HomeMy WebLinkAboutPermit Electrical 2001-9-24
The following project as submitted has the following
225 FIFTH STREET zoning, and doe. require specific ta"llfEtTRICAL PERMIT. !;ATION
SPRINGFIELD, OREG<ffl~~~'17 , ~~ Q <;' 0 _ ~ I
INSPECTION REQUEST: 726_31Wng '1/;t.t+/DI CityJobNumber 01-00 f { ,
OFFICE: 726-3759 Date
Authorized Signature ~1 NlMllT "Tl;' FEE SCHEDULE BELOW
I. LOCATION OF INST ALLA TION
2412 Ranch Drive A.
LEGAL DESCRIPTION
170J Z'il.f 7.,
o r)-c:::, ()
JOB DESCRIPTION
Service Change
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
2, CONTRACTOR INSTALLATION ONLY
Electrical Contractor JB ELECTRIC, INC.
Address 4065 W 11th, #18
City Euaene. OR 97402 Phone 541.687.5770,
Supervisor License Number 3872S
Expiration Date 10/1/01
Constr ContI'. Number 37587C
cca
104929
Expiration Date
10/1/01
3/14/04 ,
"....~W~OM
(/
Owners Name David Foster
-'
Address: 2412 Ranch Drive
City .Sorinafield OR Phone 988-4328
OWNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Owners Signature:
190:CJ3IH5\1J
: 39N\JH8
~~'GL $ G:Q83~ lW\J
100G G1 d3S:31\JQ
r899~JJ~##SN\J~_576
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
1000 sq, ftu or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
B, Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
20 I amps to 400 amps
40 I amps to 600 amps
60 I amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
C, Temporary Services or Feeders
200 amps or less
20 I amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts see
B above
D, Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with Service
or Feeder Permit
E, Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting _
Limited EnergylRes
Limited Energy/Comm
5, SUBTOTAL OF ABOVE MINIMUM
7"10 State Surcharge
8% Administrative Fee
TOTAL
Cost
Sum
$106.00 $
$19,00 $
$50,00 $
$63,00 $ 63,00
$75,00 $
$125,00 $
$163,00 $
$375,00 $
$50,00 $
$50,00 $
$69,00 $
$100.00 $
$
$43,00 $
$3.00 $
$50,00 $
$50.00 $
$25,00 $
$45,00 $
...,00 $
$
$
63.00
4.41
5,04
$
72.45