HomeMy WebLinkAboutPermit Electrical 2010-8-13
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Electrical Permit Application
.
225 Fifth Street+Springficld, on. 97477 + PII(541)726-3753 +I<'AX(541)726-3689
SPRINGFIELD ~~
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Permit no.:
Date: g-!J-/O
This permit is issued under OAR 918-309-0000. Pel'mits are nontransferable. Permits expire if work is not started within 180
days of issuance or if work is suspcndcd for 180 days.
":I:OCA~~GOVERNMENT APPROVAL'
Zoning approval verified? 0 Yes 0 No
,',~ CATEGORY; OF.CONSTRUCTION,
...EtResidential 0 Government 0 Commercial
:, JOB' SITE 'INFORMATION:'AND' LOCATION
Job site address: Z-Z b /5 I-
City: 'S. r-~
Name:
Address:
Phone:
. E-mail:
This installation is being made on residential or farm property
owned by me or a member of my immediate family. This
property is not intended for sale, exchange, lease, or rent. OAR
479.540(1) and 479.560( I).
Address:
City: ~/
Phone.
CCB license no.:
Signing supervisor's license no.: ~
Print name of signing supervisor:~# L~&--
Signature of signing supervisor: ";< ~..
~~NTION: orego~ law requires youto
\A.'\ follow rules adopted by the Oregon UtllitYh
e,. Notification Center. Those rules aRre 9s:~_fg~;_
in OAR 952-001-0010 through OA
. 0090. You may obtain copies of the rules by
. .', calling the center. (Note: the telephone I ,.."...
.... number for the Oregon Utility Notification UF'-D
C nter is 1-800-332-2344). a. /1.t
440-2584-) (9/08/COM) e ~
" , ,,0> ,'" ..,; ..' . ,FEE SCHEDULE .." . . .",', ..~, ~ .,
'" . . ,"" ,.. . Ct'. Total
. Number ,i)~ i~~pcct!~'n;s~~_c~,item (>. ~'< Qty... e;'~ - cost
Residcntial, per unit, service induded:
1,000 sq. ft. or less (4) $134.00 $
Each additional 500 sq. fl. or portion $ 25.00 $
thereof
Limited energy (2) $ 32.00 $
Each manulactured home or modular $ 63.00 $
dwelling service or feeder (2)
Services or feeders: installation, alteration, relocation
200 amps or less (2) $ 81.00 $
20 I to 400 amps (2) $ 95,00 $
40 I to 600 amps (2) $158.00 $
601 to 1,000 amps (2) $205.00 $
Over 1,000 amps or volts (2) $469.00 $
Reconnect only (2) $ 63.00 $
TempOnlrY,s!.'J:iccs or fceders: insla!lati~'k~(;li~~{f;;b'k'r~/oqlJion
200 ~~\.i)l ~~ ,,,,.,, F)(PI ,E W ltA~o ::$:: ...
201 tdh '0\ "'MnI'R THl p T-"~"i $ >:
401 t<D\ !QJm:n"~~-;n-nR IS ABA IDU1~I$IMoo /$!:;'; .
Over 6,Q; d~;ii vp~ ~iccs or fceac~~ s~ctiOli above
Branch circuits: new, alleration, extension per panel
u. Fee for branch circuits \....ith purchase of a service or feeder fee;
Each branch circuit $ 6.00 $
b. Fee for branch circuits without purchase of a service or feeder fee:
First branch circuit (2) I $ 55.00 $
Each addilional branch circuit $ 6.00 $
J\fiscellaneous fees: service orfeeder not included
Each pump or irrigation eirele (2) $ 63.00 $
Each sign or outline lighting (2) $ 63.00 $
Signal circuit or a limited-energy panel, $ 63.00 $
alteration, or extension (2)
Each additional inspection: (1) $58.00 $
>:.", 'c',",,_' '\-(APPLlCANT,;!USE c" ,', ,
" , ..',
(A) Enter subtotal of above fees s,--B
(Minimum PCI"mit F{cS5~ $
(13) Enter 12%surchurge (,12 x [AD $
(C) Technology Fee (5% of[A]) $
TOTAL fces lint.! SU.-chll.-ges (A through C): $ {...,7~
~
. ft'
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit.
PERMIT NO: COM2008-01221
IVR Number:
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541.726-3769
Fax: 541-726-3676
5~.R..I..NGFIE~. .
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permitcenter@ci,springfield.or.us
PROJECT ST~TUS: In Review
ISSUED: 8/13/10 '
... ~
APPLIED: 8/15/08
EXPIRES: 2/7/2011
VALUE: $15.320.00
SITE ADDRESS: 226 58TH ST SPRINGFIELD
ASSESOR'S PARCEL NO: 1702334100202
SCOPE: GAR
WORK INVOLVED: NEW
TYPE OF STRUCTURE: RES
PROJECT DESCRIPTION:
Manufactured home and garage. See C9-318 for placement permit fee. Track all inspections
on this job number. -"
OWNER:
ADDRESS:
;i:;!i:f :;i;i~;~;; . ..
Phone Number:
CONTRACTOR INFORMATION I
Contractor Type
General Contractor
Contractor Name
BENSON DEVELOPMENT CO llC
JAMES HEATING & AIR CONDITIONING
ROBS ELECTRIC INC
Lie Type
CCB
ELECTRICAL
CCB
Lic No
143021
150lHR
156678
Lie Exp
OS/26/2012
07/01/2011
08/14/2011
Phone
541-688.8897
541-461.2101
541.686.5444
BUilDING INFORMATION I
# of Units: 0
Construction Type
Occupancy Type
Occupancy Comments
U
# of Stories:.. "i ,': 1 -
Height.of Structure: ...
TyJ~t6hieat: '. ~.; FE
. ,'1
Water Type: E
Range Type: E
Hazmat:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy Load:
5688
1848
440
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Electric~1 Specialty Code Edition:
SpringfiiildFiFe'1Code Edition:
Mech'aiiic~al'S'p~Ji~lty Code Ed'ition:
..........-t "',
Municipal I Development Code:
Plumpj!1g Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Energy Path:
Site Information
I
Engineered Fill:
Fill Volume:
Flood Hazard Area: ATTENTION: Oregon law requires you to
land Hazard Area: follow rules adopted by the Oregon Utility,"'"
Retaining Wall: Notification Center. Those rules are set forth
Soils Report Requireili OAR 952-001-001 0 through, ()'1FJ 952;901-
0090. You may obtain COp\~~.pf. the 'rutes by
calling the center, (Notel~:tbe;telephone
number for the Oregon Utllity'Notlflcatlon
Center is 1-800-332.2344).
NOTICE: .....:.-\,}..(.,~;;:i7i'-<-..:.,
THIS PERMIT SHALL EXPIRE IF THE WORK ;.
AUTHORIZED UNDER THIS PERMIT IS NOT i::
COMMENCED OR IS ABANDONED FOR "';;;:'
.\ -"1..-
ANY 180 DAY PERIOD. ,.".c; ,~,,: . i' ;.
Spring~eld Building Permit
8{13/2010 8:34;37AM
Page1of6
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~OREGON
www.ci.springfield.or.U5
CITY OF"SPRINGFIELD
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Building'':,:~esi~~ntial' Permit
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PERMIT NO: '_Q~M2008-01221
IVR Number:
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@cLspringfield.or.us
PROJECT STATUS: In Review
ISSUED: 8/13/10
APPLIED: 8/15/08
EXPIRES: 2/7/2011
VALUE: $15,320.00
SITE ADDRESS: 226 58TH ST SPRINGFIELD
ASSES OR'S PARCEL NO: 1702334100202
SCOPE: GAR
WORK INVOLVED: NEW
TYPE OF STRUCTURE: RES
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Descriotion
Springfield Building Permit
Manufactured home and ga'rag'e . See:C9-318 for placement permit fee. Track all inspections
on this job number. '" '.:: ,r.'.\ 'i I
I DEVELOPMENT INFORMA liON ~
18.00
12.00
10.00
11.00
REQUIRED PARKING
. Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on-structure, to
north property line:', ':i\' -~~;,,\~~;r.'
. l.jli:Fli.'. S.!,ld~:...f!L,
I
2
Yes
40.00
Total: 2
Handicapped:
Compact:
'0.00,
;" if ~ ,
~
PUEnJi:: IMPROVEMENTS
~~:':"'!l
FI
CG
Yes
Sidewalk Type: C7
DownspouUDrains:
,it.
:"'. "'1 \
, :if,,' I. . . ',- - ;~I-"
I' '.,..'.......' .:Valuation Description . i
Tvee of Construction
Unit Amount Unit Tvee
Unit Cost
Value
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8/13/2010 8:34:37AM . .
Page 2 of 6
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225 Fifth St
Springfield,OR 97477
Phone: 541.726-3753
Inspection Phone: 541-726-3769
Fax: 541-726.3676
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CITY OF,SPRINGFIELD
'~_"'. _.4.
Building'l Residential Permit
PERMIT NO: COM200B-01221
www.ci.springfield.or.us
permitcenter@ci,springfield.or.us
IVR Number:
ISSUED: 8/13/10
APPLIED: 8/15/08
..:''::; ,-,
EXPIRES: 2/7/2011
VALUE: $15,320.00
PROJECT STATUS: In Review
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, '\ I_;'~.~., .:;..
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SCOPE: GAR
WORK INVOLVED: NEW
lYPE OF STRUCTURE: RES
SITE AODRESS: 226 58TH ST SPRINGFIELD
ASSESOR'S PARCEL NO: 1702334100202
Manufactured home and garage - See C9-318 for placement permit fee. Track all inspections
on this job number.
PROJECT DESCRIPTION:
i} -
--,-"",-'-,---"-- - ..-.........----c-...
'. . . EEES_PAID
Amount Paid
$28.15
$211.00
$135.88
$10.00
,ri" (" '. / _$17?;9~'."i;
$22:22
$21.12
$88.00
$88.00
$201.54
$74.27
$675.21
$636.30
n.>; 1.</., $483:84
__.r.=.: _.__...::,,__, .
\.:1:(,. (;)'; $97.90 : .
:i:,;:.;r' '. '. .$'~88:98
";7"" $46.20
$5.10
$12.24
$34.00
$51.00
$17.00
$5.00
$57.00
$7.44.
$~.;1O
". .' $11~.~~'
$1,099.17
$37.00
$16.00
$2,513.00
$60.00
$32.00
$38.40
$79.00
'-- '. ._-_._~-_.-.
,.
I
r~--
DescriDtion
+ 5% Technology Fee
Plan Review Major - Planning
SDC Sanitary/Storm Admin
SDC MWMC Administration
Garage/Carport
...+ 10% Administrative Fee...
+ 12% State Surcharge
Curbcut Permit
Sidewalk Permit
SDC Transpo Reimbursement
SDC Transportation Admin
Storm Drainage Impervious Area
Sanitary Sewer - Reimbursement
Sanitary Sewer -Improvement
SDC MWMC Reimbursement
SDC Transpo Improvement
Fire SF Fee - Residential
+ 5% Technology Fee
~ 12% State Surcharge
Sanitary Sewer Each AddU 1 00'
Fixture
Storm Sewer Each Addtl 100'
Add, Alter, Extend Circ Ea Add
Manufactured Home Service
+ 12% State Surcharge
+ 5% Technology Fee
Plan Review Residential
SDC MWMC Improvement
Addressing Assignment
+ 5% Technology Fee
Willamalane Manuf Home Private
Manuf Home State Issuance
...+ 10% Administrative Fee...
+ 12% State Surcharge
First Appliance Fee
Balance of Minimum Electrical Permit Fees
Branch circuits without service or feeder - 1 st circuit
State of Oregon Surcharge (12% of applicable fees)
Date Paid Receiot #
01/20/2009 64873
01/20/2009 64873
01/20/2009 64873
01/20/2009 64873
01/20/2009 64873
01/20/2009 64873
--,.-
01/20/2009 64873
01/20/2009 64873
01/20/2009 64873
-------_.
01/20/2009 64873
01/20/2009 64873
01/20/2009 64873
01/20/2009 64873
01/20/2009 64873
01/20/2009 64873
01/20/2009 64873
01/20/2009 64873
04/07/2009 46256
----.-
04/07/2009 46256
-- ~._-
04/07/2009 46256
04/07/2009 46256
04/07/2009 46256
03/27/2009 46257
03/27/2009 46257
03/27/2009 46257
03/27/2009 46257
08/15/2008 8837
01/20/2009 64873
02/12/2009 4071
02/12/2009 4071
02/12/2009 4071
-..._---- - .---.------
02/12/2009 4071
------
02/12/2009 4071
-_._---------
02/12/2009 4071
08/13/2010 4071
08/13/2010 4071
08/13/2010 4071
08/13/2010 4071
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- 8/13/2010 8:34:37AM
Springfield Building Permit
Page3of6
;.l....:::..
.,
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
5~~~N;~...
~~
~-OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
www.cLspringfield.or.us
permitcenter@c1.springfield,or,us
"t ~-~
IVR Numbk;
. f ::. ~",,-
. '.
PROJECT STATUS: In Review
ISSUED: 8/13/10
APPLIED: 8/15/08
EXPIRES: 2/7/2011
VALUE: $15,320.00
SITE ADDRESS: 226 58TH ST SPRINGFIELD
ASSESOR'S PARCEL NO: 1702334100202
SCOPE: GAR
WORK INVOLVED: NEW
TYPE OF STRUCTURE: RES
PROJECT DESCRIPTION: Manufactured home and garage - See C9-318 for placement permit fee.
. .~,;:::!,.,; ,_ . (;". ~ I,
on this Job number. '-;";1"..' ..:\:~~
Technology fee (5% of permit total) .:,<ff.: ';..:lS6:85 08/13/2010
Total Amount Paid . h,:/ ,r $8!2-56~82
Track all inspections
4071
~~:;~,:_~:<i:':rC-~~' ,:t~~~_,,:'-l' ~''':~fi~,;~::",''r~_;~~:::'{'dplan;R~~re.~~';,-:' - >i~;~SL~:~~:3;:,fjt~~"~~ ,~-;:,;;';~.'~~;:_::2~~j:~~~2
Deoartment Received
Initial Review 08/22/2008
Issue Permits 01/20/2009
Permit About To Exp ltr M05/07/2010
Permit About To Exp Ltr M, 10/19/2009
Planning Review 12/10/2008
Planning Review 11/12/2008
Public Works Review 08/25/2008
Reprint Permit 04/07/2009
Reprint Permit 03/27/2009
Structural Review 08/25/2008
Application Acceptance 08/1312010
Initial Review 08/13/2010
Planning Review 08/13/2010
PubliC Works Review 08/13/2010
Structural Review 08/13/2010
Inspection 08/09/2010
Due Date
Reviewer
Comments
08/13/2010
08/13/2010
08/13/2010
08/13/2010
08/13/2010
08/13/2010
08/13/2010
08/13/2010
08/13/2010
David Bowlsby
David Bowlsby
David Bowlsby
David Bowlsby
David Bowlsby
Robert Castile
See address file for. copy of I~
See address file for copy of IE
Approved as noted on revisel
BiIf Martinefl will bring in new
Talked to Vern Benson regar'
add plumbing
add electric
Need new truss doc's for sm,
add mech and electr for heatl
Over the counter permit
Over the counter permit
Over the counter permit
Over the counter permit
Inspection in process
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Springfield Building Permit
8/13/2010 8:34:37AM
Page 4 of6
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www.cLspringfield.or.us
1_'..1
CITY OF~~P~II..jGFIELD
Building.l'Residential Permit
'0'
PERMIT NO: COM2008-01221
IVR Number:
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
S~O~IH.oG FIE~
.~
~ -
~_.- w
., \ OREGON
permitcenter@ci.springfield.or:us
PROJECT STATUS: In Review
ISSUED: 8/13/10
APPLIED: 8/15/08
EXPIRES: 2/7/2011
VALUE: $15,320.00
SITE ADDRESS: 226 58TH ST SPRINGFIELD
ASSESOR'S PARCEL NO: 1702334100202
SCOPE: GAR
WORK INVOLVED: NEW
TYPE' OF STRUCTURE: RES
PROJECT DESCRIPTION:
Manufactured home'aritt garage - See C9-318 for placement permit fee. Track all inspections
on this job number.
I INSPECTIONS REQUIRED I
Inspections
9505 Sidewalk - Curbside
9504 Curbcut - Standard
1260 Framing
1120 Foundation
~.,..... ( I' ';"jn .'~'
,-~'I-"'- ~"..._>..J'~~k'J
1510 UFER
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'_",,,)"
".
1999 Final Building
3400 Slorm Sewer
1829 Special Inspection
5460 Plumbing Connections
4220 Electrical - Service
1110 Footing
4120 UFER Ground
(,
. 'vr E \.~;:
1110 Footing
1120 Foundation
3200 Sanitary Sewer
3400 Storm Sewer
";;1;-,,"
3200 Sanitary Sewer
5370 MH Installation
4150 Underslab Electric
1J.::":.:L
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3200 Sanitary Sewer
3400 Storm Sewer
4500 Rough Electrical
1 999 Final Building
3999 Final Plumbing
3315 Water Line
3315 Water Line
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Springfield Building Permit
8/13/2010 '8':34:37AM'
Page5of6
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www.ci.springfietd.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: COM2008-01221
IVR Number:
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
S~RIN.G FI.E~
~'\~-
-'''''......
"'.:'-' ,~
,-",\ OREGOl>ol
permitcenter@ci,springfield.or.us
PROJECT STATUS: In Review
ISSUED:'8i13i10';'
. -.....--,. ..... -, ...~.'
APPLJI;D: 8/15/08
.~.,.,.....,.-1', ...,.,.'l...... r
EXPIRES: 2/7/2011
VALUE: $15,320.00
SITE ADDRESS: 226 58TH ST SPRINGFIELD
ASSESOR'S PARCEL NO: 1702334100202
SCOPE: GAR
WORK INVOLVED: NEW
TYPE OF STRUCTURE: RES
PROJECT DESCRIPTION:
Manufactured home and garage. See C9-318 for placement permit fee. Track all inspections
on this job number.
1999 Final Building
4999 Final Electrical
5999 Final Manufactured Dwelling
2300 Rough Mechanical
2999 Final Mechanical
4500 Rough Electrical
4999 Final Electrical
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 th.at any and all work performed shall be done in accordance with the
Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without perTT,l!~mo~ ?!~1B~om'T.'u~ity Services Division, Building Safety. I further
certify that only contractors and employees who are in comp.:lfance with ORS'701.005 will be used on this project. I further agree
to ensure that all required inspections are requested at tD~J~E9pe(fi~~tttlat each address is readable from the street, that the
permit card is located at the front of the property, and the"'1lpprove'ol.sefof plans will remain on the site at all times during
construction.
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Owner or Contractor Signature
Date
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Springfield Building Permit
8/13/2010 8:34:37AM
Page 6 of 6
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ORE~ON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
www.cLspringfield.or.us
permitcenler@cLspringfield,or.us
RECORD NO: COM2008.0I22I DATE: 08/13/2010
;, ;~;" :' : l'<L:!":-~~AC.C()lfNT~CODE~~> :\..... .' AivlOUNT,D.UE-=C~.."._f.:_.'
$28.15
$211.00
$135.88
$10.00
$176.04
$22.22
$21.12
$88.00
$8800
__m._~__'___'._
$20 Hi4
--"J' --
$74.27
.'-,~,_.~-----
$875.21
-"-'--'~~-'-"---~--'
$636.30
$483.84
$97.90
$888 98
$46.20
$5.10
$12.24
$34.00
$51.00
$17.00
~,--
$500
$5700
---_.~._"...-,_._.
$7.44
$3.10
$114.43
$1,009.17
$37.00
$16.00
. $2,51~~
$60.00
$32.00
$38.40
$79.00
$3.00
$55.00
$16.44
$6.85
$8,256.82
',:L. . ;f:; vt<m..'. AMOUNT.PAID'. <" ".j
$160.29
RECEIPT NO: 2010000051
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+ 5% Technology Fee
Plan Review Major - Planning
SDC Sanitary/Storm Admin
SDC MWMC Administration
Garage/Carport
***+ 10% Administrative Fee""*
+ 12% State Surcharge
Curb cut Permit
Sidewalk Permit
sac Tr~nspo Reimbursement
SDC Transportation Admin
Storm Drainage Imperviou.? Area
Sanitary Sewer :. Reimbursement
Sanitary Sewer - Improvement
SDC MWMC Reimbursement
SDC Transpo Improvement
Fire SF Fee - Residential
+ 5% T~chnology Fee
+ 12% State Surcharge
Sanitary Sewer Each Addtl 100'
Fixture
Storm Sewer Each Addtl 100'
~d, Alter, Extend Circ Ea Add
Manufactured Home Service
~?_~~~~~~~----_.
T 5% Technology Fee
Plan Review Residential
SDC MWMC Improvement
!\ddressing Assignment
+ 5% Technology Fee
Willamalane Manuf Home Private
Manuf Home State Issuance
***+ 10% Administrative Fee*"
:+-..---~,~,..~:.-:-+-~-----
~~"!,,:..,.
".'
.'....1:
+ 12% State Surcharge
First Appliance Fee
Balance of Minimum Electrical Permit Fees
Branch circuits without service or feeder - 1 st circuit
224.00000-425604
224-00000.426102
224.00000-426102
821.00000.215004
100-00000-425605
TOTAL DUE:
".~
State of Oregon Surcharge (12% of applicable fees)
Technolo~y fee (5% of permit total)
[.-pAYMEN'J;'T>tPE;'" .
Check
1328
. 'PAY6R"'"'"CA~HIER;'DBOWLSBY ,
Benson development
, C.QI'IIM!'lm:;
0; 01
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