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Home My WebLink AboutPermit Plumbing 1993-10-28 ~~ U. C~_!..$,_~"'" ASSESSOR~MAP: / 7 C; 1. 2.. "'2.... .Z L-___.___ TAX LOT: ~a I,v;? ,P7t('T/ 77~; _5tt?WTI'/,v;? /~7t?__3 S~~ION' RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK: LOT: .. SPRINGFIELD 772 ADDRESS: _ JlZ:; FUr? OWNER:__~.e:r /3, ~~ J)~(:dC-_A - CITY: STATE: cw .= JOB NUMBER 930f}dJ-.L 225 Fifth Street Springllel<l. Oregon 97477 ~ , 29t!n'3 f <:0.<7 U PHONE: ?43 ,) ~ '7'2".. ZIP C)'7~C2/ DESCRIBE WORK: -~i1 -:{ljau,f;e.~ ~.:::_~~_/ld2doc c:t:;A.J.t!.7 NEW REMODEL ADDITION ____ DEMOLISH _.__ OTHER CONTRACTOR'S NAME GENERAL: _ PLUMBING: ~,tf)M MECHANICAl' ELECTRICAl' QUAD AREA: . OF BLDGS: OCCY GROUP: . OF STORIES' WATER HEATER: _ ADDRESS CON ST. CONTRACTOR" PHONE - OFFICE USE - LAND USE: . OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGE: EXPIRES FLOOD PLAIN: ZONING CODE:_ " OF BDRMS' SECONDARY HEAT: SQUARE FOOTAGE: 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 after 7:00 a.m. will bc made the following work day. o Temporary Electric o Sito Inspection - To be made after excavatIon, but prior to settIng forms. o Underslab PlumbingJ Electrical! Mechanical - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond beams, grouting. D Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trencll. o Underfloor Plumbing/ Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor insul<.ttlon or dccl<ing. o Floor Insulation - Prior to decking. o Sanitmy Sewer - Prior to filling trench. o Storm' Sewer - Prior to filling trench. o Water Line - Prior to filling trench. rvf Rough Plumbing - Prior to ~ cover. REQUIRED INSPECTIONS o Rough Mcchanicnl - Prior 10 cover. o Rough Electrical - Prior to cover. D Electrical Service - Must be approved to oblain pernwnent electrical power. o Fireplace - Prior to facing materials and framIng Insp. o Framing - Prior to cover. o Wail/Ceiling Insulation - Prior to cover. D Drywall - Prior to taping. o Wood Stove - After Installation. o Insert - After fireplace apPlOvat an~ Installation of unit. o Curbcut & Approach - Arter forms are erected I)ut prior 10 placement of concrete. o Sidewalk & Driveway - After excavation is complele, forms and sub.base material in place. o Fence - When completed. D Street Trees - When all required trees are planted. "f><1'" Final Plumbing - When all ~Iumbing worl<. Is complele. D Final Electrical - When all electrical work Is complete. D Final Mech.lOlcal - When all mechanical work is complete. o Final Building - When all required inspections have been approved and building is completed. DOlhcr MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blockIng is complete. o Plumbing Connections - When home has been connected to water 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 venting have been Installccl. Lot faces Lot sq. ltg. Lot coverage Topography Total height Lot TYPO. Inlerior Corner Panhandle Cul.de-sac BUILDING PERMIT ITEM SQ. FT. X $/SQ. FT. Main Garage Carport Total Value Building Permit Fcc Slate Surcharge Total Fcc (A) Setbacks . p.L.-1 HSE GAR ACC I I . 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. N Is W E VALUE SYSTEMS DEVELOPMENT CHARGE (SDC) PLUMBING PERMIT ITEM Fixtures Rosldentl~1 Bath(s) N' Sanitary 'Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit Stale Surcharge Tolal Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Slove/lnsert/Flreplace Unit Dryer Venl Mechanical Permit Issuance State Surcharge Total Permit (B) / (C) Mobile Home MISCELLANEOUS PERMITS (D) State Issuance Statc Surcharge Sidewalk lt Curbcut It Demollllon Stale Surcharge Total'Miscellaneous Permits (E) FEE ~/D,~-~ _10.00. .~.5?L !Q/!_~. TOTAL AMOUNT DUE (excluding eleclrlcal) (A. B. C. D. and E Combined) _/-O~~ APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition lhat the said construction shall, in all respects, conform to the Ordinance adopted by the Cily of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any proVisions of said ordinances. ., Plan Check Fee: Datc Paid: Receipt Nurnucr' Received By: Plans F~eviewed By Date Syslems Development Charge Is due 'on all undeveloped properlies within the City limits which are being improved. ADDITIONAL COMMENTS By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all informalion hereon is true and correct, and I further certify that any and all work pcdormed shall be done in accordance with the Ordinances of the City of SpringOeld, and the Laws of.the Stale or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure witllOUt permission of the Building Safety Division. I further certify lllat only contractors and employees who arc In compliance with GRS 701.055 will be used on thIs project. I furlher agree to ensure that all required inspections are requested at the proper Ii,me, that each address is readable from lhe slreet, thaI the permit card Is located at the front of U1e property, and the approved set of plans will remain on the site at all times during construction. ~ignaIU/~ / LA- Oatl"' ~ SAC. 7 /1'J,7{...'7 . J)~A7 I() ~,}J~. ->'3 J.. AMOUNT RECEIVED //) 82 I ~~?7 { - - ,;;:;-- . RECEIVED I3Y _m.~ VAliDATION: RECEIPT NUMBER DATE PAID - . JOB NO. ATTACHMENT BI CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: LOCATION: '1 '72 DEVELOPMENT TYPE: BUILDING SIZE: I. STORM DRAINAGE IMPERVIOUS SQ. FT. JAvnP< :K .tA ~UC AI, c.j~)''''''v~j ~ Lo, 1 - LOT SIZE SQ. Ft. x SO. 203 PER SQ. FT. S 2. SANITARY SEWER-CITY ~J NO. OF PFU'S ~ (See Reverse) 3. TRANSPORTATION s~Z><. ~ (S~~ X 542.08 PER PFU L....,..<:!64 I~; NO OF UNITS X TRIP RATE X COST PER TRIP X X X 4. SANITARY SEWER-MWMC NO. OF PFU'S x $15.125 PER PFU + $10 MWMC ADM FEE $ (Use PFU Total From Item 2 Above) X 5424.31 X $424.31 X $424.31 S s S MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAL-MWMC SD~ $ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 5. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 ~~L~b 11/1/'; GT Kip Burdick ' . SDC Coordinator s 4.1-1 r TOTAL SDC S ~%> S'7 FIXTURE UNIT,CALClaTION TABLE: Number of New Fixe X Unit Equivalent = Fix1ure Unit~ (NOTE: For remodels. calculate only the l!!I additional fixlures) NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Ba lht ub...................................................................... Drinking Fountain..................................................... Floor Drain................................................................ Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Et~.................. Laundry Tub/Clotheswasher............................:...... '- Clotheswa~er - 3 Or More...................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor F9r Refrigerator fWater Station/Etc........ Receptor For Commercial Sink/Di~hwasher /Etc.. Shower, Single .Stall.................:......:... ..................... Shower, Gang........................ .......... ......................... Sink. Bar, COmmercial............................................. Urinal, StallfWall......................... ..... ......... ......... ....... Wash Basin/Lavatory, Single.................................. Water Ooset, Public Instaliation............................. Water Ooset, Private............................................... Miscelianeous: , 2 1 2 3 6 2 ._ 6 .6 1 3 2 I/Head 2 2 1 6 4 '. < . TOTAL FIXTURE UNITS CREDIT CALCULATION TABLE: calculate credhs separates. I Based on assessed value. If improvements occurred after annexation date in table. Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1.000 Assessed Value ....1 1979 or before 1980 1981 1982 1983 1984 '1985 $3.21 3.13 3.08 2.96 2.82 2.68 2.51 1986 1987 1988 1989 1990 1991 1992 $ 2.24 1.93 1.57 1.18 0.79 0.44 0.28 ~ Credh for Parcel or Land Only If Applicable X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = $ Improvement (if after annexation date) RUNOFF COEFFICIENTS FOR STORM DRAINAGE Resident ial..........................;............................. 0.4 CommerciaL............. ....................................... 0.9 Industria1........................................................... 0.45 Governmenta1................................................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT