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Home My WebLink AboutPermit Building 1999-06-10SP]IINGFIELD a RESIDENTIAI. PERMIT APPLICATION CITY OF SPRTNGFIELD COMMI'NITY SERVICES DIVISTON BUILDING SAFETY ) Page 1 ilob Number: 990538 225 North Fifth Street Springfield, OR 97471 Location of Proposed Work: 3390 PARKER ST Assessors Map #: 1-7021943 Lot: 40 Block: Of f i-ce : Inspection Line: 7 25 -37 59 725-3769 Tax Lot # Subdivision 04000 AMBLESIDE SPruNGFIELD, OwneT: DAVID DUKES Address : P. O. BOX 41578 Describe Work: S.F.RESIDENCE Phone #: 338-8510 city/state/zip: EUGENE OF., 97404 NEW GeneraL: Plumbing: Mechanical Electrical Contract,or DUKES&DUKESC OO55O5O PO BOX 41678 EUGENE OR 974040000 DON LEWrS 01,02355 2055 MISSION ST SE SALEM OR 973O2OO HARVEY & SON 0055582 4580 MAIN ST SPRINGFIELD OR 9747860 EASTSIDE ELECTR 01,1,777 O 38253 BOSCAGE LN SPRINGFIELD OR 974 Const. Cont,ractor #Expires 03/L6/ot oe/30/ee 02 /26 / ee L0/01/Oa Phone 338-8510 353 -3426 745-7577 141,-1,499 QUAD AREA: 3RNC OCCY GROUP: R3 HEAT SOURCE: FG INSUL PATH: P1 OFFICE USE -- LAND USE: 1111 CONSTR. TYPE: VN WATER HEATER: G SQ FOOTAGE: 2270 # OF BLDGS: 1 # OF BDRMS: 3 RANGE: G To reguest an inspection, call the 24 howr recording aL 726-3769. A11 inspectj-ons requested before 7:00 a.m. will be made the same working d.ay,inspections requested after 7:00 a.m. wil-L be made the following work day. --- REQUIRED INSPECTIONS --- SfTE - To be made after excavation but. prior to setting forms. FOOTING - After trenches are excavated. FOITNDATToN - After forms are erected but prior to concrete placement RoucH GAs - after line is install-ed and capped if not attached to an appl iance ITNDERFLOOR MECHANICAL - Prior to insulation or decking. ITNDERFLOOR PLITMBfNG - prior to insulation or decking. POST AND BEAIrl - Prior to floor insulatj-on or decking. rNsuLATroN - Fl-oor; prior t.o decking wa]l/ceiling; prior to cover WATER LINE - Prior to fifling trench. SA.I{ITARY SEWER LrNE - pri-or to fil]ing trench. STORM SEWER LINE - Prj_or to filling trench. ITNDERFLooR DRArN - pri-or to cover or placement of concrete. ROUGH PIJI,MBTNG - Prior Io cover. ROUGH MECHANICAL - pri-or to cover. ROUGH ELECTRICAL - prior to cover. ELECTRTCAL sERvrcE - Must be approved to obtain permanent power. SHEAR wALrJ NATLTNG - Before covering sheathing with finish materials. FRiA,MfNG - Prior to cover. rNsuLATroN - Floor; prior to decking wal1/ce11ing; prior to cover DRYWALL - Pri-or to taping. CURBCUT - After forms are erected but pri-or to placement of concrete. STDEWALK - After excavation is complete, forms and sub-base materialin p1ace. SPRINGFIELD .Tob Number: 990538 oa Page 2 SPruNGFIELD, FINAL PIITMBING - When all plumbing work is complete. FINAL MECHANICAL - When al-l mechani-cal work j-s complete. FINAL ELECTRICAL - When all electrical work is complete. GAS SERVICE - After line ls installed and line has been connected to a minimum of one appliance. Pressure t.est done at this point. FINAL BUILDING - When all reguired inspections have been approved and the building is complete. Lot Faces: S Topography: 2 House Garage Setbackssw 5 18 Lot Sq. Ft.: 5395 Total Height: 28 Lot Coverage: 28 % Lot T),?e: INTERIOR N 26 E 1,2 ftem Main Garage Total Value Building Permit Fee Surcharge/admin TOTAL FEE --- BUTLDING PERMTT --- Square Feet x 1810 494 $/Square Feet 69 .64 18.34 (A) Value 126 ,048 .0O 9, 050 . 00 135, 108.00 514.00 41, .1,2 555 . 12 --- PLTIMBING PERMIT --- Item Residential- Bath (s) Plumbing Permit Surcharge/admin TOTAL CHARGE 3 Fee 1,92 .50 L92 .50 15.41 (c)207.9L --- MECIIANTCAL PERMTT --- Furnace Exhaust Hood Vent Fan Wood Stove / tnsert /Fireplace Unit Dryer Vent GAS LINE & W/H Mechanical Permit Issuance Surcharge/edmin TOTAL PERMIT 4 5.00 4.50 12.00 15.00 3.00 5.00 45.50 10.00 3.5s (D)59. L5 - -- MTSCELI.A.I{EOUS PERMITS Surcharge/Admin Sidewal-k Curb Cut WILLA}iT\LA}IE SDC CITY SDC TEMP POWER TOTAL MISCELLANEOUS PERMTTS 0.00 50.00 50.00 1,000.00 2 , 598 .59 43.20 3,76L.79 (Excluding Electrical) unless otherwise noted --- TOTAL AMOT'NT DUE --- (A, B, C, D, and E combined) (E) 4,593.97 siPFINGFIELD Job Number: 990638 a SPilNGFTELT',o Page 3 --- BUILDING VALUE, PLAN CHECK AND BUILDTNG PERMTT This permit is granted on the express conditi-on that the said construction shalI, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, reguJ-ating the consLruction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. P]an Check Fee : 332 .54 Received By: Plans Reviewed By: DON MOORE Buildj-ng Site Reviewed By: Date Paid: 05/L3/99 Date:05/04/99 Receipt Number: 033984 --- ADDITIONAL COMMENTS --- PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED. ENGINEER'S VERIFICATTON REQUIRED FOR SITE SOIL STABILITY. DRIVEWAY REQUIRED TO BE PAVED 1 STREET TREES REQUIRED By signat,ure, I st,at,e and agree, that I have carefully examined the completed application and do hereby certify that al-1 information hereon 1s true and correct, and I further certify thaL any and all work performed shal1 be done in accordance wj-th 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 permissj-on of the Communi-ty Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.055 wil-l- be used on this project.. I further agree to ensure that all requi-red inspections are requested at the proper time, that each address is readable from the street, that the permit card is l-ocated at the front of t.he property, and the approved set of plans wil-I remain on the si-te at al-I tj-mes during construction. JA e 6 --- VALIDATION -.- Receipt Number: Date Paid: Amount Received Received By Z^,/2 76 /7 ,??/ryrrur*o P,* L?r? 4', CITY OF SPR OPEGO'V 225 FIFTS STREET SPRTNGFTELJ, OREGON 97 477 INSPECTI0N REQIIESTz 726-3769 OFFICE: 726-3759 1. LOCATION OP INSTALI,ATION LEGAL JOB DESCRIPTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI..ATION ONLY Electrical contrac rc, %ib,Jl tlsL. Jrw. Address 4Z )s3 BoscAee c/ur Ci ty 5f€cD Phone )V/'/y77 Supervisor License Numbe r 3S/7 f Expiration Date I o' ol - o i Constr Contr. Number t l??7C' Expiration Date ta-ol- oo SPFr<GFIELO ELESTRICAL PERHIT APPLICATION City Job Number 3. COHPLETE FEE SCMDULE BELOV Nev Residential-Single or Multi-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Hodular Dvelling Sertice or Feeder 1/$ 8s.00 a5 $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _601 amps to 1.000 amps_ 0ver 1000 amps/volts Reconnect Only c Temporary Services or Feeders Installation, Alteration or Reloeation 200 amps"or less $ 40.00 over 401 to 600 amps - $ 80.00 0ver 600 amps or ibOO voTts see uB" a66id Nev, Alteration or Extension Per Panel D A Sum 3 g 1s.oo 45 B s s0.00 s 50.00 $100.00 $130.00 s300.00 $ 40.00 Signat of Superv isr)ing Electrician 4 Owners Name Address city- Phone- 338-A6/0 OVNER INSTALI,,ATION The installation is being made on property I ovn vhich is not intended for saIe, lease or rent. Ovners Signature: DATE: one circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/outline Ligh t ing- Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE ?fi% State Surcharge 32 Admini.s trat ive Fee TOTAL $ s s $ .00 .00 .00 .00 40 40 20 36 5 a2 RECETVED B //-7 - ) ?o 7<?," BaPf,=. I Nl ' \ . (INGFIELD BLB TRICAL PERHIT APPLICATION225 FIFTE STREET SPRINGFIEI.J, OREGON 97 477 INSPECTI0N REQT EST z 726-37 69 OFFICE z 726-3759 NOTICE: THISPERMIT 1. LOCATI OF INSTALI,ATION OB LEGAL DESCRI ANYlSODAYPERt7,tl t €tt7 PTION . Cfoo o Permits are non-transferable and if vork is not started vithin 180 of issuance or if vork is suspend 180 days. 2. CONTRACTOR INSTALLATION ONLY 0 0wners Name Address brr* 4 ttul{P-e- Ci ty Phone 4u i- 5 47 7 OVNER INSTALLATION The installation is being made on proper ty I ovn vhich i.s no t in tended for sale, Iease or rent. Osners Signature: DATE: Ci ty Job Nurube , ff06 3 7 gHALEts,HfiEhfHE Vil8ffiP*BELOV HI'IDF€TI.IEBEMOIT IINCE n g I e o r I$IAEAIIEEB{EOFOIFT ;Cffi:.rvice IncLJd'ed: dvelling uni t. I tems Cos t Sum 1000 sq.ft. or less S 85.00 nach additional 500 sq. ft or portion s 1s.00 s 40.00 D. Branch Circuits on a566 New, Alteration or Exterrsion Per Pane1 one circuit $ 35.00 Each Addi tionalCircuit or vith Serviceor Feeder Permit $ 2.OO E. Miscellaneous (Service/feeder not included -Each installation Pump or irrigation sign/outline Lighting- Limited Energy/Res ILimited Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL EIec Addr Ci ty Supe Expi Cons Expi trical Contra ."" 0. t). Brt, c tor ttD14 (s s0.00 s 60.00 s100.00 s130.00 $300.00s 40.00 psam400ots p pam s 40.00 $ ss.00 $ 80.00 see rrBrt s 40.00 $ 40.00 $ 20.00 s 36.00 '2-o. oQl. 4()"+ l" ber Qgl45 Installation, Alteration or 02 40L amps to 600 amps _601 amps to 1000 amps_ 0ver L000 amps/volts _Reconnect 0n1Y C. Temporary Services or Feede Phone 484- Qot{ e Number 4Zq't Jl i; 'o /qq 200 amps"or less 201 amps to 400 amps -0ver 40L to 600 amps 0ver 600 amps or 1000l6TEs r Con ion o oll rvi ldL tr rat s i s m n u Li ce Da te r. N Da te t rs Reloca t i 4 ising Electricianres m2 RBCEIVED B 5 fizz,og ATJTHORIZED days ed f orl\l lollow Notitication in JOB DESCRIPTION lorthe Itsl\r /'7 itQ{ u JoURNA R JoB N0. qqo; * ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY Dr L:-l LOCATION 3AO P^*-t l' DEVELOPMENT TYPE StrD BUILDING SIZE 1. STORM DRAINAGE IMPERVIOUS SQ 2. SANITARY SEWER-CITY NO. OF PFU'S LOT SIZ F-SQ. Ft (See Reverse Side) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRiP x t.ot x $475.32 x $475.32 4. SANITARY SEWER-MI^JMC A. REIMBURSEMENT COST NO. OF FEU'S X 217,++PER FEU B. IMPROVEMENT COST: NO. OF FEU'S I X Z5,ZO PER FEU MI^'MC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE SUBTOTAL (ADD iTEMS 1.2.3 & 4) ADMINISTRATIVE FEES.. BASE CHARGE (SUBTOTAL ABOVE) X .05 fla*u SDC Coordi nator ATTACH 'A. [^JPD X t((D) + €s tz-?)z- + loo-7 *4@ FT z.-o\ I X $0.227 PER SQ FT. $45b,50 X $47.14 PER PFU $ l&5.( + $ 4tu,c1 \$ <$ $ 10.00 tr TOTAL-I.4I^JMC SDC $ 3lz.(.+ s z fr,8S $ 17b1+ Date: TOTAL SDC $(,f{ -a $ 211 ,4 $ 2b.20 I FIXTURE UNIT CALCUL/*- rON TABLE: Number of New Fixtures X Unit Equivalent : Fixture Units (NOTE: For remodels, calculate only the NET additional fixturesl NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub..... Drinking Fountain..... r.......i !,!r- Floor Drain. lnterceptors For Grease/Oil/Solids/Etc.............".. lnterceptors For Sand/Auto Wash/Etc.. "......'...'... Laundry Tub/Clotheswasher.... Clotheswasher - 3 Or More..... Mobile Home Park Trap (1 Per Trailer) Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. // a)L_I 2 1 2 3 6 2 6 6 1 3 2 1 2 2 1 6 4 Shower, Single Sta11................ Shower. Gan9......'.. Sink: Bar, Commercial, Residential Kitchen Urinal, Stall/Wall... Wash Basin lLavatory , Single........ -Toilet, Public lnstallation. Toilet, Private........ Miscellaneous Iil TOTAL FIXTURE UNITS /Head v-? -z- 4--72- tu- CREDIT CALCULATION TABLE: Based on assessed value lf improvements occurred after annexation date in table, calculate credits s Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) (Rate X Assessed Value) X$ (Rate X Assessed Value) CREDITTOTAL = $- x$- Year Annexed Rate per $1,OOO Assessed Value Year. Annexed Rate per $1,OOO Assessed Value 1 989 1 990 1 991 1 992 1 993 1 994 .. .. .1995 1 996 1 997 $1.98 1.55 1.15 0.96 o.83 0.67 o.52 o.38 o.21 1979 or before 1 980 1 981 1 982 1 983 1 984 1 985 1 986 1987 1 988 $4.27 4.18 4.12 3.99 3.83 3.68 3.48 3.18 2.82 2.42 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating PurPoses Only! Residential. Commerical............. lndustrial... Governmental. 0.4 0.9 05 0.5 FIXUNIT.WPD IMPERVIOUS AREA = TOTAL LOT SlzE X RUNOFF COEFFICIENT / I -ru|- Willamalane Park & Recreation District CC ,. Job. No. \ LU 3ts NAME:\o';l N SYSTEM DEVELOPMENT CHARGE WORKSHEET t =lr\K s r PHONE:ro Manufactured home not in a park ADDRESS:6'tB STATE n ztP ftttoar LOCATION OF PROPOSED BUILDING SITE: Street Address: 3 Plat Name:Tax Lot Number: 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calctlations and dwelling t ype definitions are on the back.) A. Single-Family Detachecl tr Single Family home NO. OF UNITS X $1,000 per unit = $IelDlP B. Single-Family Attached X $924 per unit = $ C. Multi-Family Apartment NO. OF UNITS X $692 Per unit = $ D. Manufactured Home Park NO. OF UNITS X $699 per unit = $ WILLAMALANE SDC $ 2. SDC CREDIT (f appticaOte) SDCgayer must fun{str proof ot Witlamalane Credit approval. See SDC Credit Wotkshoet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (lf SDC reduced for Credit)$ ?\E DeVetopment Services Departrnent City of Springfield Date oo t ?osfi.( a o1 NO. OF UNITS L; I -\D-,4 C'TY OF OFEGON 225 FIFTE STREET a[/t',rovar SPRINGFIELD, ORBGON 97477 Zontng INSPECTION REQIIEST OFFICE: 726-3759 AiirfroflzSd stgnature 1. LOCATION OP TTON JOB DESCRIPTION:€!/ry -q " fr* ,tH, Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2 CONTRACTOR INSTALI,,ATION ONLI Electrical Contractor Address ci ty-Ph Supervisor License Number Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician A B. Services or Feeders Installation, Alterations or Relocation: I l'he tollowtng prol6ct as submitted has the following zc,nlng anct doea not require specilic land use SPF!NGFIELl, ELEGTRICAL PERUIT APPLICATION Ci ty Job Nu.uber PEE SCEEDTII.,E BELOV Nev Residential-Sing1e or MuIti-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home' or -Hodular 'Dve1ling Sertice or Feeder s 8s.00 $ 1s.00 $ 40.00 r '"7{l- ' o&&6-3769 Sum 200 amps 201 amps 401 amps 601 amps Over 1000 Reconnec t less 600 amps 1000 amps or to to to s s0.00 $ 60.00 $100.00 s130.00 $300.00s 40.00 amps/vo1 ts 0n1y 4o9of- c Temporary Services or Feeders Installation, Alteration or Relocation 200 amps'"or less _JZ$ 40.00 201 amps to 400 amps $ 55.00 over 4b1 to 6oo ambs - $ Bo.oo Over 600 amps or 1000 vofts see rrBrt a56ve D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each AdditionalCircuit or vith Service or Feeder Permit $ 2.00 E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation tE:x'ii::,})f;::"'gfr.o Energy/Comm mEter, oF ABovE 5Z State Surcharge 32 Administrative Fee TOTAI Ovners Name Address ciw E//aA)e Phone bEb,b6/o?%o1 OITNER TNSTALI,ATION The installation is being made on property f ovn vhiih is not intendedfor sale, Iease or rent. :.:.:,: Omers DATE: s 40.00 $ 40.00 $ 20.00 $ 36.00 oo RECETVED B ture: >o This permit is required for any site activity in the flood plbin and everywhere site alteration consists of fifty (50) cubic yards of material or more and/sr if adrainageway is.affebted, within City limits and This Side To Be Filled Out by Appticant Site Address:lsio a t Date of Application Perrnit Explration Date: Springfield, Oregon Property Owner Address :CityfrftA State'b( Zip ' E(/t?e< Phone: ,?/-3'<9--06/? Tax Lot: 4OOOruo, l'J 'Ob 43tr ucB Tax Map MeT;ii/- tr tr Destination: tr rco Lopttlon Sto,,..-/.?U 4./ O.a-,- Project Super vrsor rw, ou'a(1rw c''/ EXCAVATION, Ouarrtity . GRADING, Ouantity Supplier Address Supplier /O Trzzl l-.a./f , E( tr tr tr tr tr SITE PLAN RequiralData:Ouantity of material, Proporty lines and doscriptions, Tax map and lot nu4bor, Site addross, Existing contour lines, Proposed contour lines, Existing drainageways, Proposed drainagd ways, Signiflcant trees antl foliage, Ground cdver, SoiI types, - Buildings, Septic sy:;torns, Sewers, Aroas subject to flooding, Utilities, Areas subloct to land slides, Proposed site improvements. DRAINAGE, POLLUTION AND EROSION CONTROL PLAN SOILS & GEOLOGY PLAN, REPLANTING PLAN PHONE CITY STATE PHONE CITY STATE COMPANY NAME:- PROJECT SUPERVISOR: ADDRESS: COMPANY NAME:_ PROJECT SUPERVISOR: ADDRESS: FAX s.?-? cCE PHONE 5 ,8- a6 /, EMERGENCY PHONE: 3z//- fr/3 CONTRACTOR NAME CITY: Ez9 ?-r< n Number PROJECT SUPERVISOR Expiration Date: PHON MOBILE PHONE: 3 Registratio ADDRESS: STATE: OrC ,7tP: ffuOc OFFI lunderstand that lor my succoss()rs rnay have future plafie for my properry which may be anticipated or unanticipated at this time. I understand that such luture plans may require permits and developement approvals from the City of Springfield I understand that notwithstanding any approval of this Land.and Drainage Alteration Permit (LDAP), that at the time of application of futuro permits or a;rlrrovals the City may roviow and roconsider all actions which I or my successors have undertaken persuant fo this LDAP. I understand that tho City may as a condition of any future approval, require the undoing, changing, or modification ot any actions which l havo undortaken as a rosult of the City's approval of this LDAP. FErt M LIJo- Zo -F M IJJFJ IIJ L] Z -r! Mo oZ cZ 5 By signature, I state and agree, tlrat I have carefully examined the completed application and do hereby certify rhat all information herein is true and cor.{.}ct, and I further certify that any and all work performed shall be done in accordancewith the Ordinances of the City ot Springfield, applicable City Standard specifications and Drawings, and the laws of theState.of Orogon p-e1t_ai1i1o to the work described herein. lfurther cenify that only cont(acrors and omployees who are incompliance with ORS 701 .O55 wrll bc usod on this project Tha 9ity may inspect the work site described in this permit at any timo during a ono y6ar period following the receipt bythe City of notice of completion of the described work and specify, at the City's sole'desecration, any additional reitorationwork required to return th€ site to a standard acceptable to the City. The permittoe will be notified in'writing of any workrequired and will have thirty (30) days from the date of ths hotice to complete the work. Work nor completdd at rhe end ofthe thirty days will be performed by rhe City and the costs will be billed to the permittee. aro roquostod at tho propor timo, that project address is readable from on tho sito at all tim€s during construction. I q w all set lans Data o Signature I further agroe to onsure the street, and the CE uJz =o LUt-o zo EEu, 5 az 5 oFz IIJ =o ko UJE5a!!G oFz 5 ozoo Eoho CEFzoo ozso- lrJ TE J 5lr u,!c zo6 b,*&&,\iPurw-,-(- AG Qtt c'd--:, I furff 1 sd a City ofs pringfieldt, t Journal number applicable Land Use Application -'/o -' CROSS SECTIONS, {b tr w,al h DRAINAGE, E Storm, O Ditch, O Culvert, O Natural Date 4t FLOODWAY, FEMA Community Panel No FLOOD PLAIN, Zone , FEMA Community Panel No.: WETLANDS, Description s20.00 930.00 s40.00 $40.00 For the first 1O,OOO cubic yards, plus $20.00 for each additional 10,000 cubic yards or fraction thereof $220.00 For the first 100.001 cubic yards, plus $20.00 for each additional 10,000 cubic yards or fraction thereof $34O For the first 2O0,0O1 cubic yards, plus S6.0O for each additional 1O,OOO cubic yards or fraction thoreot. $30.o0 $3O.00 For the first 1O0 cubic yards, plus $14.00 for each additional 100 cubic yards or fraction thereof. $ 1 56.00 For the f irst 'l ,000 cubic yards, plus $1 2.0O for each additional 1,000 cubic yards or fraction thereof. $264.0O For the first 10,000 cubic yards, plus S54.0O for each additional 10,000 cubic yards or fraction thereof $750.00 For the first 'l 00,001 cubic yards, plus $30.00 for each additional 10,0O0 cubic yards or fraction thereof 6 [p h"tDate:..r- L VJt-"/' lt," Date Receipt Tb CJ { 2r.,,'., /,t l'l+vvt=1 No,fuilb7(l o"r., (/'10 ffi 100,001 To 200,000 2OO,OO1 CUBIC YARDS OR MORE 1,O01 TO ,IO,OOO CUBIC YARDS 10,oo0 To 100,000 cuBlc YARDS Received By Grading Permit fee PLAN CHECK FEES: UP TO 1OO CUBIC YABDS 101 TO 1,OOO CUBIC YARDS 1,001 TO l O,OOO CUBIC YAHDS 10,000 To 100,ooo cuBrc YARDS GRADING PERMIT FEES: UP TO 1OO CUBIC YARDS 101 TO 1,OOO CUBIC YARDS 100,001 To 200,000 Estimated Volume Plan Check Fee: -[o Vdh tr rlnS u Maintenance: Building Engineering Planning Date: Date Date Date Planning: Engineering: Building: Maintenance lssued by Date: Date Permit Number Reqtrirerl Final lnspections. Date Date Date = M IJJo- Zo EIF rv --rIJJFJ IIJ (, Z - Mo oZ nZ s tr Land and Drainage. activity.as outlined in this permit has been completed in accordance withthe provisions ofthis perririt. n hfilf,fl].r%gilpd.,".X$tLyllIfrlgyf]i"ed in this permit has not been completed in accordanoE tr Land and Drainago activity wao psrformgd prior to applicarion for this pgrmit, Accepted by:- Date: utoz Fo.lrloo 1/6/1998 Received by: Receipt No: o3)'10o oarc, Silll'ln ide To Be Fill ,ty City Staif ulo = tro ut ITJl! U)zo 6zoo aul E lrlE ozo o IIJo-oz