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Home My WebLink AboutPermit Building 2003-11-18 v ", Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . .' CITY VI' ~rKll~uI'IELD . Building/Combination Permit PERMIT NO: COM2003-00507 ISSUED: 11/18/2003 APPLIED: 06/17/2003 EXPIRES: 05/18/2004 VALUE: $ 137,550.00 SITE ADDRESS: 6574 Jules PI ASSESSOR'S PARCEL NO.: 1702341203800 PROJECT DESCRIPTION: SFR TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential Owner: COZY HOMES Address: PO BOX 237 SPRINGFIELD OR 97477 Phone Number: 541-747-8704 Phone Number: 541-521-4001 I CONTRACTOR u,.cuNdAl:lON I I gon aw requires you to follow rulp.~ I'lrlnnted hll lroA nrAgnn I 11'11'1'" Contractor , . . LiCense ExpIration Date Phone TOM WIRFS ENTERPRISES INC \IotlflcalIO'J2947"1ter. Thosl:106129n004 set fc:'541-747-8704 BILLS ELECTRIC In OAR 95?zi3s1 -0010 lhrol0'4/2sh'O'ii\i952-0541_501_5650 PACIFIC AIR COMFORT INC 0090, YouJ9'f3; obtain cOP0312sn004 rulesS41_672_9510 JOYCE A FRIDLUND calHng ~si8$51n~er. (Not~iiii\i~i:O'o1?hone(541)746_9433 ..~~......~.. ,..." ....... _.....~...... ........., ,..........""............ BUILDING INFORMA TIONlr is 1-800-332-2344), ~. Contractor Type General Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS '\ . Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: " 1 R-3 U-l VN 18.00 5.00 8.00 11.00 5,00 3 # of Stories: 1 Height of Structure 16.00 Type of Heat: Forced Air Elect Water Type: Gas Range Type: Electric Energy Path: Path 1 450 Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: 4,560 1,400 I DEVELOPMENT INFORMATION I REQUIRED PARKING ffiTICE: E T~"""K Overla t: IT SHALL EXPIRE IF TH v.,.I;_ # Street ,~f~~D UNDER THIS PERMIT IM'WS1Fapped: Paved t$W~NCED OR IS ABA~NED F6t~mpact: % OfLOl~vf~'tf'5AY PERIOD. 41.00 2 I PUBLIC IMPROVEMENTS I Sidewalk Type: DownspoutslDrains: Fully Improved No Curbside 5' Curb and Guller Page 1 of4 " 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 Fee Description Plan Review Residential -Mechanical Issuance Fee- + 10% Administrative Fee + 70/0 State Surcharge 2 Baths One or Two Family Addressing Assignment Air Handling Unit Up to 10,000 Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace Gas Outlets 1-4 Heat Pump Plan Review - Planning PW Mult Disc - 2nd Permit Residence Wiring 1000 Sq Ft Residence Wiring Ea AddtI 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 Temp Power 200 amps or less Vent Fan Willamalane Single Family Total Amount Paid . . CITY OF SPRIl~uJ:<U;LD Building/Combination Permit PERMIT NO: COM2003-00507 ISSUED: 11/1812003 APPLIED: 06/17/2003 EXPIRES: 05/18/2004 VALUE: $ 137,550.00 I Valuation DescrintionJ $ Per Sq Ft or multiplier $90.60 $23.80 Square Footage or Bid Amount 1,400.00 450.00 Value Date Calculated $126,840.00 $10,710.00 $137,550.00 06/1712003 06/17/2003 Total Value of Project Fppfi', P~irU Amount Paid $447.95 $10.00 $122.12 $85.48 $254.00 $8.00 $8.00 $689.15 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $12.00 $59.00 $-30.00 $106.00 $38.00 $352.59 $463.89 $10.00 $34.83 $332.86 $87.13 $50.46 $709.81 $160.87 $75.00 $686.95 $50.00 $18.00 $1,000.00 $5,963.09 Date Paid Receipt Number 6/17/03 11/18103 11/18/03 11/18/03 11/18103 11/18/03 11/18/03 11/18/03 11/18/03 11/18/03 11/18/03 11/18/03 11/18/03 11/18/03 11/18/03 11/18/03 11/18/03 11/18/03 11/18103 11/18/03 11/18/03 11/18/03 11/18/03 11/18/03 11/18/03 11/18/03 11/18/03 11/18/03 11/18/03 11/18103 11/18/03 11/18/03 11/18/03 1200200000000001575 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 1200200000000002488 Paee20f4 . . Li1 r OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00507 ISSUED: 11/18/2003 APPLIED: 06/17/2003 EXPIRES: 05/18/2004 VALUE: $ 137,550.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review Plannine Review Public Works R~view Structural Review 06/18/2003 06/18/2003 06/18/2003 06/18/2003 I Plan Reviews I 06/18/2003 APP 06/26/2003 APP 06/19/2003 APP 07/09/2003 APP LLH AJD DJW TCM 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. ~rpIlTn~ 1 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 2 Curb cut - Standard: After forms are erected but prior to placement of concrete. 3 Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or foundation inspection. 4 Footing: After trenches are excavated. 5 Foundation: After forms are erected but prior to concrete placement. 6 Post and Beam: Prior to 1100r insulation or decking. 7 Floor Insulation: Prior to decking. 8 Shear Wall Nailing: Before covering sheathing with finish materials. 9 Framing Inspection: Prior to cover and after all rough in inspections have been approved. 10 Wall Insulation: Prior to cover. 11 Ceiling Insulation: Prior to cover. 12 Drywall: Prior to taping. 13 Final Building: After all required inspections have been requested and approved and the building is complete. 14 Underl100r Plumbing: Prior to insulation or decking. 15 Underl100r Drain: Prior to cover or placement of concrete. 16 Rough Plumbing: Prior to cover and including required testing. 17 Water Line: Prior to filling trench and including required testing. 18 Sanitary Sewer Line: Prior to filling trench and including required testing. 19 Storm Sewer Line: Prior to filling trench, 20 Final Plumbing: When all plumbing work is complete. 21 Underl100r Mechanical. Prior to insulation or decking and including required testing. 22 Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 23 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. 24 Rough Mechanical: Prior to Cover 25 Final Gas: When all gas work is complete. 26 Final Mechanical: When all mechanical work is complete. 27 Temporary Electric: Approval required prior to Utility Company energizing pole, 28 Rough Electric: Prior to Cover 29 Electric Service: Approval required prior to utility company energizing service. 30 Final Electric: When all electrical work is complete. Paee30f4 . . Lt1 l' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00507 ISSUED: 11118/2003 APPLIED: 06/17/2003 EXPIRES: 05/18/2004 VALUE: $ 137,550.00 Status Issued 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 iuformation hereon is true and correct, and I further certify that any and all work performed shall he 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 he 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 plaus will remain ou the site at all times during construction. q;55 LI l g- /0:7 Owner or Contractors Signature Date Paee40f4 2:i5 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 COM2003-00507 . Payments: Type of Payment Check . , (' Wi...,:-~.~~"!,'1,",~"'~"','."'.. '. 1 "i ~ :,~.". . ~~. j , -", ~,. I, .\ Receipt #: 1200200000000002488 Description Addressing Assignment Willamalane Single Family Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Temp Power 200 amps or less Sidewalk Permit Curbcut Permit PW Mull Disc - 2nd Permit Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SDC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Plan Review - Planning Building Permit 2 Baths One or Two Family Furnace - up to 100,000 btu Air Handling Unit Up to 10,000 Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Fireplace Heat Pwnp -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Paid By COZY HOMES Received By DDK Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department Public Works Department Date: 11/18/2003 1l,32:09AM Amount Paid 8,00 1,000,00 106.00 38,00 50,00 75.00 75.00 (30.00) 686,95 463,89 352.59 160,87 709.81 332,86 34,83 10.00 87,13 50,46 59,00 689.15 254,00 12.00 8.00 18,00 9,00 6,00 4,00 15,00 12,00 '10,00 85,48 122,12 $5,515.14 Item Total: How Received In Person Payment Total: Amount Paid $5,515.14 $5,515.14 '. CITY OF SPRINGFIELD SYSTEMS DEVELOPMEN_ORKSHEET JOURNAL OR JOB NUMBER: Com2003-00507 NAME OR COMPANY: Tom Wirfs LOCATION: 6574 Jules Place l TAX LOT NUMBER: 17023412 II 3800 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS I BUILDING SIZE (SF' 0 LOT SIZE (SF): I. STORM DRAINAGE 4560 I lfij 10 10 u I~ 1"-1 E- en - o ~ DIRECT RUNOFF TO CITY STORM SYSTEM 1 IMPERVIOUS S.F. x I COST PER SF CHARGE 1 2436,00 $0,282 I = 1 $686,95 1 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS 1 IMPERVIOUSS,F, I x 1 COST PER S,F, I x 1 DlSCOUNTRATE 1 I DISCOUNT 1 0,00 I $0,282 1 1 50% 1 ~ $0,00 ITEM I TOTAL - STORM DRAINAGE SDC $686.95 $686.95 , 1070 2, SANITARY SEWER - CITY A. REIMBURSEMENT COST: 1 NUMBER OF DFU's I x I COST PER DFU 1 21 1 $22,09 $463.89 1091 B. IMPROVEMENT COST: 1 NUMBER OF DFU's I x COST PER DFU 1 21 $16,79 $352.59 11092 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , $816.48 3, TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x 1 NUMBER OF UNITS 1 x I COST PER TRIP x INEWTRIP FACfORI I 9.57 1 I 1 I $16,81 1.00 $ I 60.87 1093 ..-,. B. IMPROVEMENT COST: I 1 ADTTRIP RATE I x 1 NUMBER OF UNITS 1 x I COST PER TRIP x INEW TRIP FACfORI I 9,57 1 I 1 I $74,17 , 1.00 I $709,81 11094 ITEM 3 TOTAL - TRANSPORTATION SDC = , $870.68 4, SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU 1 I I $332,86 = $332,86 1054 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I I i $34,83 = $34.83 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SD< - , $377.69 SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , $2,751.80 S, AOMINISTRATIVE FEE, ISUBTOTAL I x 1 ADM, FEE RATE 1= CHARGE 1 $2,751.80 I 5% I $137.59 TOTAL SANITARY ADMINISTRATION FEE: 87,13 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: I $50.46 1078 Virginia Jurasevich 6/18/2003 TOTAL SDC CHARGES = I $2,889.39 PREPARED BY DATE . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW RXTURES x UNIT EQUIV ALENT ~ DRAINAGE RXTURE UNITS (NOTE, FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL RXTURES) NO, OF FIXTURES .c DRAINAGE UNIT FIXTURE FIXTURE TYPE NEW OLD" EQUIVALENT UNITS BATHTUB 2 0 3 = 6 IDRINKING FOUNTAIN 0 0 1 = 0 IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 = 0 IINTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 = 0 ILAUNDRY TUB 0 0 2 = 0 ICLOTHESWASHER / MOP SINK 1 0 3 = 3 ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 IMOBIlE HOME PARK TRAPJI PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REFRlG / WATER STATION / ETC 0 0 1 = 0 IRECEPTOR FOR COM, SINK / DISHWASHER / ETC 0 0 3 = 0 ISHOWER, SINGLE STALL 0 0 2 = 0 ISHOWER, GANG (NUMBER OF HEADSl. 0 0 2 = 0 ISINK: COMMERCIAURESIDENTIAL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 ISINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 = 1 IURINAL, STALL! WALL 0 0 5 = 0 ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 ITOILET, PRIVATE INSTALLATION 2 0 3 = 6 MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 = 0 I.'. TOTAL DRAINAGE FIXTURE UNITS 21 ~DU (Equivalem Dwellinlt Uni~s a discharge eQuivalent to a sin~le family dwel1in~ unit (20 DFU's) set at 167 ~lIons per day MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 CREDIT RA TE/$ I ,000 J ASSESSED VALUE I I $4.92 $4.92 $4.83 $4,77 $4,64 $4.47 $4.30 $4,09 S3,78 $3.41 S2,98 S252 $2,06 $1.64 $1.45 $UI $1.13 $0,97 $0,82 $0,63 $0.41 $0,22 $0,04 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? (Enter I for Yes, 2 for No) BASE YEAR o o 1979 CREDIT FOR LAND (IF APPLICABLE) VALUE I 1000 CREDIT RATE $0,00 x $4,92 = , $0,00 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1000 CREDIT RATE $0,00 x $4,92 o TOTAL MWMC CREDIT $0,00 = ~- ~o ~":J, ,'1> l.~~t . i'i'(l:225 fmrn'STREET ,,~..,~"' ~a r.;:~'WH-;r. , ,R~ EEE_CAb'PERMIT.JAPPr::-IGA1'IOW'I'l~~i<' ' ~.""""~' ,.....=~..),- .......... 1"-". ~ .:<" 'i~ t~Jfe.~le -(~Hl ~~~ ~~"~li~\.We;,."';,'<)..""'~~~~~i<l-.~~~~,~fi..' 'l;1SPRlNGFIEDD OREGON'97477 If!i>",;e,-,: 3" tQ' .' J .~"""'~ ,,- Th<~' ,~' ;'_''>''c('"'' ~.' , , ',""-''''"''''''''-. 'fiJ<1<i '.' '1 ~--'" )I.-'J:I ~'" ~,/ ~..."" ',u.: ~:""'-' ~':f;- F~o~ i . ... r~ f.'.r; r;r1$!~ ':.; " '" ~ -.I Hi ,.- ~ ,~.. i }~~.s:f;..TI.CfJtNR!t.Eg~~72,6p~ ~ ,:>1 '. I< ~14 f': ity Job Nuv'~~! ^' ' , , , \. ; ~ ~ ..,. : ' t' .,~ ~, '''''~f, ;\fjOFFIGE;im6.J7~?9~~~ ~,~ r,,"'f.11;~/~: [el 7!P/ '.'.1 ~ ~ ~::'!~':'J5P:O.t;'~,\~,:!-':I< ,,~~., .' ''1. r' ~'~~'1 III ' ,.' ,0; ...,.~ 'I ""r:' " f,,'l w;,' h~, ","" ,., ,,^' ,A ~.",.. , " " . "~'I '''', ",,~, X ",', ' " CONlPl:ETE FEE:SGHED1:JI:EBEL0 ,. c "'" ..... K~='" ";":1,.q i.!!t\~~~$- ~7;~*W f:'j?''''''''.'7i",..,.>" ~\ L tQCA;m;q~., T.' J'N ~ !<:"~.?,.'J' 1 ,li'~ fi4:,*m.w~\!':'f"i!i,,\; ,~ .....t;:::;: .... /I." . 'A" N' .!l'R 'd . 'I'\S"" cl"~"s"""t1.> _!Lu 1{ n.. ell' eSl entia. 109 e'OT ... , Q""" 'o~1,"<) Multi-Family per dwelling unit. LE1~dfi~\3E D ~<t)O Service Included: \~SO ~~fl~, (). - ~ ~ \~\)t~, PermIts are non-tra erable and expIre if work is no'Cstarted within 180 days of issuance Rif work is suspended 'for 180 days, rtf' , ti]\i ,f, 2, CON~<f,OR~TALLATIONONLY, B. ServicesorFeeders," J"i ' . [~J\ ,.t1j:k;J A ~ Installation, Alteration's6r, Electrical!~~!1~,~~cfi(~~ ft}L/I ,c . Relocation: lfjJ/;,fi .~, 7 /7/-;,....". J II _ ~ ,d:i.{(,<\.<f. Address ~_'~.f:_~"JI L/r.ril;{/. ..'. ,,~, ;1'.*);: 200 amps or les~/,~.t ~ :t~;:~ :J [J,9,,\'i\ ,,:{;{~ _~3"~:5<R-l;"', 201 amps to 'l.O~'a.jTIp~t;i~~; ,'.'-'i! Cit)' ''l?.,'" ,,> ~Rhone . i,;;.', rb';:i:"";~ 401 amps to..~QO,anips~Aii-~'l.; $ 125,OO"I;rg:::;--H iii: ~~J~I.": '-;:U ~.r~''''''l!'~P:;:iI'}"" :' ,,:~" 60 I amps toUOao ari;ii~\it.~ 16'3('00 lir-':,:,,~, bt,~~r.:tl'yiJl\ ~(;.(l"\ a ,~~ t;..~t~'"'" t"'b "-1';1, J!';;"'<rli'!b .r.>,"f';''''~ "~fu'~....'*-t~ Supervisor Cicense Nmilber 7~ ~ ,--..~ 't: 4,'}r~-,: 1~j ,;::;:", t;l0ver 1000 arnps/volts:".}t",.t ~;. . 3~5:00~~~~t9~ ~'W"1.'lE~?JN ~~<(,?1.c...~^ -"'1.- R'i{ ,,' .,,""-."'4'1", ,'I/R'''''' :'..... rvi""O'I';-~""~-~-~"":"'('''' '",4 '$--50"0'0"'~~'-:vd "''''pJdJ~iq;''~L~0'~;)';llt'~ ..'jhi'jl "ci""',&' ~'!!A' ;:1177 .;::~. (':', ~ econnectl.; n yo' ~,~ ....c'...J:.\l~ '''.:' d' fr,,'S'). ~ : "'~_I.~e'"~ .' ., _ .rD,.;;. 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Of'.S~~~1!~~~.t?',~i~~1~t~;\~' ,~,; ~~~WRP,F)rqga~lO~~t.t~) ~ ~~?Q.:O.9,'I,t. .\' ,~~ ,,;rf.~\wr~?~~~i~(Jf.~,~~.;..:;;~~~::~, ~ :srgri!ohiiiife':[l~gliiing<!' f5 "$S(>':60~!,,';,'?A~>" ~i,~l-~t:.f'~~~~,ffi~~~:'"_,,,~ .... '-.,~"";,- ':':,O:-~"". .. ';'>~~ ,,,.1,1\' - .~. M-1" -.... wncr's".Si(.,na-tur;~'Z~~~,(::'{~l<' ~': I:.t~tteg:E~~fg~{[R~i1~;ft J . _.$iS~gQ.i,"\ .'i:~~;Y' ,/~"f?"''''''.L'mitedE' ". /Co~i1i ,'. . $4500" .', ,'" :,!,lE).~t'>", ",u',....~,J!~rgy, ,-- - ," ~,.~" -:~~;~:n11if{,~ .. ?~~&Bj':~~faf~:~>: ~~~~ti.". . '.,~~~;:-:'~':~~. Minimli.(P ~1~sfi-iA'~,eriniqrspection Fee is S45.00 + Surcl.iarges ",\ ~~ ~""W >-'_~,,'~':;';";"', 1.,.,.,) ~i,' \'. ';;:ri.,'-' . . ~,.~,,::;. ~P:r:."~:'1.'~;{;::: ' S~'N~ '- 'oj ..~8:t> 4. SUBTOTAiJ;6F~ABOVE ' 1'\,,\'. ' , ':.',t.-.)". -",.;;.,."., :\1;,-' - 7% St:~1~0S~rChi!f~~. '''~' I ~!;'=P) [Dr/o Ad"!lUlstratj"e F~e' \ Cl\A..O . ""~"" ,t.:~~ " /; -.2V n. ct<6 'il" . . . 1000 sq,ft, or less Each additional. 500 sq, ft or portion thereof Each Manufd Home or Modular Dwelling' Service or Feeder Items Cost 1 $106,00 $ 19,00 , TOTAL