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HomeMy WebLinkAboutPermit Electrical 1993-07-08CITY OF OFEGO'V 225 TIFIE STRBBT SPRINGPIBLD, oREGoN INSPECTION REOTIBST: OPPICE: 726-3759 974 Authorized 1. LOCATION OP INST IJGAL DESCRIPTION f*=7*7*2, ?29a JOB Permits are non-transferable and expire if vork is not started vithin L80 days of lssuance or if vork ls suspended for 180 days. 2. CONTRACTOR INSTALI,ATION ONLY Electrical Contractor Address ci Phone Supervisor License Number Expiration Date Constr Contr. Number Exoiration Date Slgnature of Supervlsing Blectrician Address Ci ty Phone '71 ^ OTINBR INSTALI,ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Signature: DATB: SPlrT,{GFIELO as submltled h6 require specific BLECTRICAL PERHIT APPLICATION City Job Nunber BBLOg Nev Residentlal-Single or MuIti-FamiIy per dvelling unit. Service Included:Items Cost The {ollowing projecl zoning, end does not approval. ?L:1 A B Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dwelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: s 8s.00 $ 1s.00 $ 40.00 t/z -- &O200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reeonnect 0nly s s0.00 $ 60.00 s100. 00 $130.00 $300. 00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps - $ 55.00 over 4bt to 600 ambs - $ 80.00 0ver 600 amps or tbOO voTIs see rrBrr aEoE Branch Circuits Nev, Alteration or Extension Per Panel c D 'One Ci rcui t $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 B. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation _Sign/0utIine Light ing_ Limi ted Energy/Res Limi ted Energy/Comm SUBTOTAL OP ABOVB 5Z State Surcharge TOTAL $ 40.00 s 40.00 s 20.00 $ 36.00 RBCEIVED = 5 owners w"^" hftf f 172+6 1 2 Permit No:a=zeae Address lssued Date: OFFICE USE ONLY STATEMENT: INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES Note: Oregon Law, ORS701.055(4) , requires residential construction permit applicants who are not registered with the Construction Contractors Board to sign the following statement before the building permit can be issued. This state- ment is required for residential building, electrical, mechanical, and plumbing permits. Licensed Architect and Engineer applicants, exempt from registration under ORS 701.0'10(7), need not submit this statement. This statement will be filed with the permit. Fill in the applicable blanks, and initial boxes 1 and 2, and either box 3A or 38: I own, reside in, or will reside in the completed structure. I understand that I must register as a construction contractor if the structure is sold or offered for sale before or upon completion. 3. A.l--- ---l My general contractor is Contractor registration numbe I will instruct my general contractor that all subcontractors who work on the struc- ture must be registered with the Construction Contractors Board. OR 3.B I will be my own general contractor. lf I hire subcontractors, I will hire only subcontractors registered with the Construc- tion Contractors Board. lf I change my mind and do hire a general contractor, I will contract with a contractor who is registered with the Construction Contractors Board and I will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and understand the lnformation Notice to Property Owners about Construction Responsibilities on the reverse of this form. 7^ B-^ ?3 Qnature o rm pp cant Date CONSTRUCTION CONTRACTORS BOARD 0244J 8191 t WHITE @PY TO ISSUING AGENCY PERMIT FILE PINK @PY TO APPUCANT \