HomeMy WebLinkAboutPermit Electrical 2008-5-29
City of Springfield
Electrical Authorization To Begin Work
E-mailedTo:heldl@c-perkms.com
Receipt # EC531081
5/28120083:50:27 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
'A' ~~>"+~I:"~'~~J%l:VPE1toFflwORK
" ~)L~ <<Ii +w,,,,A I <w.<4!hw"QI ""11","
FEE:sc~HED6rl:E"~" "
\(" <l' '0'i>iI>I!Jilllll,l, J ~i0' "
I Qty I
Ea
D New constructIOn
I Description
eniiaI0S1NGElE~!~~fW,l!f .
j~~,)~,~~~SAJ At~(w;~,~~" (
11,000 sq ft or less
I Ea addl 500 sq ft or portion
dweUlli'cWllliit!'IJIcI ud
g ~ ~ '"1'1 ~WI~,
[K] AdditIOn/alteratIOn/replacement
'~''':'%Hlt\I:;I'(;lI;'I1Hll'ICATEGbRY)OF''e()NSiFRUCTI10N,cq'l "V~~.II'll/"'" "
" i: I ,,"%jI}'dL" ~0 ,,<1, "'~"" r ~-i:l&th!l'wW'~"0 """)(i"\1,""",,,,,^~~~
[KJ 1 or 2 family dwellIng D Multi-family D Commercial / Industnal
"~"li)90B);SITEIINIiORMAfION"'NDI1!!0CATrON ~
<<).,i,,),j""/M\>.ij:;<ffMIII ,or ,'~@d~(II~~*(
I Job no I Job address 2563 15TH ST
IClty/State/ZIP SPRINGFIELD, OR 97477-1688
I SUlte/bldg /apt no .
I Project name
Cross street/directIons to job site'
I-Limited energy, residential
(with above sq ft)
I-LImited energy, multifamily
residential (with above sq ft)
I-LImited energy, commercial
(with above sq ft)
I - Stand-alone lImited energy,
residential
I - Stand-alone lImited energy,
multl.famlly
I - Stand-alone lImited energy,
commercial
l!s~Wit~~jl!OiufeWerslinstalllltion. aiterati6':I'l\~/6R relocatIon
I ~ A'"<< ~%~~'t\.d!l1U1M1~jll%tI'II.]~w-' ,d- ~ -x: "I', r j '''II!!!'' 'I>' I
1 200 amps or less
1201 amps to 400 amps
I 40 I amps to 599 amps
\TIEMPORARyjsehiic~t0Rf'fWIers~insfallation"alterahOD,
~/~#J17'rc,11 M ~ ~~ '" P'"\l}"1'1400~"}v/,x-#(h.k~~*" t
AND{O;R;,r~!2~tl~~liV];+4i51T4hr4xJ;~~, ^ ; c1*?~ J1<<')'4 i! '1:\:~JiFH)VI 1M,,, x
1200 amps or less
1201 amps to 400 amps
140 I amps to 599 amps
I'Brinch*Clrciiits'."NEW,llllteratlon;:()'R:'e~f~iSi8n~per panel' ,',
;r,~ '0",~%,", <:;,"" 'c,-, '1 1,,,,},, ",,"" i>'\'"'~P#R1",,(, 0,< ';;)
A Fee for branch Circuits With
service or feeder fee, each
branch CircUIt
B Fee for branch CircUIts
without service or feeder fee,
first branch CircUIt,
I each addl branch Circuit
I SubdivIsIOn. I Lot no.:
I Tax map/parcel no 1703243200317
,,') '\iYkl!i<ilI"4W]; ~ ~ '" 4' ~~~",m'wIV"&>> 0=-~ ~
. 1,II%ililbIH\+i~~,,* ~[)ESCRlP1:IQJ'!'I~'i,,!!g,R~
electriC for hvac eqUIpment
1'] "tlf,PH
I Name heldl
I Phone
lEma"
I
lEI hc no C335
I Busmess Name RITE ELECTRIC INC
I Contact Heidi
IAddress. PO BOX 842
I CIty/State/ZIP CRESWELL OR 97426
IPhone (541)8954466
I Emall heldl@c-perkms com
I Metro hc no'
I Supervlsmg electriCian's hc no 2970S
I Supervlsmg electriCian's name CLYDE I PERKINS
I Fax.
CONTMC;i:O~'N I
~ m,W1 ,*~1:':4 ib~'JWI~m;;J
ICCBhc no' 178518
$48 00
$4001
q'l \
Service reconnect only
Each manufactured or modular
dwellIng, service and/or feeder
Pump or IrrigatIOn Circle
1 Sign or outlIne IIghtmg
Signal clrcUlt(s) or IImlted- not offered onlIne at thiS junsdlctlOn
energy panel, alteratIOn, or
extensIOn
I Fax: (541)8954366
I CIty hc. no .
Upon review and approval by your local JUriSdiction, your
permit WIll be e-malled or faxed Within one business day,
With instructions on how to schedule your inspection
ElECTRlqAl ~ERMIT4c~E~~(, ,I,"
Subtotal $52 00 I
State Surcharge (12% of pen TIlt fee) $624 I
City Of Spnngfield fees · $7 80 I
TOTAL PERMIT FEE $6604 I
· r,y Of <:prmgr.~I~ J go" L _1.. '':''1'': Fee, 5% Local Technology Fee
COM":=J tm?s'- mCIJ45
RCPT#:~~(JV g-- 357
DATE PROCESSED: <s/~ C;/O Y
ThiS AuthOrization To Begin Work ml !S'~~ntll rePlace'c.j by a PermIt
. : ~
NOTE' ThiS AuthOrization To Begin Work expires Within 180
days If a permit IS not obtained.
The local bUIlding department may determine that an
AuthOrization To Begin Work IS null and VOid If It does not
meet apphcable land use laws and local ordinances
Total
I
cc"vl
I
I
I
I
I
I
"I
"I
$48 00
$4001
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00645
COM2008-00645
COM2008-00645
COM2008-00645
COM2008-00645
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
3200800000000000357
Date: OS/2912008
DescnptlOn
Add, Alter, Extend Circ
Add, Alter, Extend Clrc Ea Add
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmlstratIve Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE
RITE OnlIne
Payment Total:
Page 1 of 1
7:35:28AM
Amount Due
4800
400
260
624
520
$66.04
Amount Paid
$66 04
$66.04
5/29/2008