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Home My WebLink AboutPermit Building 2003-5-22 . CITY OF SPlUl~u1'lJ:!.L1J Building/Combination Permit PERMIT NO: COM2003-00285 ISSUED: OS/22/2003 APPLIED: 04/21/2003 EXPIRES: 11122/2003 VALUE: $ 16,934.00 . Status * Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4724 JASPER RD ASSESSOR'S PARCEL NO.: 1802051303001 Springfield TYPE OF WORK: Garage I DEVELOPMENT INFORMATION I ~~QUIRED PARKING Overlay Dist: Urban Fringe~~ ~C;:S~'{jkal: 2 # Street Trees Rqd: ~ ~ '. "" ,'0 Jlandicapped: Paved Drive Rqd: ~~,~ ~~~'\) I(<;)~ompact: . % ofLot Coverage: 'O~~\,\, '(- '\~,~~~ :S''\\~~'~~~ \'i~'\)\~.~'O~ 'PUBLIC IM~QY~M~'i~~~~<;)\I' ~~<;)~~~'O<;) <;)~ Sidewalk Type: ~~" DownspoutslDrains: Storm drainage not shown on site plan. Storm drainage must go to an approved drainage system. Roof drains can go to roadside ditch. TYPE OF USE: PROJECT DESCRIPTION: Garage Owner: WILTSEY ALBERT R & V E Address: 4724 JASPER RD SPRINGFIELD OR 97478 Contractor Type General Electrical Owner , CONTRACTOR INFORMATION I I} ,- s'lo"" Contractor o.l}\~e (liIcense PACIFICA WEST CORP \'cl-'/'lle O~eQ,o(l ."J:1li98A:", ROB'S ELECTRIC, ,'0IeQ,~~ u'l \~e ~eS 'cl-~; cJ~li1149 u'l WILTSEY AI,1!Ji:R:V"R' !\bY,IE ~,^ose I':" Of>' "n ~1}\0s ~ ~ \ ~ \\}\Q"BUlii)lNG'lNEORMAT.IO]~ii~~\o(l \0\\0 \\0\ C "y- 'l:\ V" . ,"- iI.".~ '~\c'cl- <-.'2.'\)" _,^\'cl-\ "'o\e, ." ~o ~o~ p..~ 9"-' ~JllOfr~!.\',~i~S: (\ -.:)'i.v.\'I., ?;,tJ.tJ.'). . \\U-I \) -lol} 1-~_elghlt,~!i~truc~'if.e''2: \)\)9 '~\\(lQ, \~ T~pe ~!I!.eft9' VN c-O: '^el \C'Water.Type: ll:\" C~\,'- (lU Range Type: Energy Path: # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 12.00 10.00 10.00 Street Improvements: Storm Sewer Available: Special Instruction: Notes: Page I 013 New Residential Expiration Date 12/0212004 09/25/2004 Phone 541-895-4682 ' 541-686-5444 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport 864 Sq Ft Other: Impervious Surface Area: . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00285 ISSUED: OS/22/2003 APPLIED: 04/21/2003 EXPIRES: 11/22/2003 VALUE: $ 16,934.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I Valuation Descrintion I Description Garaee Tvpe of Construction Garaee $ Per Sq Ft $19.60 Square Footaee 864.00 Value $16,934.40 $16,934.40 Date Calcuiated 04/21/2003 Total Value of Project I Fpp<. PiWIJ Fee Description Amount Paid Date Paid Receipt Number Plan Review Residential $105.30 4/21/03 1200200000000001036 + 10% Administrative Fee $27.90 5/22/03 1200200000000001303 + 7% State Surcharge $19.53 5/22/03 1200200000000001303 Add, Alter, Extend Clrc Ea Add $9.00 5/22/03 1200200000000001303 Building Permit $162.00 5/22/03 1200200000000001303 Perm Serv/Fdr 200 amps or less $63.00 5/22/03 1200200000000001303 Plan Review - Planning $59.00 5/22/03 1200200000000001303 SDC Sanitary/Storm Admin $14.85 5/22/03 1200200000000001303 Storm Drainage Impervious Area $296.95 5/22/03 1200200000000001303 Storm Sewer - 1st SO Feet $45.00 5/22/03 1200200000000001303 Total Amount Paid $802.53 Plan nine Review I Plan Reviews I 04/22/2003 04/28/2003 APP EMM Garage cannot be taller than the primary structure(manufactured home). 04/22/2003 04/30/2003 APP VRJ Storm drainage not shown on site plan. Storm drainage must go to an approved drainage system. Assuming roof drains will go to roadside ditch. No PW permits, only SDC's for impervious surface. 04/22/2003 05/12/2003 APP TCM Public Works Review Structural Review 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. UeotliretUn~np.ctions I I Ufer Electrical Ground: Install ground rod at footing and call for Inspection in conjunction with footing and/or foundation inspection. 2 Footing: After trenches are excavated. 3 Slab: To be made after all Inslab building service equipment, conduit piping and other equipment Items are in place but prior to concrete. Paee 2 00 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00285 ISSUED: OS/22/2003 APPLIED: 04/21/2003 EXPIRES: 11/22/2003 VALUE: $ 16,934.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 4 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 5 Final Building: After all required inspections have been requested and approved and the building is complete. 6 Storm Sewer Line: Prior to filling trench. 7 Rough Electric: Prior to Cover 8 Final Electric: When all electrical work is complete. 9 Electric Service: Approval required prior to utility company energizing service. 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 tbe 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. c;;aJrK. / J)/ ~ AI Owner or Contractor~ Signatu:C i ,~._- !v':J"' 07 Date Paee30f3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00285 COM2003-00285 COM2003-00285 COM2003-00285 COM2003-00285 COM2003-00285 COM2003.00285 COM2003-00285 COM2003.00285 Payments: Type of Payment Check Check Job/Journal Number COM2003-00285 COM2003.00285 COM2003-00285 COM2003.00285 COM2003.00285 COM2003-00285 COM2003-00285 COM2003,00285 COM2003-00285 Payments: Type of Payment Check Check 5/22/2003 City of Springfield . Development Services Department Public Works Department Official Receipt f> Receipt #: 1200200000000001303 Date: OS/22/2003 Description Plan Review - Planning Storm Drainage Impervious Area SDC Sanitary/Storm Admin Building Permit Storm Sewer - 1st 50 Feet Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Amount Paid Item Total: 59.00 296.95 14.85 162.00 45.00 63.00 9.00 19.53 27.90 $697.23 . Paid By PACIFICA WEST CORP ALBERT WILTSEY Received By djb djb Check Number Confirm No How Received In Person In Person Payment Total: Amount Paid 350.00 347.23 $697.23 Description Plan Review - Planning Storm Drainage Impervious Area SDC Sanitary/Storm Admin Building Permit Storm Sewer - 1st 50 Feet Perm ServlFdr 200 amps or less Add, Alter, Extend Circ Ea Add + 7% State Surcharge + 10% Administrative Fee Amount Paid Item Total: 59.00 296,95 14,85 162.00 45.00 63.00 9.00 19.53 27.90 $697.23 . Paid By PACIFICA WEST CORP ALBERT WILTSEY 1l:09:16AM Received By djb djb {;heck Number Confirm No Amount Paid How Received In Person In Person Payment Total: 350.00 347.23 $697.23 Page 1 of I cReceipl.rpt -' . . , , \" ,./ " ", . Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Permit #: (j)1M 'ZOolco 28 <) Issued by: Yn~ ),;$ ~MPe-L .e.iJ Slz:;/o.J Address: Date: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will befiled with the permit. Fill in the app.vp.;ate blanks and initial boxes 1 and 2, and either box 3A or 3B: ;:gr L ~2, ~ I own, reside in, or will reside in the completed structure. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. 3A. My general contractor is vfirC-\ FIc,A (Name) we':. \' II 'l <J?~ (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR D 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board, If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form; C$~ (p /Ji!h;"i S'- ?)~-t?,3 (Signature of permit appli'{flt) (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property _ owner.doc 03/11103 -" . - , A~ting as Your Own General Contractor? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the follO\\ing responsibilities and concerns, Employer Responsibilities You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure. As the employer, you must comply with the following: Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time employees are paid, You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For a State Business ID number, call the Business Infonnation Center at 503-986-2200. Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes' on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. Workers' ~ompensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurabce for your employees.' Jfyou fail to obtain workers' compensation insurance, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on the job. For more infonnation, call the Workers' Compensation Division at the Department of Consumer and Business Services at 503-947-7815. , U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. YOl{will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at 866-816-2065 or fax them at 801-620-7115. Other Responsibil~ties and Areas of Concerns Code Compliance: As the pennit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe'punctures, fire or work that must be redone. Time: M~ke sure youhave ;ufficient time to supervise your employees..' . ~ ' . ~ J ~ ." .' \ , . Expertise: Make sure you have the skills to act as your own general contractor, to coordinate the work of rough-in and finish trades, and to notifY building officials as the appropriate times so they can perfonn the required inspections. If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. PropertLowner.doc 03/11/03 . . CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET II JOURNAL OR JOB NUMBER: com2003-00285 NAME OR COMPANY: Albert Wiltsey LOCATION: 4724 Jasper Road TAX LOT NUMBER: 18020513 II 300 I DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS 0 BUILDING SIZE (SF' 0 LOT SIZE (SF): I. STORM DRAINAGI; DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS SF x I COST PER S,F. I I CHARGE I 1053.00 I $0,282 = $296,95 1 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUSS,F, I x I COST PER S,F, I x I DlSCOUNTRATE 1 I DISCOUNT I 0,00 I $0,282 50% 1 = I $0.00 ITEM 1 TOTAL - STORM DRAINAGE SDC '$296.95 2, SANITARY SEWER - CITY CIl ~ o o u ~ o ~ CIl G ~ 5296.95 I 1070 A, REIMBURSEMENT COST: I NUMBERO OF DFU's I x : COST PER DFU $22,09 50.00 11091 B.IMPROVEMENTCOST: I NUMBER OF DFU's I x COST PER DFU I 0 $16,79 50,00' I 1092 ITEM 2 TOTAL. CITY SANITARY SEWER SDC = , 50.00 I 3, TRANSPORTATION A. REIMBURSEMENT COST: 1 ADTTRIP RATE I x : NUMBER OOF UNITS I x I COST PER TRIP x !NEW TRlP FACTOR I 1 9.57 516,81 , 1.00 50,00 1093 B. IMPROVEMENT COST: 1 ADTTRIP RATE I x : NUMBER OOF UNITS I x I COST PER TRIP 1 x 1 NEW TRIP F ACTORI I 9.57 $74,17 1 I 1.00 50.00 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = , $0.00 ~ 4, SANITARY SEWER. MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU 1 0 1 $332,86 = 50.00 1054 B: IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU 1 0 1 $34,83 = 50.00 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) 50.00 1054 MWMC ADMINISTRATIVE FEE 50.00 I 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = , 50.00 SUBTOTAL (ADD ITEMS 1,2,3, & 4) = , 5296.95 5, ADMINISTRATIVE FEE: ISUBTOTAL I x ADM, FEE RATE 1= CHARGE 1 $296,95 5% $14,85 TOTAL SANITARY ADMINISTRATION FEE: 14,85 1079 l TOTAL TRANSPORTATION ADMINISTRATION FEE: $0.00 11078 Virginia Jurasevich 4/30/2003 TOTAL SDC CHARGES = $311.80 PREPARED BY DATE - . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW RXTURES x UNIT EQUIV ALENT ~ DRAINAGE RXTURE UNITS (NOTE, FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FLXTURES) NO, OF FIXTURES DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD EQUIVALENT UNITS BATHTUB 0 0 3 = 0 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 !INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I LAUNDRY TUB 0 0 2 = 0 I I CLOTHESWASHER / MOP SINK 0 0 3 = 0 'I ICLOTHESWASHER-3 OR MORE (EA) 0 0 6 = 0 I IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 I IRECEPTOR FOR REF RIG / WATER STATION / ETC. 0 0 1 = 0 I IRECEPTOR FOR COM, SINK / DISHWASHER / ETC. 0 0 3 = 0 I ISHOWER. SINGLE STALL 0 0 2 = 0 I ISHOWER. GANG (NUMBER OF HEADS) 0 0 2 = 0 I SINK: COMMERCIAURESIDENTIAL KITCHEN 0 0 3 = 0 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0 SINK: SINGLE LAVATORYIRESIDENTIAL BAR 0 0 1 = 0 IURINAL. STALL / WALL 0 0 5 = 0 ITOILET. PUBLIC INSTALLATION 0 0 6 = 0 ITOILET. PRIVATE INSTALLATION 0 0 3 = 0 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 TOTAL DRAINAGE FIXTURE UNITS , 0 .EDU (Equivalent Dwelling Unit) is a dischar~ equivalent to a sinl?:le familvdwelling unit (20 DRJ's) set at 167 gallons per day MWMC CREDIT CALCULA TION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 CREDIT RA TE/$ I ,000 I ASSESSED V AWE $4,92 I $4.92 I 54.83 II $4.77 $4.64 $4.47 $4.30 $4.09 53,78 53.41 52.98 52.52 $2,06 $1.64 $1.45 $UI $1.13 $0,97 SO,82 SO,63 SOAI S0.22 SO,04 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? (Enler I for Yes, 2 for No) BASE YEAR o o 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE 11000 CREDIT RATE SO,OO x S4,92 ~ I SO,OO CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE/IOOO CREDIT RATE $0.00 x $4,92 o TOTAL MWMC CREDIT $0,00 = ',sr' >t"" ',',,'" '.' cr'T!:'\7 OF s~ 'r:lI:T~~W~ 0REG'O U" '.- 0,,", ;....,.t.-:x..-;.\.~..,:,......)'>.; ;1.1'~... ~ L ~~ " ....,~..,;f.. ,t;-n"t." ~:,:.-'o;.":"i,..:.,:!'.::.. # -i.: ......~.., .\',.., "':~"",,' ,~ '... ~ .. """~ ~'!.":';;I:~.r,,;:rc,.i'r-~ _-0".::':'.._ l,__ _J.. _~\", :-~~ 7'",',-1. < ~< '.~. ..." ,..:;...~ ,',"i-t.,"t 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number C~tM'ZO03-ooZ8S- Date ~"'."..,.. ,."..D..' '.' ';''2..?" 'S'tf\ ...' 200 Amps or less .~~ I $ 63.00 201 Amps tOiln ~()~ $ 75.00 401 ~~t~ ~t~.\.~~ $125.00 6~~~q ~~S\'I\\. $163.00 bfb.r'/Y/f ~~~Qe"l- .~~,,\\.~~ $375.00 ~-;~'\:j ~ ~1Y '~.J $ 50,00 r 'O~~ \.\~'O~;b!1~" "s-~, ,_~ ."""~,, -;C'""''''<;,' "w~~"",.~ <",,?" '. Z;,I;I'- ,) \.~~ ";) ?~\. 7- lSh~mp,9ra:Q:,~t':!~~i~i[F~..i1~!i.~ .~)ll~_:,'<li,.,-ft"!..iti).'~'~:~!~J 't.'O'IJ~ Installation, Alteration or Relocation " ! ~iJ6GAfjONdi;."rNSTA[;iAl:JjjjN.;"'yr~~.iJ I."".. _ .._,~, .'.~' ~ ._'. "..'.~."r"d....'.""...q Y7ZY TA-SPe<L ~ LEGAL DESCRIPTION 1802.05'13 JOB DESCRIPTION 03001 ~c:k-tL ..i J . c... rLOA." ts . Permits are non-trlnsferable and expire if work is nol started within 180 days of issuance or if work is Suspended for 180 days. . ~(:fONf.AACfoRiiNSTJti!f.A1fIO";HONL@'l:j 2. f!,.h':""~",,,-,,,,, '", ..l'>_,,;::~H. "',-,k"'; L,...,.;,.."",",rb.."l~~'U,:q..&,~,.,.,~ Electrical Contractor lZobS Elec...lh~ Address 2' >:5- 0/110 J I, City G"'f6>(.. Phone Supervisor License Number Expiration Date Constr. Contr, Number ~- Expiration Date Signature of Supervising Electrician j)~ ~(.~ Owners Name .......4L1.Rl,A l.J ~ lh r=;: Address '-I7l'-( T Ih P8L 4 City .5 PFD Phone 71.{7 - Z3DJ 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 3. [,'.'t. GoJl,jiilJEt:j;!iE1"EiscFlEi)ifiJE:B'ELdU" "t::~;N'~;:"18!'~,-~ ~..." .."",T,,'U_ ''"'.,.. ^' '.. , . ",,,,-. ..."..A'" ,"", t~j_,,,,,';(: A. ~~,N~~rR'c~ld~fit'i~(Lsii~t~l~r6til\ruiti~~ii(il~;~;~flIdW'~lirlf":iliu.'':';"t'~~~ J l!1: -, --.- ~-. :.'. "-. ,-"..0,.,.'."_ g "'.:-'-'.' .,.-"..........-... _"0""","_' r. lR:~~ .,t.t-or",",' g,.-..:<.........,~, .JI Service Included 1000 sq. ft, or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Moduiar Dwelling Service or Feeder $106.00 $ 19,00 $50.00 B. ,S~~;f~~';~,;F~~d~~~1~i:fi~t~II~~~tia~lttAi~t:tili~~R~i'o~~1'imi~i~'.:~t ~h;"l".P ...i,.:~'( ".,,;ft.:.~.:'l~,:~:'!'.. =.Io<..;t"~.<~'<;,~i>,,.. i'.~~y.o~"i;'>.....~'''(~_~0,i.{,y.~.>.#'''.~'..'~''''-.-: .,. ,~ b3. 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps $ 50,00 $ 69.00 $100,00 Over 600 Amps or 1000 Volts see "B" above. Il>f"""'''''"" ''''..... ~.jW,...<'m1!:ll;;"'"""t.."'~~"'..~~~j:-'" '"''''''II\f..l D.. JRJ}.~a}~~_~.;qirEJ!1l>~'J\j;x~~;';~'k.~8~~;~~~v~lt.~~~~.~ N AI . E '. n'''~p~ 1'\'''' ew terahon or xtenSlOnu>er aoe ',\\.J \. > > a.\N \...--, 0"..... ~' One CtrCUltu\e~O\\ \, \'(\e01e9 .. "A\ \0 $ 43.00 Eaoh Mdii;onaJ,Girc.\ii~ or with\S "'\-9~-.".IJO\ 7 < \...-\"" AC1'w\.... ...e \V' I\.t'l, 5"300 j).,\ Service OJ; Feeaer Peiniit' '(\01"'" _"~: J , . ~~~~~ ~;;llfJ~~e~ '~~~~~t~l~~~m~~E~~h\i'ri;i,hll\jti~h~~ \;0;" ,In\ \ ~a."\el: ~ "S.~~~~~'\.rJ~''i-''''b "".w.. ... .~ ,,1 O~ihp.,~rkag~tioJ'0Ie901\ 2. "",AA,. $ 50.00 SignJ~tiine.ldglfl41g. _eGO-'!>?) $ 50.00 he\ ,.... , '(''0' LiniifekEnergjiR'esidential $ 25.00 Limited Energy/Commercial $ 45,00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges ~,..a.-t>ft"''''''''"''';''-''"''W;(F-''''''',-:!'''-""""""",,,y~.,,.,'fl"''''''''''''''''''''''''''"'''"'" 1 . L."''-~'''''' '"."."" ,,-,. ,'. ..'.... ...... .& ". . t.'!-..-..p<....--"".,"'d;...:E,-fi- 4~ :rSr:1BTOTAL:OPl)flJOVE, . ~'~~''';'''FN.) . ~~h',,~(it~'~..i~:'i.f;f,t:',~~,.."::'!Iq;~;:~~T."J:"'" ,-..~~ .ck~~~1.~~_', Ii: , SOL{ I 7z.&-( <ZLf 0 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)IBuilding FormslElectrical Permit Application l-03,doc