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Home My WebLink AboutPermit Building 2010-6-4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00235 ISSUED: 06/04/2010 APPLIED: 02/23/2010 EXPIRES: 12/0412010 VALUE: $ 190,000.00 Status .,"f: t r 'It, . Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ", 'I SITE ADDRESS: 752 66TH ST ASSESSOR'S PARCEL NO.: 1702341300202 SPRINGFIETYPE OF WORK: Single Family Residence PROJECT DESCRIPTION: Single family residence TYPE OF USE: New Residential Owner: Address: MIKE BLANKENSHIP CORP 8063 THURSTON RD SPRINGFIELD OR 97478 '\7i:,;;-;':';~. ~I"Q~VII ~Yf 1C''''IU1fW Juu tv follow r~I'f~If'RJlier(lJIl'fm'9HMN'1lfflN , NollficatlOI. _I .... !.\H W!. " ! .il!!.I'J. ContraJ!! OAR952-001-00.1~th.,o.u....9h OAR95I1r "Oll~o. You ml!}' A1RW/l copies of the r lYse MIKE BL~~tmIee'n~~(Nqte: the, telep (l!' G MILLE~fij'%l~~~&fi Utility Notifi . i COMFORT FL05>elflij\iliI~<332-2344). 460 DOUGS PLUMBING INC, . 110163 Contractor Type General Electrical Mechanical Plumbing BUILDING INFORMATION I # of Units: 1 # of Stories: 1 Primary Occupancy Gronp: . R-3 Height of Strnctnre 18.50 Secondary Occupancy Group: U '.,.,. Type of Heat: orced Air Electric Primary Construction Type ~Il Water Type: Electric Secondary Construction Type: NOTII,;I:: Range Type: Electric # of Bedrooms: THIS PffiMIT SHAlIl.n9lBmftIl~ THE WORK AUTHORIZED UND~rr.ut}<Pa6l1dIog\S NOT nla ~-"'--'J-Ef...1~ I' 'r"J<'''''I~~ ~'\~ A'N~'18D D,I,\DE'~dLili~Mi:Nii&iciiMATlON , Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 50.70 18.80 5.00 38.40 16.25 Street Improvements: Storm Sewer Available: Spedallnstruction: I PUBLI<.;'IlVIPROVEMENTS I .;:;j"'\; Phone Number: 541-746-0194 Expiration Date 01/09/2012 11/10/2010 06/27/2011 11/24/2011 Phone 541-912-4582 541-741-2596 541-726-0100 541-688-3385 Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: 11,326 1,408 552 REQUIRED PARKING Yes 17.47 Total: Handicapped: Compact: 2 "{!,;. Sidewalk Type: Downspouts/Drains: Storm water to curb Notes: Pa!!e I of 4 C",....}/l'j Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Descriotion Tvpe of Construction Estimate Estimate Fee Description Plan Review Residential + 12% State Surcharge + 5% Technology Fee 1st Appliance 2 Baths One or Two Family Addressing Assignment Building Permit Dryer Vent Exhaust Hoods Fire SF Fee - Residential Plan Review Major. Planning Residence Wiring 1000 Sq Ft Residence Wiring Ea Addtl 500 Sanitary Sewer. Improvement Sanitary Sewer. Reimbursement SDC MWMC Administration SDC MWMC Compliance Charge SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin SDC Tran Reimburs-Residential SDC Transportation Admin Storm Drainage Impervious Area Vent Fan Willamalane Single Family Total Amount Paid Initial Review Planning Review 02/25/2010 02/26/20 I 0 Public Works Review 02/27/2010 Structural Review 02/26/2010 , II ~': ." ; .~ ~.' ~' .:-.. I Val~:Jtio~76~s~rintion I $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 190,000.00 Total Value of Project I Plan Reviews I 02/26/20 I 0 APP LLH 02/26/2010 APP DDK "~'~'':;': .' .A, \i.i .L.. . ~ '~1"~~ ~,i.:.,.",~ 7, . 03/03/2010 APP LKW j.~~,:..) ,. . ~~,l) ,"\ '03/05/2010 WE CJC F~~. P~irll Amount Paid $698.78 . . $206;8~ . $96.75 $79.00 $337.00 $38.00 $1,075.05 $9.00 $13.00 $9800,.' ; .,..;.: . - ,''''!f'.J~ "II'~' "'j"!'~' $211.00'!,;,' 'CC.-" ,!,",,,. '']'<1' . "\<~ $134.Q9",~~.,. .J.d, , $50.00 $529.1{; $695.83 $10.00 $22.63 $1,333.57 $101.97 $143.36 $21L21 $77.42 . $891.31 $27.00 $2,858:00 . $9,947.88 Date Paid , 2/23/10 6/4/10 6/4/10 6/4/10 6/4/10 6/4/10 6/4/1 0 6/4/10 9/4/10 ,i ,6/4/10 '. , 6/4/10 6/4/10 6/4(10 6/4/10 6/4/10 6/4/10 6/4/10 6/4/10 6/4/10 6/4/10 6/4/10 6/4/10 6/4/10 6/4/1 0 6/4/10 Pa2e 2 014 CITY OF ~rKll~GFIELD Building/Combination Permit PERMIT NO: COM2010-00235 ISSUED: 06/04/2010 APPLIED: 02/23/2010 EXPIRES: 12104/2010 VALUE: $ 190,000.00 Value Date Calculated $190,000.00 $190,000.00 02/23/2010 , Receipt Number 1201000000000000164 2201000000000000633 2201000000000000633 2201000000000000633 2201000000000000633 2201000000000000633 2201000000000000633 2201000000000000633 2201000000000000633 2201000000000000633 2201000000000000633 2201000000000000633 2201000000000000633 2201000000000000633 2201000000000000633 2201000000000000633 2201000000000000633 2201000000000000633 2201000000000000633 2201000000000000633 2201000000000000633 2201000000000000633 2201000000000000633 2201000000000000633 2201000000000000633 Approved as shown on plans. Storm water to curb Lateral bracing is not prescriptive- CITY OF SPRINGFIELD Building/Combination Permit 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line t,'" r PERMIT NO: COM2010-00235 ISSUED: 06/04/2010 APPLIED: 02/23/2010 EXPIRES: 12/04/2010 VALUE: $ 190,000.00 Status Issued Structural Review 03/31/2010 03/31/2010 APP CJC As noted on plans 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, inspecti?ns;requested after 7:00 a.m. will be made the following - 't'..: :,' ';~' ..!,'-' . work day. . "'J':''- ;,,' ,;'" . , . L. ... A < ", ~n<rnrvrt~ Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed. Footing: After trenches are excavated. Ufer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing andlor foundation inspection. Foundation: After forms are erected but prior to concrete placement. Slab: To be made after all inslab building service equipment, condnit piping and other eqnipment items are in place but prior to concrete. 1:' Post and Beam: Prior to floor insulation or decking. Floor Insulation: Prior to decking. Shear Wall Nailing: Before covering sheatbing with finish materials. Framing Inspection: Prior to cover and after all rough in inspections have been approved, Wall Insulation: Prior to cover. . . ~.Jk,jlt\'''1 :f,. ,'~. ;'..1 . ~ . Ceiling Insulation: Prior to cover. Drywall: Prior to taping. ';~HX'. . :~<>- tj;:'/!"/ Final Building: After all required inspectio'j;~'Iiave been requested and approved and the building is complete. .~.~, Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. Underlloor Plumbing: Prior to insulation or decking. Underfloor Drain: Prior to cover or placement of concrete. Rough Plumbing: Prior to cover and including required testing. Water Line: Prior to filling trench and inclnding required testing, Sanitary Sewer Line: Prior to filling trench and includi~g required testing. Storm Sewer Line: Prior to filling trench. Final Plumbing: When all plumbing work is'complete. Underfloor Mechanical. Prior to insnlation or decking and including reqnired testing. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Temporary Electric: Approval required prior to Utility Company energizing pole. :\.::.!.< .".rllJ~age,3 of4 t\ it : ~ j- ~,' ~. ' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00235 ISSUED: 06/04/2010 APPLIED: 02/23/2010 EXPIRES: 12/0412010 VALUE: $ 190,000.00 ;( ~.."" "; ,q ",", , '). .!i 1, " Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541- 726-3 769 Inspection Line Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete. 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, 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 r uired inspections are requested at the proper time, that each address is readable from the street, that the permit card is 10 ted at the front of the property, and the approved set of plans will remain on the site at all times during construction. ,. -....... , " t / tftv .,~,~'~ -......- Owner or Contractors Signature Date ,~?....~ .. :;':".1 Paee 4 of 4 CITY OF SPRINGFIELD, OREGON . SPRINGFIELD . ~~ ZON INITIALS DATE SOURCE 225 FIFTH STREET . SPRINGFIELD, OR 97477 . PH:(541)726-~753 . FAX: (541)72&-3689 ELECTRICAL~ APPLICATION City Job Number t.:.\l,) - '2. ~~ 1. Gt1iEO<iiTjONJOF~ON~I~i!~~IIl.' ri<~~,",,,.._-,;,_.,,,,..,,.,,,,,,,",,,_.,",~.....~,,",,=,-,,,,,,,,,,,,,,,",,,-,=,,,,,,,,,,,,,~""'~""","",,,",","'!!i~ \ ~ 1. \.Q\.o ~ S-t" LEGAL DESCRlPTION: \ ~01..oA,,\,,::> 00'2.01..- JOB DESCRlPTION: pe~:~_transferabl~ and e ~work ~ not started within 180 days of ~suance or if work ~ Suspended for 180 days. ~C;;~oR1iNST~llAfi!c(jNrQ~if 2. lli$i."'Ii~,"i7m~",'.m:_"!,,,*,}'r.!";,~;:O"!liJ',"iWih,",""'7!,w;,,,!..:ili#iii"*'>k7'1'~\!~'Jf\"' ~ .,~ Electrical Contractor Ge" I-'tA v-ei eEl eo"J Address c31S<! ffiq ~ By- f!d City SpPl d D~Phone 7'1/-2516 Supervisor License Number ~ 56' 51 S Expiration Date 16 --1-/0 Constr. Contr. Number g? /45 Expiration Date /1-1 () - 2. oot:( Signature of Supervising Electrician . fid~' . Owners Name ~\M\~S,~LO . Address P1)~O~ ~D'S~ W City ~~\N..- Phone \. A. \0. D\o...-\ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: I~~ ~~~' \S)W o..:'P ~.~ ~ . Inspection Request: 726-3769 Date jm.".......................................-......................... "'''-'__'IIi~''' ,..... ".' 3. .eoMR.EJ:;'l :.t!ii.EEEiS(iJHEDl-JIllif.lS1illO.miJ,i'J~>~.;' ,..': " ': -,..~.....__..".-:.~.":.-.-:.,..,.,"',."..-..I<:',...,'~""""',.~"'.~.^-'"''.-,,.~..,..~._.,.~..'!,.)'Bi';.. __". .;. ""c.' ~'!!1'[;'W""'!':"'&'f;ll.-'C"~Mlilll~:~iill~~'"'LlOI1L~"'~~<I!f'.'~....~Ifi:..~--~~;,;',~~~i'41l~ A. lllllt~i.lt~1!!!'.'!~!.~~i.iJg~~N1!lIJ:RfuI<""ily~p.~!.\'Ui.!!g\!!I!itf~ Service Included . 1000 sq. fl or less Each additional 500 sq. fl or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder $;\0 \ OA,pP $~O EJ:j;D \ 2--- $57.00 B. 1~~JYi~1~~FIa'~~~~'im'ti~\~.-mtw[ti1fa~~8~f~=~; ;,;-, 'f. i""jI;~;.:.;"?m'f~i"'"~.i'";f'\"lllG::::eiiA~'''''I'';~~~''li'.,'';rm"'i&~'f'ln''''''''~''''""'-! '1l',""".:,,':t1':,,"?:"'i'~ 200 Amps or less 201 Amps to 400 Amps 401 Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsIVolts Reconnect Only $ 73.00 $ 86.00 $143.00 $186.00 $426.00 $ 57.00 "'~"''''.''''''''''';~'t'''''','''':_C''''''.!''''''.'.'''''Ii''t.l~~~~~J C. ll~1Ie.~po~~D':~~~ml;~~f.g~~~,~~~J~~~~~Wi~~~:~~~~:~,;j~l \o~ $ Srio $ 79.00 ' $114.00 Installation, Alteration or Relocation 200 Amps or less \ 201 Amps to 400 Amps 401 Amps to 600 Amps Over 600 Amps or 1000 Volts see "B" above, D. mBji',j1l~ti'!€iftiii&'ji~~~':l!lilr~..,-!i1ll'j1l'~'!'!'%D\+~-(~!!f'JRI "-.,._j'"..,~"',...~"-"",.,.......,_.,,,;,__.A'%WJ:.~~~~'"!k~~"'\~~~?i"'~~, .jiWK'!'>... :\'.. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit 1.0 ~ p:) $ 50.00 $5.00 E. ~M=~4f~~i~lll&~~t~~iinl~a)lr~E:BRtI~-m:iiiti~t~ Ih""'""'..:".~"-o-i""""""""_".._,b~~".".,~"""H~VI"'~.".,,,,&"'''''."''cJ"",.,"'""''''''''';''',.~).lllr"",....,''''...''''';"'.."'."..''''"'_''"''''..,,,,.J Pump or irrigation . Sign/Oniline Ligbting , Limited EnergylResidential Limited Energy/Commercial $ 57.00 $ 57.00 .$ 29.00 $ 52.00 Minimum Electric Permit Inspection F.., ~ $52.00 + Surcbarges 1>..-'-'-~-""""~."'~"'"""""-'~_1i"'."'--M.. ~4:"1 ,.." 4. ~SUBm'E4l'l,OE~O:vE"': .."'" 1!I,l!diJ~r!i;"' lA/ , ",N~*'\"'~"~'1i<.lI'<"""li'l)"".'.\"''''w,mw~",,~''~~;~.,,!'!','~W;,~'" ~~ 'lL .' .", ! ..~" -,;:ijl14:{~1'jjii&l~ . 9_~ld1 ~rL .:610 Y]ffi.qq 12% State Surcharge 10% Administrative Fee 5% Technology Fee TOTAL Shared Drivc(T:)lBuilding FonnsIElcc1rical Permit Application 7-{J8.doc R~ willamalane t'W Park and Recreation District Job. No. C ,\D .'L~~ .SYSTEM DEVELOPMENT CHARGE WORKSHEET January 1-June 30,2010 NAME: ~\\lL b\OJ\'{fi\S~\\> PHONE:""\"'\ \-\OC\.~ ADDRESS:P11o~ ml),(S~~ ~D N- STATE:Ol2.zIP: C\'1'\-"8 . .~, ~ \' - LOCATION OF PROPOSED BUILDING SITE: .StreetAddress:\~fL \..olo~ ~ Plat Name: Tax Lot Number: \ l() ')!hA... \ '7:> crt)J:f2... 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). Dwelling type definitions are on the back.) . A Sinole-Familv Detached NO. OF UNITS \ X $2,858 per unit = . $ 'LCOr:::fb ,cO B. Sinole-Familv Attached NO. OF UNITS x $3;100 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $2,641 per unit = $ D. . Sinole Room Occunancv NO. OF UNITS X $1,321 per unit = $ E. Accessorv Dwellino Unit NO. OF UNITS WILLAMALANE SDC X $1,550 per unit = $ $ 1-COr;;,~.cD k3 $ 2. SDC CREDIT (If applicable) SDC payer must furnish proof of Willamalane Credit approvaL) 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) ~~ .~ Deveiopment service~rtinent City of Springfield $ iP:lCj~~ (Q I A.. I ?,.Q\O( .\8< Date' /~ ,.. . . Q..~ 5 225 Fifth Strcet Springfietrl, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2010-00235 COM20IO-00235 COM20 I 0-00235 COM20 I 0-00235 COM20 I 0-00235 COM20 I 0-00235 COM20 I 0-00235 COM2010-00235 COM2010-00235 COM2010-00235 COM20 I 0-00235 COM2010-00235 COM20 I 0-00235 COM20 I 0-00235 COM2010-00235 COM20 I 0-0023 5 COM20 I 0-00235 COM20 I 0-00235 COM20 t 0-00235 COM20 I 0-00235 COM20 I 0-00235 COM20 I 0-00235 COM20 I 0-00235 COM20 I 0-00235 Payments: Type of Payment Check cReccintl a~~'!!!"o.FI~' I.' . ; ... m . . ~ -..:- City of Springfield Official Receipt Developmcnt Services Department Public Works Departmcnt RECEIPT #: 2201000000000000633 Date: 06/04/2010 Description Addressing Assignment Willamalane Single Family Fire SF Fee - Residential Plan Review Major - Planning Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Tran Reimburs-Residential SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Stann Admin SDC MWMC Compliance Charge SDC Transportation Admin Building Permit 2 Baths One or Two Family 1st Appliance Vent Fan Exhaust Hoods Dryer Vent Residence Wiring 1000 Sq Ft Residence Wiring Ea AddU 500 + 12% State Surcharge + 5% Technology Fee Paid By MIKE BLANKENSHIP 'l.' e,,~ .,,.~~ .. ~I .liH:Ot ' ;ifH! ,. Item Total: Check Number Authorization Received By Batch Number Number How Received cjc 12826 In Person Payment Total: r.:<.~.~;;. J.. :.:~...~ -..... ...-,. HJ{\iI:l .Fi!.', -..~. ;. Page I of I II :25:20AM Amount Due 38.00 2,858.00 98.00 211.00 891.3 I 695.83 529.11 21 L21 101.97 1,333.57 10.00 143.36 22.63 77.42 1,075.05 337.00 79.00 27.00 13.00 9.00 134.00 50.00 206.89 96.75 $9,249. IU Amount Paid $9,249.10 $9,249,10 6/4/2010 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2010-00235 I)ayments: Type of Payment Check cReceintl RECEIPT #: Description Plan Review Residential Paid By MIKE BLANKENSHIP CORP ai~'!al~iQ,F,'f!!,!!'.m"i Wit:. . ......A!.:..., .; ..._...~~~..-....",-'..~' . .' City of Springfield Official Receipt Development Services Department Publie Works Department 1201000000000000164 Date: 02/23/2010 Item Total: Check Number Authorization Received By Batch Number Number How Received djb In Person Payment Total: 12774 I: ' , ' Pa.ge I of I 10:46:] ]AM Amount Due 698.78 $698,78 Amount Paid $698.78 $698.78 2/23/20 I 0 'jI. .~. Structural Permit Application DEP,ARTMENTUSE ON!-Y COlA'! lOt cJ - 0 02'5 f" Permit no.: 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(54 1)726-3689 Date: 2- z.. 3-1 [) This permit is issued under OAR 918-460-0030, Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days, > {.,:),til'bC'AG' ;'(;'6VERN MENt'~:ARR'R0V AI!{7~t,~#;.: i;.~~l~?B~~i4; ''', .., ,\ ,,_ . L. _ . .,' .., ..-...._ _. _,_.....+.... ~.A.' ,j.. .x._" __...-'.,.....;, _..".,',.'<'i, .J,.",.,..,""~..,, _. ~,' This project has final land-use approval. Signature: Date: This project has DEQ approval.. Signature: Date: Zoning approval verified:' 0 Yes 0 No Property is within flood plain: DYes D No ~~~~1it<\j"~J~~~~K<;il}r.EG..Gl!y'~Q,6lirg,QN'$J8U.~itT9J~ttJ&~t{~%,~A:~~~S1i:~t\tkkS. "~ Residential 0 Government 0 Commercial $. ;i!,~1.ji;.'..'.::<:.;,J0.'..".B:,.S.I[.E. ',' [Nf6RMATi0Ni5ANDyt.6cAflo'N'i\\f~:i':j:~;;*: . .... ..= "'. . '._..r,_ ..'h"""_'~'" .,......_"..:',..."..~__".,...."..._~..~""'"',,..:_t.;..,. tV Cc.")'- SOl City: Subdivision: Reference: ZIP 974" Name: Address: City: Phone: E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, and isexempt from licensing requirements under ORS 701.010. Sign here: . CONTRACJOR..!~STAtLA'f16N; <,\, Business name: Address: City: Phone: E-mail: CCB license no.: Print name: State; Fax: ZIP: Signature: \f~~Z~~~i~1:::;~'r~~{fil$J:J'~'-G~N:1]MG:t,Q"il.NF9,t{MA;f:IQN~~t3{~'[R~02Y~%Oi~'~ Name CCB License Number Phone Number Electrical _Plumbing Mechanical ",':. ....'r.'C!..,;.:~:".FEE'S'tHEDiJLE!';';f,.. ,'.' ';~1}Y_~.i<<:~:t~or;~I~'f~r.rif~H~~'(Y~~t:tf~~~~~~~~8t~:~~vR~);~}f{~K:,{;f:;1-~,:Adt~(:t:t~'~: (a) Job description: Occupancy SIN6-iE- ~,c.. 1 l.A " ;3 "J" Construction type: Square feet: Cost p'er square foot: Other information: e(,..CL- Type of Heat: Energy Path: new 0 alteration (b) Foundation:-only permit'? Total valuation: D addition DYes .El'1" 0 _" ""/ "',.::;,..: '.:'..' .. - ,~.'.~ iJ,li"';"", ""l\i...",.;::;:'e-,.",.:..;i~j' I':, ..,-.:,....., "'k ;:2;?Bu Ildmg.. feeS:f'1~~;';tt{,:f~~jfg~,'ij:'I';;i':-:';;Il, t;,'!i;:ii;l1:'-\;'~: ,,): ... _ ,....". .._".' __ __ ._1._..,~,'.." '>,.. .(,..".'h' .....=~..ol'I''".,....."',.'''.,-< . '17. (a) Permit fee (use valuation table): (b) Investigative ree (equal to [2a]): (c) Reinspection ($ per hour): (number of hours x fee per hour) (d) Enter 12% surcharge (. IZ x [2a+Zb+Zc]): (e) Subtotal of fees ahove (2a through 2d): $ $ $ $ $ (a) Plan review (65% x permit fee [2a]): (b) Fire and life safety (40% x permit ree [2a]): (c) Subtotal of fees above (3a and 3b): $ (a) Seismic fee, 1% (.Ol'x pennit fee [2aJ): $ TOTAL fees and surcharges (2e+3c+4a)~ $ '''" 4< ,~4~ 'V y/" ~ Vj ~;' CJ ~. W' ,\:no f'