HomeMy WebLinkAboutPermit Plumbing 1993-9-22
.4ESIDENTIAL
PERMIT APPLICATION
Inspections; 726,3769
Office; 726,3759
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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.
>,
"
~ ".
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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
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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
,,,
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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
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.OB NO. q ~I ~qq
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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