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HomeMy WebLinkAboutPermit Building 1995-4-18 (2) LOCATION OF PROPOSED WORK: ~99/ ASSESSORS MAP: /~ ~2.....c5 y~ /""3 ,::?/_~ b'~~.D ~~E)-. ADDRESS: h -:70 7}~- &. . .. , /~~ - / - RESIDENTlAi:-""-- PERMIT APPLICATION '. -....,.-~. Inspections: 726-3769 Office: 726.3759 LOT: OWNER: CITY' ~?3 -r/A:/...,~~~ , - , SPRINGFIELD ~79/.#"# BLOCK' STATE: ' DESCRIBE WORK: ~?";..;/~ .~~ NEW REMODEL ADDITION DEMOLISH . OTHER . .H:_~~~~,- ~. I \,~ JOB NU;:;SER q <Q!l2~ '\ 225 Fifth Street Springfield, Oregon 97477 TAX LOT' ~ .:::s:?~ SUBDIVISION: .~~A/6"""CY/""",,,,,c.~:-" PHON'" 4'7'7 -B??2 ZIP: "77'-7"26 ~""5"~~~ CONST, CONTRACTOR # CONTRACTOR'S NAME ADDRESS GENERAL: JY~~. j ~~--:- , y, Plll/uh;';;' PLUMBING:~~. ~~ MECHANICAL:~.:--:.j-' ~ ELECTRICAL: ~~/ &? - 13f1 J.J.r/.p . ,~- , "'-- QUAD AREA: ~f-7~ f' -,- I €./h I WATER HEATER: _f"., 'OF BLDGS: OCCY GROUP: . OF STORIES: EXPIRES PHONE ?<y~"5'2 -~.~</-?T 7'.5' ~-B ;;;;-=. 012..f1t8 r -"1 h/ c,C:; f,tjL/, / 4/.,:J., 1..Mi.t/h I.f#i.,/c{r;"" md... !J)t{..ll ';';:;01 tf/-M/'f5" ~t'1, / t5"1 - OFFICE USE - LAND USE: # OF UNITS- IlU I Vf\1 FLOOD PLAIN' ZONING CODE: ~Dr2- ?] # OF BDRMS: SECONDARY HEAT: - SQUARE FOOTAGE:"' 11:J~> To request an Inspection, you must call 726-3769. This Is a 24 hour recordIng. All InspectIons requested before 7:00 a.m. will be made the same working day. Inspections requested utter 7:00 a.m. will be made the (ollowlng work day. ) o Temporary Electric ~ D Site Inspection - To be mado after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to ,cover. -' ~~oot1ng - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. [~rFoundatlon - After. forms are erected but prior to concrete placement. D Underground Plumbing - Prior to filling trench, W Underlloor Plumbing/Mechanical - Prior to Insulation or decking. []2J/post and Beam - Prior to floor Insulation or decking. , . ffi~'oor Insulation - Prior to decking. []1' S,anitary Sewer - Prior to filling trench. ; ., ~Storm Sewer - Prior to filling trench.. .... / '." [i2( Wat~~"[Ine - Prior to tilling trench. ' .- i~OUg~ Plum~.ing..- Prior to , . cover. ~ CONSTR. TYPE: HEAT SOURCE: ~/?P, [ , RANGF' REQUIRED INSPECTIONS ~ough MechanIcal - Prior to cover. ~OU9h Electrical - Prior to cover. / r-YElectrlcal Service - Must be l...&LI approved 10 obtain permanent electrical power. o Fireplace - Prior to facing , materials and framing Insp. [kt'framlng - Prior to cover. ~,WaIl/C'elllng Insulation - Prior to l...f7d cover. Ga'Drywall - Prior to taping, o Wood Stovo -- After Installation, D Insert - After fireplace approval and installation of unit. ffiurbcut & Approach - After forms are erected but prior to placement of concrote. ~dewalk & Driveway - After excavation Is complete, forms and sub.base material in place. o Fence - When completed. o Street Trees - When all required trees are planted. -', /"" W Hnal Plumbing - When all plumbing work Is complete. . , ,... 1"" ~Inal Electrical - When all electrical work Is complete. ~Flnal Mechanical - When all mechanical work Is complete. ~al Building - When all required inspections have been approved and building is completed. DOlher MOBILE HOME INSPECTIONS " o Blocking and Set-Up - When air blocking Is complete. o Plumbing Connections - When home has been connected to waler and sewer. o Electrical Connection - When blocking, set-up, and plumbing Inspections have been approved and the home Is connected to the service panel. ---- o Final - After all required Inspections are approved and porches, skirting, decks, and ventlng have been Installed. r Lot taces Lot sq, ltg, Lot coverage Topography '"1' Total height --L.:.- ( gi') \ . BU!LDING PERMIT ITEM SO, FT, 1~'60. 446 Main Garage Carport Total Value Building Permit Fee State Surcharge t-3.C/t) Total Fee '- Panhandle S Cul-de-sac-.'-- -~ _=~ Lot ~ype. v: Interior Corner p.L. N X. $ ISO. FT, =1ffIitA E 30.2.0 J4.IC\" (A) }R~~ ~4~ SYSTEMS DEVELOPMENT CHARGE (SDC) Jh u, 'Ie ~ (B) W '2.U>4- PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary Sewer FT. Water Storm,S"e;;:'er Mobile Home Plumbing Permit \" State Surcharge Total Charge FT., FT, rfJ MECHANICAL PERMIT (C) Furnace Exhaust Hood Vent Fan N' ~ Wood Stove/lnsertl FIreplace Unit Dryer Vent Mechanical Permit Issuance State S,urcharge Total Permit (D) Moblte Home MISCELLANEOUS PERMITS State Issuance State Surcharg,.., Sidewalk I p -:> fl Curbcul \...'in ft Demolition Slate S~rcharge (\ () \ ~t\ A-\00O...Q V",. FEE f11j)OJ J1o{ ) ~ ~?f) /j{), H.J (()~ 4..5) ypo ....~.CD ~)}.~ IOr;v \. ~\ 3'1-~L 1C1.45 /4 .-!25() J){J.W Tolal Miscellaneous Permlts (E) TOTAL AMOUNT DUE (excluding electrlcal~rl'::::> ,Io'\- (A, B, C, 0, and E Combined) ; ~ .' ;:': '.:,. :,1 <. '-5 THE PROPOSED WORK IN THE . '''HISTORICAL DISTRICT, OR ON '\; THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. Setbacks HSE GAR ACC I I I APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ThIs permit is granted on the express condition that the said construction shalf, In all respects, conform to the Ordinance adopted by the City 'of Springfield, Including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any lime upon violation of any provisions of said ordinances. ~~ Date Paid: .3'''"''~~ Receipt Number:~~~ ~- Plan Check Fee: Received By: Plans Reviewed By Date Systems Development Charge is due on all undeveloped properlies within the City limits which are being Improved. AD9ITlONAL Cg.MMENT~ ~~ 4~/~~ , ~~~_~ y.::g9~~~~1"%~ ~9' 9t/ /~..3~ , /" M_:II '-1M". ~ f.B?t) f11t J1J (ill _ I eft I)() r)H1ot?lu ;' . 0/ t1J l1JaLt- . 0 1':"D....1' ~ U r ^ a ~1 11l}Jl,{)_ ~ 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 Building Safety Division. I further certify thaI 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. ~07'fctjO~ Signature ~~ Oato q ~F/'f5 VALIDATION: RECEIPT NUMBER / 7 DO 2- DATE PAID ~~~ A . 'MO"" "'c""~. rr3f::f'1.-1 RECEIVED BY ___~~~ ,. . . ~ q wtlJp . CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY AUTHORIZATION TO PROCEED AGREEMENT THIS AGREEMENT is entered into this:1 day of ~ L betveen the City of Springfie:dOr mun~ll~a~.iorporation of hereinafter called Ci ty, and ~\\ '\Uf...J.lLl.]J \ ~O [\./ the Applicant. - . - YHEREAS, the applicant has applied to the City Community Services Building Division for issuance of certai~l1~s\tr~ion pe its for development improvements to be located at ~~ ~~ \ ) Springfield, Oregon or vi thin the Ci ty' s Urban Grovth . s ' . '9;}i\-h~j" ea; Lane. Coun ty Assessor's Map and Tax Lot number 1/>11 I , 19'iF by and the State-oI Oregon, , hereinafter called YHEREAS, the applicant has asked the City to authorize the Applicant to immediately commence development improvements vithout a completed plan reviev or subsequent approval as required by the Springfield Building Safety Code Administrative Code section 303(a). VHEREAS, the Applicant has submitted to the City a completed permit application, 3 (three) sets of construction dravings, specifications, and other data required for the City to complete the necessary plan reviev of the proposed development improvement. VHEREAS, the intended development improvement is of a nature that requires no other reviev approval from other State or local agencies and is exempt from the criteria established by the Building Safety Division, attached as Exhibit A of this Agreement. YHEREAS, the City has not revieved or approved the submitted materials for the development improvement, the City is therefore unable to confirm at this time vhether the permit applicatic~ submitted viII be approved, and whether the ~equired construction permits can be issued. . VHEREAS, the applicant has requested the City to provide expedited authorization to proceed vith certain phases of construction prior to the completion of the City'S reviev of the permit application. VHEREAS, the City's fee for the administrative services rendered in providing expedited authorization is $150.00. ... NOY, THEREFORE, in consideration of the foregoing recitals and of the mutual promises contained herein, the City authorizes immediate commencement of the development improvement specified in the permit application subject to the folloving terms and conditions: v . . ~ . . Authorization to Proceed Agreement Page 2. 1. City agrees that the Applicant may immediately commence vith the development improvements set forth in the permit application. City's authorization to proceed is conditionep hovever, upon Applicant's agreement that the project vill be constructed as set forth in the attached submitted dravings and specifications, except as may be modified' by City, and vill comply vith all applicable lays and ordinances. Applicant's immediate commencement of construction is at Applicant's own risk. The City makes no assurance that the development or construction improvements viII be approved or the required construction permits viII later be issued.' 2. City agrees to reviev Applicant's permit application in the normal reviev process and to thereafter: . a) issue Applicant the appropriate construction permits; ~ b) advise Applicant of deficiencies in the proposed construction vhich must be remedied before permits can be issued; ~ c) advise Applicant of any statutes, ordinances or code provisions vith vhich Applicant must comply vith before- City can issue the permit. 3. Applicant agrees that if City finds Applicant's permit application and submitted materials inadequate or deficient in any manner including but not limited to, the application or the proposed construction do not comply vith all applicable statutes, ordinances or code provisions, Applicant viII expeditiously cure the deficiencies so that the City may issue the required permits. Should Applicant fail to expeditiously correct submitted materials, or should correction prove impossible, City may in it's discretion, take any or all of the folloving actions: a) stop all further construction of the project in the manner prescribed in the Springfield Building. Safety Code Administrative Code (BSCAC), SECTION 201 (d) b) order disconnection of serving utilities in a manner as prescribed in BSCAC, SECTION 201 (f) c) issue a NOTICE ~'J ORDER for removal of all such ~ork in a manner as prescribed in BSCAC, SECTION 204. ABATEMENT Or UNSAFE, SUBSTANDARD OR DANGEROUS BUILDINGS, STRUCTURES OR BUILDING SERVICE EQUIPMENT. Upon receipt of such notice, Applicant shall immediately remove the vork specified in the Notice and Order. 4. Applicant agrees, if the issuance of the permit is denied: . a) to remove, at the Applicant's sole cost and expense, all completed construction or improvements; and b) to restore the site or structure to it's pre-agreement condition and free of all hazards ~ , . - Authorization to Proceed Agreement Page 3. 5. Applicant agrees that until hpplicant's permit application is approved, construction vill not to proceed beyond the point of authorization approved by the City's Building Off~fial. Applicant's Point of Authorization is , r\OC\Y . nA"'{ ---: 6. Applicant agrees that a;l vO;k p~rfJrmed under this agreement shall ~e accessible and exposed for inspection purposes and that neither the Building Official nor'City shall be liable for the expense entailed in the removal or replacement of any material necessary to allov inspection. 7. Applicant agrees that any or all'deficiencies identified during the necessary inspections vill be promptly remedied, at Applicant's sole cost and expense before proceeding vith any further construction. Applicant also agrees that these inspections do not replace the required plan reviev nor do they imply any approval of the submitted materials. 8. Applicant agrees that no vork shall be done on any part of the building or structure beyond the point indicated in each successive inspection vithout first obtaining the approval of the Building Official. Such approval shall be given only after an inspection has been made of each successive step in the construction as indicated on the attached Exhibit B. 9. Notvithstanding any other provisions of this Agreement, this Agreement shall terminate upon issuance of a building permit or thirty (30) days from the date of this Agreement, vhichever first occurs. Applicant understands that all vork on the project shall immediately cease vithout any notice from the City if this Agreement terminates before a building permit is issued. This agreement shall teminate on ~L 2. 7, . /71'r , 10. Applicant agrees to defend, indemnify and hold City harmless from any and all costs (including attorney fees), liability or damages of any kind or nature vhatsoever, for personal injury and property damage arising from the Applicant's early commencement of construction and the vork undertaken or completed. 11. The terms of this Agreement shall extend to and be binding upon the parties hereto and t:,eir heirs, successors and assigns. , .- 12. If any suit, action or other proceeding, or an appeal therefrom, is instituted to obtain, establish, enforce, or compel any right or obligation resulting from this Agreement, the prevailing party shall be entitled to recover from the adverse party, in addition to costs and disbursements, such additional sums as the courts, both trial and appellate, may judge reasonable attorney fees. .. . . Authorization to Proceed Agreement Page 4. BEFORE SIGNING THIS AGREEMENT, PLEASE READ AND UNDERSTAND THE MEANING OF EACH PARAGRAPH OF THIS AGREEMENT. IT AFFECTS YOUR INTERESTS IN THE PROPERTY AND, IN THE EVENT ,OF DEFAULT, IT PLACES YOU PERSONALLY AT RISK AND THE SUBJECT PROPERTY AT RISK OF FORECLOSURE FOR COSTS AND EXPENSES INCURRED BY THE CITY IN ENFORCING THE TERMS OF THIS AGREEMENT. IN THE EVENT THAT YOU DO NOT UNDERSTAND ANY TERMS OR CONDITIONS OF THIS AGREEMENT, PLEASE SEEK ANY LEGAL OR OUTSIDE OPINIONS YOU MAY.DESlRE. CITY " AFPLICANT City of Springfield ~y:~Z~~_ ,~ Building Official Contractor ~~ ~OOlO f) Business r\~{i!~ ~~,)~~ <t:f)m~ Address\)!\J~.:) ~~~ CC Registration # ~~~,~ LAND/PROPERTY OVNER(S) I/VE HAVE READ THE ABOVE AUTHORIZATION TO PROCEED AGREEMENT. I/VE UNDERSTAND VHAT IT EXPRESSES AND THE RESPONSIBILITIES IT PLACES UPON US AS THE LAND/PROPERTY OVNERS. I/VE AGREE TO BE BOUND BY ALL TERMS AND CONDITIONS OF THE AGREEMENT. Name ~ rfAd Address 'C; 70 p::y-",,(. c..r ~s~~ ~.e. , ~ . EEVlE\'.Jt=::C, [L p.P?r~C'VcD f~,\ TO FCiF:f\1 \ _-.J~?~~..,...J LrU-'\.....I_ C!:,E: ~~ \1:\ \V\~ Cr:Fi~:.: C~ CITY ATTORf\~EY C~-!-\.' ;~':' ~<~;:;1:<2:=E=LD . . . ", '~ . ;." " . . EXHIBIT A Purpose The purpose of this agreement is to allov 'certain development improvements to occur prior to obtaining plan reviev approval from the Springfield Community Services Division. Scope The use of this agreement shall be limited to certain one and tvo-family dvellings not complex in nature as determined by the Building Official and minor alterations or modifications to existing commercial and industrial buildings vhich are of a non-structural"type and do not adversely affect any structural member of the building or any part of the building having fire resistant construction, One and tvo-family dvelling plans for structures that are complex in nature that have been prepared by an Oregon licensed architect or engineer and accompanied by a letter of reviev prepared by said architect or engineer, stating that the submitted material is in compliance vith the One and Tvo-Family Dwelling Specialty Code, may be considered eligible fo~ this agreement. The folloving items include but are not limited to certain conditions of development identified as ineligible for this agreement: a) development requiring site approval vhich has not been obtained; b) nev development located on land vith over six-percent slope; c) lots having expansive (clay) soil; d) development located vithin flood hazard areas; e) development located vithin vetland areas; f) pole buildings or other such type of structure that is not of conventional construction. '. . em NO. .q502..~G CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) . ATIACHMENT B1 ,. NAME OR COMPANY: f<rVU:" '8E.NP J.-/.cME.S - u ----- LOCATION: 4-'f"'1/ n~sY-rH/A /<607-04-00 - P/o ()'2-Qoo DEVELOPMENT TYPE. L..IJ /Z. - N B-W SF-rz. BUILDING SIZE: 1. STORM ORA I NAGE IMPERVIOUS SQ. FT. lOT SI7F SQ. Ft. .", 7-"1 ? 1,- X $0.209 PER SQ. FT. C '5-p;, 12) '-- --' 2. SAMlIARY SFWFR-CITY NO. OF PFU' S I 'X (See Reverse) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X $43.26 PER PFU C-n~~) '-- ..--' X X X $436.19 X $436.19 C 44053-) .......... ~ $ / X 1,01 X $436.19 $ SUBTOTAL (ADD ITEMS 1.2, & 3) $ /1'14 ~ 4. SAMlIARY SFWFR-MWMC NO. OF PFU'S I~ x $17.l9 PER PFU + $lO MWMC ADMIN.FEE (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) IQIAI -MWMr. sor. SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ ? J "1 ~'Z- $ 13 'l.:! ($ 1>0'5 ~ ) $.J!~ Zo<f'1~ 5. ADMINISTATTVF FFF~ BASE CHARGE (SUBTOTAL ABOVE) X .05 ~06~ -; ..... ...---- V:~~Lt.L -W:- -, :',.. --:.. !' ~ SD( Coordi ~ator - , Date: ? /14- / "fS IQIAI Sill:. 96 $ ""2.'204- ~ B2.SDC . '1 . ". :.... ",'.".( __ ~ .- ~1~~~~~e~~e~I C~lt~~~n~~~I_ a~:i~n~~f~x~~r~:,er of New Fixtures .it Eq~tt~i~~;'~"f.~~\J~i~;;:"~'" NUMBER OF UNIT FIXTURE .- FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS ,.. 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 tf Bathtub..................................................................... . Drinking Fountain.................... ~................ ................ Floor Drain.................,......... .................. ....... ............ Interceptors For Grease/OiI/Solids/Etc................. Interceptors "For Sand/Auto Wash/Etc.................. .. ' Laundry Tub/Clotheswasher.... .,............. ........ ........ . .. ..' . Clotheswasher. 3 Or More..............~'...............;;.~;.. Mobile Home Park Trap (1 Per Trailer).................. Receptor For RefrigeratorfWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall................................................. Shower, Gang............................... ....................:.,.... Sink: Bar, Commercial, Residential Kitchen...............;,....... Urinal, Stall/W all............... ................................... .':..... Wash Basin/LavatorY, Single.................................. Toilet, Public Installation........................................ Toilet, Private.............. ... ...................... ......... ...:... Miscellaneous: ,'2- z. 2- .z.' 'l- 51 TOTAL FIXTURE UNITS I'i. CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 :1985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 1985 1986 1987 1988 1989 1990 1991 1993 $2.46 2.14 1.77 1.37 0.97 0.61 0.44 0.15 Improvement (if after annexation date) ?1.4-h X $ 4-,0 (Rate X Assessed Value) X $ (Rate X Assessed Value) = 1'5 . rftf Credit 'for Parcel or Land Only If Applicable = CREDIT TOTAL , g4 = $ 1'3 ..:--- . . ~ o Y..'Li!IecT.~1;1!!~ lob No. ant) ~ g& SYSTEMS DEVElOPMENT CHARGE WORKSHEET NAME; -&id Bu1J1 ?={:n.mIs . ADDRESS: LJq41 ~ y'~r a / PHONE: q6 4- ~~ 2.. STATE: ~ ZIP Jf1!J1~ , ' LOCATION OF PROPOSED BUILDING SITE: , Street Address if Known: Ll44' -r:;, Vt7~/L; Platt Name: ~ I~D.p (r,,\ r.d(f, Tax Lot Number: 1$ (/UJ4.()() ~ 1. DEVELOPMENT TYPE (Check appropriate dwellilig(s). SDC Calculations and dwelling type definitions are on the back.) , " ' A. Sinl!ie Familv - Oetached Single Family home NO OF UNITS I B. Sinl!le Familv - Attached NO OF UNITS C. Multi-Familv Aoartment NO OF UNITS D. Manufactured Home Park NO OF UNITS Manufactured home not in a park X $400 PER UNIT _= $tkt>. t:O . X $370 PER UNIT = .$ X $777 PER UNIT = $ X $280 PER UNIT = $ WPRD SDC $..JiM. (JO $.:ff $ lUJO. (JO 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See sac Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit! ~L~ ~ I 13 I '1ti'" Date rf"lmmllnitv ~p.r"jV~ njvi~i()n \ -. , ubmitled has the iollm" - 1he following prol8C\ ~:qS uirs specific land use zoning, and does no approval. 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3Vi6'!} OFFICE: 726-3759 ZonIng Aulhortzad Signature 1. LOCATION OF INSTALLATION -<-/99 / /o/P <; t /77-1/4 LEGAL DESCRIPTION ..)-0 T #/3 /.JISfltJ;P As774RS JOB DESCRIPTION /4A-J[), f.7CJ.tlj{,,(J ,f'OL'C Permits are non-transferable and expire if vork is not started within 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY , _ ."... .~'contractork?iVc.4 /30dJ/hY><..!, Address (J.W N4( City Phone Supervisor License ~^,.."::>.--~ Number L/ ( '~~ - ." /(" ~ '-/If/~7 Expiration Date Constr Contr. Number ~rC)'~ Expiration Date /J)~-"'3~ Signature of Supervising Electrician ... Ovners Name rf!/VCt(:! I8Cc'1t.O !/ttJ1K0 J:;u(.. Address C; 1';0 PI Nt. c..r Ci ty CI!t;:.StuY.-[ L Phone. 95//-8332. OIINER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. ;vn~l2L --------------------------------------- DATE: '"=3~--9?' RECEIPT II: . /~ ~ -;:2 / RECEIVED BY: ~...J'J-'- ~ ELECTRICAL PERMIT AFPLICATION City Job Number 9~2pr 3. COMPLETE PEE SCHEDULE BELOII A. Nev Residential-Single or Multi-Family per dvelling uni t. Service Included: It ems Cost . Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Hanuf'd Home, or Modular, 'Dvelling Service or Feeder $ 40.00 ,B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to/1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or' 1000 ---$ 40.00 '7'z7 $ 55.00 $ 80.00 volts see "B" above D. Branch Circuits .. Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 40~ ~ 5% State Surcharge . 7_-=' 3% Administrative Fee /- 2.t::> TOTAL ~ ?o<? . -