HomeMy WebLinkAboutPermit Electrical 2002-6-26
225 FIFTH STREET . ELECTRIC.AL PERM.PLlCATlON
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number d'.:l. -1)1> 7~ C; -01
OFFICE: 726.3759 ,.,....\.leIl \1AA In" \01l0'/l109 ,
I e~"~~J{o'llEl~l'\~t';HEDULE BELOW
I. LOCATION OF INSTALLAT10l\ne\0\lo,"lngl~~~~ot l.qull. ep
5335 Main St #10 tOOIOg, ~no ~ Resi ' g e or
ep~' v' -. zonIng Multi- er dwelling unit.
~ ,1- Service Incl
LEGAL DESCRIPTION
17. ():J... "3 ~, 00
JOB DESCRIPTION
Heat pump with handler
t) ( ~07i~la ra
. Slgna\ll
AlJtnoflzeC1
Items
IOOOsq,ft..orless ~
Each additional 500
sq, ft or portion
Permits are non-transferable and expire thereof
if work is not started within 180 days ...;.', , ,,_ ,. Each Manufd Home or
of issuance or if work is suspen~&i;for' rul&5 cHJ0p!ea uj' (r'i; O~~ular Dwelling
180 days, ,\Jotlllcatlon C~ntel. :hose jUle:J>~i~}irfeeder
~ ~~~,952-001-O010 through OAR w,' .
2. CONTRACTOR INSTALIAnqN:ONLY/ obtain C(~;;~~ry!'7.1'~or,~e,eders
calling the center. (Note: the Installation, Alterations or
Electrical Contractor JB ELEctRic;rI:NC~he, Oreqon UWity r~f.~J~i
(,;entrr ": .~."'r,., .,. . ,..... 'I \
Address 4685 Isabelle Street
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
City Euaene. OR 97402 Phone 541,687.5770
Supervisor License Number 38728
Expiration Date 10/1/04
Constr Contr. Number 37587C
CCB
104929
C. Temporary Services or Feeders
Expiration Date 10/1/02 3/14/04 200 amps or less
NOT' C . 20 I amps to 400 amps
Signa\)f~'singElectricimrH E. Over 401 to 600 amps
IS PERMIT SHAll EXPlft~QQ llD\II~ or 1000 volts see
AUTI1DBIZED UNDER TH ~p~nt wORK
V XZ~~loN~:~ ~~:~~~~~~ NOT
Owners Name D. New, Alteration or Extension Per Panel
Dorothy Reid
Address, 5335 Main St. #10
City 8orinafield, OR 97478 Phone741-803I
One Circuit
Each Additional Circuit or with Service
or Feeder Permit
The installation is being made on
property I own which is not intended
for sale, lease or rent.
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting_
Limited EnergylRes
Limited Energy/Comm
Owners Signature:
5, SUBTOTAL OF ABOVE MINIMUM
7% State Surcharge
8% Administrative Fee
JB Jab # 02-409
TOTAL
at-
TRANS#:01-0009746
DATE: JUN 26 2002
AMT RECD:2 $ 52.90
CHANGE:
CASHIER:032
Cost Sum
$106.00 $
$19.00 $
$50.00 $
$63.00 $
$75.00 $
$125.00 $
$163.00 $
$375.00 $
$50.00 $
$50.00 $
$69.00 $
$100.00 $
$
$43.00 $ 43.00
$3.00 $ 3.00
$50.00 $
$50.00 $
$25.00 $
$45,00 $
$4500 $
$
$
$
46,00
3.22
3.68
52.90