HomeMy WebLinkAboutPermit Electrical 2002-9-27
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECfION REQUEST: 726-3769
OFFICE: 726-3759
-.
I. LOCATION OF INSTALLATION
4429 Main Street
LEGAL DESCRIPTION
n 0'2- ,:?Z- .:?:>I
(p ?OO
ELECfRlCALPERMIT.ICATION ..
02-009 I 8-02 \.,
City Job Nwnber 07..- DOq l'?: -oz..
,~
3. COMPLETE FEE SCHEDULE BELOW
TRANS#:01-0010740
DATE: SEP 27 2002
AMT RECD:2 $ 72.45
CHANGE:
CASHIER:Oll
A. New Residential-Single or ~
Multi-Family per dwelling unit.
Service Included:
Items Cost
Swn
JOB DESCRIPTION 1000 sq. ft.. or less $106.00 $
Espresso cart _, .... "lrQ P'^joo< as submlned 1141$:', ,,:,:j ,:",Jj500
~~~ing, -and does not require spegtf!cft~Mon
Permits are non-transferable and ~val. C thereof $19.00 $
if work is not started within 180 days Zoning (' - ~;:.;h ManUro Home or
of issuance or if work is suspende<\f.we 9 -,,)7" 0'" u. ,1wlarJ\...1I;"l! v. of>' _ ,
180 days. <0ServiceorF~ac!opiec::')\' ,',~':. ,r '-,$50:00 $
Authorizod Signolu,O "t'I' ,. ""on"er -'-hO'S~ \'11" " ' . -~-
1'.OllcalIOnV.... l . ... ,- __...:.~..._\fl...--'.. u:.
2. CONTRACfORINSTALLATlONONLY B. Servi~i.~wf.~!;'2'-CO'i-0010tn J!..(''''');\'-'I ',j~,C;)i
Installation, Alterations1or,',", oO"la' c, ]"1 ;h', l!"~:Y
uu......,. ."'..... ...-1...,~.... ,...:J...... .........._
Electrical Contractor JB ELECTRIC. INC. Relocation'" ente ("'o'e' "- - '<,I~'" ,- ..,
"'....II1t.glncc r. I\. l ,111.:..1;)0,_' .,j,i_
numberfOlthe Oregon Utiiit\I.~cdiic..:t;o:1
Address 4685Isab~II~::;t'~et 200ampso~.I~~,c'l< 1,130~."'" ;.,/ ',:1 $63.00 $ 63.00
201 amps to 400 amps $75.00 $
City Euaene. OR 97402 Phone 541.687.5770 401 amps to 600 amps $125.00 $
60 I amps to 1000 amps $163.00 $
Supervisor License Nwnber 3872S Over 1000 amps/volts $375.00 $
Reconnect Only $50.00 $
Expiration Date 10/1/04
Constr Contr. Number 37587C
ceo
104929
Expiration Date
10/1/02
3114/04
Signv u
,\/
Owners lam:
Aly Hassanien
Address
City Sorinafield.
OR Phone 988-1801
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
JB Job # 02-683
C. Temporary Services or Feeders
$50.00 $
$69.00 $
$100.00 $
200 amps or less
201 amps to 400 amps
Over 40 I to 600 amps
Over 600 amps or 1000 volts see
BOOove NOTICE: $
D. BranchCircuitsTHIS PERMIT SHALL EXPIRE IF THE WO
New, AI~.;';;';; l@~~'l9I~l"'I1J/S PERMIT RK
COMMENCED OR IS ABAN IS NOT
OneCircuANY 180 DAY P~~F:.. DONl$lbfilOR $
Each Additional Crrcurt or willi Stl'Vice
or Feeder Permit
$3.00 $
E. Miscellaneous (Service/feeder not included)
-Each installation
Pwnp or irrigation
Sign/Outline LightiIig_
Limited EnergylRes
Limited Energy/Comm
$50.00 $
$50.00 $
$25.00 $
$45.00 $
5. SUBTOTAL OF ABOVE _MUM
7% Slate Surcharge
8% Administrative Fee
$45,00 $
$
$
63.00
4.41
5.04
TOTAL
$
72.45