HomeMy WebLinkAboutPermit Electrical 2002-5-29
. ELECTRJCAL PERMIT .L1CATlON
.... W (t.- City Job Number OJ, nn, <)C..j~
W'. ("~{{ COMPLETE FEE SCHEDULE BELOW
~ ~ New Residential-Single or
Multi-Family per dwelling unit
Service Included:
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
3881 Richland
LE9AL DESCRJPTION
Ix D.).. f\~ 4.)...
00/ ,d-../
JOB DESCRJPTION
Heat pump w/handler
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 Cv..~ ~",". JB ELECTRIC. INC.
Address. 4685 Isabelle Street
A'1-f[:I'J llut\':\..dt:a....~.. .,:.ylJ ",..,1_p..llldu yulJ..)
City EUgene. QR97 402,,1P.!t9n~ .541-.687!57.70iv
N;;iii~~ii;';c~~i~r. Tho'se rules are set forth
Supr,7~f'r~~~!j!'l1!l!.er.13872Sh OAR 952-001-
0090. You may obtain copies of the rules by
Expiratieml?l!!l'th10/.1/04>< INn'", the teleoho~e
numberforthe Oregon Utility NotlfbCiitlon
Consb' eonb'. N-!'!!J!\<;r' .37587C;:~'?-?34"104929
Expiration Date
10/1/02
3/14/04
s;.-.~~~
IJ
Owners Name
Tim & Pat Kery
Address same
City Sprinafield. OR 9747j,Phone747-4166_
The installation is being made on
property I own which is not intended
for sale, lease or rent
Owners Signature:
JB Jab # 02-314
Items
1000 sq. ft.. 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
201 amps to 400 amps
401 amps to 600 amps
60 I amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
~
(:)/RANS#:01-0009277
DATE: MAY 29 2002
AMT RECD:2 $ 56.35
CHANGE:
CASHIER:OOl
Cost Sum
$106.00 $
$19.00 $
$50.00 $
$63.00 $
$75.00 $
$125.00 $
$163.00 $
$375.00 $
$50.00 $
C. Te~ices or Feeders
THIS PERMIT SHAll EXPIRE IF THE WORK
IHORIZED UNDER THIS PERMIT IS NOT
C MeE!VR IS ABANf10NEO FOR $50.00 $
lI'llPl' filA' l'bma 0 $69.00 $
er'4(tj 16'6 damps . $100.00 $
Over 600 amps or 1000 volts see
B above $
D, Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $43.00 $ 43.00
Each Additional Circuit or with Service
or Feeder Permit 2 $3.00 $ 6.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting_
Limited EnergylRes
Limited Energy/Comm
5. SUBTOTAL OF ABOVE "'N'MUM
7% State Surcharge
8% Administrative Fee
....00 $
$
$
TOTAL
$50.00 $
$50.00 $
$25.00 $
$45.00 $
49.00
3.43
3.92
$
56.35