HomeMy WebLinkAboutPermit Electrical 2002-9-17
. I OO~ tm,,\lrro\lAJgss
The following projac' as sUbmlttGI!:~Hi!, ~!Ill8iwla1 500
. ~ ,.....1 require sr/S .
zOning. ana UVt:l sq. ft or portiOn
Permits are non-transferable and eijllp~oval. L \XL- ther""f
if work is not started within 180 days zon,"~ _ n _Ol..\-Each Manufd l;lwne or
of issuance or if work is suspendedl1iiare ~'A \ Modular Dwelling
180 days. Authorized Signature~ ,3"";",, ur reeoe, $50.00 $
. ATfEIIlT,OIIl:liregon law reqUires you t
B. SelVlces or Feeders, rule d t db 0
..~"_. . sa op e li!heOregon Ut"'t
Installatlon'fAlteratlOns.o't' II Y
. :-"" ."~,,~,, vcn er. Those rules are set forti
RelocatloniAR 952 001 00 1
... '" - - 10 through OAR 952-001-
200 0090j You may obtain copies of th$63"OoS tsv
ampst'JjI,es,~ the cente .... .
201 am~ to ioo amps r. \' w,c. "It, telrS'is.'Ooe $
. ,,,.nu,,' 10. the Ore . IJ 0'" "
401 amps to 600 amps. ljU" U"'IlY I ($1'25rOO:J~$
601 amps to 100b'~b~r1S 1-600-",,,,.::-.::,,,4/SI63.00 $
Over 1000 amps/volts $375.00 $
Reconnect Only $50.00 $
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
.
L LOCATION OF INSTALLATION
898 Lochaven
LEGAL DESCRlPTION,1
\ '7 -()'2.,- ~-2-'t'
~700
JOB DESCRIPTION
Mobile Home HP
2. CONTRACTOR INST ALLA TION ONLY
Electrical Contractor JB ELECTRIC. INC.
Address 4685 Isabelle Street
City Eucene. OR 97402 Phone 541.687.5770
Supervisor License Number 38728
Expiration Date 10/1/04
Constr Contr. Number "37587C
CC8
104929
Expiration Date
10/1/02
3/14/04
Signature of Supervising Electrician
Owners ~ame
Linda Anderson
Address _same
City Sorinafield. OR 97477 Phone
746-0787
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
no: ~mHSI:;I8
: 39NI:;IH8
06"Gg $ G:083~ lWI:;I
GOOG LT d3S:311:;10
Ti7901JB~JObI#,1Ze8~1
ELECTRICAL PERMIT _[CATION 1ft/"
City Job Number (f;;) - D/OOjg-o I
,
3. COMPLETE FEE SCHEDULE BELOW
.
A New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
$106.00 $
$19.00 $
C. Temporary Services or Feeders
200 amps or less
20 I amps to 400 amps
Over 40 I to 600 amps
Over 600 amps or 1000 volts see
B above
NOTICE:
D. Branch1litlii~ERMIT SHAll EXPIRE IF THE WORK
Ne~6lI=JNQfil3nT~~M1T IS NOT
C;MENCED OR IS ABANDONED FOR
Onil." ~80 DAV PERIOD. I $43.00 $
EacR dltIonaT Circuit or with Service
or Feeder Pennit I $3.00 $
$50.00 $
$69.00 $
$100.00 $
$
43.00
3.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting _
Limited Energy/Res
Limited Energy/Comm
$50.00 $
$50.00 $
$25.00 $
$45.00 $
5. SUBTOTAL OF ABOVE MINIMUM
7% State Surcharge
8% Administrative Fee
....,00 $
$
$'
46.00
3.22
3.68
TOTAL
$
52.90