HomeMy WebLinkAboutPermit Electrical 1998-12-16
THIS PERMIT SHAll EXP/RE IF T~~ng P<6i~~~,!lL! law requi ;, yu u ~ I.
AUTHOR/ZED UNDER THIS P fjl'roval. d"ll5I~Ulr8~~uQ4~ .:;,'Jgon Utility l{c-:tJ
COMMENCFD OR S ERMI IS NOT . Noti iCl!.tion.-Center. Those rules are set forth
M,IY225 -FiFTH ~.JlffiDONED FOR ZOn! ~.:.0.01-001~throu9ED.V::'JiblaP1pERMIT APPLICATION
, Si.>RIitGFIEflDiJ)eREGON 97~.,.,Jz...- J/)~Wou ",ay Ou,dln copies of the rules by
INSPECTleN REQUEST: 7~W "a' ling the center, (Note: tt;il~yleJlllJllnNumber Cf ~ 1"543
eFFICE: 726-3759 ~e Oregon Utility Notification
CenteGlS 1-(}\Jlft~~E SCHEDULE BELe\l
1. LeCAJIQN eF INSTALLATIeN
Sqn ~in~ 1
I LEGAL DESCRIPTION
1 6~ '2-2. \ 1- - () 0 rCJ/)
JOB DESCRIPTr.eN .
~o arm ('L- ~/Ill l& h IUl tu~JY\ 1_
Permits are non-transferable and expire
if ~ork is not started ~ithin l8e days
of issuance or if ~ork is suspended for
180 days. '
2. CeNTRACTOR INSTALLATleN ONLY B.
Electrical contractorC~S P~OL'trtln 'I~'
Address P.D. ~1--. .
o IlrUlYIC\ho'MJ
Ci ty ~~ Phone:J!fJ - ~"3G:,
Supervisor License Number ~(oS
Expiration Date In - \ - qq
Constr Contr. Number 5~Ljq
Expiration Date q -1- DD
Signature of Supervising Electrician
a~?~r
ewner~ Name~~, .Jto11'l-t\rtTl
Address 5QO (l ~rJ. \
Ci t~ IUr(\~Phone '1~b -" '1 d-D1
O\INER I~~LLATleN
The installation is being made on
property I o~n which is not intended
for sale, lease or rent.
Owners Signature:
D~TE~-----I~~,-~~~-i----------------
RECE!'PT #: ''1 ")...., a.-,
RECEIVED BY: ~
A.
Ne~ Residential-Single or
Multi-Family per d~elling unit.
Service Included:
Sum
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof .
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
Services'or Feeders
Installation, Alterations
or Relocation:
200 amps or less
zel amps to 400 amps
4el amps to 6ee amps
601 am~s to' 1000 amps
ever 1000 amps/volts
Reconnect Only
$ 85.00
$ 15.00
,$ 40.00
$ 50.00 5J:h.Q. 0
$ 6e.eO
Slee.OO
$130.00
$300.00
S 40.ee
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
ever 401 to 600 amps
ever 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.0e
$ 80.00
see liB" above
"
Ne~, Alteration or Extension Per Panel
$ 35.00
$ 2.0e
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/Comm $ 36.00
5. SUBTOTAL OF ABOVE 50. QO
5% State Surcharge 1.. :Sf)
3% Administrative Fee I. ~o
TeTAL ---.ti...././-. nn
ene Circuit
Each Additional
Circuit or ~ith Service
or Feeder Permit