HomeMy WebLinkAboutPermit Electrical 2002-10-14225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
I. LOCATION OF INSTALLATION
1862 Yenta
LEGAL DESCRIPTION
JOB DESCRIPTION
Service change & 2 branch ckts
2. CONTRACTOR INS &Nu'xAJtnortz
Electrical Contractor JB ELECTRIC, lNC.
Address 4685 lsabelle
City Eusene, OR 97402 Phone_54f_.688220_
Supervisor License Number 3872S
Expiration Date 10t1t04
CCB
Constr Contr. Number 37587C 104929
Expiration Date 10t1t02 3t14tO4
S of Electrician
Owners
George
Address same
City Sprinqfield. OR 97478 Phone 953-5384
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
1000 sq. ft.. or less
Each additional 500
$ 106.00 $
$ 19.00 $
or
$50.00 $
or Feeders
Installation, 4bmgffmekgs adopted by the Oregon Utility
Relocation:",iotitication Center. Those rules are set fortlr
n CIAH 952-00i'0010 through OAR 952-001"
200 amps otbgp. you ,nay phrain codies &frr@rubs b9.00
201 amps to a0fl6ffift the cerrter_lNole thdfldttplXhe -
401 amps to qq$f,{m+ fss rfis oiaqnn I trif itVR6fflifu_
601 amps to 1000 *lgen,o, i.; i _g"0n-rq2-$Sfrgg $ -
Over 1000 amps/volts $375.00 $ -
Reconnect only $5o.oo TT
C. Temporary Services or Feeders
ELECTRICAL PERMIT ,LICATION
cityJob Nr^a", E-V€bOL- O0lll
3. COMPLETE FEE SCHEDULE BELOW
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Each Additional Circuit or with S"^,i""
or Feeder Permit
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting _
Limited Enerry/Res
Limited Energy/Comm
Cost Sum
$50.00
$69.00
$ 100.00
2 $3.00 $ 6.00
$
$
$
Over60ffi!f 081000 volts see
B above THls pERMll gga
D. Branchc. "uauTH0RtzED
UNDER THIS PERMIT ls NoT
New ehsslu'|vffi ilffiRr&fus fllldN D 0 N E D F0 R
ANY 1BO DAY PERIOD.
One Circuit $43.00 $ -
$50.00
$50.00
$25.00
$45.00
$
$
$
$
5. SUBTOTALOFABOVE mNruuu
7o/o State Surcharge
8% Administrative Fee
$4s.oo $69.00
$4.83
JB Job #02-753 TOTAL $79.35
Permits are
if work is not started
of issuance or if work is
I 80 days.Zoning o
Dwelling
or Feeder
$ s.52