HomeMy WebLinkAboutPermit Electrical 2001-12-17
The following p.as submitted has the followina !
225 .FIFTH STREET zoning. and do require specific land JlIeECTRICAL PERM PLICATION
SPRINGFIELD, OREG(l)N~77
. INSPECTION REQUEST: 726lb70\lJ t...bl2.. r;\jLlob Number D j- I Z. S' '7 - 0 I
OFFICE: 726-3759 Date l~ .11. 0\
. 'lYKoP 3. COMPLETE FEE SCHEDULE BELOW
1. LOCATION OF 1NS't'~~&J\ll'ature - .1....
4020 Douglas Dr. A, New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
I r?O Z. Dh ( I 0 ~'iOO Items Cost Sum
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
I 80 days,
1000 sq, flu or less
Each additional 500
sq. fl or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$106,00 $
JOB DESCRIPTION
Heat pump with handler
$19.00 $
$50.00 $
Electrical Contractor JB ELECTRIC, INC.
B. Services or Feeders
Installation, Alterations or
Relocation:
2, CONTRACTOR INSTALLATION ONLY
Supervisor License Number 3872S
200 amps or less
20 I amps to 400 amps
40 I amps to 600 amps
60 I amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$63,00 $
$75.00 $
$125.00 $
$163.00 $
$375.00 $
$50,00 $
Address 4685 Isabelle Street
City Euaene, OR 97402 Phone 541,687,5770
Expiration Date 10/1104
CCB C. Temporary Services or Feeders
104929
Constr Contr, Number 37587C
Expiration Date
10/1/02
3114/04
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts see
B above
$50,00 $
$69.00 $
$100,00 $
S ignatu
Electrician
$
Owners Nlune
Will & Christy U Ich
Addre.. 4020 Douqlas Dr
City Sarinofield, OR 97478 Phone 746-9714
D, Branch Circuits
~ ~ New, Alteration or Extension Per Panel
r~ne Circuit
~. Each Additional Circuit or with Service
~ or Feeder Permit d-.
~ E. Miscellaneous (Service/feeder not included)
-Each installation
. Pump or irrigation
Sign/Outline Lighting_
Limited Energy/Res
Limited Energy/Comm
J
$4;.J\, ~
"+.1.vu
I
$3.00 $
3,00
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
$50.00 $
$50.00 $
$25.00 $
$45.00 $
190: ~l3IHStJ:J
: 39NtJH:J
06'9 $ G:Q:J3~ lW~
tOOl IZ ()ON:31tJQ
tt;~LO('J.B 1J9b~"01_765
5, SUBTOTAL OF ABOVE
7% State Surcharge
8% Administrative Fee
MINIMUM
$45.00
$ (,.,.c::O ~
$ '!-l?- 3.22
. $ ----Y!3:' 3.68 &
~(3~
\~C\
TOTAL