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Home My WebLink AboutPermit Building 2003-11-12 (2) . -WirS~,,~:,~f;'Iit!:~ " -"--. .,-....-..-..- - Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3391 Falcon Dr ASSESSOR'S PARCEL NO.: 1702193406400 PROJECT DESCRIPTION: SFR .- Ul l' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01061 ISSUED: 11/12/2003 APPLIED: 10/17/2003 EXPIRES: 05/12/2004 . VALUE: $ 194,004.60 Springfield TYPE OF WORK: Single Family Residence TYPE OF VSE: New Residential ATTENTION:Oregon law reqUires you to ._,,_... ...I~~ on""torl hv the Oreaon Utilitv . I~-tification Center. Piioneljl(ulh'b~r~rE'54P-'71for7881 \ OAR 952~OQ1-001 0 through OAR 952-00 ^^^^ \1_., --....:. ",ht!:lin ~nniA~ of the rules' Owner: RIVER VALLEY BUILDERS INC Address: PO BOX 2041 CORVALLIS OR 97339 Contractor Type General Eleetrical Mechanical Plumbing - - - -;" ,- - .~ ~ ~enter. (Note: the telephone I CONTRACTOR INF~.~~~IO~ 'Ie Oregon Utility Notification . r'ontm i~1-AnO-~32-2344). Ltcense 'J!,xptratlon Date Phone 134566 04/15/2005 541-367-1618 54468 09/15/2007 541-967-7045 154166 01/3012005 541-928-2423 4687 07/25/2004 541-928-7927 Contractor RIVER VALLEY BUILDERS INC G & E ELECTRIC INC MIDWAY MECHANICAL INC MIDWAY PLUMBING INC # of Buildings: Primary Oceupaney Group: Secondary Occupancy Group: Primary Construetion Type Secondary Construction Type: # of Bedrooms: SETBACKS Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: 19.00 10.00 6.00 31.60 0,00 Street Improvements: Storm Sewer Available: Special Instruction: BUILDING INFORMATION I I R-3 V-I VN # of Stories: 2 Lot Size: Height ofStructu-rC'ICE' 28.00 Sq Ft 1st Floor: 'IlVI . Type of Heat: THIS'j9~ce~Ah;,~~s L ~~'/,Ft 2nd Floor: Water Type: HI II 'm'SL csqlftlill&e"WOtWORK Range Type: AUTHORIZED ~ER TS~$'~flMj;PlP.;'1llen Energy Path: COMMENCE(plitR lS A~lirfl9g~'w FOR ANY 180 DAY PERIOD, Impervious Surface Area: I DEVELOPMENT INFORMATION' 420 1,071 960 3 REQUIRED PARKING Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: 2 Total: Handicapped: Compact: 2 Yes 26.30 I PUBLIC IMPROVEMENTS' Sidewalk Type: Fullv Improved Curbside 5' Yes DownspoutslDrains: To Storm Sewer Storm sewer to private 12-ineh line in the rear of property, see attaehed as-built for tap location. Notes: Pal1e I of4 -ri~:.. .; - ,_ - __ __:I _ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line DescriDtion TVDe of Construetion V Wood Frame Garaee Dwellines Garaee Fee DeseriDtion + 10% Administrative Fee + 7% State Sureharge Plan Review Residential Temp Power 200 amps or less -Meehanical Issuance Fe.,... + 10% Administrative Fee + 7% State Sureharge 3 Baths One & Two Family Annexed 1997 Building Permit Curbcut Permit Dryer Vent Exhaust Hoods Furnace - up to 100,000 btu Gas Fireplace. Gas Outlets 1-4 Heat Pump Plan Review - Planning PW Mult Disc - 2nd Permit Sanitary Sewer - Improvement Sanitary Sewer - Reimbursement SDC MWMC Administration SDC MWMC Improvement SDC MWMC Reimbursement SDC Sanitary/Storm Admin . SDC Transpo Admin SDC Transpo Improvement SDC Transpo Reimbursement Sidewalk Permit Storm Drainage Impervious Area Vent Fan Willamalane Single Family Total Amount Paid . . CITY OF SPR11"\jljt<!J!,LD Building/Combination Permit PERMIT NO: COM2003-0I06I ISSUED: 11/12/2003 APPLIED: 10/17/2003 EXPIRES: 05/12/2004 VALUE: $ 194,004.60 I Valuation Descrintion I $ Per Sq Ft or multiplier $90.60 $23.80 Square Footage or Bid Amount 2,031.00 420.00 Value Date Caleulated $184,008.60 $9,996.00 $194,004.60 10117/2003 10/17/2003 Total Value of Project Fpp~, P"li'U Amount Paid $5.00 $3.50 $568.36 $50.00 $10.00 $126.24 $88.37 $306.00 $-19.30 $874.40 $75.00 $6.00 $9.00 $12.00 $15.00 $4.00 $12.00 $59.00 $-30.00 $464.67 $611.28 $10.00 $214.23 $314.63 $103.65 $53.45 $727.42 $164.89 $75.00 $654.24 $24.00 $1,000.00 $6,592.03 Date Paid Receipt Number 10117/03 10/17/03 10/17/03 10/17/03 11/12/03 11/12/03 11/12/03 11/12/03 11/12/03 11/12/03 11/12/03 11/12/03 11/12/03 11/12/03 11/12/03 11/12/03 11/12/03 11/12/03 11/12/03 11/12/03 11/12/03 11/12/03 11/12103 11/12/03 11/12/03 11/12/03 11/12103 11/12/03 11/12/03 11/12/03 11/12/03 11/12/03 1200200000000002336 1200200000000002336 1200200000000002336 1200200000000002336 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 2200200000000001752 Paee 2 of 4 . . . CITY OF ~rKll'luJ<lJ<.,LU . Building/Combination Permit Status Issued PERMIT NO: COM2003-01061 ISSUED: 11/12/2003 APPLIED: 10/17/2003 EXPIRES: 05/12/2004 VALUE: $ 194,004.60 225 Fifth Street. Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Plan Reviews I Initial Review 10/17/2003 10/20/2003 APP LLH Plannine Review 10/20/2003 10/30/2003 APP TAJ Public Works Review 10/20/2003 10/22/2003 APP VRJ Storm drainage to private 12-inch line in the rear of property, see attached as-built for tap location. Struetural Review 10/20/2003 11/05/2003 APP RJB No plan review comments. 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. , ~'r["~ I Curbcut - Standard: After forms are erected but prior to placement of concrete. 2 Sidewalk - Curbside: After forms are erected but prior to placement of concrete. 3 Erosion/Grading Inspection: After all erosion measures are in place. 4 Ufer Eleetrical Ground: Install ground rod at footing and eall for inspection in conjunction with footing and/or foundation inspection. 5 . Footing: After trenehes are excavated. 6 Foundation: After forms are erected but prior to concrete plaeement. 7 Post and Beam: Prior to floor insulation or decking. 8 Floor Insulation: Prior to decking. 9 Shear Wall Nailing: Before covering sheathing with finish materials. 10 Framing Inspeetion: Prior to cover and after all rough in inspections have been approved. 11 Wall Insulation: Prior to cover. 12 Ceiling Insulation: Prior to eover. 13 Drywall: Prior to taping. 14 Hold Downs Installed: Special Inspection performed prior to placement of concrete. Provide report to City Building Inspector. 15 Final Building: After all required inspections have been requested and approved and the building is complete. 16 Perimeter Foundation Drains: After gravel and filter cloth is installed but prior to backfill. 17 . Underl100r Plumbing: Prior to insulation or decking. 18 Rough Plumbing: Prior to eover and including required testing. 19 Water Line: Prior to filling trench and including required testing, 20 Sanitary Sewer Line: Prior to filling trench and including required testing. 21 Storm Sewer Line: Prior to filling trench. 22 Final Plumbing: When all plumbing work is complete. 23 Underl100r Mechanical. Prior to insulation or decking and including required testing. 24 Underl100r Gas: After line is installed and required testing and capped if not attached to an appliance. 25 Rough Gas: After line is installed and required testing and capped if not attached to an applianee. 26 Gas Serviee: After line is installed and line has been eonnected to a minimum of one applianee including required testing. Presure test done at this point. 27 Rough Mechanical: Prior to Cover 28 Final Gas: When all gas work is complete. 29 Final Meehanical: When all meehanical work is complete. 30 Temporary Electric: Approval required prior to Utility Company energizing pole. 31 Rough Electric: Prior to Cover Paee 3 of 4 . . . CITY 01' ~rKll~u1'lELU Building/Combination Permit PERMIT NO: COM2003-01061 ISSUED: 11/12/2003 APPLIED: 10/1712003 EXPIRES: 05/12/2004 VALUE: $ 194,004.60 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line 32 Electric Service: Approval required prior to utility eompany energizing service. 33 Final Electrie: When all eleetrical 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 correet, and I further certify that any and all work performed shall he done in accordanee with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work deseribed herein, and that NO OCCUPANCY will be made ofany strueture without permission of the Community Services Division, Building Safety. I further certify that only contraetors and employees who are in compliance with ORS 701.005 will be used on this projeet. 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 p mit eard is locate t e front of the property, and the approved set of plans will remain on the site at all times duri stru:ionj ) iL~ / / ~ /:2 -CJ :3 .; '-/ ))>tl'ilc~. I' Owner or Cv rs Signature Date Page 4 of 4 ! 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-0 1061 COM2003-0 106 I COM2003-0 1 061 COM2003-0 1 061 COM2003-01061 COM2003-0 I 061 COM2003-0 1061 COM2003-0 I 061 COM2003-0 1 061 COM2003-0 I 061 COM2003-0 1061 COM2003-0 1 061 COM2003-0 1 061 COM2003-0 1061 COM2003-01061 COM2003-0 I 061 COM2003-0 1 061 COM2003-0 1 061 COM2003-0 1 061 COM2003-0 I 061 COM2003-0 I 061 COM2003-0 1 061 COM2003-01061 COM2003-0 1 061 COM2003-0 1 061 COM2003-0 1061 COM2003-01061 COM2003-0 1 061 Payments: Type or Payment Check (' ~.~."..,..Q.~.'-.'""".""'.'.....l. -~! ., Receipt #: 2200200000000001752 Paid By Received By RIVER V ALLEY BUILDERS INC ddk l:heck Number Batch Number Authorization Number Description Sidewalk Pennit PW Mull Dise - 2nd Pennit Storm Drainage Impervious Area Sanitary Sewer - Reimbursement Sanitary Sewer - Improvement SDC Transpo Reimbursement SOC Transpo Improvement SDC MWMC Reimbursement SDC MWMC Improvement SDC MWMC Administration SDC Sanitary/Storm Admin SDC Transpo Admin Annexed 1997 Curbcut Permit Plan Review - Planning Building Pennit Willamalane Single Family 3 Baths One & Two Family Furnace - up to 100,000 blu Vent Fan Exhaust Hoods Dryer Vent Gas Outlets 1-4 Gas Fireplace Heat Pump -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee City of Springfield Official Receipt, Development ServiCes Department . . Public Works Department . Date: 11/12/2003 IO:16:43AM Amount Paid 75,00 (30,00) 654.24 611.28 464.67 164.89 727.42 314.63 214.23 10.00 103.65 53.45 (19.30) 75.00 59.00 874.40 1,000.00 306.00 12.00 24.00 9.00 6.00 4.00 15.00 12.00 10.00 88.37 126.24 $5,965. I 7 . . Item Total: How Received In Person Payment Total: Amount Paid $5,965.17 $5,965.17 CITY OF StNGFIELD SYSTEMS DEVELOPMENloRKSHEET . JOURNAL OR JOB NUMBER: Com2003-01061 NAME OR COMPANY: River Valley Builders LOCATION: 3391 Falcon Drive TAX LOT NUMBER: 17021934 tI 6400 DEVELOPMENT TYPE: SINGLE I' AMIL Y RESIDENCE NEW DWELLING UNITS 1 BUILDING SIZE (SF' 2031 LOT SIZE (SF): 1. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM I IMPERVIOUS S.F. x I COST PER S.F. CHARGE I I 2256.00 I $0.290 I = I $654.24 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. I x I DISCOUNT RATE '1 I DISCOUNT I 0.00 I $0.290 I I 50% ~ I $0.00 ITEM I TOTAL - STORM DRAINAGE SDC 5654.24 ~ 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's I x I COST PER DFU I 27 I $22.64 B. IMPROVEMENT COST: I NUMBER OF DFU's I x COST PER DFU I 27 $17.21 ITEM 2 TOTAL - CITY SANITARY SEWER SDC = , 51,075.95 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I I 9.57 I I I B. IMPROVEMENT COST: I ADT TRIP RATE I x I NUMBER OF UNITS I I 9.57 I I I ITEM 3 TOTAL - TRANSPORTATION SDC x I COST PER TRIP x INEWTRIPFACTORI I $17.23 I 1.00 x I COST PER TRIP x INEW TRIP FACTOR I I $76.01 I 1.00 = , 5892.3 I 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: INUMBER OF FEU's I x ICOST PER FEU 1 I $314.63 B. IMPROVEMENT COST: INUMBER OF FEU's I x ICOST PER FEU I I I I $214.23 MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SD< = I SUBTOTAL (ADD ITEMS 1,2,3, & 4) = I 5. ADMINISTRATIVE FEE' ISUBTOTAL I x ADM. FEE RATE I~ I $3.142.06 I 5% I TOTAL SANITARY ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: 5519.56 $3,142.06 5684 5654.24 5611.28 5464.67 5164.89 $727.42 = 5314.63 C/J W CI o u ~ ~ C/J G ~ 1070 l I 11092 I 1091 1093 I 11094 I II I 1054 1055 1054 1056 = 5214.23 ($19.30) $10.00 CHARGE $157.10 . Virginia Jurasevich PREPARED BY 10/22/2003 TOTAL SDC CHARGES DATE I 103.65 11079 $53.45 --.J 1078 , =, $3,299.16 . . DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FIXTURES x UNIT EQUlV ALENT - DRAINAGE FIXTURE UNITS l (NOTE, FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES) NO. OF FIXTURES DRAINAGE I UNIT FIXTURE FIXTURE TYPE NEW OLD EOUIV ALENT UNITS BATHTUB 2 0 3 = 6 I IDRINKING FOUNTAIN 0 0 1 = 0 I IFLOOR DRAIN 0 0 3 = 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC. 0 0 3 = 0 I IINTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 0 6 = 0 I I LAUNDRY TUB 0 0 2 = 0 I ICLOTHESW ASHER / MOP SINK 1 0 3 = 3 I ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 = 0 I IMOBILE HOME PARK TRAP (I PER TRAILER) 0 0 12 = 0 IRECEPTOR FOR REF RIG / WATER STATION / ETC. 0 0 1 = 0 IRECEPTOR FOR COM, SINK / DISHWASHER / ETC. 0 0 3 = 0 ISHOWER. SINGLE STALL 1 0 2 = 2 ISHOWER, GANG (NUMBER OF HEADS) 0 0 2 = 0 ISINK: COMMERCiAURESIDENT1AL KITCHEN 1 0 3 = 3 ISINK: COMMERCIAL BAR 0 0 2 = 0 ISINK: WASH BASIN/DOUBLE LAVATORY 1 0 2 = 2 ISINK: SINGLE LA V ATORY/RESIDENTIAL BAR 2 0 1 = 2 IURINAL, STALL / WALL 0 0 5 = 0 I ITOILET, PUBLIC INSTALLATION 0 0 6 = 0 I ITOILET, PRIVATE INST ALLA TION 3 0 3 = 9 I MISCELLANEOUS DFU TYPE NUMBER OF EDU'S II 20 = 0 TOTAL DRAINAGE FIXTURE UNITS 27 I .EDU Eauivalent Dwellimt Unit) is a disch~e equivalent 10 a sinl!:le family dwelling unit (20 DFU's) set at 167 Zlllons per day I ., MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR CREDIT RATE/$I,OOO ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT? BEFORE 1979 $4.92 (Enter I for Yes, 2 for No) 1979 $4.92 IS IMPROVEMENT ELGIBLE FOR ANNEX, CREDIT? 0 1980 $4.83 (Enter I for Yes, 2 for No) 1961 $4.77 BASE YEAR 1997 19S2 $4.64 1983 $4.47 CREDIT FOR LAND (IF APPLICABLE) 1984 54.30 VALUE 11000 CREDIT RAni 1985 $4.09 $30.63 x $0.63 ~ , $19,30 1986 S3.78 1987 S3.41 CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) 1988 $2.98 VALUE /1000 CREDIT RATE 1989 $2.52 $0.00 x $0,63 0 I 1990 $2.06 I 1991 $1.64 I 1992 $1.45 TOTAL MWMC CREDIT = $19.30 I 1993 $UI I 1994 $1.13 I 1995 $0.97 I 1996 $0.82 I 1997 $0.63 I 1998 $0.41 I 1999 $0.22 L- 2000 $0,04 ,.i\{\~ . ~e 10\\~e ~I;' '>b<j~-q<t 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54I)726-3753 . FAX: (541)726-36~!/,v""'\ ~e'i', r I" \ ELECTRICAL PERMIT APPLICATION . ~\O\eC{\OI \ / I "'\,,~ ,,' City Job Number CL>m z.o 03 -0 I 000 Date ,,10\\0 ",,660 \'- \\'~' ~ r':';.....~' . '.,,~,..," ~>:t9~~Y;;..~~;r,..&~. '~.'"r-;!';}-;.- .P~"~.'"t:.'> . ~~::.;:':~"t~~;::::+..~'-l 3, ..1.COMPLETEiFEE'~C1fflu' LO~':';,,!if"';<"";'i',,"}Cl~" ~~_-1=""~"'~' ....,..,...:..' .~'-...~:......::::,;;;L.~ ~Jii1.-:".,';:;'~ ~l~&w'''''' -'.,JJt..~ \u\e it'Nf;;''?i'"~~~~;:;l~'''''~~~~:;':';''!''''~Qt.~;'~~.~;~-, :;~<il'%{*!!":\'~i~"jAYlf~X~:F.~-';;.i';$i';l. A.. L~~,~~~!~~~_!i~:~~I~ot~219:~fam.iltp~r' d~~~11~~~.~IJrj!iJI.!~ , , " ~,~. .":" ' , - _ . ''i:;;' ~ . ~ /)'. . ..,. . CI~ OF-St~~tlNGFJ:I;;LD, OR)?6QN . ~j.". 1. [iiOCATWN~OFJ1NST.4 TJ;rTION7::'~'1@:~ ~~,,~o:.." .....".....FH '"'_~,,,.i,;,..-.,.)'.,...4. :Ul{"~'"J -~T~~N'.-L).r . s3 '11 LEGAL DESCRIPTION 170Z jCjsL/ ObL-fOO JOB DESCRIPTION . perm:/a::-t~sfe:.:::Zre if work is not started within 180 days of issuance or if work is Suspended for 180 days. 2. ~q&:t1~~~~~]?~f:t;"~ Eleenieal Contraetor AddressfTl=NTION:Oregon law requires yo.u.~o f~'lIow rules adopted by me ur"'yull u,"",j . . C t r T,hnse n I "s are set for1 City~otilicatlon en e. Plione . ~ ^.... ,,~.... ,,') OAR 952-UU1-UU I 0 thr, "\,I"~'" . - -- - , I~090. You may obtai ..:opies of the rules . _,....,_ .he '",,,,1"'.. (Note: the telephone Supervlsor.n;lcense-Numb , ...1:..... ..1......,.;,..'3tinn numberforth Orb\:lv" ~""'1 ..-. . E . . D t Cen' r is 1_800-332-2344). xprratIon a e Signature of Supervising Elecnician Owners Name G-1lL, ~ b ~ A.ddress ""? 0 eO)( . City COLv ~tV~ Phone Z.O'i.( 726 -0330 I -,., .' OWNER INSTALLATION The installation is being made on property I own whieh is not intended for sale, lease or rent. Owners Signature: Inspeclion Request: 726-3769 Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufaet'd Home or Modular Dwelling Service or Feeder $106.00 $ 19.00 $50.00 fl'l"Y':.1''''h''~0' -- , !_c",:'i;"_,-i}~ -'l.j~:r:r~?i;:~,:";""~,':':T':0"'>:' ,.,;:4;';=",',\;,;:. ~,7""!;':'"';: B. ~~t~l~~iSf;~r;,~,e~,<~~l~,~J!~~:~~I,~~lt~~~H~~~~~!:~t~l!?~~1b 200 Amps or less 20 I Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1 000 AmpsN olts Reconneet Only $ 63.00 $ 75.00 $125.00 $163.00 $375,00 $ 50.00 ".,_". ..<",""'''. .",""""7l'"""~"~",.",,,,,,,,_~~.,,,~~ c. !'< Timp'oi-ary~-Sen~c'es or...Fe~de'rs~,,,~t:~~&(';.~~~:r~~~,:', ~",'f,~'::'':~- ,.< G~~~"'"'' "~,~~', ......'~.. ~t.."I,t'~...'~";;;:.J..-'--..o.........;.~.::.'A' -;:,c~~ NOTler:, lmta-p.t1on, Alteration or Relocation ~oh~n@~lIles'sHALL P'P'lii'" / $ 50.00 5"'0 v"'UIi/h" . ,\ L I,. T"" [A ' C'0IAiilI'S.t0400Amps I .' nt ,1...$69.00 \h~m'lt'/lJi 'Ll ~, - I tll,') rl~ k. ;<rt AI1~IAirips:t0600Amps . ,1/ I.., $IUO.OO IdU DAY "~'''''''U'i'''' It .VI Over 600 A1fi{s'Of'IOQQ Volts see ~B"tabOve. D. ;miia~~iiciritii~B~t~~~.~~~~~~{.r:, W~'-" ._,"^"._,I~~,.;..:tl.::.._....JtL.~,,,,.~V',,,"'::::~ ~",~ -. :t.::.t;.~" .'. New Alteration or Extension Per Panel One Cireuit $ 43.00 Each Additional Circuit or with Serviee or Feeder Permit $ 3.00 FA'.~,' "'/Y"-_...~":""~~~: ;l_-'_,7""W~~"":~"i"P'.:l~'T~w"v"'T~.~ E. ,:Miscellaneous (Se~iceJfeedernoiiliciudea)::;'Eacli'InstaUaiion" I-,"''''~,J".",".,~.,..""....ii....-'' ......<... _-.'-:--""~_":'" ."'~""'X';. ,,\.., ~"."r.....,,--.,~,..~.:.JI Pump or irrigation Sign/Outline Lighting Limited EnergylResidential Limited Energy/Commercial $ 50.00 $ 50,00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45,00 + Surcharges ~';;.,;.s,'''''''~': __ :. ">j:"_,,'~. ~ .....,<,',...,- ,.' ,\-..;",<. :_4.:-~;-"':" ,. :'. ".:~":"'''~-' 4.' :'SimTOtAL'OFMi6irEk~ ,-",.,...t. ,,:<,,;?;;,,'Jj;':J .' . _:. ....... . ...;i".--,,,' ;.,..... --"'-.},":"-_'~' .. f-: ..}i;--;.'~(4f,J'.,;,;-",;,!~"~,J, ;:;:-l,wj:..:~:""tt~,/~~t.:~)j.~~"t.!O,y;,fitZ;: 5'0 350 s-oo se.:>O 7% State Surcharge 10% Administrative Fee TOTAL Shared Drive(T:)/Building Forms/Electrical Permit Application l-03.doc