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Home My WebLink AboutPermit Plumbing 1997-10-13 RESIDENTIAL PERMIT APPLICATION Inspections: 725.3769 Ollice: 726.3759 LOT' . SPRINCFIELD " .., BLOCK' . JOB NUMBER ,-" L -Z@S 'Fi"fth 'Street 71/2.52- " ~. SUBDIVISION: PHONE: _~ - 07'1~ OWNER' ') 1J.1t\ Q ADDRESS: ~~ (). (? 1~ (j CITY: STATIO. ~ DESC~IBE WORK: ~~-",-:I .~ NEW REMODEL }z;~ DEMOl! -r ,(~. ::~ ~-~c"_7~ ' ~t7-L ADDITION ZIP: OTHER " CONST. ::::::7~~ 00r;;ZiJikU~"'''?:'V~0 ''''''6~:7Z~ PLUMBING:h~ ~-'l.. Ljzz..!k,41;'B.~ .:2()- 557 f(J flX-7- 't"IY3Q ~\bJ\ . IT' " \~A(! \' r - OFFICE USE- \~\I_t"-" k,9f/LAND USE: (\' Q)J(I' ~ / f\~,\ I . OF UNITS: \ . ,or, )()'V CONSTR. TYPE: _ . -~ HEAT SOURCE: MECHANICAl' ELECTRICAL' QUAD AREA: . OF SLOGS: OCCY GROUP: . OF STORIES: WATER HEATER: RANGE: _ ,",o..,.'CE: FLOOD I'LAIN.;-~\\S-WORK "..,-, toll EXPIKl:: It I Ti-\\S PERMI1@ljf1\lU RCfW5~PEAA"T I!; NOT 'LLITHORIZEP~~~R.t-As{ U".f'''Cf'I S:OR rW' R IS Al:l"""~"- COMMENC~gPONClI:>.RY HEAT: OA.'1' PERIUU. Atj'1' 180 'SQUARE FOOTAGE:__ To requesl an Inspectlon, you must call 726.3769. This Is a 24 hour recording. AI/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 Temporary Eloctric o Silo Inspection - To De made atler excavation, but prior to setting forms. ' o Underslab Plumbing/Electrical! Mechanical - Prior to Cover. o Fooling - After trenches are excavated. o Masonry - Steel locatlon, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to' filling trench. ' o Underlloor Plumbing/Mechanical - Prior to Insulallon or decldng. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking. Iv( Sanitary Sewer - Prior to filling ~rench. o Storm Sewer - Prior to filJin{) trench. .-' , O Water Line - Prior to-fiJli'ng trench. ........ '. , , ,: D Rough Plumbing ':;-"'Prlor.'l.q,_ ' cover. J '. . " " ...... JA Y M/'ufCI! REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. o 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!Celling Insulation - Prior to cover. o Drywall - Prior to tapIng. o Wood Stovo - After Installallon. o Insert - After fireplace approv~1 . and Installallon of unIt. o Curbcut & Approach - After (orms are erected bllt prior to placement of concrete. o Sidewalk & Drlvew:w - After excavation Is complete. forms and sub.base material in place. o Fence - WIlen completed. .' . o Streot Trcos - Wh~n all required trees are planted. 8,fAlLI! D1f>/~ o Final Plumbing -:... When nIl . plumbing w<;:lrl< is complel.c. o Finnl Electrical - When all electrical worl( is complete. o Final Mechanical - When all mechanical worl( Is complete. o Final Building - When all required Inspections have been approved and building is completed. DOthcr MOBILE HOME INSPECTIONS o Blocking and Set-Up - Wtlen all blocklnn Is complete. o Plumbing Connections - When home has been connected to watcr ."nd sewer. o Electrical Connection - When blocking. set.up. and plumbing Inspections tlnvc been approved and the home Is connected to the servIce panel. o Final - After all required inspections are approved and porches, sldrtlng, decks, and venting havc been Installed. 7t/{, - Dh 37 . Lot faces . Lot, sq. Itg. I P.L. IN Is Iw IE Setbacks 'HSE'GAR'ACCI .1 I I I Lot Type Interior -" ,:;'.Lol coverage ,.....; 'Corner~ Topography Total height Panhandle Cul.dc.sac BUILDING PERMIT ITEM SO, FT. X $/SO, FT. VALUE Main Garage " Carport Total Value Building Permit Fcc !. . State Surcharge I I Total Fcc (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM FEE Fixtures .It 1'. ~ ... ,", " Residential flath(s) I . ' .t. -: /I',~. j . Sanitary S.ewcr . , .>' n,'. ! ND(-j 1 I J,':, ., 'FT. 8?-r"~:~lt^IY: d!-- FT. - ',' I,' :"~;l' t.' .... "'''--.'...' Waler Storm Sewer FT. " ,:.'; TIt, Ua-~ VJA,:C ..., Mob!lc Horr:e - 9,c,lr- U Plumbing Permit State Surcharge j-- iJ,03'7~ Tolal Charge (C) " -fr 40, ~ c9,1JO f U-CJ !43,~ MECHANICAL PE8MIT Furnaco Exhaust Hood ~. .... Vent Fan N' Wood StovellnsertlFlreplace Unit Dryer Vent MechanIcal Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home . $tate Issuance Slato Surcharge SIdewalk ft Curbcul ft Demolition Stat? Surcharge Tolal Miscellaneous Permits (E) TOTAL AMOUNT OUE (excluding eleclrlcal) (A, B, C, D, and E Combined) IS THE PROPOSEO 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. ry APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the said construction shall, In all respects, conform to the Ordinance adopled by the City 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. Onte Paid: Receipt Number: Received By: -,- Plans Reviewed 13y Date Systems Development Charge is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS By signature, I stale and agree, lhat I have carefully examined the completed appllcatfon and do hereby cerlify that all Information hereon Is true and correct, and J further certtfy that any and all work performed shall be done in accordance with the Ordinances of Ihe City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and lhat NO OCCUPANCY will be made of any structure without permission 01 the Building Safely Division. I further certify that only contractors and employees who arc In compliance with OAS 701.055 will be used on this project. I further agree 10 E'nsure that all required Inspections are r~quested at the proper time, that each address Is readable from the streel, that the permit card Is located at the front of the property, and I a roved set of plans will remain on the site at a 1m aur construction. Slgnalur~ Dat~'-/5 -! 7 v VALIDATION: RECEIPT NUMBER DATE PAID AMOUNT RECEIVED 2 70~J //)//'/_2/; ) Id( 20 l-~ .~ ,~ - - RECEIVED BY "', ''-'-' ~ . ATTACHMENT A ~ JOB NO.~~~ n-,~(~.. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE' \\~ WORKSHEET NAME OR COMPANY. .Ti.1 tV~ E _ gEL VEA S5~Q 1~{l(;HP,ANItt.... &,n LOCATION. DEVELOPMENT TYPE. 5 F. 12. - "-,"<:7' IJJ'<F r'/.'!lNE'C";",'" ro :>-I""''''~.e.Y' 5E'.....~ lOT S171' ')Q. Ft. BUILDING SIZE 1. STORM nRATfJ,D.GF IMPERVIOUS SO. FT. ....... X $0.226 PER SQ. FT. $ ........., 2.' SANITARY SFwFR-CTTY NO. OF PFU'S }G. (See Reverse Side) X $46.86 PER PFU $ 744-.7'" 3. TRANSPORTATiON 'NO OF UNITS X TRIP RATE X COST PER TRIP X X $472. 49 $ X X $472.49 $ X X $472.49 $ 4. SANITARY SFWFR-MwMC , Dt.l NO. OF -fEl:j' SI X 277. 76 PER FEU + $10 MWMC/ADM FEE $ '227.7(; MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAl -MWMr. snc $ SUBTOTAL (ADD ITEMS 1. 2 . 3 & 4) L~. 07{7 . "''- 5. ADMTNISTRATTVF FEFS BASE CHARGE (SUBTOTAL ABOVE) X .05 fl, $ ", .~ 9Lr- Date. B - zz-Cf7 SDC Coordinator TOTAL SOC. .I oB4.'F. $~:r;. 'r'O Rq("#<'?16? ~ :K--:2::2 ."7? g f;'" /-:;:j~ . .-I^ ,I vn'c UOIt'. vMLvU LJ-\ I IUI\I IHOLe: Number ot New FiX. X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate o.e NET additional fixtures) . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub.,.....,...................... ... . .... ................................ Drinking. Fountain.................. ................................... " Floor Drain.......:............................... .,:::;.,,'.:...~:':.<.~.....: . ! Interceptors For Grease/Oil/Solids/Erc................. Interceptors For Sand/Auto Wash/Erc......:::.........:, :,..'. Laundry Tub/Clotheswasher................... .:.... .......... Clotheswashe~' 3, O~ More....::...................,............. . . Mobile Home p'ark' Tiilp"(1 ,Per.Trailerl.:..:::.:-.....,... . Receptor For Refrigerator/Water StillioniEic'.:....... Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single StalL............... ................................. Shower, Gang.... ........................................... ........... Sink: Bar. CommerCial, Residenrial Kirchen........................ Urinal, Stall/Wall........... ,.................... ..,.................... Wash Basin/Lavatory, Single.................................. Toilet. Public Installation............... ......................... Toilet, Private........................ ............................... Miscellaneous: .\ 2 1 2 3 6 2 6 6 1 3 2 i/Head 2 2 1 6 4 j " z. 2- TOTAL FIXTURE UNITS = CREDIT CALCULATION TABLE: calculate credits separates. I 2- 2- "'- :z... 11. Ie. Based on assessed value. If improvements occurred after annexation date in table. Year Annexed Rate per $1,000 Assessed Value Year Annexed 1979 or before 1980 1981 1982 1983' 1984 1985 1986 $3.97 3.89 3.83 3.70 3.55 3.39 3.20 2.91 1987 1988 1989 1990 1991 1992 1993 1.994 , '1995 1996 .' ; Credit for Parcel or Land Only If Applicable :':". X $ (Rate X Assessed Value) X $ , (Rate X Assessed Value) = = Improvement (if after annexation datel CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) ;\. .', fiesidenciai...:....................... 0.4 CommericaL..:.....::.............. 0.9 IndustriaL.......................... 0 5 GovernmentaL..................... 0.5 . '. " IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT Rate per $1,000 Assessed Value $2.56 2.17 1.73 1.31 0.92 0.74 0.61 0.45 0.31 0,17 ~ , .