HomeMy WebLinkAboutPermit Building 2005-1-10
"
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3180 Hayden Bridge Rd
ASSESSOR'S PARCEL NO.: 1702190000700
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00015
ISSUED: 01110/2005
APPLIED: 01105/2005
EXPIRES: 07/10/2005
VALUE: $ 330,873.20
Springfield TYPE OF WORK: Single Family Residence
PROJECT DESCRIPTION: Foundation only-
and Single Family Residence
Owner: AL & TAWNY A PRATT
Address: 1021 OLD ORCHARD LANE SPRINGFIELD OR 97477
Contractor Type
Contractor
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
42.00
30.00
26.00
62.00
79.00
TYPE OF USE:
Addition
Residential
Phone Number: 541-988-9889
I CONTRACTOR INFORMATION I
I BUILDING INFORMATION I
License
Expiration Date Phone
# of Stories: 2
Height of Structure 34.50
Type of Heat: Forced Air Gas
Water Type: Gas
Range Type: Gas
Energy Path: Path 1
Sprinkled Building: n/a
1
R-3
U-l
VN
4
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
480
19,002
1,500
1,969
I DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS.
AC Mat
No
I Valuation Description I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Pa2e 1 of5
Floodplain
3
Yes
10.00
REQUIRED PARKING
Total: 2
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains: Drywell - Provide
Drywell Engineering
Value
Date Calculated
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
DwelliDl!S V Wood Frame
Foundation Onlv Use Bid Amount
Garal!e Garal!e
$92.40
$1.00
$24.30
Total Value of Project
~
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00015
ISSUED: 01110/2005
APPLIED: 01105/2005
EXPIRES: 07/10/2005
VALUE: $ 330,873.20
3,433.00
2,000.00
480.00
$317,209.20
$2,000.00
$11,664.00
$330,873.20
01/06/2005
01/06/2005
01/06/2005
Fee Description Amount Paid Date Paid Receipt Number
Plan Review Residential $851.44 11/29/04 1200400000000001659
+ 10% Administrative Fee $4.50 12/30/04 2200400000000001561
+ 7% State Surcharge $3.15 12/30/04 2200400000000001561
Foundation Permit $45.00 12/30/04 2200400000000001561
-Mechanical Issuance Fee- $10.00 1/10/05 1200500000000000040
+ 10% Administrative Fee $197.39 1/10/05 1200500000000000040
+ 7% State Surcharge $138.17 1/10/05 1200500000000000040
3 Baths One & Two Family $306.00 1/10/05 1200500000000000040
Addressing Assignment $31.00 1/10/05 1200500000000000040
Appliance Vent $6.00 1/10/05 1200500000000000040
Building Permit $1,309.90 1/10/05 1200500000000000040
Dryer Vent $6.00 1/10/05 1200500000000000040
Exhaust Hoods $9.00 1/10/05 1200500000000000040
Furnace - up to 100,000 btu $12.00 1/10/05 1200500000000000040
Gas Fireplace $15.00 1/10/05 ' 1200500000000000040
Gas Outlets 1-4 $4.00 1/10/05 1200500000000000040
Heat Pump $12.00 1/10/05 1200500000000000040
Plan Review Major - Planning $103.00 1/10/05 1200500000000000040
Plan Review/Residential Hourly $90.00 1/10/05 1200500000000000040
Residence Wiring 1000 Sq Ft $106.00 1/10/05 1200500000000000040
Residence Wiring Ea Addtl 500 $114.00 1/10/05 1200500000000000040
SDC Sanitary/Storm Admin $32.11 1/10/05 1200500000000000040
SDC Transpo Admin $47.38 1/10/05 1200500000000000040
SDC Transpo Improvement $772.49 1/10/05 1200500000000000040
SDC Transpo Reimbursement $175.13 1/10/05 1200500000000000040
Storm Drainage Impervious Area $642.24 1/10/05 1200500000000000040
Temp Power 200 amps or less $50.00 1/10/05 1200500000000000040
Vent Fan $24.00 1/10/05 1200500000000000040
Willamalane Single Family $1,000.00 1/10/05 1200500000000000040
Total Amount Paid $6,116.90
I Plan Reviews I
Pal!e 2 of 5
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00015
ISSUED: 0111012005
APPLIED: 01105/2005
EXPIRES: 07/10/2005
VALUE: $ 330,873.20
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Plan nine Review 01/06/2005 01/06/2005 APP EMM Conditions of Floodplain
Development need to be met before
issuance (septic permit, engineered
fill, etc.) Remainder of planning
review done. FEMA Elevation
Certificate is an Occupancy
condition. Septic Permit approved.
LDAP has condition for engineered
fill. 12/15/2004 emm (forgoing
comments transferred from original
permit # COM2004-01456 dim)
Public Works Review 01/06/2005 01/05/2005 APP CAS See previous permit #
com2004-01456 for more info
1/512005 CAS
Structural Review 01/06/2005 01/0612005 WE DLM No engineering submitted. Lateral
wall design requires engineering.
Called designer, who said that the
engineering was given to the
applicnat with the drawings. Called
applicant & requested the
engineering documents.I2/21/2004
dim (forgoing comments transferred
from original permit#
COM2004-01456) Received
engineering from applicant 12/22/04.
Found descrepancies between the
engineering and the const. drawings.
Contacted designer & engineer
12/29/04 dim.
Structural Review 01/06/2005 01/06/2005 APP DLM FOUNDATION ONLY - 12/30/2004
Resolved foundation descrepancies
w/ engineer by phone 12/29/2004
dim. Remainder of building not
approved for construction as yet.
EngineerstiIl needs to provide
additional documentation regarding
descrepancies between submitted
engineering and construction
documents for remainder of
structure. 1/6/2005 dim
Structural Review 01/06/2005 01/10/2004 APP DLM Received revised engineering
information 1/7/04 dim Added notes
from original engineering that was
absent on const.dwgs. dim
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.
Paee 3 of 5
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2005-00015
ISSUED: 01110/2005
APPLIED: 0110512005
EXPIRES: 07110/2005
VALUE: $ 330,873.20
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
L..JleouiredJnsnections'
Erosion/Grading Inspection: After all erosion measures are in place.
Vfer Electrical Ground: Install ground rod at footing and call for inspection in conjunction with footing and/or
foundation inspection.
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.
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.
Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City
Building Inspector.
Final Building: After all required inspections have been requested and approved and the building is complete.
Vnderfloor Plumbing: Prior to insulation or decking.
Vnderfloor Drain: Prior to cover or placement of concrete.
Rough Plumbing: Prior to cover and including required testing.
Shower Pan. Prior to covering and including required testing.
Water Line: Prior to filling trench and including required testing.
Line to Septic Tank: Prior to filling trench and required testing.
Storm Sewer Line: Prior to filling trench.
Drywell: Engineered Drywell is Required. Provide the City with a copy of the DEQ application to keep on file.
Final Plumbing: When all plumbing work is complete.
Vnderfloor Mechanical. Prior to insulation or decking and including required testing.
Vnderfloor Gas: After line is installed and required testing and capped if not attached to an appliance.
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.
Pa2e 4 of5
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2005-00015
ISSUED: 01/10/2005
APPLIED: 01/05/2005
EXPIRES: 07/10/2005
VALUE: $ 330,873.20
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
, I
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 ofany structure without permission ofthe 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 durin:1struction.
, ~''LAL(m/HL.... ~ l-jO-cr5
Owner or C;ntractor~ignature Date
Paee 5 of 5
= $0.00 JOSS
$0.00 1054
$0.00 1056
=1 $0.00
= I $1,589.86
CHARGE
$79.49
I 32.11 1079
I' $47.38 1078
TOTAL SDC CHARGES =1 $1,669.35
CITY OF S"'~NGFIELD SYSTEMS DEVELOPMEt'J1"'ORKSHEET
JOURNAL OR JOB NUMBER: eeM-260'~ ~#1';2.t::'t'J 5' - ~ If!:) / S
NAME OR COMPANY: Tawnya Pratt
LOCATION: 3180 Hayden Bridge Rd
TAX LOT NUMBER: 1702190000700
DEVELOPMENT TYPE:
NEW DWELLING UNITS BUILDING SIZE (SF: '3433 LOT SIZE (SF):
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
IMPERVIOUS S.F. x COST PER S.F. CHARGE
760.00 $0.310 = I $235.60
RUNOFF ROUTED TO DRY WELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
IMPERVIOUS S.F. I x COST PER S.F. x I DISCOUNT RATE I I" 'DISCOUNT
2623.50 $0.310 I 50% = I $406.64
ITEM 1 TOTAL - STORM DRAINAGE SDe I $642.24
2. SANITARY SEWER - CITY "
A. REIMBURSEMENT COST:
I NUMBER OF DFU's x
I 0
COST PER DFU
$24.04
B. IMPROVEMENT COST:
I NUMBER OF DFU's
I 0
,
x
$18.28
ITEM 2 TOTAL - eITY SANITARY SEWER SDe
=1
$0.00
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADT TRlP RATE x
I 9.57
NUMBER OF UNITS x I COST PER TRIP
I . I $18.30
x INEW TRIP FACTORI
I 1.00 I
'B. IMPROVEMENT COST:
ADT TRlP RATE x NUMBER OF UNITS x I COST PER TRlP
9.57 I I $80.72
ITEM 3 TOTAL - TRANSPORTATION SDe = I $947.62
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
INUMBER OF FEU's x '
, 0
x I NEW TRIP FACTOR
I 1.00
ICOST PER FEU
I $82.03
B. IMPROVEMENT COST:
NUMBER OF FEU's
o
x ICOST PER FEU
I $865.31
'-
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
. MWMC ADMINISTRATIVE FEE
ITEM 4 TOTAL - MWMe SANITARY SEWER SDe
SUBTOTAL (ADD ITEMS 1, 2, 3, & 4)
5. ADMINISTRATIVE FEE:
I SUBTOTAL x ADM. FEE RATE
'I $1,589.86 5%
TOTAL SANITARY ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
Cheryl Slaymaker
11/30/2004
PREPARED BY
DATE
19002
$642.24 '.
= I
$0.00
= I
$0.00
$175.13
$772.49
=
$0.00
r./)
i:I.l
Cl
o
U
0:::
i:I.l
t-<
r./)
.......
o
~
1070
1091
1092
1093
1094
1054
-(~ .... ......... '~";':'.. ~... .....c=~ ~t".~':''''',-,~.~h.. .. ..
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
UNIT FIXTURE
FIXTURE TYPE NEW OLD EQUIVALENT UNITS
IBATIITUB 3 0 3 = 9
IDRINKING FOUNTAIN 0 0 1 = 0
I FLOOR DRAIN 0 0 3 = 0
IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETe. 0 0 3 = 0
IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0
ILAUNDRY TUB 1 0 2 = 2
ICLOTHESWASHER/MOP SINK 2 0 3 = 6
I CLOTHES WASHER - 3 OR MORE (EA) 0 0 6 = 0
IMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 = 0
IRECEPTOR FOR REFRlG / WATER STATION / ETC. 0 0 1 = 0
I RECEPTOR FOR COM. SINK / DISHWASHER / ETe. 0 0 3 = 0
ISHOWER, SINGLE STALL 1 0 2 = 2
I SHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 1 0 3 = 3
SINK: COMMERCIAL BAR 0 0 2 = 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 = 0
SINK: SINGLE LA V ATORY/RESIDENTIAL BAR 5 0 1 = 5
URINAL, STALL / WALL 0 0 5 = 0
TOILET, PUBLIC INSTALLATION 0 0 6 = 0
ITOILET, PRlV ATE INSTALLATION 4 0 3 = 12
MIsrFT .T ANEOUS DFU TYPE NUMBER OF EDU'S
20 = 0
TOTAL DRAINAGE FIXTURE UNITS 39 I,
*EDU (Equivalent Dwelling Unit) is a discharge equivalent to a single family dwelling unit (20 DFU's) set at 167 gallons per day
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
YEAR
ANNEXED
BEFORE 1979
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
CREDIT RATE/$I,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 1 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
=
$0.00
TOTAL MWMC CREDIT
Lane I~l
County pef\
1.,. "
~--::::~"
Ai~~~,lir Sv<'S'S~
Pul>liG 'Works '
APPL!CAJ\rT'S Copy
(~'dn.,;
~ounty.
SEPTIC INSTALLATION PERMIT
SP047448
Parcels: 17-02-19-00-00700
AT N HAYDEN BRIDGE RD & 32ND ST
Site:
Applicant:
PRATT AL & TAWNYA
1021 OLD ORCHARD LN
SPRINGFIELD OR
97477
;~
Owner:
ALBERTS DEVELOPMENT LLC
PO BOX 10545 '
EUGENE OR
97440
Site Inspection Number: 04-9021
'Vork Description: INSTALL SEPTIC SYSTEM
System Type: INSTALL, STD
Issued Date: 11/2412004
Expiration Date: 11/24/2005
INSTALLATION REOUIREMENTS:
Projected Daily Flow: 450 gallons
Drainfield Size: 225 feet
Special Conditions: Recommend l500-gallon tank to
facilitate future use ofrepair area.
18-24 inch trench depth only allowed
if equal distribution. 24-30 inch
depth if serial.
, Fill pad should be graded to direct
surface water away from drainfield.
See OAR 340-71-220(11) for drop req.
Septic TankSize: 1000 gallons
Trench Depth: 18-30 in.
OTHER REQUIREMENTS:
1. Installation of an effluent pump requires and Electrical Permit.
2. Install disposal trenches on contour. The trench bottom shall be level within, a tolerance of plus or minus one (1)
inch over the entire trench length.
3. Minimum of eight (8) inch fall from top of septic tank outlet to top of first header pipe leaving D-box,
4. New systems must meet setback requirements in Table 1.
T\
11/24/2004
Date
Authorized DEQ Agent
LANE COUNTY ON-SlTE-SEWAGE OFFICE
125 E 8TH Avenue, Eugene OR 97401. PH: (541) 682-3754. Fax: (541) 682-3947
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
~i'i
~ity of Springfield Official Receipt
.Jevelopment Services Department
Public Works Department
RECEIPT #: 1200500000000000040 Date: 01110/2005 2:22:31PM
Job/Journal Number Description Amount Due
COM2005-000 15 Plan Review Major - Planning 103.00
COM2005-000 15 Building Permit 1,309.90
COM2005-000 15 Addressing Assignment 31.00
COM2005-000 15 Willamalane Single Family 1,000.00
c'OM2005-00015 3 Baths One & Two Family 306.00
COM2005-00015 Furnace - up to 100,000 btu 12.00
COM2005-00015 Vent Fan 24.00
COM2005-00015 Appliance Vent 6.00
COM2005-00015 Exhaust Hoods 9.00
COM2005-000 15 Dryer Vent 6.00
COM2005-000 15 Gas Outlets 1-4 4.00
COM2005-000 15 Heat Pump 12,00
COM2005-000 15 -Mechanical Issuance Fee- 10.00
COM2005-000 15 Residence Wiring 1000 Sq Ft 106.00
COM2005-000 15 Residence Wiring Ea Addtl 500 114.00
COM2005-000 15 Temp Power 200 amps or less 50.00
COM2005-00015 Storm Drainage Impervious Area 642.24
COM2005-000 15 SDC Transpo Reimbursement 175.13
COM2005-00015 SDC Transpo Improvement 772.49
COM2005-000 15 SDC Sanitary/Storm Admin 32.11
COM2005-00015 SDC Transpo Admin 47.38
COM2005-00015 Gas Fireplace 15.00
COM2005-000 15 + 7% State Surcharge 138.17
COM2005-000 15 + 10% Administrative Fee 197.39
COM2005-000 15 Plan Review/Residential Hourly 90.00
Item Total: $5,212.81
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
Check TAWNYAPRATT dim 5289 In Person $5,212.81
Payment Total: $5,212.81
1/10/2005
Page 1 of 1
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . F~ (541)7fe.Jasd;>.o",
, ~Il &; 13:'
ELECTRICALtfA'RM~~JCATION ~v0 @~~". &<l''''&.'<!l
. 0 ~ 0/ IS' "
City Job Number ", ~ Date .. "<'.." oS'. "" '..~6.,,~ .
J.~,,3. .:"?
~iifi"''''''
LE\'1D~1cr~0' 0 aD l.DO A'service Included "'i".a',,'c!L~
JOB.?ESCRIP~ON. ~~ '2fll~' ,IOOOSq.ft.orless ~~I
~ A. ~nMl\ Each additional 500 sq. ft. or "
""CL l.' \ _ t) + , ~...l.." portion thereof lQ $ 19.00
Permits e non-transferable a d expire if work is Each Manufact'd Home or
not started within 180 days of Issuance or if work is Modular Dwelling Service or
Suspended for 180 days. 'Feeder
[~eoN?1iAcr()R~1iVSTAl,r;~TION.oJLy1~
2. ~tJ;:."d'>:;;:Z~/q:\:\~i~~'~./~;>:<j;i~i~'~Jf(&}A;~~~l~i,;iAAi&:''tJM:z;i~AmJ1i::2t;.;:c..(,:~
Electrical Contractor A{ 't,,~ fir .f-l\I €
Address Lq-r 0 lI}\/ht.~ G-w ~
Phone 5"4 (--5?I.~ (j-Q
City ,hJC,Q.-vt=
Supervisor License Number t.J 77 )... ~
Expiration Date /0- 0 I - 0 7
CtfS ILt6?QS-
Constr. Contr. Number ft :Zo -4 b~(
Cc...(3. ,.:.., ~- oS'
~ .- 7-0l-0b
Expiration Date
Signature of Supervising Electrician
]4~~~
Owners Nam~ ~t.-t-' ~1J t:f-afu
Address \I)rL.\ (~\jirtrw~ E.
C;ty~ Phone fN$(j"Wl
OWNER INSTALLATION
The installation is being made on property I own which
is not intended for sale, lease or rent.
Owners Signature:
Inspection Request: 726-3769
.\Qlo~
\.\4 .w
$50.00
B.
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 AmpsN olts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
c. ~~T~1ri'~~rif~"';
~=,.. .~P".""H'
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.
$ 50.00
$ 69.00
$100.00
w ~(YJ
\
New Alteration or Extension Per Panel
One Circuit
Each Additional Circuit or with
Service or Feeder Permit
$ 43.00
$ 3.00
Pump or irrigation $ 50.00
Sign/Outline Lighting $ 50.00
Limited Energy/Residential $ 25.00
Limited Energy/Commercial $ 45.00
Minimum Electric Permit Inspection Fee is $45.00 + Surcharges
4.
7% State Surcharge
10% Administrative Fee
I)... ~O . cj)
_t 5 ~O
'L' I "cO
(3\ <5y\D
TOTAL
Shared Drive(T:)JBuilding FormslElectrical Pennit Application I-03.doc