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HomeMy WebLinkAboutPermit Building 2002-5-3 (2) . I Job# 02-00308-01 I . Page 1 of4 TRAN#:01-Q008823 MAY 03 2002 $ -3773.68 032 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-00308-01 225 Fifth Street Springfield, OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 5983 Obsidian Ave Spr Assessors Map#: 18020300 Lot: 21 Block: Addition: Tax Lot #: 00507 Subdivision:Jasper Meadows . Hayden Homes .' " <, ~~, _~ , l'" An \::.I'J ,IV ",Vlw~" , 0 Utllli\! Address: fo\l0\i\P.9,,~ox\8f\3ed by the regon t fo~' City/StatelZip: " '+;';,-'~':nn Gonter. Those rules are se ' . ' Scope Of Work: 'Single gamily' ,~esidence)AR 952-00'1- New , OAA8o,,-Uv I-ue; Iv "..~~". In090 ,BrookfieldJbtain copies of the rules by o . IVI.A "'-J ~__ ,.,~~-,,,,,,,?+,..,tephone ca\l:~I'jISl,same.as 02ro.0~00-Q' """~r nr numtJglIjO.0K~1lI8!fCDRJsA'NITJ\Ry"g;'STORM UNTIL INFRASTRUCTURE IS ACCEPTED BY THE Contractor Type lC.ontractor"I'(), "'l~-n44). Registration # Expiration Date Phone General Contr Hayden Homes 92208 7/29/2003 541-501-4332 PO Box 883, Sprin9field, OR 97478 Electrical Contr . - Christenson Electric Inc 111 SW Columbia SttSte480, Portland, .., '" .v.... . ~ OR 97201--5~agO G38N3I/'lV~GJ Mechanical Q913tr 03 Hgh\~~~~lfIMil\il@1r1 ~Wditioning 184164 iON S\ l\l/'lj;lBi~d~~'~!l./Ml1~ 9i\1I\k Plumbin~Y. 3Hi~1e~~~ Marlene Currier:~~)U'O~ 103570 648 W Oregon Ave, Creswell, OR 97426 Owner: Phone Number: 541-501-4332 Springfield, OR 97478 Value: $113,772 458 5/1/2003 503-241-4812 6/25/2003 541-345-2838 ",\(\~ 12/15/2002 .o'/-o _~ 541-895-3758 Office Use Quad Area: # Of Units: Constr. Type: Water Heater: 4RSE 1 (VN) Wood Frame Electric Land Use: Zoning Code: Bedrooms: Range: Single Family Dwelling LOR 3 Electric # Of Buildings: 1 Occupancy Group: Dwelling Heat Source: Forced Air Electric Sq, Footage: 1420 To request an inspection call the 24 hour recording at 726-3769. All inspections 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 working day, Verify Ground Rod Footing Foundation Post and Beam Floor Insulation Ceiling Insulation Shear Wall Nailing Framing Required Inspections I Building I -Install ground rod at footing, and call for inspection in conjuction with footing and/or foundation ir -After trenches are excavated. -After forms are erected but prior to concrete placement. - Prior to floor insulation or decking, - Prior to decking. - Prior to cover. - Before covering sheathing with finish materials, - Prior to cover, Street Improvement: Fully Improved Curb Cut?D Improvement Agr.?D San Sewer Depth (Ft): 6 4 Storm Sewer Available? 0 Special Req.: Security Required: Bond Begin DateTime: 00/00/0000 00:00:00 . Special Instructions: Other Utilities: Project Supervisor: Zoning: LDR FloodPlain? 0 Wetlands? 2] Journal numbers 1: 2000-01-0015 2: Comments:Wetland Conservation Easement on lot Wall Insulation Drywall Final Building Rough Electrical Electrical Service Final Electrical Underfloor Plumbing Underfloor Drain Rough Plumbing Water Line Sanitary Sewer Line Storm Sewer Line Final Plumbing Underfloor Mechanical Rough Mechanical Final Mechanical -I - Job# 02-00308-01 I Required Inspections Building Page 2 of 4 - Prior to Cover -Prior to taping. - When all required inspections have been approved and the building is complete. Electrical - Prior to cover. - Must be approved to obtain permanent power. - When all electrical work is complete. 1 Plumbing - Prior to insulation or decking, - Prior to cover or placement of concrete, - Prior to cover. - Prior to filling trench, - Prior to filling trench, - Prior to filling trench, - When all plumbing work is complete. 1 Mechanical - Prior to insulation or decking. - Prior to cover. -When all mechanical work is complete, Sidewalk Type: Additional ROW? Size Of Line (in): Downspouts/Drains: Enchroachment Permit: San Sewer Tee (in): Bond End DateTime: o 8 To Storm Sewer 4 00/00/000000:00:00 . Types Of Warning Devices Reqd. Overlay District: # of Street Trees: 0 Land Use: Single Family Dwelling Pave Driveway? 2] 3: Additional Requirements: Glenwood Area? 0 Required Attachments: Source Locn: Material: Planner: Liz Miller Urban Growth Boundary? 0 Quantity Of Fill: Supplier: Drainage: Floodway FEMA: X-White Flood Plain FEMA: 1166 of 2975 Construction Types:(VN) Wood Frame Occupancy Groups:Dwelling # Of Buildings: 1 # Of Bedrooms: 3 Handicap Access? D iArea (Sq. Feet) I Main: 1420 Accessory~OO Fee Same As Plan Review Total Plan Check Building Permit State Surcharge For Building Permit 8% Building Administrative Fee Total Building Wiring Footage 1,000 Sq Ft or Less Wiring Footage Each Add'l 500 Sq Ft State Surcharge - Electrical 8% Admin Fee - Electrical Total Electrical Three Bathrooms State Surcharge - Plumbing 8% Administrative Fee - Plumbing Total Plumbing Hood and Exhaust 8% Administrative Fee - Mechanical Less than 100,000 BTU Vent Fan to One Duct Dryer Vent Mechanical Issuance State Surcharge - Mechanical Total Mechanical Residential - Single Family - Storm Residential Improvement MWMC MWMC Administrative Fee SDC Administrative Fee Residential Sanitary MWMC Residential - Improvement Residential - Reimbursement Sanitary Sewer SDC Reimbursement Sanitary Sewer SDC Improvement Total System Development -I - Job# 02-00308-01 I Page 30f4 Private Garage/Carp/Stor # Of Stories: 2 Height (feet): 26 Current Units: Proposed Units:1 Census Code: New SF - detached Total:1820 Paid On Receipt# Value/Quantity Plan Check 05/03/2002 8823 1 Building 05/03/2002 8823 113,772 05/03/2002 8823 05/03/2002 8823 Electrical 05/03/2002 8823 1 05/03/2002 8823 2 05/03/2002 8823 05/03/2002 8823 Plumbing 05/03/2002 8823 1 05/03/2002 8823 05/03/2002 8823 Mechanical J 05/03/2002 8823 1 05/03/2002 8823 05/03/2002 8823 1 05/03/2002 8823 4 05/03/2002 8823 1 05/03/2002 8823 05/03/2002 8823 System Development 05/03/2002 8823 1,786 05/03/2002 8823 1 05/03/2002 8823 1 05/03/2002 8823 05/03/2002 8823 1 05/03/2002 8823 1 05/03/2002 8823 1 05/03/2002 8823 24 05/03/2002 8823 24 Fee Amount $100.00 $100.00 $611.15 $42,78 $48,89 $702.82 $106.00 $38.00 $10,08 $11.52 $165,60 $306.00 $21.42 $24.48 $351,90 $9,00 $4.08 $12,00 $24.00 $6,00 $10.00 $3,57 $68.65 $487.47 $34.83 $10,00 $129,13 $332.86 $659.76 $155,13 $512,88 $389,76 $2,711.82 -I Job# 02-00308-01 Fee Paid On Receipl# Willamalane SDC 05/03/2002 8823 S.F, Residence - Willamalane Total Willamalane SDC Planning Plan Review Total Planning Planning 05/03/2002 8823 Address Assignment Total Permits w/o Srchg Grand Total Permits w/o Srchg 05/03/2002 8823 Plan Check Type Checked By Date Completed Comment Initial Review-Res Lisa Hopper Bob Kettwig Liz Miller 04/04/2002 04/16/2002 04/11/2002 04/18/2002 Engineering-Res Planning-Res Structural-Res Tom Marx - Page 4 of 4 Value/Quantity Fee Amount 1 $1,000.00 $1,000.00 1 $55.00 $55,00 1 $8.00 $8.00 $5,163.79 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 701.055 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 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. ~~/'l-l1lhJ f\ot Nl'l.Lla ~ IUIr ~ -s - 3. - 02..... Date .., . 1- ~?"Jb. Willamalane '"t" "'f' Park & Recreation District Job. No. (J)i...m 30~: () 1 "., SYSTEM DEVELOPMENT CHARGE . . WORKSHEET NAME:\_~~~fJ . PHONE: ffi~.~. 'ADDRESS: Q.~.~ Bre J~STATE:~zIP:c:t"1411 LOCATION OF PROPOSED BUILDING SITE: Street Address: J:;C;g'"5 ()(!;S;'{)/A;d ~ Plat Nam . Q ~ _ Tax Lot Number: \ m~l 1.DEVElP nENT TYPJ; (Check approprlale dwelfing(s). SOC calculalions and dwelfirig l we definitions are on the back.) A S.lnoIA-F~milv DAI~chAd \ Single Family home NO. OF UNITS \ Manufactured home not in a par1<. X $1,000 per unit = $ ,ULO.cO B. mnCJIA-F~milv Alt~chAd NO. OF UNITS X $924 per unit . _. $ C. Multi-Familv Aoartment NO. OF UNITS X ,$692 per unit =..$ D. M~nlJf~ctlJrAd HnmA Parte, NO.OFUNITS WllLAMAlANE SDC . X $699 per unit .. $ $ \cro. d:) (25 $ \COOp:) 2. SDC CREDIT (II appncable) SOc-payer must fumlsh proof of WiUamalane Credit approval, See SOO Credit Worl<sheet. $ 3~ TOTAL WllLAMALANE NET SDC ASSESSED. (If soe reduced for Credill \\~~ j Development selVices~ent City of Springfield ..s,-S Dale , 02-. CITY OF SPRINGFIEL~STEMS DEVELOPMENT CHARIWORKSHEET JOURNAL OR JOB NUMBER: 02-00308-01 NAME OR COMPANY: HAYDEN HOMES LOCA nON: 5983 OBSIDIAN AVE TAX LOT NUMBER: 18-02-03-00 TL:00507 JASPER MEADOWS LOT #21 DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE NEW DWELLING UNITS: I BUILDING SIZE: 1820 SF LOT SIZE: 6792 SF 1 STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTE~ I IMPERVIOUS S,F, I xl COST PER S.F. I I 1785,60 I I $0.273 =1 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS IIMPERVIOUSS,F'lxl COSTPERS.F. Ixl DlSCOUNTRATE I 0.00 I $0,273 1 50% I ITEM I TOTAL - STORM DRAINAGE SDC . 2 SANITARY SEWFR - r.ITV $487.47 =1 =1 $0.00 ~ S487.47---.J J 1070 A. REIMBURSEMENT COST: I NUMBER OF DFU's 1 x I COST PER DFU 24 1 1 $21.37 B. IMPROVEMENT COST: I NUMBER OF DFU's I 'I COST PER DFU I _24 _ $16.24 I ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3 TRANSPORTATION A. REIMBURSEMENT COST: I ADTTRlPRATE I 'INUMBER OF UNITS I xl 9.57 I 1 B. IMPROVEMENT COST: I ADTTRlPRATE l'INUMBEROFUNlTSlxl 9.57 I I 1 I ITEM 3 TOTAL - TRANSPORTATION SDC 4 SANITARY SEWFR - MWMr =1 $512.88 =1 $389,76 =r-"S902.64 COST PER TRIP IxlNEWTRIP FACTOR I $16,21 I 1.00 =1 $155,13 COST PER TRIP $68.94 J I NEW TRIP FACTOR I XI 1.00 1=1 $659,76 =1$814.89 A. REIMBURSEMENT COST: I NUMBER OF FEU's I (I COST PER FEU I $332.86 B. IMPROVEMENT COST: II NUMBER OF FEU's I x I COST PER FEU I 1 $34.83 1 MWMC CREDIT IF APPLICABLE (SEE REVERSE) ~UBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT MWMC ADMINISTRA nVE FEE ----_.-- I I'rEM :jTOTAL - MWMC SANITARY SEWER SDC I S~TOTAL(ADDITEMS 1,2,3,&~ 115 A~:~~:~ TIVF1 :IE:DM, FEE RATE I $2,582,69 5% I SteNe- T e.mpUnt 04/16/2002 SOC COORDlNA TOR DATE =1 $332.86 =1 =1 =1 =1 1 I I I =1 $377.69,-..L1 =C,$2.582.69'il $34.83 $0.00 $367,69 $10.00 =1 $129,13 1 TOTAL SDC CHARGES = -$2,711.82 I r/J .~ Cl o u ~ ~ r/J - \:J ~ 1091 I l-I 1092 1093 1 1 1094 1055 1056 1073 . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE [ NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT ~ DRAINAGE FIXTURE UNITS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITtONAL FIXTURES) NO, OF FIXTURES DRAINAGE ( # NEW # OLD ) UNIT FIXTURE FIXTURE TYPE x EQUIVALENT = UNITS BATHTUB ( 2 0 ) x 3 6 DRINKING FOUNTAIN ( 0 0 ) x I 0 FLOOR DRAIN ( 0 0 ) x 3 = 0 INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. ( 0 0 ) x 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC, ( 0 0 ) x 6 0 LAUNDRY TUB ( 0 0 ) x 2 0 CLOTHESW ASHER / MOP SINK ( I 0 ) x 3 3 CLOTHESW ASHER - 3 OR MORE (EA) ( 0 0 ) x 6 0 MOBILE HOME PARK TRAP (I PER TRAILER) ( 0 0 ) x 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC, ( 0 0 ) x 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETe. ( 0 0 ) x 3 0 SHOWER, SINGLE STALL ( 0 0 ) x 2 0 SHOWER, GANG (NUMBER OF HEADS) ( 0 0 ) x 2 = 0 SINK: COMMERCIAL/RESIDENTIAL KITCHEN ( I 0 ) x 3 3 SINK: COMMERCIAL BAR ( 0 0 ) x 2 0 SINK: DOMESTIC BAR ( 0 0 ) x 1 = 0 WASH BASIN ( 0 0 ) x 2 0 LAVATORY ( 3 0 ) x 1 3 URINAL, STALL / WALL ( 0 0 ) x 5 0 TOILET, PUBLIC INSTALLATION ( 0 0 ) x 6 0 TOILET, PRIVATE INSTALLATION ( 3 0 ) x 3 9 MISCELLANEOUS DFU TYPE NUMBER OF EDU's' ( 0 0 ) x 20 0 TOTAL DRAINAGE FIXTURE UNITS =1 24 .EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEPARATELY YEAR ANNEXED 1979 OR BEFORE 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 CREDIT RATE PER $1,000 II ASSESSED VALUE SoI.9Z---- SoI.83 SoI.77 SoI.64 SoI.47 SoI.30 SoI.09 S3.78 S3.41 S2.98 S2.52 CREDIT FOR LAND (IF APPLICABLE) CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) YEAR ANNEXED 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 CREDIT RATE PER $1,000 ASSESSED VALUE S2.06 SI.64 SI.45 SUI SI.l3 SO.97 SO.82 SO.63 S0.41 SO.22 SO.Q4 VALUE / 1000 CREDIT RATE 0,000 x $0,00 =1 0,000 x $0.00 =1 TOTAL MWMC CREDIT =1 $0.00 $0.00 $0,00 JOB DESCRIPTION \~qp, 1000 sq,ft, or less <.. ~ . l2.v:.; ~ ~ Each additional 500 ,",' I .:.,~ I,UN:U,egon la\~cf.E\l.liitrP\litiOliI to Permits are 'lon-transferable and e{piffiw rules adopted by tl1teQmgon Utility if work is not started within 180 dhy~ification Center, Thos€Bilrl\i)M1lnu&l~9r of issuance Of if work is suspended 'f6r'\R 952-001-0010 thrdY.!!1!ltllllf.El\9l5Hn:a01- 180 days. ,:.., l090. Youmayobtaincop1i!ltvi~LQJif~4lgs by ,", calling the center. (Note: the telephone . " 2, ~ONTRACTOR INST~LATI0N,(j)!\lI:.l1jrtheQ}e~ll!nJ/lMV'~Il~~Ii!'Ation ,', Chnstef1!301J EleSJPc, Inc. D.B;-:j\...teris1_800_3~~2J!~'p'n,AItera~ions~r, ." '. :~ Electrical'Cantraclor:., Philins F.lf'C'tric Relocation: :', ~"':;~' v,. ":,':' .,,' ''-i 'to <:. .~;,I /:"\" . ',1",_ ,J.I--.:.:.\{~" -w"~:;,,\ '1/..: "':': ~.: ", ,.:';;~ ,-~~~ ~ . ," r, .. -": :'~'\ Address .1298' Rf'thf'l Drivf' . ";'.' """ 200 amps 01" less, ,:, - " , ": ": $'63,60. , ":'" ';", '; /. >.' 'f >"'-. 201 amps to 4QO amps.' , . ,'. ,,"$,75,00'" '. j Cif)Eug"",,.-nR ..~ 'P!,ane (S~~')'hRA';:hi2F' - 401 amps to 6PO amps' : " . , $125:00, ; ,97402""', .".;", ,""'>~601ampsto'1000amps'. ''':',$16~,QO,''', Sllpervisa..License'Nuinber -2710<:, ,.1 .:' i.:,:'QverIOOOamps/valts "$375,00 '. ~ ~\ ..-f :' f ',.jJ,_l "w .~:~.. ~ "~'l._:.' i"'~' . ,..".,.,',.,...~.:;~~eco~.mect_Oiili ..' :-"':~$'.50.00"~~1 t.;'!'..':.:; Expiration Date ..?, lO/ofim ',,;', ,0' .., '",::, ,- . " ., : '; .,..' ~ ,,'.", . -::--1 \. :::; ...<,'.. ,': . . ..' '''-''' .~,". .'. '.,,', ."'--_.OOltwl.lwfi'..~~Fq.ii'&orFeeders '. "...... "J ::: '".' "'constr~an:r"N~~ef ..' ?'h~Yl5la3H6;'N' i.g: V S'. ". ~1.ruh~o~,Aft\!H'tiono; I,{~.o:~t;'iln' .. , ".' , , ~ -,....,~;, ',,' ,.,. ".~ <;J v. lU03nN:1~1I1l0n,. ..,.','. ,.' '. ,\ ':' :';\r,." )Expiralian Date . "in ffilfmSllI,It\lH3d SI~r:a~,a~(1~31~I~J?~S ~,': ,':'..:.:i ~$50.00 ~; .?~;:'..-:,,~,; >h .. )lHO~.3HLI1:!lfhlJG.:'Il\1HS~).~1f;~0a.mP~";.. ~'$69.00" " .: ~,.' 'n t;' :'. .,., S~gn}turc,af 5."pervIsmg Eleetnel3n --"-'~.o ~ps . :' ,'....--;-"- ~1?0,00 ~ '~ . .:h:' ':.. ~ ~ ,,' ",~:, -. :6" ~"'-,?-... .or.!2E~ ~o!,~ s~e.. ~.: ,,- .: >~.', '; . , ~'-'. -";" ,- '" "l~"'.''':''.. "Btlabove '--_' ....~." ',' -,'. r ' ,,( ~~Pl"~~~':;'\:;::: ":".'7~ /\ ----- ~':' ;.: \>~:',:""i" '. :'1:! .i:"_'{~'~ ,-~::';:"-;;;;::~:r:'-,,'i:'H 1", ""\":1.~:16,~~N~,~~,,:~nl.i1ps D. Branch CI~CUlts, .' f' ".' .", ,^.;.' . ~,;~,_.i .,..:::;.::;..,' ,JQivners Ni'me~'" ..'i-:......~ Newil\.ltciation orJ:;.xtensianPe!P~nel ..~ .";,' '., .', ':~ ,',;";:/. ':." Ad~;e's~" :r:o~f\~l' i~~:~\ on/&;;:;:\ }:',;:'! c$~~::~O' , ,1 . -----:.. .' ' .... .!:.,.." :., .'...,", ".' ..,' -' ':, ;'.' ~' .' . ..., ,..CitySt"U~ '. . -.' '..' . . .'~' ." ',tt',; .... " ,l;' ,'''''. I: ,~,(.: "..':' ';"',::."', "",.'.' :\, . ~;t~ _~ ,{ ~~ f~'" ,,~'~..."~ . . , . '.<"0- , - '~.." ~f l' i' ...; ,""'., .,-, ~ ';:"~i ~ ','; " ,- "~ ", e;,'" ~v 'f:>1i- \'l) . 'il:l)c~c ~ #- ~0 ... 225 FIFTH STREET ,;~V~~\\0~ ELEC~" PEro"m APPLICATION .' fL. SPRINGFIELD, OREGON 97477.0c\'/j,\eO'. .;;;t!;:i.,} gx~~i~I~~_~?~UES:~)~~~~~~:-;: . City Job Nu.mbe",m.-, ~ :~oi - 0," . ~."i~')- , ' . .' ..'.. ~e \,,~' ,/;-,,', ,~(.'" ':..,. , .~OMPLETE FEE SCHEDULE BELOW 'l.~ 1. LOCATIONOF~~LMIO ," ,:i'."..., . 'J] c,'1 'i/O;' iJ P:>c, ~ni'i+1.:J"'.~u;:c:::. 'A.:'N~w Rcsidential'Single 0.. : ,,;' .. 0.,,\0 ".~i' . Multi-Family pc.. dwelling unit. .. : LEGAL DESCRIPTION .t:.'<'o<\ Sen'ice Included: ',.' Jill 01 0 ~ 00 (')0''00'1 Items Cost Sum '; . , cf) -.l.. $106,00 Jf2...to. ~,c0 ~ $ 19.00 $ 50.00 . ~ ' ,v..' .I., :;~.. -, ,",":".: -~'> 1 :: "'I>hone:<j{"Sc'.5~u> Each Additional Circuit or with Service Of Feeder Permit. ~;- . I j; 3,00' .),..,' ,.". '>'-. . '. ." '. ~..; :.:::_ ~..' .:/':""\. ',J~': "./ OWNER INSTALLATION'.. , ;,\' . 'l'he Installation is'1ieing made'on :'. propenY'].o~ri:wfuchis.'notintended". , ..foT'sale;.lease 'or.rent. . '.. .... '-_'~';.-.~'i"::", ..;; . '- .'., . . , :>::'~"Owncrs Si'gna~ur.e: . ,'" ,....:' ." ~;.~r, ' ,I '. Minimum Electric Permit Inspection Fee is S45,()() + Slll'chal-ges ,.. \.lA({), 4, SUBTOTAL OF ABOVE ~. 7% State Su..cha..ge \ t).D.6.... 8%-Administrative Fee , \ .~ TOTAL -lln~.~ ~~1VCB