HomeMy WebLinkAboutPermit Electrical 2003-1-16
# . .
225 FIFTH STREET
SPRINGFIELD, OREGON 97477 .
INSPECTION REQUEST: 726,3769
OFFICE: 726,3759
I. LOCATION OF INST ALLA TlON
5704 Ridge Ct.
LEGAL DESCRIPTION
i '80 Z. 0 I..{ II
Ob700
JOB DESCRIPTION
Mobile Home Heat pump
Address 4685 I sabelle Street
Constr Contr, Number 37587C
Expiration Date
1011/82 '
Signaturerupervising Electrician
/,~~
//V '-'
Owners Nl6ne
Dewayne Hammons
Address Same
City Sorinafield, OR 97478 Phone 870,8003_
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
JB Job # 03-014
ELECTRICAL PERMITeLlCATION
CityJobNumber (0"""7-=3. - 00011
3. COMPLETE FEE SCHEDULE BELOW
Items
~
D, Branch Circuits ~\{
O~\Ct.New, Alteratio\l-llblt\t.{.OIiWir \N,Ql t
~ ' ':1: S\\r-.\.\. ~,.r ERt-l\lt IS "N
:I:\-IIS I'EI\?iII1}ER i\'\lS I' OtiEO fOR
{>.ljl\-10 d't1NqQll~fili,Qor with Service
COt-l\t-l\W 0 ~"Iltrowo.
t..l'l'l,eO
'E. Miscellaneous (Service/feeder not included)
,Each installation
Pump or irrigation
Sign/Outline Lighting_
Limited EnergylRes
Limited Energy/Comm
MINIMUM
A. New Residential,Single or
Multi,Family per dwelling unit.
Service Included:
",,<,9
\0\\0 0
\,,0 6 y~
eO "'l~~q, ft.. or
fS'\\\'. e\:A'
~y'O 0 ~<i t.ach add' .
'i}~ 0....;)\(
'(I.eC\ :\ (0 sq. r po
Penn its are non~transferable and expire ..\,~9- Q~0~ (\o ereo
if work is not started within 180 days .,,,\i..'~\,o 6 \.,i. 0 M Home or
ofissuance or if work is suspended for ",~.~\. ~w,9 ar Dwelling
"'v 1.0" \'
180 days. vr ervice or Feeder
~\1J,\0
s,~f\
2. CONTRACTOR INSTALLATION OJ:!~'( ':1-06 B, Services or Feeders
~y\"o\' Installation, Alterations or
Electrical Contractor JB ELECTRIC, INC, Relocation:
200 amps or less !:,'~O\) \0
201 ampsto~~~s ~\)\\\\\j n
CityEuaene,OR 97402 Phone541,687,5770 401~1I1fl~~aese\\!~.
~~~~~~~~cam~~ g':J?'.v-
Supervisor License Number 3872S :':'\~~\\O vtJ~~l~IsL,.~Q~ t\)\"""l':'"
t'" ~ \\)\0SCj\J f. I>'l!l 0,\'00 11\0\';;
Expiration Date 1 0/1104 \O\~?, cv.\\O(\_ rU\'\ ~(\ c09\~~~e \e\e~\c'I.~'~
CCB ~6\\'\ ~9Af'~~a: ~~0' ~~O~
10492~(1 O~,-(O\) \~ec0(\~~O(\ ~~.?iAA')'
00 cV>>\\~ ~~\'Oe, ,\JOOO-"!J
3/14/04 \)yr>.'Oet ~'QIl'Ip? or less
(I I amps to 400 amps
Over 40 I to 600 amps
Over 600 amps or I 000 volts see
B above
TOTAL 10%
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
.....00 $
$
$
$50.00 $
$50,00 $
$25,00 $
$45.00 $
46.00
3.22
LfbO 3.68 .
-,l:..7V
S3 _'Be
$