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HomeMy WebLinkAboutPermit Plumbing 1993-9-22 .4ESIDENTIAL PERMIT APPLICATION Inspections; 726,3769 Office; 726,3759 . SPRINGFIELD LOCATION OF PROPOSED WORt<' '2 /4/ L~)1tA? ASSESSORS MAP' 17~-'Z.700/t) OWNER; ~~r{li/.n J'-= ~//)Fh!l ~/,-r- ADDRESS:' . '7 S.89 V/LLAl lAM fi" <~/~~~ ' STATE:~' DESCRIBE WORK: ~~~r,~~,~:s/~C~ ,~ LOT' CITY: NEW REMODEL ADDITION ?7'_ BLOCK' DEMOLISH OTHER . JOB NUMBER 9? /3'99 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION' tt)/~ PHONE: 74t""c -6 i" /0 ZIP' 97l./7? ~ CONST. CONTRACTOR' CONTRACTOR'S NAME ADDRESS GENERA" ~7#..4 PLUMBING'-<~,;:-'~:5-~ MECHANICAl' ELEGrRICAI ' QUAD AREA: . OF BLDGS' OCCY GROUP' . OF STORIES: WATER HEATER' \(2 NW '. , - OFFICE USE - LAND USE; . OF UNITS: CONSTR. TYPE: HEAT SOURCE: RANGF' ..~ EXPIRES PHONE '* 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 be made the following work day. o T~mporary Electric D Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrlcal/ 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 trench. o Underfloor Plumbing/Mechanical - Prior to Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking, I\7l Sanitary Sewer - Prior to tilling l,LJ trench. o Storm Sewer - Prior to filling trench. . . ',=: :-~\ o Water Line :-='1"flor, iO fllJing trench. r '.~ .' ," _, \ o ROugj,!.<piumblng ~:':::Pr;or to cover. >, " ~ ". , '.' REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. . ) D Rough Electrical - Prior to cover. D Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. .--Q Framing - Prior to cover. o Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping, o Wood Stove - After I~stallatlon. o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After. excavation Is complete, forms and sub.base material In place. o Fence - When completed. o Street Trees - When all required trees are planted. ". -,.', t :.'~. . '.~::;' -. ... o Final Plumbing ~ When all plumbing work is complet.e. D Final Electrical - When all electrical work is complete. '. D Final Mechanical - When all mechanical work Is complete. o Final Building - When all required Inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Sel.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 t he service panel. ,- . , o Final - After all required Inspections are approved and porches, skirting, decks, and venting have been installed. . Lot faces Lot 'sq." ftg, Lot Type -' Interior Lot coverage Corner Topography Total height Panhandle Cul.de.sac " BUILDING PERMIT ITEM SQ, FT, X $/SQ, FT, Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee (A) ", . IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. ~ ,I I P.L. IN Is Iw, I~ Setbacks HSE GAR ACC I I I I I VALUE SYSTEMS DEVELOPMENT CHARGE (SD~-4f3 'f"th' S7fs) ~:z.. PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' FT, <:.s-~ I Sanitary Sewer Water FT. Storm Sewer FT, Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT i Furnace Exhaust Hood Vent Fan N' Wood Stove/lnsert/Flreplace Unit Dryer Vent MechanIcal Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It Curbcut ft DemolitIon FEE -'7-"-:~ "2~-':> /. .2$"' '26 .;2,~ State Surcharge bY-L/eu.t!J..... .A1,.-oJ'.I..--,...;.~,.sr-\ 9-U).5O I Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) ~i\:-'\.~ -;:;2- '??3 . ':Z"1 . APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, in all respects, c'onform to the O'rdlnance adopted by the City of Springfield, Including the Developm'eni Code, regulaU'ng the con'struction 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 the City limits which are being Improved. ADDITIONAL COMMENTS ~~ -r: q-9-, rJ () , ,q,.,*,q'\Q J(.~ \c\ f) ~ By signature, I state and agree, that I have carefully examined the compleled 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 Building Safety Division. I further certify that only contractors and employees who are In compliance with GRS 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, 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. Signaturell,I.J~ . . /' 9-~..2 -<15 Date VALIDATION: RECEIPT NUMBER /t:J ~~? '9 -22.93' ;;;: ?:1'-S,;Z~ /~- DATE PAIf' AMOUNT RECEIVED RECEIVED BY ,,, " . . ,) , CITY OF SPRINGFIELD IMPROVEMENT AGREEMENT AND APPLICATION FOR SEWER HOOKUP I We. the undersigned property owners, request permission to connect the following described property to the sanitary sewer owned and maintained by the City of Springfield, We therefore agree to pay a charge of $0,17 per square foot of the benefiting property for the first 150 feet of depth as a deposit against future assessments for sanitary sewer, Tax Lot No. 17 03 27 10 01900 Receipt No, /O'7?? Property Description: Address 2101 Laura Street Beginning at a point in the West line of the Jacob Halstead Donation Land Claim No, 47. Township 17 South. Range 3 West of the Willamette Meridian, 1515,3 feet South of the most Westerly Northwest corner thereof: thence East 175 feet: thence South 71 feet: thence West 175 feet; thence North 71 feet along the West line of said Donation Land Claim No, 47 to the place of beginning in Lane County, Oregon, EXCEPT that portion conveyed for road purposes, This agreement does not include the cost of a house connection to said City Sewer. sewer user charges. connection fees. plumbing permits or other such costs to be assumed by the property owner, The app 1 i cant agrees to wai ve all ri ght to remonstrate agai nst an improvement project for sanitary sewer to be duly initiated by the City Council, but not the right to protest the amount or manner of spreading the assessment thereof. if the same shall appear to Applicant to bear inequitably or unfairly upon said property of Applicant, NOW THEREFORE. the City agrees that if Applicant complies with the terms of thi s agreement and wi th all other app 1 i cab 1 e 1 aws of the State of Oregon, Lane County. and the Ci ty. the sa i d App 1 i cant sha 11 be ent it 1 ed to connect the existing residence to the public sewer systems, The covenants herein contained shall run with the land herein described. and shall be binding upon the heirs. executors. assigns. administrators. and successors of the parties hereto. and shall be construed to be a benefit and a 'burden upon the property herein described, This agreement shall be recorded in the Lane County Deed Records, tl, WHEREFORE. the parties have set their hand and seal this 'ZZ -day of :5",*~",\:"u" , 19"'13, CITY OF SPRINGFIELD By Director of Public Works APPLI CANT (Jj ~()(). 04 /. ~ Robert L. Weldenhaft~~~' '" .:J . . U,/, I,d) ilr!...,.., /){..,tl IA//I/fI~!{N/_: Clara Billie Weidenhaft STATE OF OREGON) } SS COUNTY OF LANE } On this =.~ day of SE:pf, . 19 73. the applicant personally appeared before me and signed the above document, , rk-1- cf/l1(~~ Notary Pub 1 i c fo~ Oregon My Commission expires 5CP!: 3(? ;<('lS ,/ ., OFFICIAL SEAL , TROY Me ALLISTER NOTARY PUBLIC - OREGON COMMISSION NO 009914 IIY IllMIlISSKlN fXPlllfS SEPT, :II. 1995 Finance Department Information: Trunk Sewer 150'*71'*$O,17/sf=$1,810,50 Lateral Sewer $1,810,50 RETURN TO: CITY OF SPRINGFIELD - PUBLIC'WORKS DEPT .. 225 FIFTH STREET.. SPRINGFIELD. OREGON I' 1 . .OB NO. q ~I ~qq , ( CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: Ro~E:.~-r ~ ~\L-L-\E::. \NE.\DI2...H.\-AF-1' LOCATION: "2.10\ L-Aue..A :::.-r. \'l()~-Z-llo - O\9o/"l DEVELOPMENT TYPE: LD~ - S,",-II-IE.\Z.... CoIJ.IJ.le:L-r ' BUILDING SIZE: 1., STORM ORAINAG~ ,IMPERVIOUS SQ. FT. .LOT StZE SQ. Ft. X $0.203 PER SQ, FT. ~-) ........ ----- NO. OF PFU'S (See Reverse) I' Me X $42.08 PER PFU <-16 ':?-~fi;. ~(.;;::I.::? ~. ~ 2. SANITARY SEWER-CITY 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP - X X X X $424,31 . X $424.31 X $424.31 c:- '- $ $ ) ...-/ 4. SANITARY SEWER-MWMC /66.;;;'& , /I NO. OF PFU'S .k:; x $15.125 PER PFU + $10 MWMC ADM FEE $ ;Z-?'Z:~ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ lS/o ~ TOTAL-MWMC SDC C 9:'5~ /P.;"z SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ J_(.,e.~ 4?2~'7c> 5. AOMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 1~13~~ L...L OJ/(?/'1~ \J Kip Burdick " SDC Coordinator ~ 7g~ :23.6 't ~ TOTAL SDC $ .807-"!-3.- '196.97 FIXTURE UNI(CALCULA. TABLE: Number of New Fixtures X .Equivalent = Fixture Units (NOTE: . For remodels, calculate only the NET additional ftxlures) . , NUMBER OF UNIT FIXTURE FIXTURE TYpE NEW FIXTURES EOUIVALENT UNITS ~ '2.-1 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 '2. Bathtub.., ..,...... ................. ..................,.., ...............,.., Drinking Fountain, ,..,..,.."........""..".."..,",....,..,',..,.. Roor Drain....,.......,....,..,......"..,..,..""""..,",..,......".. Interceptors For Grease/OiI/Sollds/Etc..,....,........, Interceptors For Sand/Auto Wash/Etc..,...........,.., '. , Laundry Tub/Ootheswasher........,..,:..~:..,:..,....:..,':, ,,'.. Ootheswa~er - 3 Or, More,....,.........."............,....", , Mobile Hdme Park Trap (1 Per Trailer}:...........,..;.. Receptor F9r Refrigerator JWater Station/Etc...,.... , Receptor For Commercial Sink/Oishwasher/Etc.. ' ';' Shower, Single' Stall............,..,..,.."...... ..,.., ,..........,.. Shower, Gang..,..........,..........,....",......,..,.."....,',...... Sink, Bar, CommerciaL.........,..,..,..............,........... Urinal, StaIlJWall............,...................,....,................, Wash Basin/Lavatory, Single,..........,.............,........ Water Oosel. Public Installation,.............,............., Water Ooset, Private....,..,.."......,..,................,.....,.. Miscellaneous: .. " 'Z -z.. .:z.-J ~t.- / -B'L TOTAL FIXTURE UNITS -I-G- / { CREDIT CALCULATION TABLE: Based on assessed value, 11 improvements occurred after annexation date in table. calculate credits separates. Year Annexed 1979 or before 1980 1981 1982 1983 1984 '1985 Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value $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 , Credit for Parcel or Land Only 11 Applicable .~ ,7--1 X $ '-\ e, .11 \ Slo ?~ (Rate X Assessed Value) Improvement Of after annexation date) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ l?l...?~ RUNOFF COEFFICIENTS FORSTORM DRAINAGE " \ Residential.,..........."......,...,....:"""...::,.,....:...... 0,4 CommerciaL..,...."............,.."""....".......".....,' 0,9 IndustriaL"..,............,.........,..,..,"',..,...,..,.,......, 0,45 GovernmentaL...,......,..,..,..,...,........".......,...,'" 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT