HomeMy WebLinkAboutPermit Electrical 2002-08-13225 FiFTH STREET
SPzuNGFIELD. OREGON
INSPECTION REQUEST:
oFFtcE. 726-3159
01 t11
126-3
AILATION
Citl'J oh Number
3. COMPLETE FEE SCHEDULE BELOW
3.,2
aS
J ESCRIPTI doos
Permits are non-transferable lr9
if rvork is not r
A. Nerl Residcntial-Singlc or
Multi-Family per dn'elling unit.
Sen'ice Inclutled
Iterns Cost Sum
000 sq.ft. or less $ 106.00
.l v additional 500
or portion
.,\tJ thereof
Each Manufd Home or
Ivlodular Drvelling
Service or Feeder
$ 19.00
B. Sen'ices or Feeders
Instirllttion, Alterations or
Rclocation:
Over 600
D. Branch Circuits
Nerv Alteration or Extension Per Panel
LOI).TrqN,Of',INSr
)ot I d-.rs-l
LEGAL
Address
City
Supen'isor
Expiration Date
F-Te[
DESCRIPTION
s+
0
t-,
ofissuance or
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical
s ta rted n'il[g ru]80-tlavs
i f rvo rk ii-sustr1E4de&'foi
,.L 4
CI e'c en
Phone
of Supcr-r isin g Electrician
ame
Citl'
Address {+\
Phone 7?Ja -Zq lg
I
INSTALLATION
The installation is being niade on
property I olvn lvhich is not intended
for sale, lease or rent.
.":f:6}&ffiHl circuit or uith Service
rnts rr$urtT sHALL EXfffrfif fS Yery
E. N{ isc en naf,{fr} t@fttXSB"Uil$B t& I*th$,f"FI M I T I lN 0 T
-A,S$NMEMED OR IS ABANDONI'D FOR
Limited Energv/Res $25.00
Liurited Energv/Comm $-15.00
Minimunr Electric Permit Inspcction Fee is S-15.00 * Surcharges
{. SUBTOTALOFABOVE
77o State Surchlrge
8%o Administrative Fee
Orvners Signature:
TOTAL v{t
FAPPLICA'TION :
l.
ELE. dCAL PERMIT
20() amps or less
20 I amps to 400 arnps
-10I amps to 600 amps
601 amps to 1000 anrps
Or,er 1000 amps/volts
Reconnect Only
One Circuit
$ 50.00
7_5.00
12_s.00
$375.00
$ 50.00
l
Expiration
Constr Contr.
t
Orvners N
C. Temporary Scrvices or Feeilers
I
63.00x
r63.00
$
$
$
$
$43.00
Gq.o4
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DA,TE FIRST
LICENSED:6t10t2002
DEVELOPERS
BONN COMPANY: SURETY AND
INDEMNITY CO
BOND AMOUNT: $ 15000
BOND EFFECTIVE
TO:6t10t2004
What's
New
Exempt (Cannot
EMPLOYER Have Employees -
STATUS: Has No Workers'
Comp Coverage)
INSURANCE ASSURANCE CO
C0MPANY: OF AMERICA (NY)
SEARCH BY:
. LICENSE
NUMBER
.TELEPHONE
NUMBER
- NAME
SEARCH
BUILDING CODES
DIVISION FOR
PLUMBING &
ELECTRICAL
CONTRACTORS
Click HERE for a printer friendly version
LICENSE
NUMBER: 151900
NAME: CHRIS TEIGEN
ADDRESS: 1030 S STREET SPRINGFIELD OR 97477
WORK PHONE
NUMBER: 541-744-8935
LICEN$E STATUS: Active ENTITY TYPE: lndividual
EXPIRATION ^,,^,^^^, LICENSE General*" ";Aft:.611012004 cATEGoRy: contractor/Att
VIEW CLAIM$
HISTORY
VIEW
SPECIALIZED
TRAINING
INSURANCE
AMOUNT:
IN$URANCE
EFFECTIVE TO:
VIEW INSURANCE
HISTORY
$ 500000
6t5t2003
vtEw x-
REFERENCE
LICENSES
VIEW BOND
HISTORY
VIEW
ASSOCIATED
NAMES
VIEW SIC CODES
VIEW BUILDING CODE$ DIVISION LICEN$E DETAILS
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