HomeMy WebLinkAboutPermit Electrical 2008-4-30
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH.(541)726-3753 . FAX (541)726-3689
ELECTRICAL PERMIT APPLICATION
CIty Job Number Co V\I1 WDS ., ooLK?S
Pump or UTIgatIOn $ 55 00
SIgn/Outlme LIghtmg $ 55 00
LUlllted ErNe1ilGlBentIal $ 28 00
LUlllted EnlM~mR1M~it1S HALL EXPI Res tro l)b1 E Wu K K
Minimum Electfi.tJlf+l(ijR Pei~~ iH!lj).OOf3RcMtlh~ I
4. S{]BToI@jllWlli~fEOR IS ABANDONED Y~2.00
12% State ~CtP DAY PERIOD. /<6, Z.t-.J
10% Ad.m1lllstratIve Fee i c; , 2.D
5% Technology Fee 7. ~o
~3.o4
Shared Dnve(T )/Butldmg Form./Electncal Permit Application 1-08 doc'
Or;~ ~ ~ ayq OV> Wu.. -tp.f 4 w~.ts ~Z'b3'M
Cll~~ ~ ~ 2- suV)us *'3lL1>uU{s.
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1.
LOCATION OF INSTi\LLATlON:
1613 Maln Street, Sprlngfleld, OR 97477
LEGAL DESCRIPTIO~"'l.t _?.. \ r\J..~
Qwest \~tjJ~\,iJ \n
JOB DESCRIPTION'
HVAC Modlflcatlons
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
ElectncalContractor Oregon Electrlc Inc.
Address 1010 SE 11th AVe
CIty
Portland
Phone
503-234-9900
SupervIsor LIcense Number 3006 S
ExpiratIon Date 10/0 1/ 0 9
Constr Contr Number 203
ExprratIOnDate 7/01/2008
~~~F;::
Owners Name
Address
~tf'rE"ITlnt\I' Oregon la~l::Ilres you to
follow rules adopted by the Oregon Utility
~\llf~IS.d.~}\RA1ih~ rules are set forth
i~gBfui9Rlsl1 0 thr9u9..h OAR 952-001- ch
Q9!i\Qt tXgH~P: M~~~I6t~ru~
calling the cen er.' 6fdtg~wm.telepho~e
~IJ,.QIit\b@ Oregon Utility Notification
Center is 1-800-332-2344).
Inspection Request: 726-3769
Date L1")o 109
,-
COlUPLETE FEE SCHEDULE BELOW
3.
A. Ncw Rc~idential- Single or Multi-Famil~ per d\\'clling unit.
Service Included
1000 sq ft or less
Each addItional 500 sq ft or
portIOn thereof
Each Manufact'd Home or
Modular Dwellmg Service or
Feeder
$11700
$ 2100
$55 00
B. Sen ices or Feeders - Installation, Alterations or ReIoclltion
200 Amps or less 2- $ 70 00 J~6e
201 Amps to 400 Amps $ 83 00
401 Amps to 600 Amps $13800
601 Amps to 1000 Amps $18000
Over 1000 AmpsNolts $413 00
Reconnect Only $ 55 00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 Amps or less $ 55 00
201 Amps to 400 Amps $ 76 00
401 Amps to 600 Amps $110 00
Over 600 Amps or 1000 Volts see "B" above
D. Branch Circuits
New Alteration or Extension Per Panel
One Crrcwt $ 48 00
Each AddItional CIrcwt or With /~ I :J di:>
ServIce or Feeder Permlt $ 4 00
E. Miscellaneou~ (Sen'ice/feeller not Included) -Eul.h In~tllllatlOn
TOTAL
Page 1 of 1
KEllY Deyette
From: Shirley A Lans [s a lans@oregon-electnc com]
Sent: Monday, Apnl 28, 2008 2 28 PM
To: Spnngfleld DSDMal1
Subject: Permit COM2008-00485
We applied for the Incorrrect Items on this permit through the state webslte How do I go about applYing for a
refund and starting over with a permit
what we applied for IS
48 00 1-Fee for branch CIfICUtS without service or feeder fee, first branch circuit
1600 4-Each additional brach clrclts
1728 fees
81 28- Total
What we actually need IS
2- 200 amps or less feeders
3- fee for branch circuits with service or feeder fee, each branch circuit
Please advlsel
Shirley Lans
Project Administrator
Oregon Electnc GroUp-MId Valley Group
An MDU ConstructIOn SerVlces Group, lnc Company
483 Shelley Street
Springfield, OR 97477
541-747-0811
541-741-1585 Fax
4/28/2008
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00485
COM2008-00485
COM2008-00485
COM2008-00485
COM2008-00485
Payments:
Type of Payment
CredltCard
cRecelOt 1
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000000560
Date: 04/30/2008
Description
MInImum/AdJustment ElectrIcal
Perm Serv/Fdr 200 amps or less
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstratIve Fee
Paid By
SONDRA BROWN OREGON
ELECTRIC GROUP
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
ddk 014211 In Person
Payment Total:
Page I of I
3:00:22PM
Amount Due
1800
7000
440
1056
880
$111.76
Amount Paid
$11176
$111.76
4/30/2008