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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