HomeMy WebLinkAboutPermit Electrical 2007-3-2
ZON ('r1 ~
INITIALS IJ
DATE 3-;;2 -0 '7
SOURCE m '\
225 FIFTH STREET. SPRINGFIELD, (,,__ 477 . PH:(541)726-3753 . FAX: (541)726-3689
ELECTRICAL PERMIT APPLICATION
City Job Number ~ c9-0 lJS - ()/ ~fS-
1.
{)::J--I( LAMA~~.
LEGAL DESCRIPTION:
/10-5:;)1 I/o //(57)
I
JOB DESCRlPTION: .
/~tr:all~
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.
Electrical Contractor New Way Electric I inc.
D.
New AlteAtlrr;fi:.~li!Y,-' ~~~)-6hbik~I~JllUlll::' Oregon U,'f,.:y
\.JopH'SU 1)" '" '~'., ' "
One CircfJU\lOW WI8~,a, ~tl ,-'t.~'."r.:. 'k8t4~r.fmSij~.() 0
Each A~~t~ilii\J&\~~'-. '~ -t~~()Uqtl ('),A.R 95i- .
Service ,or ,N>A~q~ftffi)O 1-QO 1 ~l I. ,', r ~tlRg; nllPS \
~5 dIU, . amC:OPI13....", c -
E.
Address P.O. Box 21403
City
Phone541-68 6- 2 365
Eugene
Supervisor License Number
C) ?CU S
Expiration Date
10-01-07
Constr. Contr, Number
51088
Expiration Date
06-27-2007
si~aru':J:o/n
own~e -
Address 3D
City 'bt~
4t::./ "0
Phone &&1t -- (It CJ
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
.~ '1b0rlL'f the ,-,,1
Pump or irri~gon ' Cer\tar is;
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45,00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
Date (-=3 ~ :;; -07
3.
A.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
$106,00
$ 19.00
Each Manufact'd Home or
Modular DwfJ6f'f}!~e or $50.00
Feeder . ,II,SHAL,LIXE.tBtJ.f,It1f.w,Q_B~,;,:,;;,
B.
"
IMMENCED OR IS ABANDONED FOR
200 Amps or 1 An DAY PERtOD, $ 63.00
201 Amps to Ahrps $ 75.00
401 Amps to 600 Amps $125.00
601 Amps,to 1000 Amps $163.00
Over 1000 AmpsNolts $375.00
Reconnect Only $ 50,00
,,::,<
. .U
c.
InstaJlation, Alteration or Relocation
200 Amps or less
20 I Amps to 400 Amps
401 Amps to 600 Amps
$ 50.00
$ 69.00
$100.00
Over 600 Am s or 1000 Volts see "B" above.
IIr!;: 0{)
>~~~
::;.~
~6 .36
Shared Drive(T:)/Building FonnslElectrical Permit Application 8-06,doc
8% State Surcharge
10% Administrative Fee
5% Technology Fee
TOTAL
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01685
ISSUED: OS/23/2006
APPLIED: 12/02/2005
EXPIRES: 08/27/2007
VALUE: $ 5,107,804.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2211 Laura St
ASSESSOR'S PARCEL NO.: 1703271101100
Springfield
TYPE OF WORK: Apartment Building
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Assisted living and alzheimer's care facility.
Owner:
Address:
BAYBERRY COMMONS LLC
30 EAST BROADWAY, #160
EUGENE OR 97410
Phone Number: 541-686-1119
Contractor Type
General
Electrical
Low Voltage Electrical
Mechanical
Plumbing
Sewer
Contractor
BURTON WALTER
NEW WAY ELECTRIC INC
SALEM FIRE ALARM INC
JET HEATING INC
TAPANI PLUMBING INC
CIRCLE H EXCAVATING INC
tlnTH~E: - I~ 111'::JA,m~\(
~ n. T SHALL t)\t'lru:.. I -
I CONTRACTORINFORWiM~D UNDER THIS PERM\1 \S NOl
AUln A8ANBONEOfOR
C{}Ur~CED iJf\>'R-atlOn ate Phone
At-HlWO DAY PERbg)t4/2008 503-775-1962
51088 06/2712007 541-686-2365
76884 10/12/2007 503-364-4566
3944 05/31/2007 503-363-2334
60958 07/23/2009 360-687-3983
135457 OS/26/2007 503-829-4440
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
61
11
SR-l
VA
VB
2 Lot Size:
35.00 Sq Ft 1st Floor:
Gas Sq Ft 2nd Floor:
Gas Sq Ft Basement:
Gas Sq Ft Garage/Carport
Path 1 Sq Ft Other:. YOIJ to
n/a 05c.uRfAA.:e6'~HleS , '~\i
!' I _i-:~\~h\'()\"GCl' \ I ""ll 'd~r"'~t'\n U\\..,~
I DEVELOPMENT INFO~~.QNI. adopted 0'1 .~u\es a, re \3~\ ~~,
IU" . center.1\10S.. ~T[JRtID1jAjUONG
Notmcatlon -0010 thr ~g, ~,.... fU\es t
Overlay Dist: .. OAR 95'2-001 tain c6lJlOH:01 the hone
# Street Trees Rqdb090. '(aU may ob \NdiIaP!liea}ij}f~. 'l\On
Paved Drive Rqd: a\\\nQ t\1~ cen\e~. onG9W''m'}t:\ot\1ICa
% of Lot Coverage: C oedOftne Ot~g (<, 331"'\..2344);
num center is '\ -80v- &-
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
29,393
17,294
418
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Pal!e 1 of 8
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2005-01685
ISSUED: OS/23/2006
APPLIED: 12/02/2005
EXPIRES: 08/27/2007
VALUE: $ 5,107,804.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
A.C. - Commer
Conv. Hospitals
Pavinl!
Sprinkler Svs
AC - Commercial
V I-Hour
Use Bid Amount
Sprinkler System
$ Per Sq Ft
or multiplier
$4.10
$97.00
$1.00
$3.00
Square Footage
or Bid Amount
47,001.00
47,001.00
215,000.00
47,001.00
Value
Date Calculated
Description
Tvpe of Construction
Total Value of Project
$192,704.10
$4,559,097.00
$215,000.00
$141,003.00
$5,107,804.10
12/02/2005
12/02/2005
04/24/2006
12/02/2005
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Comm/Ind/Public $10,492.89 12/2/05 2200500000000001655
Plan Review Fire & Life Safety $6,457.16 1212/05 2200500000000001655
+ 10% Administrative Fee $5.00 5/22/06 1200600000000000686
+ 8% State Surcharge $4.00 5/22/06 1200600000000000686
Temp Power 200 amps or less $50.00 5/22/06 1200600000000000686
-Mechanical Issuance Fee- $10.00 5/23/06 2200600000000000642
+ 10% Administrative Fee $2,281.93 5/23/06 2200600000000000642
+ 8% State Surcharge $1,750.39 5/23/06 2200600000000000642
Air Handling Unit Up to 10,000 $184.00 5/23/06 2200600000000000642
Appliance Not Listed $549.00 5/23/06 2200600000000000642
Appliance Vent $18.00 5/23/06 2200600000000000642
Backflow Device $28.00 5/23/06 2200600000000000642
Building Permit $16,142.90 5/23/06 2200600000000000642
Curbcut - Additional Driveway $80.00 5/23/06 2200600000000000642
Curbeut Permit $80.00 5/23/06 2200600000000000642
Dryer Vent $12.00 5/23/06 2200600000000000642
Encroachment Permit $130.00 5/23/06 2200600000000000642
Exhaust Hoods $18.00 5/23/06 2200600000000000642
Fixture $3,976.00 5/23/06 2200600000000000642
Furnace - up to 100,000 btu $144.00 5/23/06 2200600000000000642
Gas Outlets 1-4 $4.00 5/23/06 2200600000000000642
Gas Outlets 4+ $13.00 5/23/06 2200600000000000642
Paving $939.40 5/23/06 2200600000000000642
Plan Review Comm/Ind/Public $454.18 5/23/06 2200600000000000642
Plan Review Fire & Life Safety $279.50 5/23/06 2200600000000000642
PW Disc - 2nd Permit (Street) $-30.00 5/23/06 2200600000000000642
PW Disc - 3rd Permit (Street) $-30.00 5/23/06 2200600000000000642
Sanitary Sewer - 1st 50 Feet $45.00 5/23/06 2200600000000000642
Sanitary Sewer - Improvement $119.02 5/23/06 2200600000000000642
Sanitary Sewer - Improvement $10,000.00 5/23/06 2200600000000000642
Sidewalk Permit + Addtl Sq Ftg $101.60 5/23/06 2200600000000000642
Storm Sewer - Ist 50 Feet $45.00 5/23/06 2200600000000000642
Storm Sewer Each Addtll00' $308.00 5/23/06 2200600000000000642
Pal!e 2 of 8
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Vent Fan
Water Line - 1st 50 Feet
+ 10% Administrative Fee
+ 8% State Surcharge
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 1000 amps/volts
Perm Serv/Fdr 200 amps or less
Perm Serv/Fdr 601 to 999 amps
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Low Voltage - Commercial Indus
+ 10% Administrative Fee
FLS Safety Systems Review
+ 10% Administrative Fee
FLS Safety Systems Review
+ 10% Administrative Fee
FLS Safety Systems Review
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
Total Amount Paid
Fire Department Review
Fire Department Review
07/11/2006
10/0212006
Fire Department Review
10/04/2006
Fire Department Review
12/05/2005
Initial Review
07/11/2006
$348.00
$45.00
$370.30
$296.24
$1,656.00
$750.00
$1,134.00
$163.00
$4.50
$2.25
$3.60
$45.00
$174.60
$1,746.00
$105.72
$1,057.17
$12.00
$120.00
$4.50
$2.25
$3.60
$43.00
$2.00
$62,750.70
5/23/06
5/23/06
6/20/06
6/20/06
6/20/06
6/20/06
6/20/06
6/20/06
8/16/06
8/16/06
8/16/06
8/16/06
10/5/06
10/5/06
10/9/06
10/9/06
1/23/07
1/23/07
3/2/07
3/2/07
3/2/07
3/2/07
3/2/07
I Plan Reviews I
10/02/2006
10/04/2006
03/15/2006
07/11/2006
OK GRG
OK GRG
OK GRG
APP LLH
Pae;e 3 of 8
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01685
ISSUED: OS/23/2006
APPLIED: 12/02/2005
EXPIRES: 08/27/2007
VALUE: $ 5,107,804.00
2200600000000000642
2200600000000000642
2200600000000000861
2200600000000000861
2200600000000000861
2200600000000000861
2200600000000000861
2200600000000000861
1200600000000001270
1200600000000001270
1200600000000001270
1200600000000001270
3200600000000000518
3200600000000000518
2200600000000001408
2200600000000001408
1200700000000000060
1200700000000000060
2200700000000000290
2200700000000000290
2200700000000000290
2200700000000000290
2200700000000000290
Fire Suppression System
Plans Review: Fire Alarm System
for Bayberry Commons assisted
living facility. Job
#COM2005-01685. Designer: Joe
Ripp. Contractor: Salem Fire
Alarm.
Provide fire alarm module for the
commercial kitchen hood and duct
fire protection system.
See attached document for Fire
Department Plans Review comment5
for the sprinkler system.
See attached document for Fire
Department Plans Review
comments.
Received Fire Suppression System
plans for Fire Department.
Forwarded plans and information to
Gilbert Gordon through interoffice
mail.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
LDAP Review
LDAP Review
LDAP Review
LDAP Review
Plannin!!: Review
Public Works Review
Public Works Review
Revised Plan Review - Fir
12/05/2005
12/22/2005
03/07/2006
05/04/2006
05/04/2006
12/05/2005
12/05/2005
05/04/2006
02/22/2006
12/05/2005
12/22/2005
03/07/2006
05/04/2006
05/04/2005
12/22/2005
05/04/2006
03/15/2006
APP
10
10
OK
APP
APP
WE
APP
OK
Pa!!:e 4 of8
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01685
ISSUED: OS/23/2006
APPLIED: 12/02/2005
EXPIRES: 08/27/2007
VALUE: $ 5,107,804.00
SKG
VRJ
VRJ
BRC
VRJ
EMM
SB
SB
GRG
Sent applicant LDAP application.
Applicant is aware of the LDAP
requirement and will be submitting
plans in the future.
LDAP plans submitted by Bayberry
Commons 3-3-2006 and are under
review.
LDAP ISSUED
LDAP permit has been issued
5-4-2006
Site Plan Review DRC2005-00065 in
review process. Linda Pauly is
planner. development Agreement
received
LDAP must be issued before this
permit. Public Improvement
Project approval and Encroachment
permit application required before
doing any work in the Public Utility
Easements or the Right-of-way.
SIdewalk and curbcut permits
added. SDCs added.
LDAP ISSUED. Still need
encroachment permit application,
and PIP application for work in
right-of-way or in Public Utility
Easements.
Plans Review: Revised submittal for
an assisted living and Alzheimers
facility. Job #COM2005-01685.
Occupancy Classifications: I-l/SR-I:
A-2 (dining area); F-I (kitchen,
electrical and mechanical rooms); B.
Construction Type:
V-A-sprinklered. Building square
footages: Ist floor-29,393 sq. ft.; 2nd
floor-17,294 sq. ft.; Total-47,001 sq.
ft.
Revised Plan Sheet CS shows SE
stairway in rated enclosure.
Plan Sheet A8.1 added showing door
schedules. Violation abated on first
plans review of initial submittal.
Refer to first plans review for
inspection and review.
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-01685
ISSUED: OS/2312006
APPLIED: 12/02/2005
EXPIRES: 08/2712007
VALUE: $ 5,107,804.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Revised Plan Review - Pia
02/22/2006
WI
Revised Plan Review - Pu
02/22/2006
03/14/2006
WE
SB
Revised Plan Review - Str
02/22/2006
02/22/2006
10
JMP
Revised Plan Review - Str
06/14/2006
RWC
06/14/2006
OK
Revised Plan Review - SU
Structural Review
02/22/2006
12/22/2005
04/24/2006
12/22/2005
APP
10
JF
JMP
Structural Review
12/21/2005
12/21/2005
10
JMP
Structural Review
Structural Review
05/04/2006
12/05/2005
05/04/2006
12/15/2005
APP
WE
JMP
JMP
Structural Review
12/16/2005
12/16/2005
10
JMP
Structural Review
12/16/2005
12/16/2005
10
JMP
SUB Review
12/06/2005
12/19/2005
WE
JF
Waiting for final site plan approval
and DA.
Revised plan.SDCs changed slightly.
Still hold for LDAP
Burt Walter delivered 4 sets of
revised drawings and Tony Koach's
responses including some energy
code forms.
new detail for the one hour rated
wall
WE. Received Marcy's count of 2
dryer vents, and Aaron's count of 3
gas water heaters and 17 gas
connections.
Received fax from Marcy Huxtable
with counts of mechanical
equipment. Left a voice mail for her
requesting missing information.
Received final internal approvals.
See attached documents for 17
structural comments faxed to Tony
Koach.
WE. See attached document for
mechanical count verification faxed
to Don Olheiser.
WE. Tony Koach called to discuss
all 17 comments and to request an
electronic copy of the letter which I
emailed to him.
See comment 5 in the attached
structural comments requesting
energy code information.
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
~eolliredJ'nSDections I
Site Inspection: To be made after excavation but prior to setting forms.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
Footing: After trenches are excavated.
Foundation: After forms are erected but prior to concrete placement.
Pal!e 5 of 8
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: COM2005-01685
ISSUED: OS/23/2006
APPLIED: 12/02/2005
EXPIRES: 08/2712007
VALUE: $ 5,107,804.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Roofing: Prior to installing any roof covering.
Firewall: Located and constructed according to plans.
Masonry:
Bolts Installed in Concrete: To be done by a State Certified Special Inspector. Provide inspection test reports to
City Building Inspector.
Structural Concrete: In excess of 2500 psi. To be done during construction by a State Certified Inspector.
Provide results to City Buiding Inspector
Roof Sheathing/Nailing: Before covering sheathing with finish material.
Glu-Lam Beams: Inspection Certificate by an approved agency to be provided to City Building Inspector prior to
placement.
Ceiling Grid: After drywall approval but prior to cover.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Epoxy Anchors: To be done by Certified Spcial Inspector. Provide Inspection results to City Building Inspector.
Structural Welds: To be done during construction by State Certified Special Inspector. Provide inspection test
results to City Building Inspector.
Fire Department Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test.
Fire Department Underground Sprinkler System: Prior to cover. Hydro pressure test, fire line flow test.
Fire Department Alarm System: Fire Department Alarm System Acceptance Inspection. This inspection must be
requested and approved prior to requesting any occupancy approval.
Fire Department Water Supply. Inspection to assure water supply is available on site for construction. This
inspection is required prior to any combustible construction.
Fire Department Access. Inspection to assure access is available to site for construction project. This inspection is
required prior to any combustible construction.
Final Fire Department. After all requirements of the Fire Department have been met.
Final Building: After all Conditions have been completed as required on Development Agreement.
Final Building: After all required inspections have been requested and approved and the building is complete.
Rough Grading: After gravel is in place but prior to placing concrete.
Final Paving: After paving is complete.
SUB Insulation Vapor Barrier: To be called for at the same time as the SUB framing inspection.
Pal!:e 6 of8
CITY OF SPRINGFIELD -
Building/Combination Permit
Status
Issued
PERMIT NO: COM2005-01685
ISSUED: OS/23/2006
APPLIED: 12/02/2005
EXPIRES: 08/27/2007
VALUE: $ 5,107,804.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SUB Final: After all required energy inspections have been requested and approved.
Underslab Plumbing: Prior to filling the trench and including required testing.
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering and including required testing.
Water Line: Prior to filling trench and including required testing.
Sanitary Sewer Line: Prior to filling trench and including required testing.
Storm Sewer Line: Prior to filling trench.
Grease Trap: Prior to Cover.
Final Plumbing: When all plumbing work is complete.
Backflow Device: Prior to covering and provide a copy of the test report on site at the time of inspection.
SUB Plumbing: Following City Rough Plumbing inspection approval and prior to cover.
Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
Underslab Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
SUB Mechanical: Following City Rough Mechanical inspection approval and prior to any cover.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
SUB Ceiling Grid: Interior Lighting
SUB Exterior Lighting
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Curbcut - Second: After forms are erected but prior to placement of concrete.
Sidewalk - Setback: After forms are erected but prior to placement of concrete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Low Voltage: Prior to cover.
Pa\?:e 7 of 8
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2005-01685
ISSUED: OS/23/2006
APPLIED: 12/02/2005
EXPIRES: 08/27/2007
VALUE: $ 5,107,804.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I
further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pa\?:e 8 of 8
.
225 Fifth Street
Sprin~field, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-01685
COM2005-0 1685
COM2005-0 1685
COM2005-0 1685
COM2005-0 1685
Payments:
Type of Payment
CreditCard
cReceint I
RECEIPT #:
C;~T of Springfield Official Receipt
i t10pment Services Department
Public Works Department
2200700000000000290
Date: 03/02/2007
Description
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
RICK PASLEY NEW WAY
ELECTRIC
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk 512000 Phone
Payment Total:
Page 1 of 1
1:01:15PM
Amount Due
43.00
2.00
2.25
3.60
4.50
$55.35
Amount Paid
$55.35
$55.35
3/2/2007