HomeMy WebLinkAboutPermit Electrical 2002-8-2
~ul-25-02 02:53P
.
-
P.02
225 FIFm STREET
SPRlNClFIBLD. OREOON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
ELECTRICAL PERMIT APPUCATIOWANSll: 01-0010150
uATE:AUG 02 2002
City Job Number 0 d, 0 () 0 1'9 AftD ~D: 2 $ 719.90
CHANGE:
3. COMPLETE FEE SCHEDULE BELOW CASHIER: 001
l. LOCAnON OF INSTALLATION
5755'S MAIN ST.
A. New Resiclmtial.Single or
Multi-Family per dwelling unil
Service Included:
"
k!roAL DESOl.lF:TION
,- / f\ A- j'5 4Lf (j()Y::[)lJ
Items Cost Sum
\O\lO...i(l~
JOB OESCR.IPTION . \\"s \\\"(10 \l'illoo sq.fl or less
Remodel & ExpanslOn " _ '''''r'i\\:~,.ci\iC \'" Each additioual SOO
9~o\ec\ ~ ~eQu\le 11 . . or portion
Pmls are non-transf ~L_i~~ e.."v-
if work i9 not stane~ ~8 daYs. / 0 ~
oflssuance or ifwortt.!J~ ~ /
180 days.
\\)10
2.. CONTP.AcrORINdL'--~',';"y
O~'"VN1.,.
. p..v.\\"\
Electrical Contractor OREGON ELECTRIC GROUP
5106.00
S 19.00
_ S 50.00_
B. SelYices or Fc:edca
lnstsl1alion, AllCIBlions or
~location:
Addrw
200 amps or loss . ~. ,3 t~Nl!! 189.
201 -"'fri 400 amps .,' "9".. a,. 2"'-IIS 75:00v1'50.
401 ::!\Il'600'~S'dOP!ed b~/liijTUsns:ooii12si
. 601 ailql~tif.fooo-am:ps1ter. Those rUle!Sl63\00iliO'il,
S~ff.Licens. Number ,qq, ~ Ovorll000"ampiIWIUJi-001 0 throuah (S37S!OO~
~::,~ ';I=p'MI1 ~,!;\AL\,,~XPIREIF THE WORK RecmiifecfOi!Jyu may obtain co~Sts.O:OO)~l
eijiu~tcThfzf t:r?Vtl'1llrG r::I1rN"~ 'I) NOT c<:lIing the center. (Note: the telephone
A "'a.I.t'~.nJ).~ 1'-8 A,tl.a.NOONEO FOR C. Tomp~ ~~~';''!''I!':~~.~Or~oon Utility Notification
~l\i\'l!>.....I!<\IlI1DtlI" r;!1-l~ InslaUa1ioD, Alteml1on,or ~locancm,O '<3r. 2344)
DAY PERIOD. "" "'""" '" 1-0'- -, ~- - .
4~!~ 7 -1-03 200 amps or less SSO.OO
201 amps to 400 amps _ S69.00
Over 401 to 600 amps _ SlOO.OO_
OVer 600 amp. or 1000 volls ....
.B- above
Phone 503-726-1118
21830 NW CHERRY LN
CitvHILISBORO
Signat1lre of Supervising Electrician
~J) LLD P
. I~ ' D. Branch Cin:ui1s
Owners NlIIIIl: 4/ b,^ 75 ON 2lIl16 New Alteration or Extension Per Panel
Address ;;) 50 fdflL Gn 7r-r2-
ciJ!vis 8:I7)Phonl}.og) 395-
OWNER. INSTALLATION S7;! 2.
One Circuit
-L 543.00 ~
Bach Additicmal CircIlit or with Service
orFeederPetmit L-S3.00 &-
Owam Signature:
E. MiscellaneD1ll (SllI"IiceIfeeder not included)
-Each insIa1Iation
Pump or inigation
Sign/Outline LighIing
Limited EDergylRa
Limitocl Energy/Carom
S50.00
-r- SSO.ooS5":""""
=525.00 =
-1-. S45.0045-
The installaliDn is being made on
property 1 own which is lIlIl intended
for sale, lease or rent
Mluimum Electric Permit InspectlOll Fee Is 545.00 + Sureharge.i
TOTAL
626.00
43.82
50.08
719.90
5. Sl,,",v.ALOFABOVE
7% State SUTCharge
8% Adminisuative Pee