HomeMy WebLinkAboutPermit Miscellaneous 2003-3-27
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2002-01308
ISSUED: 03/27/2003
APPLIED: 11/19/2002
EXPIRES: 09/27/2003
VALUE: $ 56,448.00
Status: Issued
225 Fifth Street, Springfield, OR
541.726-3753 Phone
541-726-3676 Fax
541-726.3769 Inspection Line
SITE ADDRESS: 980 PRESCOTT LN
ASSESSOR'S PARCEL NO.: 1703341200100
Springfield TYPE OF WORK: Garage
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Construct Pole Building, Per applicant, Residence is 4712 square feet. Proposed
structure approx, 10' from mapped wetland
Owner: MCCLELLAN GARY W
Address: 980 PRESCOTT LN SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Owner
Confractor
GREG STALLINGS
MCCLELLAN GARY W
BUILDING INFORMATION I
License
48861
Expiration Date
09/2812004
Phone
541-485-3615
# of Buildings:
Primary Occupancy Group: U-I
Secondary Occupancy Group:
Primary Construction Type VNSpr
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
I Lot Size: 43,555
22,00 Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport 2,880
Sq Ft Other:
Impervious Surface Area:
SETBACKS
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frolltyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
45,00
10,00
153.00
102,00
34,00
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Yes
11,00
Total:
Handicapped:
Compact:
2
IPUBLlC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Partially Improved
Storm Sewer A vailable: Yes
Special Instruction: . lUI e~' ~,.
,''\1:1 :'llIUI\J.UI~.;lldUjlldWleLI I ....~w_.::
Notes: foliO." rule~ <.ldopted by the Or Jgon Ulill.Y
Nu\i1J(;JtIOIi GenIe,. Thus:.; . L1!;JS ",.d sat fD. l
In OJ\H ~~%.OU1-001 [I '("'011['11 ~]AR ;)<;2-00 '
0090, You mrw abt'1in rop::-;; 0, th'J ~ulaG 0
cal!inn ths center. (I\!:::a: ,:'2 ta:'1Dl"one
nLJr1lb8~ fai thp Oregon 'It':il~' .\la,i\!Gatlan
, t . ., Rn,.. ....'1') ':)":'//0\
(,;"r f'I"IS - " '-. ",,--,., ,-,.-./.
Downspoutsffirains:
Curb and Gutter
~~~~~~6 ~~~~~ ~~~R~~~~~TEI~~~~
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee I of3
_RINGFISLO
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Status: Issued
225 Fifth Street, Springfield, OR
541-726.3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Garage
Type of Construction
Garage
Fee Description
Plan Review Residential
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Plan Review - Planning
SDC Transpo Admin
Storm Drainage Impervious Area
Storm Sewer - 1st 50 Feet
Total Amount Paid
.
. l..11~' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2002-01308
ISSUED: 03/27/2003
APPLIED: 11/19/2002
EXPIRES: 09/27/2003
VALUE: $ 56,448.00
I Valuation Descriotion ,
$ Per Sq Ft
$19,60
Square Footage
2,880.00
Total Value of Project
Value
$56,448,00
$56,448.00
Date Calculated
11119/2002
I F pp<, P1l1lLl
Amount Paid
Date Paid
Receipt Number
$258,67
$44,30
$31.01
$397.95
$55.00
$40.61
$812.16
$45.00
11/19/02
3/27/03
3/27/03
3/27/03
3/27/03
3/27103
3/27/03
3/27/03
1200200000000000265
1200200000000000898
1200200000000000898
1200200000000000898
1200200000000000898
1200200000000000898
1200200000000000898
1200200000000000898
$1,684.70
I Plan Reviews I
Initial Review 11/21/2002 11121/2002 APP LLH
Plaonine: Review 11121/2002 03/19/2003 APP EMM Faxed information for DSL
determination regarding proximity
of wetlands, Garage cannot be taller
than or have more square footage
than the house. Enclosed copy of the
home occupation regulations.
Planning Review 1211212002 WE EMM Received fax from DSL. Applicant
is being mailed letter and
information from Jennifer Goodrich
at DSL. Jennifer is requesting a
delineation report from consultant
or a request from applicant for a site
visist determination. Also the Corps
of Engineers needs to OK,
Public Works Review 11121/2002 12/10/2002 APP DPE Check DSL permit to ensure
condition have not changed site plan.
Structural Review 12113/2002 12/13/2002 APP TCM no plans from PW yet
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.
Page 2 of3
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.
. CITY OF ~rKll'\jGFIELD
Building/Combination Permit
PERMIT NO: COM2002-0I308
ISSUED: 03/27/2003
APPLIED: 11/19/2002
EXPIRES: 09/27/2003
VALUE: $ 56,448.00
Status:
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Relluired Insnections I
1 Footing: After trenches are excavated.
2 Slab: To be made after all inslab building service equipment, conduit piping and other equipment items are in
place but prior to concrete.
3 Framing Inspection: Prior to cover aud after all rough in inspections have been approved.
4 Final Building: After all required inspections have been requested and approved and lhe building is complete.
5 Storm Sewer Line: Prior to filling trench.
By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereou is true and correct, and 1 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 he made ofony structure without permission of the Community Services Divisiou, Building Safety. 1
further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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 ou the site at all
times d:7onstruetion~
~O~f _tZ (~;;? /o-z,
Owner or oHftractors Signatu Date
Page 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
ee Items:
Job/Journal Number
COM2002-0 1308
COM2002-0 1308
COM2002-0 1308
COM2002-01308
COM2002-0 1308
COM2002-0 1308
COM2002-0 1308
tyments:
Type of Payment
Check
Paid By
Descriotion
Plan Review - Planning
Receipt #: 1200200000000000898
Date: 03/27/2003
Building Permit
Storm Drainage Impervious Area
SDC Transpo Admin
Storm Sewer - 1st 50 Feet
+ 7% State Surcharge
+ 10% Administrative Fee
GREG C STALLINGS
Received By
Cheek Number Confirm No
dim
6975
Page 1 of I
3/2712003
9:53:53AM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Amount Paid
55.00
812.16
397.95
40.61
45.00
31.01
44.30
Line Item Total:
$1,426.03
How Received
Amount Paid
In Person
1,426.03
$1.426.03
J
Payment Total:
cReeeipt.rpt
: CITY OF SP!UNG~IE~YSTEMS DEVELOPMENT CU. WORK~EET
JOURNAL OR JOB NUMBER: COM2002-011308
NAME OR COMPANY: Ga!"(: McClellan
LOCATION: 980 Prescott Lane
TAX LOT NUMBER: 17-03-34-12-00100
DEVELOPMENT TYPE: SINGLE FAMILY RESIDENCE
NEW DWELLING UNITS: 0 BUILDING SIZE: 2880 SF LOT SIZE: 41382 SF
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
I IMPERVIOUS S.F. I 'I COST PER S.F. I
I 2880.00 $0.282 =1 $812.16
RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS
I IMPERVIOUSS.F'I..I COSTPERS.F. II DISCOUNTRATE
I 0.00 $0.282 x I 50%
I ITEM 1 TOTAL - STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
I NUMBER OF DFU's 1..1 COST PER DFU
I 0 $22.09
B. IMPROVEMENT COST:
I NUMBER OF DFU's 1..1 COST PER DFU
1 0 $16.79
I ITEM 2 TOTAL - CITY SANITARY SEWER SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
I ADTTRIPRATE I 'I NUMBER OF UNITS I xl COST PER TRIP 1,INEWTRlPFACTORI
1 9.57 0 I $16.81 I l.00 1=1
B. IMPROVEMENT COST:
III ADTTRlPRATE l'INUMBEROFUNITSlxl COST PER TRIP IINEWTRlPFACTORI
I }.57 0 I $74.17 I. 1.00 1=1
I ITEM 3 TOTAL - TRANSPORT A nON SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
I NUMBER OF FEU's I 'I COST PER FEU
o $332.86
B. IMPROVEMENT COST:
I NUMBER OF FEU's I ,I COST PER FEU
o $34.83
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
SUBTOTAL OF MWMC REIMBURSEMENT, IMPROVEMENT & CREDIT
MWMC ADMINISTRATIVE FEE
I ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
L:>UBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
SUBTOTAL 1..1 ADM.FEERATE
$812.16 5%
=1 $0.00
= L2!l.12.1 6
~I
=l
=r
=1
$0.00
I.
I 1070
$0.00
$0.00
($896.66)
$0.00
$0.00
$0.00
$812.16
$0.00
$0.00
$0.00
$0.00
$0.00
=1
TOTAL SANITARY ADMINISTRATION FEE: I
TOTAL TRANSPORTATION ADMINISTRATION FEE: 1
=1
=1
=1
=1
=1
=1
~I
$40.61
40.61
$0.00
S:t- 1~
SIX COORDINATOR
DATE
.TOTAL SDC CHARGES =1 $852.77 J
12/1 0/2002
r:/J
p..)
Cl
o
u
~
p..)
r-<
r:/J
.-
o
~
1091
I 1092
II
1093
I 1094
Tl
I
I
I 1055
I 1056
1
I
I
I 1079
Ij 1078 I
I
.
.
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULA TE ONLY THE NET ADDITIONAL FIXTURES)
NO. OF FIXTURES DRAINAGE
( ) UNIT FIXTURE
# NEW # OLD x EQUIVALENT = UNITS
(0 O)x 3 0
(0 0) x I 0
(0 O)x 3 0
(0 O)x 3 0
(0 O)x 6 0
(0 O)x 2 0
(0 O)x 3 0
(0 O)x 6 0
(" 0 0) x 12 0
(0 0) x I 0
(0 O)x 3 0
(0 O)x 2 0
(0 O)x 2 0
(0 O)x 3 0
(0 O)x 2 0
(0 0) x I 0
(0 O)x 2 0
(0 0) x I 0
(0 O)x 5 0
(0 O)x 6 0
(0 O)x 3 0
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE 1 OIL 1 SOLIDS 1 ETC.
INTERCEPTORS FOR SAND 1 AUTO WASH 1 ETC.
LAUNDRY ruB
CLOTHESW ASHER 1 MOP SINK
CLOTHESW ASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (1 PER TRAILER)
RECEPTOR FOR REFRIG 1 WATER STATION 1 ETC.
RECEPTOR FOR COM. SINK 1 DISHWASHER 1 ETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIALIRESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: DOMESTIC BAR
WASH BASIN
LAVATORY
URINAL, STALL 1 WALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS DFU TYPE NUMBER OF EDU's'
(0 0) x 20 0
TOTAL DRAINAGE FIXTURE UNITS =1 0
.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 CALCULA nON TABLE: BASED ON COUNTY ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE, CALCULATE CREDIT SEP ARA TEL Y
YEAR CREDIT RATE PER $1,000 II YEAR CREDIT RATE PER $1,000
ANNEXED ASSESSED VALUE ANNEXED ASSESSED VALUE
1979 OR BEFORE S4.92 1990 $2.06
1980 S4.83 1991 $1.64
1981 S4.77 1992 $1.45
1982 S4.64 1993 $1.31
1983 S4.47 1994 $1.13
1984 S4JO 1995 $0.97
1985 $4.09 1996 $0.82
1986 $3.78 1997 $0.63
1987 $3.41 1998 $0.41
1988 $2.98 1999 $0.22
1989 $2.52 2000 $0.04
VALUE 11000 CREDIT RATE
71.818 x $4.92 =1
110.430 x $4.92 =1
TOTAL MWMC CREDIT =1
CREDIT FOR LAND (IF APPLICABLE)
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
$353.34
$543.32
$896.66
.
Dregon
.
Theodore R. Kulongoski, Governor
Division of State Lands
775 Summer Street NE. Suite 100
Salem, OR 97301-1279
(503) 378-3805
FAX (503) 378-4844
www.oregonstatelands.us.
March 12, 2003
State Land Board
Greg Stallings
85711 Pine Grove Road
Eugene, OR 97405
Theodore R. Kulongoski
Governor
Bill Bradbury
Secretary of State
Re:
Wetland Determination for McClellan Garage located in
T 17S R 3W Section 34 12, Tax Lot 100 in Springfield; WD #2003-0038
Randall Edwards
State Treasurer
Dear Mr, Stallings:
I have reviewed the wetland determination report prepared by EGR & Associates,
Inc. for the project referenced above, Please note that the wetland study area
only included the proposed garage location (north of the existing homesite and
east of the existing sewer line). Based on the information presented in the report
and the results of my March 11, 2003 site visit, I concur that there are no wetlands
present .in the proposed location for the garage.
This concurrence is for purposes ofthe state Removal-Fill Law only, Federal or
local permit requirements may apply to this project. This jurisdictional
determination is valid for five years from the date of this letter, unless new
information necessitates a revision, Circumstances under which the Division may
change a determination and procedures for renewal of an expired determination
are found in OAR 141-090-0045 (available on our web site or upon request). A
request for reconsideration of this determination may be submitted in writing by
the applicant, landowner, or agent within 60 calendar days of the date of this
letter. Thank you for your report.
Sincerely,
,
~ Approved b
Jennifer Goodridge
Wetland Specialist
cc: Phil Stallings, EGR & Associates, Inc.
Springfield Planning Department
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K:\Wetlands\Jennifer\WD letters\WD03-0038.doc
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City of Springfield
Electrical Permit Attachment
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Status: Issued
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
PERMIT NO.:
ISSUED:
APPLIED:
EXPIRES:
ELE2002-00127
10/30/2002
10/28/2002
4/30/2003
SITE ADDRESS:
ASSESSOR'S PARCEL NO.:
980 PRESCOTT LN
1703341200100
Springfield
TYPE OF WORK:
TYPEOF USE:
Alteration
Residential
PROJECT DESCRIPTION:
Change electric service to underground
OWNER! APPLI CANT:
MCCLELLAN GARY W
980 PRESCOTT LN
SPRINGFIELD OR 97477
ELECTRICAL CONTRACTOR:
C & SELECTRIC 541-741-2236
P.O. BOX 1482
SPRINGFIELD OR 97477
CCB # 3849 Expiration Date: 09/01/2004
Descrintion
Amount Paid
Date Paid
Receint N urn ber
Cashier
+ 7% State Surcharge 4.41 10/30/2002 1200200000000000161 dib
+ 8% Administrative Fee 5.04 10/30/2002 1200200000000000161 dib
Perm ServlFdr 200 amps or less 63.00 10/3012002 12002000~Q900000161 dib
_\\ .
c.'1- .~".,
To Request an inspection call the 24 hour recording at 726-3769. All inspections requesIi.9;~fo\~\}'OO\>cffi~ will be made the same working day,
inspections requested after 7:00 a.m. will be made the following working day. \~'o/l \0 O\e~~e <oe\ .'\:J'\:J.....
A\O" .,~e ,,,,<0'3' ",QF;)?;,~c,'Q\
~~'- ~eO~' r;,e\V ~or'~e\v' ~e
Reouired Insnections: ~,\\O ~OO~ ,,\1(;\0 '0-,:,($ &o'~ ~e~~O ~\O"
1 EI . S . I' d' -'''I'-=-~ .,,,,$ ,,\e\' , ,,~. ";,9 e\0 .,\C,'3'
ectrlc ervlce: Approva requITe pTlor to I!IP Ity.,".ampany;enet:glzmg servl~e~ ~\IO:l.\'
f r::i'~"':(\"" :\..\1 \".... 0' \,t \'lo
2 Underground Electric: Prior to cover 'O\~ 'c,~\\O ~'\:J~ 0'Q\'li- ~o'l '\3i.~\\V, n,!JP."
\O\~\ Q.. Q,'6 <\\'(l.v, >r\\0\' ",-" "f'J..?-
By Signature, I state and agree, that I have careffi!~\!!I'''ami.D_elI'thJ(CO"1Ble~\I,~pi>lication and do hereby certify that all
information hereon is true and correct, and I furth'~ns~\1ify'\~!!W ~f'yf:in~'all"work performed shall be done in accordance
with the Ordinances of the City of Springfield and thle la~'oflth~\:Stat" 'Of Oregon pertaining to the work described herein. I
further certify that only contractors and em ployees WhO'!Irf-:i', cfn'j'pliance 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, and that the approved set of plans, if applicable, will remain on the site at all times during construction. \)~'f..
,\,\\S ~ ~\)'\
.n~ \'i- .,"( \S
Owner or Contractors Signature Date ~\. S1-\'\; ,?SW,;~ 'i-Cl\\
~~'\\C~~~\'\ S~:\)S~ ~~~~\J\)~~
,\\\S '? ~1t.\J ~ \S
'\ -:--'\\\)<(\ c,S\J G ~\\)\J.
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225 FIFTH STREET
SPRJNGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726.3759
ELE.AL PERJo,UT APPLICATION
City Joh Numher ELC ZOo Z - 00 I 2.,
'3. COMPLETE FEE SCHEDULE BELOW
\
1. LOl1lt~ OFp~~~
A. New ResideutiaI-Single or
I\1ulti-Family pcr dwelling unit.
Sen-ice Included:
LEGAL DE~RIPTION
/70J3'f1 Z 00/00
1M 10\\Owing
bmilled \1as nd. ",e
JOB DESCRIPTION( "ngproiec\assu . e spec~(llXh<l.n, or less
C~l.~lC: V14trftR.- ~pth~oes nol reQul< ach addilional500
. +0 l.~ ",d<><L. '7.~fi;b."l.L. l" r IOn
Permits arc non-transferable an~ expIre zoning 11 'l/ there
if work is not started within 180 days 0' Each ManuI' me or
of issuance or if work is slIspend6tf.'fO fa 1 ar Dwelling
d SlgnalU
180 days. AUlhOnze Service or Feed'i{)
01) '.
4)~ ~'i.~~ 1':
2. CONTRACTOR INSTALLATION ONLY B. Services ~,:Fee~~l~ ~....o~ ,
(\ \ C" C'I ' \~IitWallali~n,-A11i:rat~bs OJ'
Electrical' Contractor ~ J i Cl U 'f'ctr Ie ,eQ,O<;\ 'O-fClg.~,tiii~'~ <?l(j~,~~ '0'.
P f.l 4 / ",,0 ~eO fi>e \ r..'(<O~ >(So.e \>$ ,,~!<'
Address f) IJb)( \ V~ / ._".),~oo~~,~~Sn\an\ps,ot)less,e.\)~ "':~O'(\
- ~e"b 1\,b' ~~\ ,(d"" "f~lo (',r."'"
"rf+- '" ,:" "~':)'L Ge~ l.)l.)'\2~1 alJlpS,(&\40Q,~~ps'
Cil)' () Phone-t lfl ~,?-};J~1j#~ ~l.)V o~~01'\~!l!~~Z~~9.o~,I!-,P,S
, II .~....\V 'iJ~?- ~. (igJ' amps.to 1000' amps
Supervisor License'Number 'I ~~n~<(\ ~O\) :ec0{'o,<E:r-Gooo amps/volts
. .' ., D I I (j .. ,r,:,<?,':J' ~\{\~ ~ \0' 'I.{\~R'e'con'nect Only
Explfal10n Date I 0 J ,,'i> is>e'l._,"'
,"\\)\' C. TcmporaQ' Sen.'ices or Feeders
'58' l( 9 Installation, Alteration or Relocation
qlllb~
~ Constr Contr. Number
200 amps or less
20 I amps to 400 amps
Signature of Supervising Elcct.-ician Over 40 1 to 600 ampsC\~~
~ Over 600 amps ~o?~{j"i'~\S see
." . /1_ () /',/l "B" "bove X. ,~\ ~ ,S ~
- ,U.-!'.. ~ ~}.I(\~ 'i:.1(o..~\ ~~I(o..
'" _ C /' J~ D. B~n\;,t..eu;~*tt? ~'i:.\;)
Owners N ame -...)~a.: /V'. LJ e- . ~~ S ~,su?A)~wlli'.?or Extension Per Panel
q D l('i:.l?\ 'i:.\;) \J \S ~
Address I gO trrf.b:SCo y..\S \C\I(o..\'V x.\;)\;)~e,!gi5'arit _
\'.\) \, ~'i:.~\J ~ 1(~'0
Citv $.i) F~ Phone r'J:J~~ \ 'O~ \)I>'Each Additional CIrcuit or with Service
\'.~'{ or Feeder Permit _
, ~ Expiratlon Date
OWNER INSTALLATION
The installation is being made on
property 1 own which is not intended
for sale, lense or rent.
E. Miscellaneous (Sen'ice/feeder not included)
-Each installation
Pump 'or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
Owners Signature:
Items Cost
Snm
$106.00
$ 19.00
$ 50.00
~$G3.00 b:J.
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
$50.00
$69.00
$100.00
$43.00
$ 3.00
$50.00
$50.00
$25.00
$45.00
i\linimullI Electric Permit Inspection Fcc is $45.00 + Surcharges
b ~ 0.2-
Lfl//
<;;'D'{
$> 72 4):
4. SUBTOTAL OF ABOVE
7% State Surcharge
80/0 Administrative Fcc
TOTAL