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HomeMy WebLinkAboutPermit Plumbing 1999-04-15LOI - 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 - I 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 t t I I