HomeMy WebLinkAboutPermit Building 2005-4-8
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00348
ISSUED: 04/08/2005
APPLIED: 03/28/2005
EXPIRES: 10/08/2005
VALUE: $ 128,560.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6020 Orchid Ln
ASSESSOR'S PARCEL NO.: JASPER MEADWS 2 AD
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Jasper Meadows 2nd lot 106 - Single family residence same as COM2005-00146 6078
orchid Ln
Owner:
Address:
HAYDEN ENTERPRISES
2622 SW GLACIER PL #110
REDMOND OR 97756
Phone Number: 541-461-5091
I CONTRACTOR INFORMATION'
Contractor Type
General
Electrical
Mechanical
Plumbing
Contractor License Expiration Date
HAYDEN ENTERPRISES 92208 07/29/2007
THORNTON ELECTRIC INC 116329 10/01/2006
PACIFIC AIR COMFORT INC n law r~~~S you. ~ 03/25/2006
JET HEATING INfS0iENiION: ~r~~~~ n)l the33f4gon Utl\lty 05/31/2005
f<~~~~_~;~!oo~
~o - 52-001-001 0 tnro~ rules b1
In OAR~~r.stg~~tain caples of the ~l..ne Lot Size:
0090. .'W~itg~t~.c..ete: the te~~tioRSq Ft 1st Floor:
call1~Pl 0 :e:regonnd\1&\4 w.gl~ Sq Ft 2nd Floor:
numlwMRf rr6 1_&Oo--a32-2344~as Sq Ft Basement:
Ra~ ype: Electric Sq Ft Garage/Carport
Energy Path: Path 1 Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
1
R-3
U
VN
3
I DEVELOPMENT INFORMATION I
Phone
541-501-4332
541-686-4151
541-672-9510
503-363-2334
6,835
1,235
400
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
19.70
12.30
10.00
33.80
0.00
2
Yes
23.90
Subdivision Not Accepted
Street Improvements:
Storm Sewer Available:
Special Instruction:
. I[ IUfJO\.(
I PUBLI@;ii"p~6X~,lW~l~1\~ EY,J)IR, t,D \~M. \1 IS NO\
\ hI\) \ :~, UNO \\-\I~ lEg
Fully Improved AU1\-\ORIIEO OR IS ABA~~~I!{)fri1
Yes COMMENCED ER\OD. Downspouts/Drains:
AN'l '\ 80 OA'l P
Curbside 5'
Curb and Gutter
Notes: No hook-up to City Infrastructure until Public Improvements accepted by the City; Storm drainage piped to curb
face 3/30/2005 CAS
Paee 1 of 4
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-00348
ISSUED: 04/08/2005
APPLIED: 03/28/2005
EXPIRES: 10/08/2005
VALUE: $ 128,560.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation DescriDtion I
Dwellinl!s
Gara!!:e
Tvpe of Construction
V Wood Frame
Garal!e
$ Per Sq Ft
or multiplier
$96.00
$25.00
Square Footage
or Bid Amount
1,235.00
400.00
Value
Date Calculated
Description
Total Value of Project
$118,560.00
$10,000.00
$128,560.00
03/2812005
03/28/2005
~
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Same As $100.00 3/28/05 2200500000000000354
-Mechanical Issuance Fee- $10.00 4/8/05 1200500000000000433
+ 10% Administrative Fee $115.29 4/8/05 1200500000000000433
+ 7% State Surcharge $80.70 4/8/05 1200500000000000433
2 Baths One or Two Family $254.00 4/8/05 1200500000000000433
Addressing Assignment $31.00 4/8/05 1200500000000000433
Building Permit $659.90 4/8/05 1200500000000000433
Curbcut Permit $80.00 4/8/05 1200500000000000433
Dryer Vent $6.00 4/8/05 1200500000000000433
Exhaust Hoods $9.00 4/8/05 1200500000000000433
Furnace - up to 100,000 btu $12.00 4/8/05 1200500000000000433
Gas Outlets 1-4 $4.00 4/8/05 1200500000000000433
Minimum/Adjustment Mechanical $2.00 4/8/05 1200500000000000433
Plan Review Major - Planning $103.00 4/8/05 1200500000000000433
PW Disc - 2nd Permit (Street) $-30.00 4/8/05 1200500000000000433
Residence Wiring 1000 Sq Ft $106.00 4/8/05 1200500000000000433
Residence Wiring Ea Addtl 500 $38.00 4/8/05 1200500000000000433
Sanitary Sewer - Improvement $383.88 4/8/05 1200500000000000433
Sanitary Sewer - Reimbursement $504.84 4/8/05 1200500000000000433
SDC MWMC Administration $10.00 4/8/05 1200500000000000433
SDC MWMC Improvement $865.31 4/8/05 1200500000000000433
SDC MWMC Reimbursement $82.03 4/8/05 1200500000000000433
SDC Sanitary/Storm Admin $109.69 4/8/05 1200500000000000433
SDC Transpo Admin $65.23 4/8/05 1200500000000000433
SDC Transpo Improvement $772.49 4/8/05 1200500000000000433
SDC Transpo Reimbursement $175.13 4/8/05 1200500000000000433
Sidewalk Permit $80.00 4/8/05 1200500000000000433
Storm Drainage Impervious Area $704.63 4/8/05 1200500000000000433
Temp Power 200 amps or less $50.00 4/8/05 1200500000000000433
Vent Fan $12.00 4/8/05 1200500000000000433
Willamalane Single Family $1,000.00 4/8/05 1200500000000000433
Total Amount Paid $6,396.12
Pal!e 2 of 4
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00348
ISSUED: 04/08/2005
APPLIED: 03/28/2005
EXPIRES: 10/08/2005
VALUE: $ 128,560.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Initial Review
Planninl! Review
Public Works Review
03/29/2005
03/29/2005
03/29/2005
I Plan Reviews I
03/29/2005 APP
04/06/2005 APP
03/30/2005 APP
SKG
TAJ
CAS
No hook-up to City Infrastructure
until Public Improvements accepted
by the City; storm drainage piped to
curb face 3/30/2005 CAS
Same as 6078 Orchid
Structural Review
03/29/2005
04/05/2005 APP
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.
Erosion/Grading Inspection: Prior to ground disturbance and after erosion measures are installed.
Sidewalk - Curbside: After forms are erected but prior to placement of concrete.
Curbcut - Standard: After forms are erected but prior to placement of concrete.
Vfer 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 floor insulation or decking.
Floor Insulation: Prior to decking.
Shear Wall Nailing: Before covering sheathing with finish materials.
Framing Inspection: Prior to cover and after all rough in inspections have been approved.
Wall Insulation: Prior to cover.
Ceiling Insulation: Prior to cover.
Drywall: Prior to taping.
Final Building: After all required inspections have been requested and approved and the building is complete.
Perimeter Foundation Drains: After gravel and fIlter cloth is installed but prior to backfill.
Vnderfloor 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 Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
Temporary Electric: Approval required prior to Utility Company energizing pole.
Rough Electric: Prior to Cover
Electric Service: Approval required prior to utility company energizing service.
Final Electric: When all electrical work is complete.
Pal!e 3 of 4
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00348
ISSUED: 04/08/2005
APPLIED: 03/28/2005
EXPIRES: 10/08/2005
VALUE: $ 128,560.00
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 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 701.005 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.
~~
Owner or Cont~ors Signature
.yAh~
. , .
Date
Pal!e 4 of 4
~ otice to Permit Applicant
Soils stabilization required for subdivision sites
Name of Owner ~~0~. permit:~t;\-2:Aa
Addressofproject: \DD'lJ) ~r~~
~ '
Tax Map: T~Lot: lh to Subdivision ~ ~SOPJ( ~Po.r\ N .,~
- tnrJ.- ~ M . "lAU'J
The building site at the above address is located on property that has soils prone to shrink-swell or
other potential movement. Excavations, placement of fill materials and drainage for this site must
be done under the direct supervision of a properly licensed Professional Engineer or Architect to
verify the stability of the resulting building pad and the site.
The owner, or the owner's qualified agent, is responsible to obtain the services of the appropriate
professional engineer or architect (design professional). The design professional shall provide
direction for the stabilization methods to be used for the building pad (and surrounding site, when
site stabilization is also necessary). The geotechnical report, which was prepared for this
subdivision, may be utilized to provide appropriate guidance for the methods of stabilization and
required compaction for the specific site.
The engineer or architect shall prepare a report to be submitted to the City stating how the soil
stabilization is being accomplished, including requireinents not yet completed (if any). A signed
and stamped report from the engineer or architect must be received and aDD roved bv this office
before footin!! or foundation insvection avvroval will be f!ranted bv the Citv Buildin!! InsDector.
ACKNOWLEDGEMENT: The undersigned acknowledges the forgoing requirements for
soil stabilization, including excavation, fill, soil compaction and drainage, as provided in the
geotechnical report for the subdivision. The stabilization will be accomplished under the
direction of a licensed professional engineer or architect as noted above.
Signature
Name
~/?
(/
Date
~~~~
Affiliation to owner
CITY OF SflNlNGFIELD SYSTE;""S DEVELOPMEN";1~RKSHEET
JOURNAL OR JOB NUMBER:
NAME OR COMPANY:
LOCATION: I
TAX LOT NUMBER:
I ~ ,
DEVELOPMENT TYPE:
NEW DWELLIN9 UNITS
1. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. x I COST PER S.F. CHARGE
I 2273.00 ,I $0.310 = I $704.63 ,
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. x I COST PER S.F. x I DISCOUNT RATE
0.00. 'I $0.310 I 50%
ITEM 1 TOTAL' - STORM DRAINAGE SDC I $704.63
, 2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x
I 21 :
COM2005-00348
Hayden Homes
6020 Orchid Ln
Jasper Meadows 2nd Add Lot J 06
SINGLE FAMILY RESIDENCE
J . BUILDING SIZE (SF'
COST PER DFU
$24.04
B. IMPROVEMENT COST:
I NUMBER OF DFU's x
I 21 ! $18.28
I
ITEM 2 TOTAL; - CITY SANITARY SEWER SD<::
3. TRANSPORTATION
I
A. REIMBURSEMENT-COST:
ADT TRIP RATE x
9.57
NUMBER OF UNITS x I
1 I
B. IMPROVEMENT COST:
. ADT TRIP RATE I x I NUMBER OF UNITS I' x I
9.57, I J I I
ITEM 3 TOTAL~ - TRANSPORTATION SDC = I
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's x ICOST PER FEU
1 f I $82.03
B. IMPROVEMENT COST:
NUMBER OF' FEU's
1 :
x
COST PER FEU
$865.31
MWMC CREDIT: IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
, \
ITEM 4 TOTAL'- MWMC SANITARY SEWER SDC =,
SUBTOTAL (ADD ITEMS 1,2,3, & 4) = ,
5. ADMINISTRA'TIVE FEE:
ISUBTOTAL ' x I. ADM. FEE RATE
I $3,498.31 i 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
1636
r./J
P-1
Q
o
U
~
P-1
E-<
r./J
>-<
d
~,
LOT SIZE (SF):
6835
DISCOUNT
$0.00
I'
$704.63
11070
=,
I $504.84 1091
$383.88 1092
I
I
$175.13 1093
$888.72
COST PER TRIP
$18.30
x INEWTRIPFACTOR
I 1.00
COST PER TRIP
$80.72
$947.62
x INEWTRIP FACTOR'
I 1.00
$772.49
11094
I
=
$82.03
1054
= $865.31 1055
$0.00 1054
$10.00 1056
$957.34 I
$3,498.31 I
CHARGE
. $174.92
109.69 , 1079
$65,23 , 1078
TOTAL SDC CHARGES = $3,673.23 I
I
Cheryl Slaymaker
PREPARED BY
3/30/2005
DATE
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT ~ DRAThlAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
[BATHTUB 2 0 3 = 6
I DRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
LAUNDRY TUB 0 0 2 = 0
ICLOTHESW ASHER / MOP SINK 1 0 3 = 3
I CLOTHES WASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRIG / WATER STATION / ETC. 0 0 1 = 0
!RECEPTOR FOR COM. SINK / DISHWASHER / ETe 0 0 3 = 0
I SHOWER, SINGLE STALL 0 0 2 = 0
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
I SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
I SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2
SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 1 0 1 = 1
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
TOILET, PRIVATE INSTALLATION 2 0 3 = 6
MISr'FT JANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 21
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 OFD's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
J996
1997
]998
1999
2000
200]
CREDIT RATE/$l,OOO
ASSESSED VALUE
$5.29
$5.29
$5.19
$5.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.25
$1.80
$1.59
$1.45
$1.25
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.05
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter 1 for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter ] for Yes, 2 for No)
BASE YEAR
2
2
1979
CREDIT FOR LAND (IF APPLICABLE)
VALUE /1000 CREDIT RATE
$0.00 x $5.29
= ,
$0.00
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE /1000 CREDIT RATE
$0.00 x $5.29
o
TOTAL MWMC CREDIT
$0.00
=
225 Fifth Street
Spri~gfiehl,.Oregon 97477
541-726-3759 Phone
rity of Springfield Official Receipt
;velopment Services Department
Public Works Department
Job/Journal Number
COM2005-00348
COM2005-00348
COM2005-00348
COM2005-00348
COM2005-00348
COM2005-00348
COM2005-00348
COM2005-00348
COM2005-00348
COM2005-00348
COM2005-00348
COM2005-00348
COM2005-00348
COM2005-00348
COM2005-00348
COM2005-00348
COM2005-00348
COM2005-00348
COM2005-00348
COM2005-00348
COM2005-00348
COM2005-00348
COM2005-00348
COM2005-00348
COM2005-00348
CbM2005-00348
CbM2005-00348
CbM2005-00348
CbM2005-00348
COM2005-00348
Payments:
Type of Payment
CreditCard
4/8/2005
RECEIPT #:
1200500000000000433
Date: 04/08/2005
Description
Addressing Assignment
WiIlamalane Single Family
Residence Wiring 1000 Sq Ft
Residence Wiring Ea Addtl 500
Temp Power 200 amps or less
Sidewalk Permit
Curb cut Permit
PW Disc - 2nd Permit (Street)
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
Building Permit
2 Baths One or Two Family
Furnace - up to 100,000 btu
Vent Fan
Exhaust Hoods
Dryer Vent
Gas Outlets 1-4
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Plan Review Major - Planning
Paid By
HAYDEN HOMES
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
031813 In Person
Payment Total:
Page 1 of 1
7:45:06AM
Amount Due
31.00
1,000.00
106.00
38.00
50.00
80.00
80.00
(30.00)
704.63
504.84
383.88
175.13
772.49
82.03
865.31
10.00
109.69
65.23
659.90
254.00
12.00
12.00
9.00
6.00
4.00
2.00
10.00
80.70
115.29
103.00
$6,296.12
Amount Paid
$6,296.12
$6,296.12
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX~ (541)726-368~~\'\.\~
ELECTRICAL PERMIT APPLICATION '.eC\'l>"'~~C,.,}\te
City Job Number C ~ -vO -S '-f B Date ~ \ltO~", (\0\
.. .~~
3. r~JIiii~~~ij:~~~j"
(~O'}J) Ordlrll ~ I ~~~ed>> .
''''.'.i' ........ ....... .i....."f. '.' .... .~ ...... '.' ...... "'t1l'.f ." ...;...,....... ....}f .i.i,"i .... .iY'
l-~qAL lffSCRIFrION ~ 't.i.$!l.cr ,.1ut.kv> A.\N~1vJ{e~idenIial-;:;~....' ".<rle,2f'1r1~lt!..#ailiilypC~'9}VC11!ng ~nit~'i...'.'..;
"~~E!~~J~'"Q0 ~ ~ ml~"!;toZ ~:::. ~~:~::s. ."::,;:6~~.. ~.~-~::6.:0. ;::~:
() Each additional 500 sq. ft. or
S M.c, ~ 'hl,<4l' Iy 116 ik~ portion thereof 2- $ 19.00 '3B,0.:.:-
" ,
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
2.
Electrical Contractor 77!oJ'(.~J7{J." j &1:2)1(1::. 200 Amps or less
a 201 Amps to 40P:4Amgs Jires you t"
Address rr~ () :~&;r ,)VL/ <) ATTEN146lt:l\~~~iP~<r~'V1~b~egon Utility
f l\ w P Ile~ ~aoptecr9y.tlWf
01,0 ,OO'Gem%~Poroo~~~ are setforth
Phone f)"L5 'm~jI'Otlflcatl~'::ffdf..f(R)~e~ OAR 952-001-
1(1 OARy91tecOcFy b15t\1fi\YcopieS of the rules by
0090. ou m . ne
callittf? eflt~{. ~~QtJ,
number . ..' ~n;.1J
center lS 1-800--332-2344).
IiistaIratton, Alteration or Relocation
1.
City &~((
Supervisor License Number 50 /7 g
ExpirationDate I{J/I- Db
Constr. Contr. Number I / h 3~ /
Expiration Date /rl -1_- f) f
Signature of Supervising Electrician
--..
J
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50.00
B.
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps ,
Over 600
D.
$ 50.00 ~C,OD
$ 69.00
$100.00
New Alteration or Extension Per Panel
\One Circ~it _ ..' _. $. 43.00
j ... ,. _. /'" :~-': r \, ,1 ~, !
f;ach AdditiopaICirr;\.1i.t kwith'~ : t- I,.' .'. ' .'.
Ser'VIGe or Feeder Perxnit-, :, (\$, S.OO
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Residential
Limited Energy/Commercial
$ 50.00
$ 50.00
$ 25.00
$ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
\ GtLt/XJ
" ~<<X~
1J.!2h. q ~
4.
7% State Surcharge
10% Administrative Fee
TOTAL
Shared Drive(T:)/Building Fonns/Electrical Petmit Application I-03.doc