, Alteration or Extension Per Panel
Address ~'Z.lU?~f- tX\Ve.-.r One Circuit $43.00 $
City Sorinofield. OR Phone Each Additional Circuit or with Service
OWNER INSTALLATION or Feeder Permit 15 $3.00 $ 45.00
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
JB Job #
NrET~kll ~mcdf~li)(jiliIli:IWl;1~K
1\1\S PER~~ilkaIlati?~IS PERM\1 IS NUl
^'I?" '''I'lI7~f1 \!NUt" 0 COD
,,~,umptJF~l1Op 1<: ADANOONE r n
COMMEtSigh'Jb\ltl~~;I,-!i\1iting _
ANY 1 BCLWlt'cd'ti~es
Limited Energy/Comm
$50.00 $
$50.00 $
$25.00 $
$45.00 $
5. SUBTOTAL OF ABOVE M'NIMUM
7% State Surcharge
10% Administrative Fee
$4500 $
$
$
183.00
12.81
18.30
TOTAL
$
214.1 I