HomeMy WebLinkAboutPermit Electrical 2002-10-24
225 FIFT~ STREET _
SPRINGFIELD, OREGON 97477
INSPECfION REQUEST: 726-3769
OFFICE: 726-3759
I. LOCATION OF INSTALLATION
1860 Laura SI.
LEGAL DESCRIPTION
1703.2..7(D
07.5'OQ
ELECfRICAL PERMIe.PLlCATION
City Job Number e-U- z:O~ Z. -00/.2. b
3. COMPLETE FEE SCHEDULE BELOW
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
*
Items Cost
JOB DESCRIPTION 100g, s~oi\b..ol\less
Relocate drop cords for equip . s subtni\\ed il<l.'il!' ~itillilal 500
. p u o~ a . e s?e~' .
,."e ta\\OW\ng 'e~ not reQUlf sq. ft or portIOn
Permits are non-transfemble and eJjpirelg, end do Q.../' thereof -
if work is not started within 180 daJlll'p,ovel 'ng~ ". Each Man e or
lon\ _~ v
of issuance or if work is suspended for ~tl. ~Iar ~elli!!Jl
180 days. Dele __ J/. !L.-,... vr eeder
51 na\l...ue --
\norizeo 9
2. CONTRACfOR INSTALLATlcMONLY B. Services or Feeders
, Installation, Altemtions or
Electrical Contractor JB ELECTRIC. INC. Relocation:
Address 4665 Isabelle Street
City Euaene. OR 97402 Phone 541.667.5770
Supervisor License Number 3672S
Expiration Date 10/1/04
Constr Contr. Number 37567C
CCB
104929
Expimtion Date
10/1/02
3/14/04
----
/
owner~ame
Print Excell
Address same
City Sorinafield, OR 97477 Phone 800-547-9502.
The installation is being made on
property I own which is not intended
for sale, lease or rent.
, Owners Signature:
JB Job # 02-761
D. Branch Circuits ~'l-
New, Alteration or Extension Per Panel ~ ~\i f::J\
\'"\~ \S~
One Circuit ':?~t.,o.*,~ \i~3.00 $
Each Additional Circui~'\,~c1~t\l '"
or F..~:\~t;...it~ SY\ 'Nt~ '\ _.~~\i I $3.00 $
~'\)'\ o'i:.~~t.\:\ '\)~ \S \,-v
E. Miscell~. S~~~a~~ded)
-\,ac ~11IR.'*"'(; ~ oyX:
Pump or irriga i~~~~ 'O~ \)~
Sign/Ou '~ighting_
Limited nergy/Res
Limited Energy/Comm
,-0
200 amps or less :IIOY> .<.oN "
20 I amps to 400 am~0CO ~:v'-~ 'O~': .
40 I amps to 60.Q. W'i\et-0~0 0 co""n..(:)\J :.-,
60 I amps 5'-iiro~~Re'" ~ ~ ~j':J'.'0CO ~ '
Ove~~QO?i "B"pilv~~ ~O~ ~0 ''':'(\<:-''O.f'.
, R#>h~~On.ty.O'\o~~ 'i> 0' ^'0~~..#
~\' S'lJ' ~0~' (:)'t' ~,0 ....0\''' o~"
.,~ ~~J::,P~ ",C\'" ,<:,0 ".~. ~
P T~P!'6<:,rS~~Ce\2T.FeegerS:i.\\~ ~"\.
'O~~,\,c.~~ b'/..>S 0-'\ 0'<) ~0~'~ 0<:-' \'j 'J)W<'t
_,o~ ~'!J .,~ c.0"'O~0~ rY"S
,- O~ 'oV 0 ~ !OI:S
\~ ,~Qo.~~o~-tes,' s\"'....
\)I:S qj~.~ ~9.0~amps
'vell~1 ra~OO amps
<\V
Over 600 amps or 1000 volts see
B above
5. SUBTOTAL OF ABOVE M'N'MUM
7% State Surcharge
8% Administrative Fee
$4500 $
$
$
TOTAL
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
3.00
$50.00 $
$50.00 $
$25.00 $
$45.00 $
46.00
3.22
3.68
$
52.90