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Home My WebLink AboutPermit Plumbing 1999-6-29 OWNER' LolUll.I M()/ c.-,v If ADDRESS' :siSS 5 ~ Xt~/E1l. )/)/l.-11"'1 /.,t~ J . ~^" fa; REMODEL ADDITION ~ . , RESIDENTIAL , PERMIT APPLICATION Inspections: 726.3769 Oruce: 726.3759 " ASSESSORS MAP: LOT' j CITY: DESCRIBE WORK' NEW CONTRACTOR'S NAME (JtNlJr(/... GENERAl' PLUMBING: MECHANICAl' ELECTRICAL: QUAD AREA: . OF BLDGS: OCCY GROUP: . OF STORIES: WATER HEATER' .' ~ '. J"fWUti. ' , BLOCK: C R/) STATE: ~/2. V &o..d VI. , DEMOLISH OTHER __i JOB NUMBER, 99(}9tJ/ 225 Fifth Street Springfield, Oregon 97~77 TAX LOT: SU8DIVISION' fOOO/' PHON~' 717- 2fS7 ZIP: 97t.t.7-F ADDRESS , CONST. CONTRACTOR . EXPIRES .;:. ,PHONE o Rough Electrical - Prior to cover.. , D Electrical Servlce,-. Must be approved to obtain permanent electrical ,power. D Fireplace - Prior to facing . materials and Iramlng Insp. D Framing - ~rlor to,'cover. D Wafl/Celllng insulation - Prior to ' cover.' . . . D Drywall - Prior to taping. D Wood S.'ovo ~ ':'fter InS~allatlo.n. o Inser. - After flre'Place approve,' , and,lnstallallon 01 unll. ' ' ' o Curbcut & Approach - After. forms are erected but prior to ~ placemont of, concrete. D Sidewalk & Driveway - Aller . excavation 'Is compiete, forms and 'sub-base m~.terlal In ,place. D, F~nce:- When completed. D,St~eet Tree.s --'When all required trees, are planted. NOTICE: fi-lIS PERMIT SHALL EXPIRE IF THE WORK FLOOD PLAIN' ZONING'CODE: . OF BDRMS' SECONllARY HEAT: SQUARE FOOTAGE: To request an Inspection. you must call 726.3769, This Is a 24 hour recording. Alllnspecllons requested before 7:00 a,m. will be m~ae the same working day, Inspections requested after 7:00 a.m. will be made the f~lIowlng work day. " I REQUIRED, INSPECTIONS D, Rough M9ch~ml'ca~ - Prior to. cove~. . \ 'RANG~' D Final Plumbing -:. When all plumbing worl< Is complete.' , , o Final Electrical - When all electrical work Is. complete. D Final Mechanical - When all mechanical work Is complete. D Final Building -'When ~II required Inspections have been approved and building is completed. @her MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. " : D Plumblng'Co~nectlons - WhEm . home has been con nected to , water and sewer. o Electrical Connection' - When ,blocking. set,up. .and plumbing, InspectIons have been approved and the home Is connected to , the serv~ce panel. D Final - After all required. Inspections 'are approved and porches, skirting, decks, and . venting have been Installed. . r flU' nunll.E:U UI~UE:n I nl;) l"E:nlYIII I;) I~U I ATTENTION:Oreoc:m l;:Jw reoulres VOIl to . , follow rules adnniprl hv thl> ()rl>nnn I Ita iI>, COMII.1:rJE:::8 Vf.1E:,'iBANOOt4::e: ('::);1 Notificat.ion Center. Those rules arP--r.<oliF.ICE USE" _ANY 1l:lUUAY I-'cHIUU. in OAR 952-001-001 0 through OAR 952-001- ' ""or, 'Ye" !'P.8,' estal'n COpkANDIUSE' 01." . __'t..__ , _.. ,........ VI ...... 1"u,U~''';',}' calling the center. (Note.. TOF tfiN~:rs;me numoer for thB Oregon Utility Notification n__,_ -'- . 000 3'CONR.TR TYPE' .....~........ .'''' ,-Q - ..""ir.;.-c...v"rt"i,i; . HEAT SOURCE: D Temporary .Electrlc' o Site Inspection - To be made , after excavation, but prior to I setting. forms. . o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. D Footing -, After trenches are excavated. . D Masonry - Stee~ location, bond beams, grouting. . . J.} ',,' O Foundation - After forms are erected. but prior to concrete. placement. 0" Underground Plumbing -: Prior, to filling trench. , , o Underlloor Plumblng/Mechanlcaf - Prior to Insulation or decking. o Post and Beam - 'Pi'lor to floor , . Inau,latlon or.,decklng. : ;\. ~. : . o Floor Insulation - Prior to , &l~klng. . " \ SlInllllY Sewer - Prior to filling ....trench.', ' D Storm S~wer - Prior to' filling trench. . o Water Line - Prior to IlIIlng trench..' . . 0 Rough Plumbing - Prior to cove~ . Lot faces L~l ~yp_ Lot sQ. Itg. Interior Lot coverage Corner Panhandle \: Topography Total height Cul-de-sac ,I.. BUILDING PERI\7I1T"J ITEM SO. FT, " 't X $/50. FT. = Main Garage' Carport Total Val ue } Building Permit Fee State Surcharge Total Fec (A) ,'.; '" "i('" ;"I~~' ~, 1 1:;,1 ~"I,,'':lJ<t'Jl,~*:~'i ~~:', ::'.~ \:' ,I,:: ,~':\ ,;::i!t',?". '\,,:"', :,0' Setbacks' _' "': I!P.L. HSE GAR ACC'! I N I I s I I I w ---- IE VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary S~wer FT. (;0 .Water FT. Storm Sewer FT, Mobile Home Plumbing Permit Stato Surcharge- Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood Stovellnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (0) MISCELLANEOUS PERMITS Mobile Home ~ State Issuance' State Surcharge Sidewalk It Curbcut It Demolition ,Slate Surcha'rge <;f)[. Total Miscellaneous Permits (E) FEE JiM ?.{"~ I.lf" 17J 2-7. OD /CJ7(). 7~ ,\ TOTAL'AMOUNT DUE (excluding electrical) .d q 7 q [) (A. B. C, 0, and E Combined) ~ '.5 THEPROPO~ED WORK tN T~E . ' HISTORICAL DI~TR1CT. OR ON" .' ,THE HISlORICAL REGISTER? If yes, this application must be signed ond approvad by tho Hlotorlool Coordinator prior to pennlt issuance. APPROVED' , BUILDINh vA.L~E, PLAN CHECK AND BUILDING PERMIT . , I This permit is granted on the Gxpres$ condition that the said construction shall, In all respects, conform to the Ordln<<nee adopted by. tho City of Springfield, Including. tria Oovelopm'ent 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: " Date Paid: Receipt Number: Received By: Plans Reviewed By Date Systems Development Charge Is due on all undeveloped properties within theGity limits which are being Improved. , ADDITIONAL COMMENTS By slgnature..1 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 Ordl.nances of the City of Springfield, and the Laws of the State of Oregon perlainlng to tho work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Building Safety Division. I further certify that only contractors Bfld employees who are In compliance with ORS, 701.055 will be used on this prolect. I further agree to ensu're 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 construction, Signature Oat.a , VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED RECEIVED BY .-,.oJ' ~, . JOURa OR JOB NO. _ q~4-3-=l- ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: lA.li"lI"Il ~ fY\o"""C L. LOCATION: ?;Pn7, ,',,~.. Ti:d DEVELOPMENT TYPE: ~~ BUILDING SIZE: LOT SIZE SQ. Ft. I, I. STORM DRAINAGE IMPERVIOUS SQ, FT. 2. SANITARY SEWER-CITY .' NO. OF PFU'S ' Z~ (See Reverse Side) 3'. TRANSPORTATION X $ 0 . 227 PER SQ. FT. $ ~ - X $47.14 PER PFU $ IO~4-. 7. z.. NO OF UNITS X TRIP RATE X COST PER TRIP X 1.01 X $475.32 $ 4Si?O.QT X X $475.32 $ 4, SANITARY SEWER-MWMC A. REIMBURSEMENT COST: NO. OF FEU'S X Z77.4'rPER FEU $ 2..'" 04+ B. IMPROVEMENT COST: NO. OF FEU'S X ZC;.2l> PER FEU $2<5. ZoD MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE <$- > $ 10,00 TOTAL-MWMC SDC $ ?-J~,/~ SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ /'37"'.93 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 ~~~.~~ (lA<;,c..". SDC Coordi nator ATTACH' A. WPD Date: &./2fl/'P/ TOTAL SDC $/~70. 77 FIXTURE ,UNIT CALCA TION TABLE: Number of New F.res X Unit Equivaleni = Fixtur{uriiis" (NOTE: For remodels, calculate only the NET additional fixtures) NUMBER OF NEW FIXTURES FIXTURE TYPE Bathtub................................. '...................................... Drinking Fountain..................................................... Floor Drain. ........... ..................... ....................... ........ Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher.. ..................... ... ...... :.. Clotheswasher - 3 Or More..............;...................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall................................................. Shower, Gang. .'..... .......................;............................ Sink: Bar, Commercial,'Residential Kitchen........................ Urinal, Stall/Wall.. .......... ,.............. ............. ......... ...... Wash Basin/Lavatory, Single.................................. , Toilet, Public Installation........................................ Toilet, Private........................................................ Miscellaneous: " UNIT EQUIVALENT ( 2 1 2 3 6 . J' 2 6 6 1 3 I 2 1/Head I 2 2 _J1/ 1 6 1/1 4 TOTAL FIXTURE UNITS = FIXTURE UNITS 'Z "Z- 'Z- .'2- ~ /,;1. 2'2. CREDIT CALCULATION TABLE: calculate credits separates~ I Based on assessed vaiue. If improvements occurred after annexation date in table, Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 1985 1986' . 1987 1988 $4.27 4.18 4.12 3.99 3.83 3.68 3.48 3.18 2.82 2.42 Year . Annexed 1989 1990 1991 1992 1993 1994 1995 1996 1997 Credit for Parcel or Land Only If Applicable Improvement (if after annexation date) X.. $ = (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ ,. . . RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential........................... 0.4 CommericaJ......................... 0.9 Industrial............................ 05 Governmental...................... 0.5 FIXUNITWPD IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT Rate per $1,000 Assessed Value $1.98 ' 1.55 1.15 0.96 0.83 0.67 0.52 0.38 0.21 .. - -