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Home My WebLink AboutPermit Plumbing 1996-7-25 RESIDENTIAL PERMIT APPLICATION . I.", . Inspecllons: 726-3769 Office: 726.3759 LOCATION OF PROPO~D~OR'" II!) I ASSESSORS MAP' \ I I \..J?J~ LOT' .\ BLOCK' . 0. \ 0\ (f)5 JOB NUMBER 225 Filth Street Springfield, Oregon 97477 () 0 ~n j j 0 -" . 0 . ~AX LOT' 1A~( SUBDIVISION: OWNER:jj, P V o~ ILl. c8nllO. PHONE: ~ 9I)~ ADD~~Kt 1~ )0 1J f (J /12- J?\tJLn J j .2- j r f CITY:~1 . Jtoflfl.J STATE:JJAorym zrp:~) DESCRIBE WOR~rt .!-\ \ 0 ',fJy:LU J f) iJ)\ +0 0tnt !7J? f'UT2J ./ NEW REMODEL ADDITION \ DEMOLISH OTHER I / CONTRACTOR'S NAME GENERA" ''\ l PLUMBING' ll)1 f 1 f\Q)f_ MECHANICAl' ELECTRICA' . ADDRESS CONST. CONTRACTOR' PHONE EXPIRES - OFFICE USE - QUAD AREA: LAND USE:_ FLOOD PLAIN' . OF SLOGS: . OF UNITS: ZONING CODE:_ OCCY GROUP' CONSTR. TYPE: . OF BDRMS: . OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANGE: _ SQUARE FOOTAGE:_ To request an Inspection, you must call 726.3769. This 15 a 24 hour recording. All Inspections requested before 7:00 a.m. will bo made the same working day. Inspections requested after 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS o Temporary Electric D Site Inspoctlon - To be mado after excavation, but prior to setting forms. o Underslab Plumblngl Electrlcall Mochanlcal - Prior to cover. o Footing - After trenches are excavated. o Ma.onry - Steel location, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. o Undarground Plumbing - Prior . to filling trench. o Underlloor Plumblngl Mochanlcal - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking. o Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. . o Water Line -'- Prior to IlIlIng . trench. . 0"ROUgh Plumbing - Prior to cover. o Rough Mechanical - Prior to cove~ . D Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover. o Wall/C'elllng Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stovo - After Installation. o Insert":" After fireplace approv41 and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. o Sidewalk & Drlvew3Y - After excavation Is complete. forms and sub.base material In place. o Fence - When completed. o Street Trees - When all required trees Brc planted. ,/ ~ t'lnal Plumbing - When all plumbing w9rk I. complete. D Final Eloclrlcnl - When all electrical work Is complete. o Final Mechanical - When all mechanical work Is complete. o Final Building - When all requIred Inspections have been approved and building I. completed. DOthar MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to waler and sewer. o Electrical Connection - When blocking, set.up, and plumbing Inspecllons have been approved and tile home Is connected to the service panel. o Final - After all required Inspections are approved and porch os, skirting, decks, and venting have been Installed. .'". Lol TyP. o' .IS THE PROPOSED WORK IN THE. Lot faces Setbacks Lot sq. Itg. Interior I P.L. HSE GAR Accl HISTORICAL DISTRICT, OR ON IN I THE HISTORICAL REGISTER7 Lot coverage Corner If yes, this application must be signed Is I and approved by the Historical Topography Panhandle Iw I Coordinator prior to permit Issuance. Total height Cui-de-sac IE I APPROVE['l' BUILDING PERMIT ITEM SO. FT. X $/SO. FT. a VALUE Main Garage Carport " Total Value Building Permit Fee State Surcharge TOlal Fee (A) SYSTEMS DEVELOPMENT CHARGE ~DA;) (B) . O~'6.0\ \ BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition thai the said construction shall, In all respects, conlorm to the Ordinance adopted by the City. 01 Sprlnglteld, Including the Development Code, regulating the construction and use 01 buildings, and may be suspended or revoked at any time upon violation 01 any provisions 01 said ordinances. Plan Check Fee: Date Paid: Receipt Number: Received By: Plans Rovlewed By Date Systems Development Charge Is due on all undeveloped properties within tho City limits which are being Improved. PLUMBING PERMIT ADDITIONAL COMMENTS ITEM ~ nEb) Fixtures 1\ . Residential Bath(s) N' ~ Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit ~ /,){) CO State Surcharge -1.50 .:3% ''-10 Total Charge (C) ~An MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan N' Wood Stove/lnsert/Flreplace Unl1 Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut II Demolition \.l~ryr~f\~ d~~ l,'~ .3~.j\ Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding eloctrlcal) lA, B, C, 0, and E Combined) By signature, I stalo and agree, that I have carefully examined the completed application and do hereby certHy 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 Ordlnancus 01 the'Clty of Springfield, and the Laws of the Slate of Oregon perlalnlng to tho work described herein, and thaI NO OCCUPANCY will be made of any structure without permission 01 Ihe Building Salety Division. I further certify that only contractors and employees who are In compllanco with ORS 701.055 will be used on this project. I further agreo to ensure that all required inspections are requested at the proper time, that each address Is readable from the slreel, 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 construction. ~gnature~/t~ ~J--J () pi ,_, I~ Date VALIDATION: RECEIPT NUMBER ,~~~) '~J~'3 ! DATE PAID AMOUNT RE RECEIVED JOB NO. '1& I 005" ATTACHMENT B ,. CITY OF ~INGFIELD SYSTEMS DEVE[ ME NT CHARGE WORKSHEET . NAME OR COMPANY: I-ttrLG: '" 6o~p LOCATION: Il'Z.. ( DAreL~l-(c M€.. DEVELOPMENT TYPE: /lltEt...i (?LUjVl!JI",6 BUILDING SIZE: lOT SIZE <;0. Ft. 1 . STORM DRA TlffiGE IMPERVIOUS SQ. FT. X $0.216 PER SO. FT. $ - 2. $ANTTARY SFWFR-rTTY NO. OF PFU'S (See Reverse Side) t X $44.75 PER PFU 'Z.~ $ '31'3- 3. TRANSPORTATTON NO OF UNITS X TRIP RATE X COST PER TRIP X X $451. 26 $ X X $451. 26 $ X X $451. 26 $ 4. SANTTARY SFWFR-MWMC NO. OF PFU'S x$20.69 PER PFU+$10 MWMC/ADM FEE $ - (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAl -MWMr SDr $ SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 5. AruiTNTSTRATTVF FF~ BASE CHARGE (SUBTOTAL ABOVE) X .05 $ cID6 I"" :;-- 1~'J ~ Cj) L.t-' S Ttf:Ie... Troy MeA 11 i ster SDC Coordinator Date:~;I~~;I~~ . TOTAl snr / $ 328 ~ FIX I UHI: UNII l;ALl;ULA IIUN I AtSLI:: Number of New Fixtures X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate o'llliihe NET additional fixturesl . .. I NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub..................................................................... . Drinking Fountain.. ..................... ......................... ..... Floor Drain........... ........................................ ....... ...... Interceptors For Grease/OiI/Solids/Etc... .............. Interceptors For SandlAuto Wash/Etc.................. Laundry Tub/Clotheswasher..... .............................. Clotheswasher . 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Recepior For RefrigeratorlWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall................................................. Shower, Gang.......................................................... Sink: Bar, Commercial, Residential Kitchen........................ Urinal, StaIl/Wall... ........................ ............................ Wash BasinlLavatory, Single.................................. Toilet, Public Installation........................................ Toilet, Private....................................................... Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 llHead 2 2 1 6 4 'L -t TOTAL FIXTURE UNITS = 7 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 19BO 19B1 1982 19B3 1984 1985 1986 $3.72 3.64 3.58 3.45 3.30 3.15 2.96 2.68 1987 1988 1989 1990 1991 1992 1993 1994 1995 $2.34 1.95 1.53 1.11 0.73 0.56 0.44 0.27 0.13 I. Credit for Parcel or Land Only If Applicable X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) = Improvement (if after annexation date) = CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) ResidentiaL.......................... 0.4 Commerical......................... 0.9 IndustriaL........:.................. 0 5 GovernmentaL..................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT