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Home My WebLink AboutPermit Building 2004-11-24 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD - --- _..~'~----_.. Building/Combination Permit PERMIT NO: COM2004-01308 ISSUED: 11/24/2004 APPLIED: 10/22/2004 EXPIRES: 06/17/2005 VALUE: $ 205,120,00 SITE ADDRESS: 5966 Aster St 5968 ASSESSOR'S PARCEL NO.: ASTER MEADOWS SUB Springfield TYPE OF WORK: Duplex TYPE OF USE: New Residential PROJECT DESCRIPTION: Aster Meadows lot 2 - duplex CONTRACTOR ContraCtor _.- ~~:..-. ~_-:'eSe.-:: ~ Expiration Date' DUANEAKNilGH' ~~~~.:~~ 07/10/2005 JEMELECT _ _~':4~~~_l\~~<N. ." 09/07/2006 MARSHALL ~~~\N:.a~~~\l"r\ll 12/23/2005 SHAD CHAS~~~":..... r~~~. 01114/2006 w"C,..L . ..t.."-- - l~ ~,....p . ~N .~.. s: 2 Lot Size: (OJ Heig t of Structure' 26.00 Sq Ft 1st Floor: Type ofHeat:.-:....- "'", Sq Ft 2nd Floor: Water Type:.. "" Sq Ft JM~~~nt: Range Type: ~Jft '&a-~!!1~Carport Energy Path: Path ~~ \'S9.J~\t\~;: Sprinkled Building: \ nt!iS> c. \><Qe~~a;&'load: ,,,\,, ~\),\--;) r~~ I DEVELOPMEl';;f{1NFQ~i}~~~! ~~~~\}V \~~\S Y"~\'1X-\) ~ \)~ ~\)\), Overlay rl\~~\\\\)~~~CJ~ ;:J. ~~~ # Street Trei~~d':co\) \)~ Paved Drive ~~ \ % of Lot Cov r;ge: Owner: LARRY ALBERTS Address: 397 S .72ND ST SPRINGFIELD OR 97478 Contractor Type ' General Electrical Mechanical Plumbing # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: 2 . R-3 U-l VN' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: . 19.00 15.00 5.00 44.00 35.00 Street Improvements: Storm Sewer Available: Special Instruction: Phone Number: 541-747-0755 ..d,i4'1;~' Phone 541-726-2960 541-729-1074 541-747-7445 541-741-3553 6,530 1,048 982 456 2 2 Yes 37.60 REQUIRED PARKING Total: 4 Handicapped: Compact: I PUBLIC IMPROVEMENTS I Sidewalk Type: Downspouts/Drains: Fully Improved Yes Notes: Curbside 5' Curb and Gutter Pae:e 1 of 4 " Status Issued , CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01308 ISSUED: 11/24/2004 APPLIED: 10/22/2004 EXPIRES: OS/24/2005 VALUE: $ 205,120.00 , 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I V Wood Frame Garae:e $ Per Sq Ft or multiplier $92.40 $24.30 Square Footage or Bid Amount 2,100.00 456.00 Value ) Date Calculated 10/22/2004 10/22/2004 Description . Dwelline:s Garae:e Tvpe of Construction Total Value of Project $194,040.00 $11,080.80 $205,120.80 ~ Fee Description Amount Paid Date Paid Receipt Number _ Plan Review Residential $591.60 10/22/04 1200400000000001500 -Mechanical Issuance Fee- $10.00 11/2;1/04 1200400000000001652 + 10% Administrative Fee $180.82 11/24/04 1200400000000001652 + 7% State Surcharge $126.57 11/24/04 '1200400000000001652 2 Baths One or Two 'Family $508.00 '11/24/04 1200400000000001652 Addressing Assignment $62.00 11/24/04 1200400000000001652 Building Permit $910,15 11/24/04 1200400000000001652 Curbcut Permit $75,00 , 11/24/04 1200400000000001652 Dryer Vent $12.00 11/24/04 1200400000000001652 Exhaust Hoods $18.00 .11/24/04 1200400000000001652 Minimum/Adjustment Mechanical $36.00. 11/24/04 12004000000000016~2 Plan Review Major - Planning $103.00 11/24/04 1200400000000001652 PW Mult Disc - 2nd Permit $-30.00 11/24/04 1200400000000001652 Residence Wiring 1000 Sq Ft $212.00 11/24/04 . .1200400000000001652 Residence Wiring Ea Addtl 500 $38.00 11/24/04 1200400000000001652 Sanitary Sewer - Improvement $621.52 11/24/04 1200400000000001652 Sanitary Sewer - Reimbursement $817.36 11/24/04 1200400000000001652 SDC MWMC Administration $io.oO . 11/24/04 1200400000000001652 SDC MWMC Improvement. $1,730.62 11/24/04 1200400000000001652 SDC MWMC Reimbursement $164.06 11/24/04 1200400000000001652 SDC Sanitary/Storm Admin $i55.32 11/24/04 1200400000000001652 SDC Transpo Admin' . $140.65 11/24/04 1200400000000001652 SDC Transpo Improvement $621.52 . 11/24/04 .1200400000000001652 SDC Transpo Improvement $923.46 lli24/04 1200400000000001652 SDC Transpo Reimbursement $350.26 11/24/04 1200400000000001652 Sidewalk Permit $75.00 11/24/04 1200400000000001652 Storm Drainage Impervious Area $665.42 11/24/04 1200400000000001652 Temp Power 200 amps or less $50.00 11/24/04 1200400000000001652 Vent Fan $24.00 11/24/04 1200400000000001652 Willamalane Attached,( duplex) $1,848,00 11/24/04 1200400000000001652 Total Amount Paid $11,050.33 Pae:e 2 of 4 Status Issued CITY OF SPRINGFIELD I Building/Combination Permit PERMIT NO: COM2004-01308 ISSUED: 11/24/2004 APPLIED: 10/22/2004 EXPIRES: OS/24/2005 VALUE: $ 205,120.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone . 541-726-3676 Fax. 541-726-3769 Inspection Line Initial Review Planninl! Review 10/26/2004 10/26/2004 I Plan Reviews I 10/26/2004 APP 11/17/2004 APP SKG TAJ I told Larry Alberts today that we need two more copies of the plot plan for the 2 mpermits on this property. 11/17/04 Partition incomplete, pending case. Called Engineer (Minium) to revise plans, 10/29/04 CAS Received revised plan 11/12/04 Public Works Review 10/26/2004 11/12/2004 APP CAS Structural Review 10/26/2004 11/04/2004 OK 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 t~e following work day. Erosion/Grading Inspection: After all erosion measures are in place. Ufer 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 decki~g. Floor Insulation: . Prior to decking. . Shear Wall Nailing: Before covering sheathing with finish materials. FramingInspection: 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. Firewall: Located and constructed according to plans. 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. Underfloor 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. Underfloor Mechanical. Prior to insulation or decking and including required testing. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Electric Service: Approval required prior to utility company energizing service. Final Electric: When all electrical work is complete, Temporary Electric: Approval required prior to Utility Company energizing pole. Curbcut - Standard: After forms are erected but prior to placement of concrete. Pal!e 3 of 4 ;.- Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01308 ISSUED: -11/24/2004 APPLIED: 10/22/2004 EXPIRES: OS/24/2005 VALUE: $ 205,120.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Sidewalk - Curbside: After forms are erected but prior to placement of concrete. By signature, I state and agree, that I have carefully exaniined 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 S'ervices 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 readableJrom the street, that the ~F1I'I'i car is located at the front of the property, and the approved set of plans will remain on the site at all times ~tructlo /1 ~ '7-4 _ tJ </ c..r Owner or Contractors Signature Date Pal!e 4 of 4 :- Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR. 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Pennit#: c...O'-'\,\'z..c~ -t - 0 ( 30 8' Address: 5 '76(; /5"76 g ~~ ~/E(L Date: I I / 2l{ /0 '-( / Issued by: Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants whoare not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this ~tatement, This statement will be filed with, the permit. Fill in the appropriate blanks and initial boxes 1 and 2, arid either box 3A or 3B: ~ ~2. -1., I own, reside in, or will reside in the completed structure. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. ~ 3A. My general contractor is 'hv\.A-Ne \6Y(~ ( :-; (Name) /2//7. (CCB #) I wiiI instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. . OR o ' 3B. I will be my own general contractor: If! hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If! change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will imniediately notify the office issuing this building permit of the name of the contractor. ' I hereby certify that the above information is correct and that t have read and do understand the Information Notice to Property o~ner~ Construction Responsibilities on the reverse side oftbis form. (" Q,- (Si~e ot permit applicant) (Date) , (White copy to issuing agency permit file, pink copy to applicant.) Property ~ owner. doc 06-01-04 Acting' a~--.~ o~r.'9wn "General Con~ractor? 1, ; ~NfORMA1!GN NOT~CE 'TO PROPIERnrbwNERS AlBOU:r CONSTRUCTION, RESPONSIBILITIES G , .. , NOTE: This Information Notice to Properly Owners about Construction Responsibilities was developed by the I I Construction C~~t,-~~tors Board in accordance with ORS 701.055(5), passed by the ~~89 Oregon LE~giSlatu~e:__j ~ ~ '. . If you are acting as your oyvn contractor to construct a new' home or make a substantial improvement to an existing structure, you can prevent many.problems by be~ng aware of the, following responsibilities an4 concerns. Employer Responsibilities - , . , , You will,_ in most instances, be ruled to be an "employ~" and the contractors you contract with will be "employees" if you use contractors not licensed with the Construction Contractors Board, to do labor in constructing or to assist in the construction or improvement of.a residentiatstructur(:, As the emplo'yeJl"~ you must comply with the following: , ' , Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable f9r the tax pa~ents even if you don't actually withhold the tax from your employees, For more information, call the Department of Revenue at 50J-378-4988. -,.. , & Unemployment insurance Tax: As an employer; you are required t6 pay a tax for:unempl()Yment insurance purposes" on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488, The Oregon Business Identification Number (BIN) is a comb.ined l)UJl1bt?r for bot~.- Oregon Withh~lding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/formsoav.htmll for the appropriate forms, . . ~ ...', ;..: tI ( ..j'..': Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' CVUlpensation Law, and must obtain workers' compensation insurance f?r your <:'-U1ployees, If y?U fail to obtain workers' . cVHlpensation insurance, you could be subject to penalties ana be liable fOJ:,all claim costs if one ofyoll! employees 'is injured on the job. For more information, call the Workers' Compensation Division at the Depamnerit of Consumer and Business Services at 503-947-7815, U.S. ][nternal Revenue Service: As an employer, you must withpold federal income tax from employees' wages. . You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at 1-800-829-4933 or visit their web site at wVv'Woirs.gov;, .... . . Other'Re~p()nsibiljtie~al\d_'Af,eas. of Concer~s' Code Compliance: As the permit holder for this project, you are re,sponsible for resolving' any fai"lure to meet code requir~ments that may be brought to your attention t.hrough inspections. . I ".. - t - ~ , .' , ' . I . ., ~' Liability and Property Damage insurance: Contact your .irrsurance agent' to see -if you 'have adequate insurance coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe pU9ctures, fire or work that must be redone. . Time: Make sure you have sufficient time to supervise your employees:: . \ .. . . .. . ]Experdse: Make sure you have the skills to act as your oWn general contractor, to coordinate the work of rough-in and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections. If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052, Property _ owner.doc 06-0 I -04 ;..: , ' "-, CITY OF S'~GFIELD SYSTEMS DEVELOPMEN~;;!~RKSHEET , JOURNAL OR JOB NUMBER: C0M2004-01308 NAME OR COMPANY: Larry Alberts LOCATION: 5966-5968 Aster St TAX LOT NUMBER: 0 DEVELOPMENT TYPE: DUPLEX NEW DWELLING UNITS 2 BUILDING SIZE (SF: 1591 LOT SIZE (SF): I. STORM DRAINAGE DIRECT RUNOFF TO CITY STORM SYSTEM IMPERVIOUS S.F. x I COST PER S.F. CHARGE 2146.50 I $0.310 = $665.42 RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS S.F. I x I COST PER S.F. x I DISCOUNT RATE I ' 0.00 l I $0.310 I 50% ITEM 1 TOTAL - STORM DRAINAGE SDC ! $665.42 I 6530 VJ ~ ,0 o u ~ ~ f-< VJ >-< C gz DISCOUNT $0.00 $665.42 1070 2. SANITARY SEWER - CITY A. REIMBURSEMENT COST: I NUMBER OF DFU's x I 34 B. IMPROVEMENT COST: I NUMBER OF DFU's x I 34 COST PER DFU $24.04 =! $817.36 1091 $18.28 = 1 $621.52 1092 ITEM 2 TOTAL - CITY SANITAIW SEWER SDC = ! $1,438.88 3. TRANSPORTATION A. REIMBURSEMENT COST: I ADT TRIP RATE I x NUMBER OF UNITS x I COST PER TRIP x I NEW TRIP FACTOR! i 9.57 I 2 I $18.30 I 1.00 I $350.26 1093 B. IMPROVEMENT COST: I' ADTTRlPRATE x I NUMBER OF UNITS I x I COST PER TRIP l x NEW TRIP FACTOR I 9.57 I 2 I $80.72 1.00 $1,544.98 1094 ITEM 3 TOTAL - TRANSPORTATION SDC =! $1,895.24 I 4. SANITARY SEWER - MWMC A. REIMBURSEMENT COST: NUMBER OF FEU's I x ICOST PER FEU 2 I $82.03 = $164.06 1054 B. IMPROVEMENT COST: INUMBER OF FEU's x COST PER FEU I 2 $865.31 = $1,730.62 1055 MWMC CREDIT IF APPLICABLE (SEE REVERSE) $0.00 1054 MWMC ADMINISTRATIVE FEE $10.00 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = ! $1,904.68 SUBTOTAL (ADD ITEMS 1,2,3, & 4) =! $5,904.22 I i: , 5. ADMINISTRATIVE FEE: SUBTOTAL x I ADM. FEE RATE CHARGE $5,904.22 , 5% $295.21 TOTAL SANITARY ADMINISTRATION FEE: 155.32 1079 TOTAL TRANSPORTATION ADMINISTRATION FEE: $139.89 11078 Cheryl Slaymaker 11/23/2004 TOTAL SDC CHARGES =1 $6,199.43 PREPARED BY DATE MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE YEAR ANNEXED BEFORE 1979 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 CREDIT RATE/$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 $225 $1.80 $1.59 $1.45 $125 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 IS LAND ELGIBLE FOR ANNEXA nON CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) VALUE / 1000 CREDIT RATE $0.00 x $5.29 = , CREDIT FOR IMPROVEMENT (IF AFTER ANNEXA nON) VALUE /1000 CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT = 2 2 1979 $0.00 o $0.00 , ~ 225 Fifth Stre.et ' . . . Springfiald, Oregon 97477 ~ 541-726-3759 Phone " Job/Journal Number COM2004-0 1308 COM2004-01308 COM2004-01308 COM2004-01308 COM2004-01308 COM2004-0 1308 COM2004-0 1308 COM2004-0 1308 COM2004-0 1308 COM2004-01308 COM2004-01308 COM2004-01308 COM2004-0 1308 COM2004-0 1308 COM2004-01308 COM2004-0 1308 COM2004-01308, COM2004-0 1308 COM2004-0 1308 COM2004-0 1308 COM2004-0 1308 COM2004-0 1308 COM2004-01308 COM2004-01308 COM2004-01308 COM2004-0 1308 COM2004-01308 , COM2004-01308 COM2004-0 1308 Payments: 'Type of Payment Check 11/24/2004 RECEIPT #: ""~ty of Springfield Official Receipt ,~velopment Services Department Public Works Department 1200400000000001652 Date: 11/24/2004 Description Addressing Assignment Willamalane Attached (duplex) Building Permit, 2 Baths One or Two Family Vent Fan Exhaust Hoods Dryer Vent -Mechanical Issuance Fee- Minimum! Adjustment Mechanical Sanitary Sewer - Reimbursement Sanitary Sew,er - Improvement SDC Transpo Reimbursement SDC Transpo Improvement, SDC MWMC Reimbursement 'SDC MWMC Improvement SDC MWMC Administration SDC Transpo Admin SDC Tqmspo Improvement Plan Review Major - Planning Temp Power 200 amps or less' Residence Wiring 1000 Sq Ft Residence Wiring Ea AddtI 500 +7% State Surcharge + iO% Administrative Fee Sidewalk Pemiit CUI-bcut Permit' ,,' , PW MtiltDisc - 2nd Permit Storm Drainage Impervious Area SDC Sanitary/Storm Admin Paid By LARRY ALBERTS INC Received By djb Page 1 of 1 Item Total: Check Number Authorization Batch Number Number How Received 1272 In Person Payment Total: 8:04:29AM Amount Due 62.00 ,1,848.00 910.15 508.00 24.00 18.00 12.00 10.00 36.00 817.36 621.52 350.26 621.52 164.06 1,730.62 10.00 140.65 923.46 103.00 50.00 212.00 38.00 126.57 180.82 75.00 75.00 (30.00) 665.42 155.32 $10,458.73 Amount Paid $10,458.73 $10,458.73 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number COVV\ 20 aL.( -- 0 130 D Date! - 2L( -0 'S- 1. _:!S1 ~ <(; d ~q~ &Jer- LEGAL DESCRIPTION As T<::-(L. j.A-1 &A JOl.,r~ Su. <"5 10+ JOB DESCRIPTION ~,^-.pLeK 00 IO-e 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 City LjJ-1 (~ Address Supervisor License Number t/ 700 S /O--Of-O 7 Expiration Date Constr. Contr. Number JfJ a ~~ Expiration Date oq-Ol-OG:, Address City '> ::P r ~ Phone 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 3.,COMPLJ:.IJ:. FEESCHEDULEBELOW; oZ- A. , New Residential- Single ~r Multi-Family per dwelling unit. Service Included 2 $106.00 2. $ 19.00 ?r'L 39' 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof 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 $ 50.00 $ 69.00 $100.00 s-~ 5 ( iM 200 Amps or less 20 I Amps to 400 Amps S. ~ 401 Amps to 600 Amps r / 60 I Amps to 1000 Amps Phone .J2j -{ 0 L7 Over 1000 AmpsN olts Reconnect Only ATTENTION: Oregon law requlres yuu ~u follo\Cl:!i "i .,~~:~~!~~ Notification Cen . hose rutes are se in OAR ai~\100,1RtttvPMQtlo9lag~~ff~~. 0090. YC2~m g~~~~n copies of the fU es Y I cal\inQ~El ~~~\f!r~o~p~~ t,he tel~ph~t numbl4 oA1li'e O'r~~~lty NotlfJC&tiO~ entiW\d<1~~-2a44). Over 600 or 1000 Volts see "B" above. D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 $ 3.00 001 1H\SPE 1UtS PEor,~\1 11~lImnl^,;;>."..jJl'\hiEH fl,1 ,"nl., AIJ\"'l\lff'\'rLJtIll" )@ r r Otwn eQO C~~,$Wi~\.1.~cllL~nt~M3;-\l~D 'h.v"" A ,~ii11\~@ lllief.gfiR~fd~tial Limited Energy/Commercial $ 50.00 $ 50.00 $ 25.00 $ 45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surcharges 4. 7% State Surcharge 10% Administrative Fee TOTAL -:' 0 0 ./ '2--\ '30 0-:;:,')1 Shared Drive(T:)/Building Forms/Electrical Permit Application 1-03.doc