HomeMy WebLinkAboutPermit Building 2004-3-30
.
.
. CITY OF ~rKll'llJNl!.LD
Building/Combination Permit
PERMIT NO: cOM2004-00069
ISSUED: 03/30/2004
APPLIED: 0112012004
EXPIRES: 09/30/2004
VALUE: $ 152,037.00
...
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1760 Fairhaven
ASSESSOR'S PARCEL NO.: 1703273105000
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: SFR -lot 14 Fairhaven
Owner: ST VINCENT DEPAUL SOCIETY OF LANE C
Address: PO BOX 24608 EUGENE OR 97402
Phone Number: 541-687-5820
'\.,
I CONTRACTOR INFORMATION I
Contractor Type
General
Electrical
Mechanical
Plumbing
SETBACKS
Contractor
MElLI CONSTRUCTION CO
G MILLER ENTERPRISES INC
MElLI
BARON PLUMBING INC 147744 05/14/2005
Qu....-
BUILDING INFORMATION I ulteS'i U\I\i\'!
O{\ \a.-.N tebte90{\ ~\ \oft' ,
# of Stories: .",N'.Ote<6 0~\U9 'Ei:&!.'L.oO'
Height 0 ~fJi'CMe- 009\e l,~tll\e fllh'l gr;.
Type aiJealiu\eS e: r.\eWdi \)~~\l(t~W~~gr:
Watei;diW,'t': \\o{\ ce ,\,Oce~c rio9~efS e~~l?l .
Rang~(J\~lJt 90",00 o'(Jl:n!at(c;.,\e'. , ~.tIg#.a~~rport
Energ}',falli:ioll ({\e.'ie{\\EJlalh'l~ U\SQl'Ft~lf.er:
0090. \, n \"e C Ote~O (\ ",~'j\~ious Surface Area:
:"I\\{\;, \:I\ne ,,^ ' o{\ " '
I DEVELOPMENT,fNFORMA'fION I
License
63771
87145
Expiration Date
02/12/2006
11/10/2004
Phone
541-485-1417
541-741-2596
541-485-1417
541-935-1081
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U-l
VN
3,618
816
816
264
3
'~
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
15.00
0.00
10.00
Yes
30.00 'IJ~'f"
'-\~'t'\ '\J\
.r- '\~, \" ~
, I PUBLIC IMPROVEMENTS }.i-'?\~~~~~~ 'i;~~
, ~ S\'\"''" \\'\\SidS~~~ T .
Fullv Improved ~,\\fV . ~,\ ~'IJ~~ S)\'o" ype.
Yes ~ \,\\S ,?'\;.'i"~1-'\;.'IJ '0 'IJ~ ,S ~ Downspoutsffirains:
, '\ ~\\,\'IJ'i" \\c,~\) ,?'\;.~,<;J ,
~ '\J~~~ \)~
\\\'l "\<0<;)
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Total:
Handicapped:
Compact:
10.00
0.00
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Curbside 5'
Curb and Gutter
Notes:
""
Paee I of 4
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
"",
Description
Tvpe of Construction
Dwellines
Garaee
V Wood Frame
Garaee
:;t-
Fee Description
Plan Review Residential
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
2 Baths One or Two Family
Addressing Assignment
Annexed 1979 or Before
Building Permit
Dryer Vent
Exhaust Hoods
Minimum/Adjustment Mechanical
Plan Review - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea AddU 500
Sanitary Sewer - Improvement
Sanitary Sewer - Reimbursement
SDC MWMC Administration
SDC MWMC Improvement
SDC MWMC Reimbursement
SDC SanitarylStorm Admin
SDC Transpo Admin
SDC Transpo Improvement
SDC Transpo Reimbursement
Sidewalk Permit
Storm Drainage Impervious Area
Vent Fan
Willamalane Single Family
'..
Total Amount Paid
Initial Review
01/30/2004
.
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
1,576.00
264.00
Total Value of Project
Fpp~
Amount Paid
Date Paid
$479.64
$10.00
$118.09
$82.66
$254.00
$31.00
$-99,97
$737.90
$6.00
$9.00
$18.00
$71.00
$106.00
$38,00
$292.57
$384.88
$10.00
$214,23
$314.63
$68.83
$54.29
$727.42
$164,89
$75,00
$453.71
$12.00
$1,000,00
1/20/04
3/30/04
3/30/04
3/30/04
3/30/04
3/30/04
3/30/04
3/30/04
3/30/04
3/30/04
3/30/04
3/30/04
3/30/04
3/30/04
3/30/04
3/30/04
3/30/04
3/30/04
3/30/04
3/30/04
3/30/04
3/30/04
3/30/04
3/30/04
3/30/04
3/30/04
3/30/04
$5,633.77
I Plan Reviews I
01/30/2004
APP LLH
Paee 2 of 4
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: cOM2004-00069
ISSUED: 03/30/2004
APPLIED: 01/2012004
EXPIRES: 09/30/2004
VALUE: $ 152,037.00
Value
Date Calculated
$145,622.40
$6,415.20
$152,037.60
01/20/2004
01/20/2004
Receipt Number
1200400000000000078
1200400000000000409
1200400000000000409
1200400000000000409
1200400000000000409
1200400000000000409
1200400000000000409
1200400000000000409
1200400000000000409
1200400000000000409
1200400000000000409
1200400000000000409
1200400000000000409
1200400000000000409
1200400000000000409
1200400000000000409
1200400000000000409
1200400000000000409
1200400000000000409
1200400000000000409
1200400000000000409
1200400000000000409
1200400000000000409
1200400000000000409
1200400000000000409
1200400000000000409
1200400000000000409
Received plot plans this morning.
Okay to process.
. . CITY OF ~rKll'lld'l~LD .
Building/Combination Permit
'"
Status Issued PERMIT NO: cOM2004-00069
225 Fifth Street, Springfield, OR ISSUED: 03/30/2004
541-726-3753 Phone APPLIED: 0112012004
541-726-3676 Fax EXPIRES: 09/30/2004
541-726-3769 Inspection Line VALUE: $ 152,037.00
Plan nine Review 01/30/2004 03/01/2004 APP EMM No second story windows permitted
facing west. Minium 10' setback
from transformer located in
Common Area. No occupancy until
conditions of DU Site Plan have been
met or Site Plan Modification
decision has been issued.
Public Works Review 01/30/2004 02/05/2004 APP SB Left message with Architect (Don
Micken) and applicant (Kristen
Carley) that the eaves of porch arc
overhanging PUE 1+ feet.
"- Need revised lot plan (for nearly all
Fairhaven Sub. properties)
215/04 Received new drawings.
Approved new setbacks and
shortening of eaves for 9 lots.
Structural Review 01/30/2004 02/13/2004 APP DLM See documents for plan review
comments
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
I Rp'WiI;j;rllnonprtinno)
,;,
19 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor
foundation inspection.
7 Footing: After trenches are excavated.
8 Foundation: After forms are erected but prior to concrete placement.
12 Post and Beam: Prior to floor insulation or decking,
6 Floor Insulation: Prior to decking.
16 Shear Wall Nailing: Before covering sheathing with finish materials.
9 Framing Inspection: Prior to cover and after all rough in inspections have been approved.
22 Walllnsulation: Prior to cover,
4 Ceiling Insulation: Prior to cover,
5 Drywall: Prior to taping.
10 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
I Final Building: After all required inspections have been requested and approved and the building is complete.
11 Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill.
21 Underfloor Plumbing: Prior to insulation or decking.
20 UnderOoor Drain: Prior to cover or placement of concrete.
14 Rough Plumbing: Prior to cover and including required testing.
23 Water Line: Prior to filling trench and including required testing.
15 Sanitary Sewer Line: Prior to filling trench and including required testing.
18 Storm Sewer Line: Prior to filling trench.
3 Final Plumbing: When all plumbing work is complete.
13 Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete,
17 Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Paee 3 of 4
,
\;.
.
. CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2004-00069
ISSUED: 03/30/2004
APPLIED: 0112012004
EXPIRES: 09/30/2004
VALUE: $ 152,037.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
24 Rough Electric: Prior to Cover
25 Electric Service: Approval required prior to utility company energizing service.
26 Final Electric: When all electrical work is complete.
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 mit card is located at the front of the property, and the approved set of plans will remain on the site at all
"~'"ri ~'=1r r 3hJ)oy
O~ntractors SignaJi! Date' ,
'-
~..
Paee 4 of 4
225 Fifth Street '"
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-00069
COM2004-00069
COM2004-00069
COM2004-00069
COM2004-00069
COM2004-00069
COM2004-00069
COM2004-00069
COM2004-00069
COM2004-00069
COM2004-00069
COM2004-00069
COM2004-00069
COM2004-00069
COM2004-00069
COM2004-00069
COM2004-00069
COM2004-00069
COM2004-00069
COM2004-00069
COM2004-00069
COM2004-00069
C0M2004-00069
COM2004-00069
COM2004-00069
COM2004-00069
Payments:
Type or Payment
Check
~;a
~.~"'-
Receipt #: 1200400000000000409
Description
Addressing Assignment
Willamalane Single Family
Sanitary Sewer - Reimbursement
Sanitary Sewer - Improvement
SDC Transpo Reimbursement
SDC Transpo Improvement
SDC MWMC Reimbursement
SDC MWMC Improvement
SDC MWMC Administration
Annexed 1979 or Before
Storm Drainage Impervious Area
SDC SanitarylStorm Admin
SDC Transpo Admin
Building Permit
2 Baths One or Two Family
Vent Fan
Exhaust Hoods
Dryer Vent
Minimuro/ Adjustment Mechanical
-Mecbanical Issuance Fee-
Sidewalk Permit
Plan Review - Planning
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
ST VINCENT DEPAUL
Received By
djb
Check Number
Batch Number Authorization Number
44309
City oL'ipringfield Official Receipt
Development Services Department
Public Works Departmen(
Date: 03/30/2004
1:52:34PM
.
Amount Paid
Hem Total:
31.00
1,000,00
384,88
292.57
164.89
727.42
314.63
214.23
10,00
(99,97)
453,71
68,83
54.29
737,90
254,00
12,00
9,00
6,00
18,00
10,00
75,00
71.00
106,00
38,00
82,66
118,09
$5,154.13
.
.
How Received
Amount Paid
In Person
Payment Total:
$5,154,13
$5,154.13
'I<
V . , City OF SPIGFIELD SYSTEMS DEVELOPMENaRKSHEET
JOURNAL OR JOB NUMBER: COM2004-00069
NAME OR COMPANY: ST, VINCENT DEPAUL
LOCATION: 1760 FAIRHAVEN
TAX LOT NUMBER: 17032731 05000
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS I BUILDING SIZE (SF' 1840 LOT SIZE (SF):
Ii
u
e<:
3485 ~
[/)
5
I~
I
5453,71 11070
I
$384.88 1091
L STORM ORAINAC.E
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S,F, x I COST PER S.F, I I CHARGE I
I 1564,50 I $0,290 = I $453.71
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUS S,F, I x I COST PER S,F, I x I DISCOUNT RATE I I DISCOUNT
I 0,00 I I $0,290 I 50% I = $0,00
ITEM I TOTAL - STORM DRAINAGE SDC
2, SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's I x I COST PER DFU
I 17 I $22,64
R IMPROVEMENT COST:
I NUMBER OF DFU's I x COST PER DFU
I 17 $17.21
ITEM 2 TOTAL - CITY SANITARY SEWER SDC ~,
1 TRANSPORTATION
5453,71
$292.57
1092
$677.45
A. REIMBURSEMENT COST:
! ADT TRIP RATE I x ! NUMBER OF UNITS I
I 9.57 I I I
R IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I
I 9,57 I I I
ITEM 3 TOTAL - TRANSPORTATION SDC
x I COST PER TRIP x INEW TRIP FACTORI
I $17.23 I 1.00 I
x I COST PER TRIP x INEW TRIP FACTORI
I $76,01 I 1.00
= , $892.31
$164.89 11093
I
5727,42 11094
I
~
4 SANITARY SEWER - MWMf:
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I I I $314,63
R IMPROVEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I 'I I $214,23
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SD<
=
$314,63
1054
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5, ADMINISTRATIVE FEE:
I SUBTOTAL I x I ADM. FEE RATE I~
I $2,462.36 I 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
= $214.23 1055
(599.97) 1054
I
$10.00 1056
= , 5438,89
~ , $2,462.36
CHARGE
$123,12
68,83 11079
$54,29 11078
TOTAL SDC CHARGES =, $2,585.48
3o"69.r;r
SteIJe l!itWte4
2/5/2004
PREPARED BY
DATE
,
-,
-1.1 . .
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLI~
NUMBER OF NEW FIXTIJRES x UNIT EQUIVALENT - DRAINAGE FIXTURE UNITS II
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDmONAL FlX11JRES)
NO, OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
I BATHTUB 1 0 3 = 3
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE lOlL I SOLIDS I ETe. 0 0 3 = 0
I INTERCEPTORS FOR SAND I AUTO WASH I ETe. 0 0 6 = 0
I LAUNDRY TUB 0 0 2 = 0
ICLOTHESWASHER I MOP SINK 1 0 3 = 3
ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0
I RECEPTOR FOR REFRlG I WATER STATION I ETe. 0 0 1 = 0
I RECEPTOR FOR COM, SINK I DISHWASHER I ETe. 0 0 3 = 0
I SHOWER. SINGLE STALL 0 0 2 = 0
ISIIOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0
ISINK: COMMERCiAiJRESIDENTIAL KITCHEN 1 0 3 = 3
ISINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASINIDOUBLE LAVATORY 0 0 2 = 0
I SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 2 0 1 = 2
I URINAL_ STALL I WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 17
-EDU (Equivalent Dwelling Unit) is 8 disc~ equivalent to a simde family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSE;SSED VALUE
YEAR CREDIT RATE/$I,OOO -,
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT'I
BEFORE 1979 $5,04 (Enter I ror Yes, 2 for No)
1979 $5,04 IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? 0
1980 $4,95 (Enter I for Yes, 2 for No)
1981 $4,88 BASE YEAR 1979
1982 $4.75
1983 $4..58 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.41 VALUE 11000 CREDIT RATE
1985 $4.20 $19,84 x $5.04 = I $99,97
1986 S3,88
1987 53.50 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $3.07 V AWE 11000 CREDIT RATE
1989 $2,60 $0.00 x $5,04 0
1990 52.14
1991 $1.71
1992 $152 TOTAL MWMC CREDIT = $99.97
1993 SUR
1994 $1.19
1995 $1.03
1996 SO.87
1997 $0.68
1998 $0.46
1999 $0.27
I 2000 $0,09
II 2001 $0.04
225 FIFTH STREET . SPRINGFIELD, OR 97477 .. PH:(541)726-3753 . ~~611\,5~,~~7Jrgrgsll?s submitted has the following
ELECTRICAL PERMIT APPLICATION . ZOnl"9, and does not require specific land use
City Job Number /'I\M~....(;i)P69 Date a~provaL , L.:\)(2.
(,QEJ' ZOning'
~.r:';~,c;:;:';!';';];;t'r..."'l'z;:n-;:;,?~:,.v-'iM''''':-J1J;r;.''7''I'''''~'I!''l'4-.'''''!l.l:~~''-''!'~VS;\~ ~,~~...>~':""'7"'"":.?,~;;"'-r7'''''''~~''''1."".., _"":._ -'":' '.r.,
~~l'o,~':'I ',.!..~ :'l"7~~~-.~,5\w-:w,~
I, ~.b9,~7.'!/J.IY;Q!fl!iSI:4J;M.nQl'f5i!t:tir}! 3. ri:.~8t'!!'J:.FJ]}",!.~t.f,,1!1f!2.1,~::~'{,~~~G',J:W,"!1'.)V::&~;;;
/ 1 ~o TAtA~ r:'-', ,O);p~~~~'t",,~~;,~.~~~~~..s~~n~:~.r~~~:,~:::,.~~, 1~' '1.~'~~~~;,"~-.~v- ....,
LEGAL DESCRIPTION A, ~,e,v..R~~~~li~I.;:~S,~~~~~:1}'I}'.I~i-_~a.'iiJlt~i;;.i~im~~',~i'iS.:h)
/10? 27 _~ I b5b1?t} Service Included
2. ~9:~fui?ft9B~,~~!~Q~g~~'t,'-~ B. ~f[~it?I;!~td~~"~'~~~.1I~~~'.~~~~~A!i~~~~1~i~~lJ
Electrical Contractor G e...-o. rei. <E"l c:c::r 200 Amps or less $ 63,00
, .' ,I .<l/2~/&f)ps to 400 Amps $ 75,00
Address c3 ~5 <{ 110-4 r:i a....: g.... Ra., fOII01lPLut!rh9i'tO,600 Amps $125,00
'Of 'I .urs
. In O'fiCi60M~'tiuJJ1og9Gl1'll'\v $163,00
City St>+ (d Phone "74/- 2S'QQ090'A.A 0s~~tOOOlt~JP'Prt.tuslh:sq/J"",: $375,00
'e', YClte711n.{/,~t<!lh>lv hOSe r, OrG90 YOu fA. $ 50,00
n/J ailing Ih .~Ota' thrgu /Jles Rre.' ',Vlilil
It1b"" "2is.~4..., " !~,F:;:;i",'fJfrnT::'. -8e16 ,)(, '."; .~,.;, <' ,. ""
""'''0 eulpul!l'C~f e"v~r.es80r~t<~'1~~s. ,/C/,..,," ,,.d,,,..,,' '~,'"'JJ.." I
~ -the ~-" ,.&::,;;. 'Of-- ~2:YE:"'~ '-" "'""-'
, '" ,Dreg Ole: the Ihe flJ vo
InstallatiOIl,~l\,b\tion o~blcat13111
, n ~ "I[Y IV, 'Ion
NOTICE' 200 Amps orless'~?.;>.~... .0lifiCal' s $ 50,00
THIS Pc,..: 201 Amps to 400 Amp~). 'un $ 69,00
AUTHOR;~~bT SH~8t t!fPl to 600 Amps . $100,00
COM!.-. UND{j~;r6oo.~~~6fA1tlQn~ Its '''B'' b
ANy "~lv(,tO OR :''!,'./l1i;)' (fi s._.',,~~w, 'R see. ~~ - .'~-.~
180 D/Sflt -- h: . ""';r ,Ii"", .. . , .~ } .. .1
DAY PERin'if-l;'J,,~~U'(JNEll'!'}S;NOT" I"" "'" ':"'''l!.:..~.:.':''-:':'~
'Nl'w Alteration oflFRtension Per Panel
One Circuit $ 43,00
Each Additional Circuit or with
Service or Feeder Permit
JOB DESCRIPTION
c::,ht w/ ~ tCMMt!"
. I
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is '
Suspended for 180 days.
Supervisor License Number :3 {,; 5 <{ S
/0 "1 -0 <./
Expiration Date
Constr, Contr, Number 8' 7 I 4 S
Expiration Daie II - 16 - 0 .:.j
Signature of Supervising Electrician
'\.
Ad~
Owners Name 5T j/~ ~/lluL
Address
City
Phone ~-~_.2/)
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
, 1000 sq, ft, or less
Each additional 500 sq, ft or
portion thereof
Each Manufact'd Home or
. Modular Dwelling Service or
Feeder
L--- $106,00 L~~!>o
2 $ 19,00 3f!>6W'
.
$50,00
$ 3,00
E. nK~~~~~:{J.1~~~~ '(~~~i:}c~(f~~~;~;; ~~t)..~~iu.~~~~j:~ Ea~I~~!~~j~J~~ ti9~ll
, --
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50,00
$ 25,00
$ 45,00
Minimum Electric Permit Inspection Fee is $45,00 + Surcharges
f'".;1-~...'''~.~''''''~.-- ,~, 1-" -"",,').) -~~~ I ~A
4, ~~B.~1t;g!MQ~,:~>,~ '.~\;:>".J---I-f'"' ~
7% State Surcharge I I)." e
10% Administrative Fee i -f.4o
TOTAL #!>.~
Shared Drive(T:)IBuilding Fonns/Elcctricnl Pennit Application 1..o3.doc