HomeMy WebLinkAboutPermit Electrical 1996-08-01Erl--
F,. t'i.I -23-96 TUE 12:15 Pi
JOB
=@3 344 4A?5\DT SECUR I TY SYSTE]'IS...
zoning,
'5 344 4875 P. A2
-!
^ - aav.ri
.Frt.aqFllElo
2?5 FI,rZ sIREBr
SPRTI{GFTEL[), OREGON 97477,IIISPEC?fOII REQUBST. 126_3OFFICE: 726-3159
?'H.q>
appro'raiz,^&-EIJCTRTCAL PERITT
city Job Nurber
1000 sq.ft. or 1ess
Each addi tional 500sq. ft or portion
thereof
Each Hanuf ,d Honre or
-
Hodular DveltIng
Seririce or Feeder
Services or Feeders
fns tallation, Alterationsor Relocatlon:
200 amps or less201 amps to 4o0 amps .-
401 amps to 600 anrps
-
601 amps to 1000 auros-over 1000 anps./vol t=
-
Reconnect oniy
ffie
,qUs'l
IrAr. .. '.od
1. LOCATTON OF TNSTALI.ATION
I.EGAL
COHPI.STE FBE SCEEDT'I8 BEI'g
Nev Residential-slngle orMuIti-Family per avelling unir.Service fncluded:
ftems Cost
3
A
B.
Sum
Permits are non_transferable and explreif ,ork is not started ;ii[i"-ii,o-J;i;-of^Issuance or tf vork t;-;;;p;;ded for180 days.
2. COIITRACTOR TNSTALIATION ONLI
ElectricaL Contractor-AnT Sacu-lty Syctcms
s 8s.00
s 1s.00
$ 40.00
Address I 50i P earl Stree , Sul teB
ci RE Phone I 2-L 3
$50
$60
$100
00
00
00
00
oo
00
Supervisor Llcense Number 777
Expiratlon Date I uolte6
Constr Contr, Number Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps or less
lOt aggg to 40o amps --over 401 to 600 amis .-
over 600 amps or fboO*IoITs
s130.
$300.
$ ao.
c,
9944
Expirarlon Date /29/e 7
Signature of Supervlslng Electriclan
Name
Address
ct
Nev, Alteratlon or Extenslon per panel
above
s 40.00
s s5.00
s 80.00
see ]',gr
D
l,
l
i
OI,NEB ,ALI.ATION
PhoneJ!.7-A32!L One Clrcult
Each Addi tlonal --Gircult or vith Servlieor Peeder pernlt -_--
-
Ii:ff ',};l;:ff" fff;vi ce/feed
Igo,p or lrrlgatlon
srgn/Outl lne Llsh t ing-
IiTiI:J EffIg'EJ;;-E
S 3s.oo
$ 2.00
er not lncluded)
The tnstallattc
rji,jiii, {:& ti inTl'fr , t.f i, !t,
"o
Osners Slgnature:s 40.00
$ 40.00s 20.00
$ 36.00
20.oo
-
I .00
-
to oo
DAIE:
60
ct TY OF SPF,ru GFIEI,,N.! OREG Crlf
RSCETVBD
5 SUBTOTAL OF A.BOVE5Z State Surcharge3Z_Adnlntstratlvi pee
TOTAL 2l ^6n
'rq
\
225 ETFTE S'I",EET
SPRINGETEI,D, OREGON 97477,
INSPBCf,f0N REQI ESTI 726-3769
OFPICE: 726-3759
1 LOCATTON OP INSTALI^ATION
aPRtxcFrGa-o
EI.ECTRICEL PERHTT APPIJCATTON
City Job Number
3. COHPLRTE FBE SCBEDUI,B BEI,OS
A. New Residential-Single or
MuIti-Family per dvelling unit.
Service Included:
ftems Cost
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Hanuf'd Home or
-Modular Dvelling
Sertice or Feeder
s 8s.00
s 1s.00
$ 40.00
14'1q eeA f\arup
LEGAL DESCRTPTION
Qecr)ar,rrn Sum
JOB
Aiap*
DESCRTPTTON
T ar,rhail
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended ior
180 days.
2. COITTRACTOR INSTALT^ATTON ONLY
Electrical Contractor@ms
Address 1501 pearl Street. Sui teB
City Eusene, OR Pltone 541-3 -1313
Supervisor License Number Rl777JLE
ExP iration Date I0/0 r/96
Constr Contr. Number SggLL
Name
Address lY31 t/eQA bP,w
cr tySnannf,ell PhoneJl'14.i2L_-T---J-
OUNER TNSTALIA:TION
The installation ls being made onproperty I ovn vhich is iot intendedfor sale, Iease or rent.
Osners Signature:
Services or FeedersInstallation, Alterationsor Relocation:
B
C. Temporary Services or Feedersfnstallation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps-
0ver 1000 amps/volts
-Reconnect Only
200 amps or less
201 amps to 400 amps
-over 401 to 600 amps
-Over 600 amps or 1000ETis
D. Branch Circuits '
-Each installation
Punp or irrigation
Sign/Outline Lighting-
Llni ted Energy/Res -j--Limlted Energy/Comm
5. SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
s s0.00
s 50.00
s100. 00
$130.00
s300.00
s 40.00
Nev, Alteration or Extension per panel
One Circuit 9 35.00
Each Additional --Circuit or with Serviceor Feeder Pernit S 2.oo
E. Miscellaneous (Service/feeder not included)
s 40.00
s ss.00
s 80.00
see 'tii'? a6ove -
20.00
I 00
60
s 40.00
$ 40.00
s 20.00
$ 36.00
DATE:
RECETVED
CITY OF OFEGO'V
Ovne
21.60
?n n0
I
I
E:<::iration Date 04/29/97
Signature of Supervising Btectrician
I