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Home My WebLink AboutPermit Electrical 2008-4-9 CIty of Sprmgfield ElectrIcal AuthorIzatIOn To Begm Work E-matled To Sprmter5c@yahoo com ReceIpt # EC528447 4/9/2008 ~V ~ ~~ Check on status of permit By Phone (541)726-3753 or Ematl permltcenter@cl sprmgfield or us TYPE OF WORK o 0 IXI New constructIOn o Addition/alteratIOn/replacement I, o '<I' ,~CATEGORY'OF 'C,ONSTRUCTION II t'll ill ~ >>111 Iii 1)11 1XI1 or 2 family dwellmg o Multi-family o Commercial / Industnal , JOB SITE'INFORMATION AND LOCATION I Job no I Job address 4078 NORTH ST I City/State/ZIP SPRINGFIELD OR 97478 I SUlte/bldg /apt no I Project name Cross street/dIrectIOns to Job site I SubdivIsion ITax map/parcel no I Lot no 1802061100602 DESCRIPTION OF WORK . Set meter/mam for manufactured home I I Name Jeremy Cooper !Phone (541)7431213 1 Emall Sprmter5c@yahoo com 1 I EI hc no C256 1 Business Name SPRINTER ELECTRIC INC I Contact Jeremy Cooper jAddress 82924 FLORENCE AVE I City/State/ZIP CRESWELL OR 97426 Phone (541)7431213 SITE CONTACT I Fax (54]) 895-2207 11;1 I tH111 " , , CbNTRACTOR I CCB hc no 174458 I Fax (541)8952207 Emall Sprmter5c@yahoo com 1 Metro hc no 541743-1213 I City hc no Creswell I Supervising electriCian's hc no 1871 S I Supervising electriCian's name DAVID GADOMSKI Upon revIew and approval by your local Junsdlctlon, your permit will be e-malled or faxed Within one business day, With IOstructJons on how to schedule your inspection NOTE ThiS Authonzatlon To Begin Work expires Within 180 days If a permit IS not obtained I' FEE SCHEDULE I DescriptIOn I Qty I Ea I Total ResIdential SINGLE- OR multi-family dwelling UOIt Includes atta'Ched garage I , J. I II ~; ,,\:! I "III , 11,000 sq ft or less I Ea addl 500 sq ft or portion I LImIted ElIergy '" I-Limited energy residential (wIth above sq ft) " - Limited energy, multlf3lmly residential (with above sq ft) I-Limited energy, commercIal (with above sq ft) I - Stand-alone limited energy residentIal I - Stand-alone limited energy multi-family I - Stand-alone limited energy, commerCIal 1 Servlc~s <?R feeders mstallatlOn, aIteratJon, AND/OR relocatJon 1200 amps or less 1201 amps to 400 amps 140 I amps to 599 amps TEMPORARY services OR feeders installatIOn, alteratIOn, AND/OR relocatIOn 1200 amps or less 'I 1 20] amps to 400 amps I 1401 amps to 599 amps 1 1 Branch CIrcUIts - NEW, alteratIon; OR extensJ()'n, per panel A Fee for branch circuits With $4 00 $4 00 service or feeder fee, each branch CirCUit B Fee for branch CIfCUlls Without service or feeder fee first branch CirCUit, each add I branch CirCUit Miscellaneous I III 111%) II I Service' recon~ect only I Each manufactured or modular dwell mg service and/or feeder I Pump or lITIgatIOn Circle I Sign or outlme Ilghtmg Signal clrcUlt(s) or IImlted- energy panel, alteratIOn, or extensIOn I I I I · City Of Sprmgfield J" $55 00 $5500 I I I not offered online at thiS Junsdlctlon ELECTRICAL PERMIT FEES , Subtotal $59 00 State Surcharge (12% ofpemllt fee) $708 City Of Sprmgfield fees · $8 85 I TOTAL PERMIT FEE I $7493 I 10% Local Admm Fee 5% Local Technology Fee The local bUIlding department may determine that an Authonzatlon To Begin Work IS null and VOid If It does not COM. -' ( \ I)~ _ 01-?2 0""'" meet applicable land use laws and local ordinances C"f I ~ fI fa () RCPT#.I ~ olJ <(' - $3'$ DATEP P~ED' <J -- C; --0)( . ThiS AuthOrization To Begin Work mw t be po te ./.'b site until replaced Iby a PROCES n ~A -, : / u Permit 225 Fifth Street Sprmgfield, Oregon 97477 541-726-3759 Phone City of Sprmgfield OffiCial Receipt Development Services Department Public Works Department Job/Journal Number COM2007-0 1738 COM2007-01738 COM2007-01738 COM2007-01738 COM2007-01738 Payments Type of Payment ONLINE CHGS cRecemtl RECEIPT #: 1200800000000000333 Date: 04/09/2008 DescriptIOn Add, Alter, Extend Ctrc Ea Add Manufactured Home Feeder + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee PaId By ONLINE PERMIT CHGS Item Total Check Number AuthOrizatIOn ReceIVed By Batch Number Number How Received ONLINE spnnter Onltne Payment Total nJm Page 1 of 1 2 17 lOPM Amount Due 400 5500 295 708 590 $7493 Amount PaId $74 93 $74 93 4/9/2008