HomeMy WebLinkAboutPermit Building 2004-8-10
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
:. CITY OF ~rKlr~\.J..IELD"
Building/Combination Permit
PERMIT NO: COM2004-00904
ISSUED: 08/10/2004
APPLIED: 07/20/2004
EXPIRES: 02/10/2005
VALUE: $ 181,680.00
*
SITE ADDRESS: 181 Kaylee Ct 183 Springfield TYPE OF WORK: Duplex
ASSESSOR'S PARCEL NO.: WILLOWBROOK SUB L
TYPE OF USE: New
PROJECT DESCRIPTION: Willowbrook lot 7 - duplex same as COM2004-00781167 Kaylee ct
GYANENDttA~ Oregon Iaw~fres you to
3274 LAKESIIJ~":~JilI't8 ~e>>bgon Utility
cation {'.Ant". ,.,,~~~ -I.'
IrI UAR 952-o01-OO~:.: ,'-; w... """UrJ/l '
0090 Youmayobti!,wn/AAeTl'JRIIMUilllMATION I
calif . !J!!. t. tf.J 1U'1111 oj
~\'Sf center. (Note: ~e telephone License
DUANFCe~~QfrSl_on Utility Notification 12112
BA TEMAN'TlI:\19e-~e2344). 151911
MARS HALLS INC 25790
SHAD CHASAN SURRETT 158295
Owner:
Address:
Contractor Type
General
Electrical
Mechanical
Plumbing
# ofVnits:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
BUILDING INFORMATION I
2
R-3
V-I
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
I
15.00
Electric
Electric
Electric
Path I
n/a
2
I DEVELOPMENT INFORMATION I
NOTICE:
THIS PERrlMlSHALL EX.~~wpf.i~
AUTHORIZ ~NDER THI rJ~.{w.T
COMMENG~OOR IS ABA Tl!IiM.Q~b~e:
ANY 180 6&:6lPERIOD.
Residential
Phone Number: 541-681-9538
Expiration Date
07110/2005
06/21/2008
12/23/2005
01114/2006
Phone
541-726-2960
541-995-4757
541-747-7445
541-741-3553
I PUBLIC IMPROVEMENTS I
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
5,187
920
240
2
Yes
22.30
REQUIRED PARKING
Total:.. 4
Handicapped:
Compact:
Sidewalk Type:
Curbside 5'
To Storm Sewer
Fullv Improved
Yes Downspouts/Drains:
Storm drainage shall be directed to the storm sewer stub provided on lot.
Paee I of 4
Notes: Asbuilt not yet accepted by the city. Contact SS & W Engineering to verify exact locations for storm and sanitary
hook ups.
.
. CITY OF SPRINGNJi.LlJ
Building/Combination Permit
PERMIT NO: COM2004-00904
ISSUED: 08/10/2004
APPLIED: 07/20/2004
EXPIRES: 02/10/2005
VALUE: $ 181,680.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Dwellines
Garaee
Tvpe of Construction
V Wood Frame
Garaee
$ Per Sq Ft
or multiplier
$92.40
$24.30
Square Footage
or Bid Amount
1,840.00
480.00
Value
Date Calculated
Description
Total Value of Project
$170,016.00
$11,664.00
$181,680.00
07/20/2004
07120/2004
L.Fpp< PlIi4J
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $100.00 7/20/04 1200400000000001113
-Mechanical Issuance Fee- $10.00 8/1 0/04 1200400000000001203
+ 10% Administrative Fee $164.42 8/10/04 1200400000000001203
+ 7% State Surcharge $115.09 8/10/04 1200400000000001203
2 Baths One or Two Family $508.00 8/10/04 1200400000000001203
Addressing Assignment $31.00 8/10/04 1200400000000001203
Addressing Assignment $31.00 8/10/04 1200400000000001203
Building Permit $832.15 8/10/04 1200400000000001203
Curbcut Permit $75.00 8/10/04 1200400000000001203
Dryer Vent $12.00 8/10/04 1200400000000001203
Exhaust Hoods $18.00 8/10/04 1200400000000001203
Plan Review Major - Planning $103.00 8/1 0/04 1200400000000001203
PW Mult Disc - 2nd Permit $-30.00 8/10/04 1200400000000001203
Residence Wiring 1000 Sq Ft $212.00 8/10/04 1200400000000001203
Residence Wiring Ea Addtl 500 $38.00 8/10/04 1200400000000001203
Sanitary Sewer - Improvement $621.52 8/10/04 1200400000000001203
Sanitary Sewer - Reimbursement $817.36 8/10/04 1200400000000001203
SDC MWMC Administration $10.00 8/10/04 1200400000000001203
SDC MWMC Improvement $1,730.62 8/10/04 1200400000000001203
SDC MWMC Reimbursement $164.06 8/10/04 1200400000000001203
SDC Sanitary/Storm Admin $173.54 8/10/04 1200400000000001203
SDC Transpo Admin $136.73 8/10/04 1200400000000001203
SDC Transpo Improvement $1,544.98 8/10/04 1200400000000001203
SDC Transpo Reimbursement $350.26 8/10/04 1200400000000001203
Sidewalk Permit $75.00 8/10/04 1200400000000001203
Storm Drainage Impervious Area $966.58 8/10/04 1200400000000001203
Vent Fan $24.00 8/10/04 1200400000000001203
WilIamalane Attached (duplex) $924.00 8/10/04 1200400000000001203
WilIamalane Attached (duplex) $924.00 8/1 0/04 1200400000000001203
Total Amount Paid $10,682.31
Paee 2 of 4
.
. CITY OF ~r1Ul'ltJ1<l1!,L1J-
Building/Combination Permit
PERMIT NO: COM2004-00904
ISSUED: 08/10/2004
APPLIED: 07/20/2004
EXPIRES: 02/10/2005
VALUE: $ 181,680,00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Plannin!! Review
Public Works Review
07/22/2004
07128/2004
07/2212004
I Plan Reviews I
07/22/2004 APP
07/28/2004 APP
07/23/2004 APP
SKG
TAJ
BRC
7/25/2004 - Storm drainage shall be
directed to storm sewer stub located
on lot, and not into weep holes in tbe
curb. - MS
7/23/2004 - Asbuilt not yet accepted
by the city. Contact SS & W
Engineering to verify exact locations
for storm and sanitary hook ups. -
BRC
Structural Review
07/22/2004
07/29/2004
OK
RJB
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,
UeollirerUnsnections I
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
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.
Post and Beam: Prior to 1100r insulation or decking.
Floor Insulation: Prior to decking.
Sbear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Walllnsulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Firewall: Located and constructed according to plans.
Final Building: After all required inspections have been requested and approved and the building is complete.
Underl100r Plumbing: Prior to insulation or decking.
Rough Plumbing: Prior to cover 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.
Final Plumbing: When all plumbing work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Pa!!e 3 of 4
.
. CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2004-00904
ISSUED: 08/10/2004
APPLIED: 07/20/2004
EXPIRES: 02/10/2005
VALUE: $ 181,680.00
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 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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 fr~>>"fthe property, and the approved set of plans will remain on the site at all
~g construc:on.. 1'/ - ~ _ 10 _ 0 <-+-
'0'00' ., C....,...... .0 D'" I
Paee 4 of 4
225 Fifth Street "
. .
Springfield, Oregon 97477
541-TI6-3759 Phone
.
.,
Job/Journal Number
COM2004-00904
COM2004-00904
COM2004-00904
COM2004-00904
COM2004-00904
COM2004-00904
COM2004-00904
COM2004-00904
COM2004-00904
COM2004-00904
COM2004-00904
COM2004-00904
COM2004-00904
COM2004-00904
COM2004-00904
COM2004-00904
COM2004-00904
COM2004-00904
COM2004-00904
COM2004-00904
COM2004-00904
COM2004-00904
COM2004-00904
COM2004-00904
COM2004-00904
COM2004-00904
COM2004-00904
COM2004-00904
Payments:
Type of Paymeut
Check
8/1 012004
RECEIPT #:
8.~
~
~_/ J
~y of Springfield Official Receipt
.velopment Services Department
Public Works Department
1200400000000001203
Date: 08/10/2004
Descriptiou
Addressing Assignment
Willamalane Attached (duplex)
Addressing Assignment
WilIamalane Attached (duplex)
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Sidewalk Permit
Curbcut Permit
PW Mult 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 Major - Planning
Building Permit
2 Baths One or Two Family
Vent Fan
Exhaust Hoods
Dryer Vent
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
DUANE KNIGHTS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 5181 In Person
Payment Total:
Page I of I
2:04:05PM
AmouDt Due
31.00
924.00
31.00
924.00
212.00
38.00
75.00
75.00
(30.00)
966.58
817.36
621.52
350.26
1,544.98
164.06
1,730.62
10.00
173.54
136.73
103.00
832.15
508.00
24.00
18.00
12.00
10.00
115.09
164.42
S10,582.31
Amount Paid
SI0,582.31
SI0,582.31
. .
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENaRKSHEET
JOURNAL OR JOB NUMBER: COM2004-00904
NAME OR COMPANY: Gvanendra Prasad
LOCATION: 181 Ka~lee CI183
TAX LOT NUM8ER: 17032710 Tax LoI01400
DEVELOPMENT TYPE: SINGLE F AMIL Y RESIDENCE
NEW DWELLING UNITS 2 BUILDING SIZE (SF: 0 LOT SIZE (SF):
5187
rJl
~
,0
10
I~
I~
16
gj
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. I CHARGE I
3118.00 I $0.310 = 1 S966.58
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
! IMPERVIOUS S.F. I x I COST PER S.F.. I x I DISCOUNT RATE I I
I 0.00 I $0.310 , 50% ~ I
ITEM I TOTAL - STORM DRAINAGE SDC '$966.58 ~
2 SANITARY SEWER - CITY
DISCOUNT
SO.OO
$966.58
1070
A. REIMBURSEMENT COST:
I NUM8ER OF DFU's I x
1 34
B. IMPROVEMENT COST:
I NUMBER OF DFU's I x
I 34 $18.28
ITEM 2 TOTAL - CITY SANITARY SEWER SDC
COST PER DFU
$24.04
$817.36 1091
3. TRANSPORTATION
$621.52 11092
J
= ,
$1,438.88
A. REIMBURSEMENT COST:
I ADTTRIP RATE I x I NUMBER OF UNITS I x I COST PER TRlP x I NEW TRIP F ACTORI
I 9.57 I 2 1 $18.30 I 1.00 . $350.26 11093
B. IMPROVEMENT COST:
I ADT TRIP RATE I x I NUMBER OF UNITS I x I COST PER TRlP x INEW TRlP FACTORI
I 9.57 I 2 I I $80.72 I 1.00 $1.544.98 11094
ITEM 3 TOTAL - TRANSPORT A nON SDC = I $1.895.24 I
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's I x ICOST PER FEU
I 2 I $82.03 = $164.06 1054
B. IMPROVEMENT COST:
INUM8ER OF FEU's I x ICOST PER FEU
I 2 I I $865.31 = $1,730.62 1055
MWMC CREDIT IF APPLICABLE (SEE REVERSE) SO.OO I, 1054
MWMC ADMINISTRATIVE FEE $10.00 11056
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC =, $1.904.68 I
SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , $6,205.38 I
5. ADMINISTRATIVE FEF:. I
I SUBTOTAL x I ADM. FEE RATE I~ CHARGE
$6.205.38 1 5% $310.27
TOTAL SANITARY ADMINISTRATION FEE: 173.54 jl079
TOTAL TRANSPORTATION ADMINISTRATION FEE: $136.73 11078
Billy Curtiss 7/23/2004 TOTAL SDC CHARGES =, $6,515.65
PREPARED BY DATE
.
.
, . .
DRAINAGE FIXTURE UNIT (DFlJ) CALCULATION TABLE
NUMBER OF NEW FIX11JRES x UNIT EQUIV ALEJoIT ~ DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE QNL Y TIrE NET AuUI J IVJ.AL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATHTIJB 2 0 3 = 6
IDRINKING FOUNTAIN 0 0 1 = 0
IFLOOR DRAIN 0 0 3 = 0
I INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TU8 0 0 2 = 0
ICLOTHESW ASHER / MOP SINK 2 0 3 = 6
ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP P PER MLER) 0 0 12 = 0
IRECEPTOR FOR REFRIG / WATER STATION / ETe. 0 0 1 = 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETe. 0 0 3 = 0
ISHOWER. SINGLE STALL 0 0 2 = 0
ISHOWER. GANG (NUMBER OF HEADS\. 0 0 2 = 0
ISINK: COMMERCIALlRESIDENTIAL KITCHEN 2 0 3 = 6
I SINK: COMMERCIAL BAR 0 0 2 = 0
ISINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
I SINK: SINGLE LA V A TORY /RESIDENTIAL BAR 4 0 1 = 4
I URINAL. STALL/WALL 0 0 5 = 0
ITOILET. PUBLIC INSTALLATION 0 0 6 = 0
ITOILET. PRIVATE INST ALLA TION 4 0 3 = 12
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 34
.EDU (EQuivalent Dwellinl!, Unit) is a disc~ equivalent to a sincle familv dwellinl!. unit (20 ORIs) set at 1671W1ons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
[ YEAR CREDIT RATE/$I,OOO
ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? 2
BEFORE 1979 $5.29 (Enter I for Yes, 2 for No)
1979 $5.29 IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? 0
1980 $5.19 (Enter I for Yes, 2 fnr No)
1981 $5.12 8ASE YEAR 2003
1982 $4.98
1983 $4.80 CREDIT FOR LAND (IF APPLICABLE)
1984 $4.63 VALUE / 1000 CREDIT RATE-
1985 $4.40 SO.OO x SO.OO ~ , SO.OO
1986 $4.07
1987 $3.67 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
1988 $3.22 VALUE/1000 CREDIT RATE
1989 $2.73 $0.00 x $0.00 0
1990 $2.25
1991 $1.80
1992 $1.59 TOTAL MWMC CREDIT = SO.OO
1993 $1.45
1994 $1.25
1995 $1.09
1996 $0.92
1997 $0.72
1998 $0.48
1999 $0.28
2000 $0.09
2001 $0.05 "
~
... ...... ' - . ~ \ . -, ',' "'. . ., ~ . &
;:.: .,:,:. .' . CITY OF SLdl'fGFIELDOREGON' ('1~';;;.>.
- , l'. " c' ".' ~ '." , . . "';:'t . : "t-. , . ' , \...~ ~.J" -, ::..
0", .
1'';' SPA1NOPIGLD U~r;'~
~ ~ .~
225 FIFfH STREET . SPRINGFIELD, OR 97477 . PH:(S41)726-3753 . FAX: ~!)f~3~, cr %iitt~~~~
ELECTRICAL PERMIT APPUCAnON o~ . "". ,!',',~;t~\'": ~ .~
City Job Number . C. t..J - /)0 q oi Date ~l~tto _ ~~0~..;:..cr?
Q'1. ~ &(}.~oS't'l
1. :'WCATION1)EmsTALLATIdN~~'~~ 3. ~FOMPEl;liZFEESU1JID~<EL "" ,"~<.~~~c,~lf~~~
/ ;/7if11--1l~;;;:'~~"ur- \~~~=~--~.~~~_..., .... v~~ --= ' < '~w=(cr!::~t~'
I r - <:<,\":~;\p2fif;~-;JFW7{f}'{!};'~?::..t:'1:-~~~#.~:"';-';;.r':,~ ''i~'>''''., :;":i'. ~~'i'~;~~~
LEGAL DESCRIPTION A. \'..New"ReSideiitial-:,'Sihgleior.;MUlti~Fariiil . ,. , ,,_lli..,,'!.. n,l!::.,.,.~.". ','
"~'~_~ili'~~~~.~~t'::;~~";'...!'.;.-;:.~.\y,!;':I;:\'''''~'';-''''''' ~ " ",....' ~ ,',....,:;...4
J 1-0'?, 2.. 'J.( 0 ~ 11100 Service Included
Permits are non-transferable and expire if work is Each Manufact'd Home or
j. not started within 180 days of issuance or if work is Modular Dwelling Service or $50 00
Suspended for 180 days. " Feeder .
~~O\>~"~r.~'!{i:;' ~'."~:=;:r."'~~''''~~-iT~-~~:- <..:.~ rl~,t1$<"F}t'~~~' ;~''1~:::}:-.~~;~~~~'&..w'4f;''''~7:1..":..,t''''\(:'i't.,j;
2 ..CONTRACTOR'INSTALLATION:QNljy,i,'ii B. t ,Wl!;!i\ll~--= ~;In"tallation,1\lteratiOns'or;ReI6cation::0.:'~
. "~~~,-.:r~~'-;';;"~~~..h~~ ....' ~~~~~~~({",~"",v..~....s;.~..:fJt'~.'!'4~...~~~r-";"':-;"",
Electrical Contractor 8a1e/lJ1Jd/ll 5LQ"~~~~!~~ $63.00
~~'~-~ ~~~A $75.00
Address ~1./-7 31 lU VOlA h ~~~a'60 1lI\~~~ $125.00
~ ( ~~l1Pi;~~~s $163.00
City )(AAr -:h 11/>:/ ulyhone I ~";~~~Olts $375.00
\t\~.~ ~~~<IoJIUY ,$50.00
2f'J ~...~~~ ~-
O ,.,. t:: c::.-n.:.<'~1j~"*~IMi',,,:\...--,"~i,t:;f".,j,\..'~"""(,.r!J"''':'''j''i~..i!tJ!'''~~~~~~~I'M j\<' .
Superv,'sor L,'cense Number . < Temporary<Semces'or Feeders,""~ ,(t"'i;~'I\"{I;t,-i@k.vJa:)d,<",\i. ~
i:' ~~~.;.; .' ~'l;>ii'~.'k..-l.>"""'~....,j~~ ".t>ii.::L..,.,.-:,~~~" \:;J
ExpirntionDate /tt7-/ _ /94- Installation, Alteration or Relocation ~\.~40~<:)'
c.vl1 200 Amps or less . ;"'~~i\ ;(\~
Constr. Contr. Number? 2 -J74-L- _J../Ji/ q II 201 Amps to 400 Amps rl.~~Sl ~
401 Amps to 600 Amps ~~\..'::~ ,\~:I~.
c- Z{ ~CJi' ~~~~~g~~r .~~~;~~:r~:;-~",,",,~;~;;J}".~q
D. f;BriincliCirc ~X~~~~~\)~}''' "!!"~f~;;;t~fi:>.:";,,
, :~~'~;:r~::::}~t~~l.;' -or"> ,~._-> ,,~l
One Circuit I::.~~ \'0'1;) $ 43.00
Each Additional Circuif#~th
Service or Feeder Pennit
JOB DESCRIPTION
Du p/e.,c ~ ~
ExpirntionDate /f'}-/ - r? ~
Signature of Supervising Electrician
U-r U?r-
Owners Name 0~bvvd.r,... . -f rJrsA--l.
Address 37.7'/ LA-t:c.~,c!.~ :t---Q..
City fi:lJJ:sGVt: Phone
OWNER INST ALLA TION
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
z. ~
L- $ 19.00 S 8.00
$ 3.00
~",.,....._ ~-~If"~':<r,."..:'?"'" ~"''f;r;,. '<!~-CT'7'7~~'~:'~~'>>-'" -"....~r.;::_'~
E 'Mis-'''''''"II' ~",,,,..~"O-(-S"."'"'''''e1'''~''~<-''~-''<''I"~d.''' .d")'''' E"=h"~'''ii''ti'.d-
......' ce aneous' el'\\'lC n;~uer;~Dot me u e .~ac :.1WIusu3 on"'l
;;:i:.l:'~~>~"~"""~""'''''-'''''''''''''''i;W'''''''''''''''--'''''''''''''''''''''''''' . .,.....:Jtt;:.k':1"4'l."'Tt;St;9:'a.~~
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited EnergylResidential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
>r#'~~"'=''''~MZ;(':=-'::;,",,'''~li:~~;c"~r.~'liX'''''J;l - Z;-' "\
4. !>SUBTOTAI;:OFABOVEik'"M,-,,"$.',';P/i:;:iii>~ii -7 '-'
i.'t. ,.r.~:~~,,;;u..-:.....,~t_;?).4.l.L:\:tu'-~t~I:t~q~~r~~;.,~,_..1i:":~';:;;':V'~ ~. ~
....,. .,-,,~.....~ . ~~~,~ ..__""'.....~'i7,;;..."'-''-.......4..,...
( 175"0
_ z,.~' 'I':::
..... ..
.k ?Z.J53-
7% State Surcharge
10% Administrative Fee
TOTAL