HomeMy WebLinkAboutPermit Electrical 2002-10-24
225 FIFTH STREET
SPRINGFIELD. OREGON 97477
INSPECfION REQUEST: 726-3769
OFFICE: 726-3759
L LOCATION OF INSTALLATION
1718 Rainbow Dr.
LEGAL DESCRIPTION
/703 Z7J (
Electrical Cv.._~,_. JB ELECTRIC. INC.
Expiration Date 10/1/04
Constr Contr, Number 37587C
Expiration Date
10/1/02
Signat\1
/
;'
Owners Name
Jed Truett
Address _same as above
City Sorinafield, OR 97477 Phone
~
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
JB Job # 02-808
.
ELECfRlCAL PERMIT _IGATION
City Job NumbeD.OIvf;(OO.:f- ot-:A3+-
3, COMPLETE FEE SCHEDULE BELOW
cO/17
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
JOB DESCRIPTION IllJlAA~" or less
3T HP w/ handler . _~.. sUbmilledh~~c ~itional500
1M 101l0w>ng ~,;;;~ nol require speC sq. ft or portion
Pennits are non-transferable ~iFr LD (L.- ,h.', ~f -
if work is not started within llftPm.~a Zoning- ~_l)V Eac';.~n,"llJf Home or
of issuance or if work is suspended for ll' Modu.1~";:D IIing
v r.~ I>t.#
180 days, oet. MQ ~Feeoe~..
uthOrized Signature ~0~~~ 0 ",,0 !l:>r?:~
2. CONTRACfOR INSTALJTION ONLY B,..~~~sJl.xeed~ ~~tS'
$ ~0 lniialIii'tioDi Ml~nitions or
",v ..,- ~ V ~ n~.~""
>.' ~ <Relocaiion:t;-"'.~
0~ ~ 0",,0 o"VJ 0""- 0" ~~
Address 4685 Isabelle Street ..0' ,,~ ,,~,,~o@~~,or'lesf
~ AV ~. .'V V ~ :!.\.,. 'Ii
\) 'll'V ~ ~'" '.201~liInp~'to-400 amps
City Euaene. OR 97402 Phone 541,687 Slt!l? rf....-.:G ~'I>'40'raD'ib~'i'i;~600 amps
A"</ ," ~ ~ _\.'" ...Vj ()';"J~
..... - ~ ~o ~ r1;..... #6~S3f!JPs to 1000 amps
Supervisor License Number 3872S ~ ~o _'I>' ri() ;:, ~ 0 ,,<::Iver.IOOO amps/volts
...." ~< ~ ~o ~,&R';'~nnect Only
~ _O~I;)'~<:::' ~ 00~
,-!;) 'I>' ~
CCBG c; $ Temporary Services or Feeders
104929 <:::'
Items
3/14/04
~
';:)~~
200 amps or less ~~ ~I::)
201 amps to 400 amps ~ '\~ .( "" !}
Over 40 I to 600 am~ ~~'*' ~ x\)'
Over 600 amps ~~~~~~1!
B above ~ '\~ ~I::)~
C:J~~ ~~ &~
0, Bran.l'~ir~~ ~~<::s ~ ~~.
^'\~~ 10~ ~sion Per Panel
~-v f:> ~ ~ ~<O> ~ ~<(;
'\U~9i\ I::)~
~"ll,\~al Circuit or with Service
or'P~r Penn it
302-9790w
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% State Surcharge
8% Administrative Fee
TOTAL
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
2
$3,00 $
6,00
$50,00 $
$50,00 $
$25,00 $
$45,00 $
$45,(]() $
$
$
49,00
3.43
3,92
$
56.35