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HomeMy WebLinkAboutPermit Building 2002-11-5 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: 01-01398-01 ISSUED: 11/05/2002 APPLIED: 12/19/2001 EXPIRES: 05/05/2003 VALUE: $ 1,897,237.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1920 Henderson Ave A ASSESSOR'S PARCEL NO.: 1803032002800 Eug TYPE OF Office TYPE OF USE: New Public PROJECT DESCRIPTION: Land Use: Govt & Public Admin, Zoning: LMI, Office bldg A. Plans submitted as 6853 square feet. Application states 5400 square feet. Information entered as indicated on plans. Owner: Oregon Department of Transportation Address: 885 Airport Rd SE bldg X Salem OR 97310 Phone Number: (503) 986-4338 ICONTRACfOR INFORMATION I Contractor Type Architect General Electrical Mechanical Owner Plumbing Contractor License BBT Architects John Hyland Construction CASCADE COMMUNICATIONS SERVICES 1128011 Wescold Inc Oregon Department of Transportation Jones Contractors Inc Expiration Date Phone (541) 382-5535 (541) 726-8081 03/30/2004 541-736-0664 (503) 235-3193 (503) 986-4338 (541) 607-6163 SETBACKS , BUILDING INFO~TION' :iOv.",{I.'l #ofSto~~? ~V>~....\O~~, I Lot Size: He~l.ft~~\0Q,0\e ",e af'r::i '0'\ Sq Ft 1st Floor: o~'('Yp~1/f1~f: !?-f?J'5 ~0'" Sq Ft 2nd Floor: 0\0($ ~tere;rY~l\D~ ~e ~ o~0 ~ Sq Ft Basement: \O~. oo~'l.eRa.og'i ~1Pe: O\~ ~0~V:: #0 Sq Ft Garage/Carport ,,_~ ,,"'~ ,,'l.0'E~efgj ~afh'l~e'l.~\O~'\V Sq Ft Other: A't> .~'" 00'" ,,<;)'v. C;, '.'" \~ ". I' S rf ~ ;,,-lI\~,,~ ,,"'V'>.....'I.'lP~,~o'l.~\.;$:.{I.\"'f>l>.1 mpervlOus u ace Area: ~~~,\,C~1IjjE~OrMBNiiNFORMATION I . \~O~<;):,\J ....>is''' >is'0~ vU- REQJJ.lB.tDPARKING f:l<1l "$..\~'" \0\ ,,( ,,,, ~'NU'':~ (:l C~ ~e\ ~~erlay Dist: ~~ \~ ~~~ ~-v~ (# Street Trees. u.. ~~ ~~~~ ~pped: Paved Driv\\t\'\l\C~' ~\, 1iI"~ ~? ,,,\1iI ~\)~~ ct: % of Lot c"'(~i~~\tt.\) \}~~ \1iI t>.Ylt>.~ t>.~:~~k{:~C~~I~{:?\\)\)' IpUBLIC IMPROVE~l:;~~ \.I" Sidewalk Type: B 6,853 # of Buildings: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Downspouts/Drains Notes: I of 9 . . CITY VI' M'ldNGFIELD Building/Combination Permit PERMIT NO: 01-01398-01 ISSUED: 11/05/2002 APPLIED: 12/1912001 EXPIRES: 05/05/2003 VALUE: $ 1,897,237.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Desc ription Type of Construction $ Per Sq Ft Square Footage Value Date Calculated Total Value of Project Fees Paid I Fee Description Amount Paid Date Receipt Number Received By Commercial Plan Check $885.24 12/19/01 7567 djb MWMC Administrative Fee $10.00 3/28/02 8438 djb Transportation SDC Reimburseme $1,160.32 3/28/02 8438 djb Sanitary Sewer SDC Improvement $1,185.52 3/28/02 8438 djb Government Building - MWMC $1,439.84 3/28/02 8438 djb Sanitary Sewer SDC Reimburseme $1,560.01 3/28/02 8438 djb SDC Administrative Fee $2,977.35 3/28/02 8438 djb Transportation SDC Improvement $5,120.10 3/28/02 8438 djb Impervious Surface Area - Stor $49,071.20 3/28/02 8438 djb Each Additional Outlet $2.00 6/27/02 9762 djb One to Four Outlets $4.00 6/27/02 9762 djb Mechanical Issuance $10.00 6/27/02 9762 djb State Surcharge - Mechanical $13.44 6/27/02 9762 djb 8% Administrative Fee - Mechan $15.36 6/27/02 9762 djb Vent Fan to One Duct $42.00 6/27/02 9762 djb State Surcharge - Plumbing $66.29 6/27/02 9762 djb Less than 100,000 BTU $72.00 6/27/02 9762 djb 8% Administrative Fee - Plumbi $75.76 6/27/02 9762 djb Encroachment Permit $85.00 6/27/02 9762 djb Final Site Plan Insp for Occy $100.00 6127/02 9762 djb Water Service Footage $129.00 6/27/02 9762 djb Sanitary Sewer Footage $185.00 6/27/02 9762 djb Storm Sewer Footage $255.00 6/27/02 9762 djb State Surcharge For Building P $320.10 6/27/02 9762 djb 8% Building Administrative Fee $365.83 6/27/02 9762 djb Number of Fixtures $378.00 6127/02 9762 djb Paving $2,080.15 6/27/02 9762 djb Fire & Life Safety Plan Review $2,563.66 6/27/02 9762 djb Adjusted Public Plan Review $3,280.71 6/27/02 9762 djb Building Permit $4,572.90 6/27/02 9762 djb State Surcharge - Electrical $3.50 7/26/02 10053 djb 8% Admin Fee - Electrical $4.00 7/26/02 10053 djb Temporary: 200 Amps or Less $50.00 7/26/02 10053 djb Low VoUage - Commercial Indus $45.00 11/4/02 1200200000000000186 djb + 7% State Surcharge $45.29 11/4102 1200200000000000186 djb + 8% Administrative Fee $51.76 11/4/02 1200200000000000186 djb Perm ServlFdr 401 to 600 amps $125.00 11/4/02 1200200000000000186 djb Add, Alter, Extend Circ Ea Add $225.00 11/4/02 1200200000000000186 djb 2 of 9 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Perm Serv/Fdr 200 amps or less + 7% State Surcharge + 8% Administrative Fee Low Voltage - Commercial Indus Total Amount Paving Commercial Plan Check Fire & Life Safety Plan Review 8% Admin Fee - Electrical Number of Fixtures Sanitary Sewer Footage Storm Sewer Footage 8% Administrative Fee - Plumbi Building Permit State Surcharge For Building P 8% Building Administrative Fee Temporary: 200 Amps or Less State Surcharge - Electrical Water Service Footage State Surcharge - Plumbing 3hp -- 100,000 BTU V cnt Fan to One Duct 8% Administrative Fee - Mechan Mechanical Issuance Government Building - MWMC Impervious Surface Area - Stor Adjusted Public Plan Review Encroachment Permit Less than 100,000 BTU One to Four Outlets Each Additional Outlet State Surcharge - Mechanical Sanitary Sewer SDC Reimburseme Sanitary Sewer SDC Improvement Transportation SDC Reimburseme Transportation SDC Improvement SDC Administrative Fee MWMC Administrative Fee Final Site Plan Insp for Occy Total Fees Paid Prior to 9/30102 En~ineerin~-CIIIP . $252.00 $3.15 $3.60 $45.00 $78,879.08 $2,080.15 $885.24 $2,563.66 $4.00 $378.00 $185.00 $255.00 $75.76 $4,572.90 $320.10 $365.83 $50.00 $3.50 $129.00 $66.29 $72.00 $42.00 $15.36 $10.00 $1,439.84 $49,071.20 $3,280.71 $85.00 $72.00 $4.00 $2.00 $13.44 $1,560.01 $1,185.52 $1,160.32 $5,120.10 $2,977.35 $10.00 $100.00 $78,155.28 11/4/02 11/5/02 11/5/02 11/5/02 06/27/2002 12/19/2001 06127/2002 07/26/2002 06/27/2002 06/27/2002 06/27/2002 06/27/2002 06/27/2002 06/27/2002 06/27/2002 07/26/2002 07/26/2002 06/27/2002 06/27/2002 06/27/2002 06/27/2002 06127/2002 06/27/2002 03/28/2002 03/28/2002 06/27/2002 06/27/2002 06/27/2002 06/27/2002 06/27/2002 06/27/2002 03/28/2002 03/28/2002 03/28/2002 03/28/2002 03/28/2002 03/28/2002 06/27/2002 I Plan Reviews I 02104/2002 3 of 9 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: 01-01398-01 ISSUED: 11105/2002 APPLIED: 12/19/2001 EXPIRES: 05/05/2003 VALUE: $ 1,897,237.00 1200200000000000186 1200200000000000192 1200200000000000192 1200200000000000192 djb djb djb djb 9762 7567 9762 10053 9762 9762 9762 9762 9762 9762 9762 10053 10053 9762 9762 9762 9762 9762 9762 8438 8438 9762 9762 9762 9762 9762 9762 8438 8438 8438 8438 8438 8438 9762 Appr PO Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fire Department Review Fire Marshal-CIIIP . 10/28/2002 10/2112002 01/17/2002 OK . CITY OJ< M'KINGFIELD. Building/Combination Permit PERMIT NO: 01-01398-01 ISSUED: 1lI0512002 APPLIED: 12/1912001 EXPIRES: 05/05/2003 VALUE: $ 1,897,237.00 AG Plan review - Alarm System plan review - This is an optional alarm system. That is, the alarm system is not required by the Building or Fire Codes. This fire alarm system is required to be designed and installed in accordance with NFP A 72. t. Provide a pull station at the exterior door (Hall A108) as shown on the plans sunbmitted. 2. Provide fire alarm certification at the time of acceptance testing. 3. Acceptance testing will require Ac power shut off 24 hours prior to acceptance testing to verify secondary power adequacy. 4. Contact Springfield Fire Marshal's Office for acceptance test 726-2293. Plan review Maintenance facility, 3 buildings total square footage is 30,053. Building A 6853 sq ft, B occupancy, Type VN Construction. Electric gates will be required to be equipped with Knox keyed switches for fire department access. Obtain Knox application from deputy fire marshal AI Gerard at 726-2294. All hydrants and underground firelines shall be pressure tested, flushed and flow tested in the presence of the Deputy Fire Marshal prior to beginning of combustible construction. A 2A-IOB:C fire extinguisher shall be provided for every 75' of travel in all buildings. Provide alarm system submittal to Fire Marshals office for review and approval. System shall comply with the provisions set forth in NFP A 72 1996 edition. Building shall be marked with the letter A in 12" or larger letters contrasting in color with its background, visible from Henderson. Appr AG 4 of 9 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Initial Review-CIIIP Plannin2-CIIIP Plannin2-CIIIP Plannin2-C/I1P . 01/02/2002 06/04/2002 . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: 01-01398-01 ISSUED: 11/05/2002 APPLIED: 12/19/2001 EXPIRES: 05/05/2003 VALUE: $ 1,897,237.00 Appr LH Delay in initial review because of the submittal. All plans for this project were submitted as one "roll" of plans and needed to be separated and placed into individual submittals. Additional time charged for extra staff time charged under job number 01-01400-01 Needs to submit LDAp per condition 13 of Site Plan Review conditions of approval. Submit copies of DSL and US Corps of Engineer permits prior to construction per conditon 9 of Sit. Plan Review Journal no. 2000-10-0199. If temporary occupancy is required separately for any building on the site bonding will be necessary. Left second message for Rich Scanlan on 2/20/02 Received copies of the DSL and US Corp of Engeineer letters regarding permits. Waiting on submittal of LDAP. LDAP Complete, received letters from DSL and Army Corp. See note below regarding temp. occupancy. Wait LM Wait LM Appr LM 5 of 9 ':'""1I&t--.uqo~!:I,3} ..- ..'- t. ~ t ~ .... t" ~ , . "C. , .I.~' "4 ~ . . 'v' ... ~'1f Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural-CIIIP . 01/18/2002 . CITY OF SPRINGNJ'.LJJ Building/Combination Permit PERMIT NO: 01-01398-01 ISSUED: 11/05/2002 APPLIED: 12/19/2001 EXPIRES: 05/05/2003 VALUE: $ 1,897,237.00 Wait TR 6 of 9 Fed Ex'd to Tom Rogers 1/3/02. Faxed letter to Barber Barrett Turner Arch for comments on preliminary plan review. General comments for all buildings are: requested copy of geotechnical report, that all details in spec book need to be stamped and signed by arch or eng responsible for that portion of work, special inspection form needs to be completed and returned to city. Specific questions/comments for this project: I. Draft stops are requried in the attic so that the maximum area is 3,000 square feet with a maximum horizontal distance of 60 feet. Please clairy where this is shown on the plans. OSSC 708.3 2. Door schedule sheet DS-I indicates door A08 is not used, whereas sheet A2.1 shows door A08 in room AI06 TIM. Please revise. 3. Door type D specifies safety glazing for the sidelight, but does n01 indicate a fire rating as required by OSSC Section 1004.3.4.3.2.2 and 713.9. Provide supplemental information or specifications demonstrating compliance. 4. Calculation page I indicates the 1994 UBC 1996 OSSC was used. The current code is the 1997 UBC 1998 OSSC, please revise. 5. The wind load analysis appears to use method 2 projected area method, for the walls and modifies the force on the roof according to the slope. It method 2, normal force method, is intended, provide specific calculations for the windward and leeward loads. Note the roof pitch in the plans is 4:12, not 3:12 as used int he calculations. 6. The siesmic calcuations on page 7 are for the 1996 OSSc. Please provide calculations based on the 1998 OSSc. 7. Detail 21A4.1 specifies (2) layers 5/8" gyp. bd. at the bottom chord of Status: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Structural-CIIIP . 02/19/2002 7 of 9 . CITY OF SPRINlJl'l~LU Building/Combination Permit PERMIT NO: 01-01398-01 ISSUED: 11/05/2002 APPLIED: 12/19/2001 EXPIRES: 05/05/2003 VALUE: $ 1,897,237.00 Info LH the truss at the rated corridor, whereas detail AD-43 specifies top and bottom of the truss. Please clarify. 8. Detail ADI9 as referenced on section 1/A4.1 has apparently been omitted. Please provide a copy of the detail. 9. Provide installation specifications and detailes for the suspended ceiling demonstrating compliance with UBC standard 25-2. Fed Ex'd comments on plan review notes from Todd Turner, Barber Barrett Turner Architects to Tom Rogers. Letter identified Building A, Band C. See job file for specific comments. Very large packet. Too large to list. I hopper ~ii~c-.- . . . , CITY OF SPRINGFIELD " . ~._'" " Building/Combination Permit t. \'; .- Status: Issued PERMIT NO: 01-01398-01 225 Fifth Street, Springfield, OR ISSUED: 11/05/2002 541-726-3753 Phone APPLIED: 12/19/2001 541-726-3676 Fax EXPIRES: 05/05/2003 541-726-3769 Inspection Line VALUE: $ 1,897,237.00 Structural-CII/P 03/19/2002 Info LH Fed Exed information to Tom Rogers from ODOT from Barber Barrett Turner Architects, Todd Turner Information included I) Accessible Stall drawing 2) Accessible ramp 3) Van Sign Detail 4) Sidewalk joints 5) Typical curbs 6) Truck wash trench 7) Catch basin and grate 8) Type 2 grate and frame 9) Slab edge garage door 10)Bollard II) Retaining wall12)Dumpster ramp I3)Pavement Edge 14) slab edge 15) CMU sill at wall 16) Fascia/eave detail 17) exterior soffit detail 18) Rake flashing 19) Ridge flashing 20) Wall system 21) Louvered Vent - Head 22) Louver Sill 23) Threshold 24) Jamb at exterior door 25) Head at Exterior door 26) Jamb typical interior door 27) base, interior relite 28) jamb typical interior relite 29) alum window at cmu sill 30) sill, exterior window 31) jamb, exterior window 32) head, exterior window 33) jamb 34) head/sill 35) base cabinet single drawer unit 35) typical cabinet upper 36) base cabinet wtih sink 37) counter 38) bench at shower 39) bench at locker room 40) locker base 41) Ihr non bearing partition 42) non bearing partition 43) one hour wall 44) non bearing wall 45) overhead door 46) head exterior door jamb, similar 47) Ihr wall at steel col, maintenance building b 48) Ihr wall at roof beam maintennace building b. Structural-CII/P 04/17/2002 Appr TM Approved for ODOT office only. Additional required plans needed for other buildings covered under other job numbers still under review. Building A (this job number) is approved. SUB - CommlInd 01/24/2002 Wait JF Requesting form 3a, 3b and applicable worksheets. Requesting form 4a. Faxed request to BBT Archtect requesting forms 1-28-02 L Hopper SUB - CommlInd 03/26/2002 Appr JF Pass Energy Code Review 8 of 9 . . L.111' OF ~rKH~GFIELD Building/Combination Permit PERMIT NO: 01-01398-01 ISSUED: 11105/2002 APPLIED: 12/19/2001 EXPIRES: 05/05/2003 VALUE: $ 1,897,237.00 Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone _ 541-726-3676 Fax 541-726-3769 Inspection Line 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. ~rvlljJi~ I Underground Electric: Prior to cover 2 Rough Electric: Prior to Cover 3 Electric Service: Approval required prior to utility company energizing service. 4 Final Electric: When all electrical work is complete. 5 Low Voltage: Prior to cover. 6 Low Voltage: Prior to cover. 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 ofaoy 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 wiD 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 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. Owner or Contractors Signature Date 9 of 9 Oct 31 02 11:428 C~8d@ communiC8t~'on 541-736-0666 p.2 225FlFTH STREET ' ELEc!AL PERNliT APPLICATION SPRINGFIELD. OREGON 97477 . . , , G'S?ECTION REQUEST: 726:3769,,' ,Cii~'J"h Numh.;r 01-0 1.3. 7 g--o , OFFICE: 7:6.3759, ' '.' . . '. '. .'.' .,.' ..,'," . 3. COlvlPLETEFEE SCHEPULE BELOW ',1. Jln.f..:;To',OI~~~S!~L::~~ON_ A~'~~bI,'., ..yv (..Jc.,,~v ~ ~ew:RC5idcntial..Singlc or . ..; Multi..Fmnily per dwelling unit. Se,,>ice Includell: LEGAL DE~RIPTlON I ~O .'.> 03Z.0 , II \1aS thO 101l0wing JOB DESCRlPTlON . proiec~ as sUbm,uepecilic la~,ft. or Icss "Ib,. '- j),+~ L;1Jl.i,~i\~~"~~' E.choddilioD.I;OO zw I 00 fr ^r pemon u~{Ova Pennits "re llon-tr.nsfe?ooJe i\nd-riffiili~ "2- thereof_ if work is not stuned wilhin 180 ,rays '11-'0 :S~ 0 , I ",neil Milllufd Home or cfii;uaec'e qr uwork i;~n4ee f"'l ~l)-' Mn~..T:'r BweHing 180 d;,,'s. llzeO Slgnalure - Service or Feed:r ~ AiJtOO oz.8'O() Items COSl Sum. S106.00 S 19.00 S 50,00 2. CONTRACTOR INSTALLATION ONLY B. Senice, or Feeders . '. L...SCc de. c..o... M......J~o'" Inst"lIa~ilJn, Alterntions or Ele:tncal'Contractor ~AJ.iL,:~<, ~c... Relociltlon: Add:css //!(j. H(Jh~k. Blvd.' Cit).~ Phone. 5<iJ-73b-c66tf Supmisor License Nnmber ;:';;'05 LE=A . ExpimtionDatc" /o/J./iJs'..' #,. 'n" 'Consu"Contr. N\lu;bcr 1:J,;f,()I/' , " , ExpirillionDotc '3' /';'o/C<I ,;\ 200 amps or less' _ $ 53.00 _ 201 amps to -l00 amps _ $ 7~0 _ 401 "OJps to 600 8mps ~~ 0 601 oOJps to 1000 aIllps ~ ~ 10- Over 1000 ",nps/voits j..\l\~'i:. '\ ~~~~ 00 = ReC01~leClOnly ~\.\.~ y..\~ \l~~'9 .0.00_ ^~\~~:....t..\\ S\l-~,,"\ ....l-\'V\i C. ~l-J;lo'r'&'il.'\Q".'.:~~ .. dl!-~"\' I",~~tl'R>il..~tt!i~~ . ~'ltiOO . '..\ \\\\\l\~~c,'i:.\l, (}'i:.~'\ .l'''~.'\l\.'l{lrirs;e't\~ ' '.:' "~"~mp&'tb 'i!oo,omps ~ -10 1 te 600 amps .., 'I;O'lcr,'600.amps,or.lOOO:vol,ts!see~': 1'; ~-i~~';.;:>i ~,I:d..'<.:'C:t:~',; "B" nbove . ',j Signature uf SUJlc!"\'i:iin: Electrician !J~~f~4~.A"~ "',';'",," ~,r.;,~t''.!~Qj'"'' "~~\" "t; D. Br<lnch'C.h:cuits';~:'t .;~; - _.1.... ..,-......'" ' OWllers Namc' 0 ~OT'.. Now Altemtiol1 or Eli)'9lJlinPer Ponel :'. .. " .." " r' II . InC" r .' ~\~0S':l \)\1\\\':1 :"Ildrc~,' ,Cjff))., fJ.,('f()<l./"r I::.d ~ Ol1e\~ffil~~a<;\o\'l !I. \o~" _ S43 00 _ '. 5>). 9 0-1 _ 5 I'lL .O~a<;\O\'l \'\\1'1 a.~ase ".r::F/'-' , City SIJ.-L.I::>>1 Phone 00 ~i\U~' ~~Il=>~d~ljo\lilKCi[f\11l";lt~xei.1:Jl\$injce ~\';.~ s a.CO orl\<<e\'l2r ~&,ni""l" ,\\1'1 ~\) a $ 3 00 . OWNER iNSTALLATION - f>- o>t<l~\e Ca\'l\a :..,0\,\\10 ~asO\: ~p!~,\\O\'l'o\'l- - The installation is be:ng made on \0\\ ca.\\oll. ~f~lI"noou.<:rS"n;cC/ffedO'\\Qfit'lodlldcd) property 1 own wlliolt is not intended ~o\\ \ a rar:;,?: n" o'E1t~; ;\~tiili'a\iO~.." ~O"~ , 1 1 Or>-'P ~<>] Rtlii'''' ..".\\\.] 0.0.,. $'000 ,or sn e. Oil3e or rent. i(\ 'lou CfI:J t P ~r"5'&at!,q~_~~ _ ) . ' r:J)raQ. ~(\<;\\,\\a \~~\'!J~l~I:ightLDg ,50.00 . Ca.~ \ e~ \O~'~~i\t\'lecl'EJl<rgy.ReS S25.no _ \'I~~'O cel'illmited Enerfy:Comm I S~5 1)0 _ $50~00 "', .. - $69.00''',' .. --: ..~- _ $100'.0'0' .'\ '" ' OWJlCI"J.: Si~nature: .' . ",'- r.. ',' ",'.,~. I\:linimuD1 Elc'ctl'ic Pc.rmit'lnspcct,ionTce is S45.00 + S~rc1l1l1"gcs 4. SUBio~~t~i~~~'~'~ ..':'..'.~.?fj'l'oji:: 7% Sbt~:Suj'ch'1iigeH ~i((~' -)~'.- 8%.A~:,,::ni::mti;';!e..y. RI ~~~ TOTAL " ..;) h_ :::\:~:~i71~ n. :.?j:;";:'.,~(,l:,': ,';~: ::~,.: /.-; , 1.:~~~.r:::n()J. 'J' t'~-.;;'~"-~t "\~~~ '> .\',~. . ; '.