HomeMy WebLinkAboutPermit Plumbing 1999-04-15LOI
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BLOCK:
SPRINGFTELE,
SUBDIVISION:
Ll
TAX LOT 1too o
JOB NUMBER
/{31LOCATION OF PROPOSED \TJOHK:
ASSESSORS MAP:
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726.3759
225 Fifth Street
Sprl ng f leld, Oregon 97 477
l7 b39vz
PHONE:
ZIP:
6
q
STATE:ol(
1 -o/fvOWNER:
ADDRESS:
CITY:
NEW- REMODEL AODITION DEMOLISH OTHER-
DESCRIBE WORK:tUc
t.
ADDRESS
follow rules
0090. You
e
rules are set forth
EXPIRES a1 PHONECONTRACTOR'S NAME
PLUMBING:
GENERAL:
MECHANICAL:
ELECTFIICAL:
coNsT.
CONTRA TOR '
rut urego
Center
l trJer lor Ine n Utility NotificationOFF]CE USE
is1
RANGE:SQUARF. FOOTAGE:WATER HEATER:
I OF UNITS:
SECONDARY HEAI:
r OF BDRMS:
OUAD AREA:
r OF BLDGS:
LAND USE:
OCCY GROUP:
OF STORIES:
ZONING CODE:
CONSTR. TYPE:
HEAT SOURCE:
To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspectlons requested before 7:00 a.m. wlll be
made the same worklng day, lnspections requested after 7:00 a.m. wlll be ma<.le the followlng work day.
REQUIRED INSPECTIONS
l---l remporary Electrlc Rough Mechanlcal - Prlor to
cover.
Flnal Plumblng - When attplumblng worl< ls complete.
Slte lnspectlon - To lre made
after excavatlon, but prior to
settlng forms.
Rough Electrlcal - Prior to Flnal Electrlcat - When all
electrical work is complete.cover-
Underslab Plumblngl Electrical /
Mechanlcat - Prlor to cover.
Final Mechanlcal - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flreplace - Prlor to facing
materlals and lraming lnsp.
Flnal Bulldlng - When alt
required lnspectlons have been
approved and bullding is
completed.Masonry - Steel locatlon, bond
beams, groutlng.Framlng - Prlor to cover.
E Foundatlon - After forms are
erected but prlor to concrete
placemont.
Other
E Wall/Celllng lnsulatlon - Prlor to
cover.
Underground Plumblng - Prior
to fllllng trench.Drywall - Prlor to taping.
MOBILE HOME INSPECTIONS
Underlloor Plumblng / Mechanlcal
- Prlor to lnsulatlon or decklng.l-l Wood Stovo - After lnstallatlon.
Posl and Beam - Prlor to floor
lnsulatlon or decklng.lnserl - After flreplace approval
and lnstallatlon of unit.
Blocking and Set.Up - When all
lrlocklng ls complete.
Floor lnsulatlon - Prior to
decklng.Curbcut & Alrproach - After
forms are erected but prior to
placement of concrete.
Plumbing Connections - When
home l"ras been connected to
water and sewer.
Itary Sewer - Prlor to fllling
Storm Sewer - Prior to fllllng
trench.
Sidewall< & Drlveway - After
excavation ls complete, forms
and sub-base malerial ln place.
Electrical Connectlon - When
blocking, set-up, and plumbing
lnspections have been approved
and the home ls connected to
the servlce panel.
Water Llne - Prlor to filling
trench.
Fence - lVhen cci',rpleted
Street Trees - When all requlred
trees are planted.
Flnal - After all required
inspectlons are approved and
porches, sklrtlng, decks, and
venting have been lnstalled.
Rough Plumblng - Prlor to
cover.
4t
telenhnna
FLOOD I)LAIN:
E
fl
Electrlca! Servlce - Must be
approved to obtain permanent
electrlcal power.
tl
E
E
tl
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type v
-
lnterior
-
Corner
.- Panhandle
-
Cul-de-sac
_.THE PROPOSED WORK TN THE .
HISTORICAL OISTRICT, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
arrd approved by the H istorlcal
Coordinator prlor to permit issuance.
APPBOVED:
PL.}.ISE GAR ACC
N
S
E
VALUE
(A)
t
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING PERMIT
ITEM
Main
Garage
Carport
SQ. FT. X $/SO. FT.
This permit is granted on the express conditlon that the said
construction shall, ln all respects, conform to the Ordinance
adopted by the City of Springf ield, includlng the
Development Code, regulating the constructlon and use of
buildings, and may be suspended or revoked at any time
upon violation of any provisions of said ordinances.
Fleceipt Number:-
Plans Reviewed By Date
Plan Check Fee:
Date Paid
Fleceived By
BUILDING IALUE
AND BUTLDING P
D.
, PLAN CHECK
ERMIT
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being lmproved.
ITEM
Fixtures
Flesidential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
8r'qon
FEE
4)
(c)
00 1. zo
Nt
FT.
PLUMBING PERMIT
t{3.u
Plumblng Permlt
State Surcharge
Total Charge
. FT.
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust lJoorj By slgnature, I state and agree, that I have carefully examlned
the completed appllcation and do hereby cerflfy that all
lnformation hereon is lrue and correct, and I further cerilfy
that any and all work performed shall be done in accortJance
with the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertalnlng to the work descrlbed
herein, and that NO OCCUPANCy wlll be made of any
structure without permission of the Bulldlng Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 7O1.OS5 wlll be used on thls
proiect.
I {urther agree to ensure that all requlred lnspections are
requested at the proper ilme, that each address ls r€adable
lrom the street, that the permlt card ls located at the front
of the property, and the approved set of plans wlll remaln
ru
Signature
Date
on the site at all ti durlng c
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolition
State Surcharge
Total Mlscellaneous Permits (E)Qr s.f {
8 t ^.t!
TOTAL AMOUNT DUE (exctuding electrica n -?-r31(A, B, C, Q and E Comblned)
q
VAI-IDATION
RECEIPT NUMBEFI
DATE PAID
AMOUNT RECEIVED
BECEIVED BY
Ttsb 7
t:
FT.
( i soc
JOURNAL OR JOB NO {?r
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY
LOCATION: l43G WoJn,,t R.ct
DEVELOPMENT TYPE
BUILDING SIZE OT SIZ Ft.
1. STORM DRAINAGE
IMPERVIOUS SQ. FT X $0.227 PER SQ FT. $
2. SANITARY SEWER-CITY
NO. OF PFU'S X $47.14 PER PFU $5tb #+-
(See Reverse Side)
3. TRANSPORTATION
NO OF UNiTS X TRIP RATE X COST PER TRIP
x $475.32
x $475.32 $
4. SANiTARY SE!'IER-MWMC
A. REIMBURSEMENT COST
ot 50
X
X
$
NO. OF FEU'S I X NI,4+PER FEU
B. IMPROVEMENT COST:
NO. OF FEU'S I X Z6.ZAPER FEU
MI^IMC CREDIT IF APPLICABLE (SEE REVERSE)
Mt^lMC ADMINISTRATIVE FEE
<$
$ 10.00
TOTAL-MWMC SDC S ATZ, b*
SUBTOTAL (ADD ITEMS 1,2,3 & 4)$Bbt, tb
$+.5b
$ a1,14-
$ 7-4.?o
5. ADl-4INISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE) X .05
L
SDC Coordi nator
ATTACH 'A. t^lPD
Date: blelffi
TOTAL SDC $ 612 n+
Avlelev Ara-ns I b 'Vl -
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t I
FIXTURE UNIT GALCULATION TABLE: Number of New Fixture \ Unit Equivalent : Fixture Usits
(NOTE: For remodels, calculate only t .rlET additional fixtures)
NUMBER OF
FIXTURE TYPE NEW FIXTURES
UNIT FIXTURE
EOUIVALENT UNITS
Bathtub.....
Drinking Fountain....
Floor Drain. ................
lnterceptors For Grease/Oil/Solids/Etc........
lnterceptors For Sand/Auto Wash/Etc........
Laundry Tub/Clotheswasher......
z>
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 Sta11..........
Shower, Gan9.........
Sink: Bar, Commercial, Residential Kitchen....
Urinal, Stall/Wall...
Wash Basin/Lavatory, Single...
Toilet, Public lnstallation........,
Toilet, Private.......+
Miscellaneous
\ \ra*{^TOTAL FIXTURE UNITS ll
CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits se arates
(
z
2-
ead
2
1
2
3
6
2
6
6
1
3
2
1tH
2
2
1
6
4
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
X$
(Rate X Assessed Value)x$
(Rate X Assessed Val0e)
CREDIT TOTAL =$
Year
Annexed
Rate per $1,OOO
Assessed Value
Year
Annexed
Rate per $1,OOO
Assessed Value
1 989
1 990
1 991
1992
1 993
1 994
1 995
1 996
1 997
$1.98
1.55
1.15
o.96
o.83
0.67
o.52
o.38
o.21
1979 or before
1 980
1 981
1982
1 983
1 984
1 985
1 986
1 987
1 988
$4.27
4.18
4.12
3.99
3.83
3.68
3.48
3.18
2.82
2.42
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Residential.....
Commerical...,
lndustrial.......
Governmental
...... o.4
o.9
o5
o.5
FIXUNIT.WPD IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT
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