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Home My WebLink AboutPermit Plumbing 1998-09-09I{GFIELr}RESIDENTIAL PERMIT APPLICATION lnepcctlons: 72647A9 Office: 726-3759 JOB NUMBER 225 Fifth Street Spri ng f teld, Oregon 97 477 LOCATION OF PROPOSED WORK: ASSESSoFS uee: /?€7-A.eS -2/TAX LOT / 2aa LOT BLOCK:SUBDIVISION NEW - REMODEL ADDITION DEMOLISH OTHER -= PHONE: STATE:ztP t€---- OWNER: ADDRESS: CITY: DESCRIBE WORK: MECHANICAL: - ADDRESS CONST. CONTRACTOR #EXPIBES 4, PHONECONTRACTOR'S NAME ELECTBICAL: GENERAL: PLUMBING r OF BDRMS: _ OFFICE USE - WATER HEATEFI: * OF UNITS:ZONING CODE: FLOOD PLAINQUAD AREA: * OF BLDGS: SECONDARY HEAT: SQUARF. FOOTAGE: OCCY GROUP: * OF STORIES: CONSTR. TYPE: HEAT SOURCE: To request an.lnspectlon, you must call 726-3769. Thls ls a24hour recordlng. All lnspections requested before 7:00 a.m. wlll be made the same worklng day, lnspections requested after 7:00 a.m. wlll be macle the following work day. REOUIRED INSPECTIONS Temporary Electric Rough Mechanlcal - Prior to cover. Flnal Plumbing - When all plumbing wgrl< is complete. Slt€ lnspectlon - To be made after excavatlon, but prior to settlng forms. Rough Electrical - Prior to Final Electrical - When all electrical work is complete.cover. Underslab Plumblng / Electrical / Mechanlcal - Prlor to cover.Electrical Servlce - Must be approved to obtain permanent electrlcal power. Final Mechanical - When all mechanical work is complete. Footlng - After trenches are excavated.Flreplace - Prlor to faclng materlals and framlng lnsp. Final Building - When all required lnspections have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng.Framlng - Prlor to cover. Foundatlon - After forms are erected but prlor to concrete placement.Wall/Celling lnsulatlon - Prlor to cover. Underground Plumblng - Prior to fllllng trench.Drywall - Prior to taplng MOBILE HOME INSPE TIONS Underlloor Plumblng/ Mechanlcal - Prlor to lnsulation or decking.Wood Stovo - After lnstallation Post and Beam - Prior to floor lnsulatlon or decking.lnserl - After flreplace approvgl and lnstallatlon of unlt. Blocking and Set.Up - When all blocklng ls complete. Floor lnsulalion - Prior to decklng.Curbcul & AJrproach - After forms are erected but prior to placement of concrete. Plumbing Connectlons a When home lras been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Electrical Connection - When blocking, set-up, and plumblng lnspections have been approved and the home is connected to the servlce panel. Storm Sewer - Prior to filling trench. Sidewall< & Driveway - After excavation is complete, forms and sub-base materlal in place. Water Llne - Prlor to filling trench. Strsot Trees - When all requlred trees are planted. Final - After all required inspections are approved and porches, skirting, decks, and ventlng have been installed. Rough Plumbing - Prior to cover. RANGE: LAND USE: E tl E E E E tl tl tl E 4 fl E tl tl l-_l fence - Vvhen cofnpleted. E [-_l other Lot faces Lot sg. ftg. Lot coverage Topography Total height Lot Type - - lnterior - Corner -- Panhandle - Cul-de-sac Se IS THE PROPOSED WORK TN THE - HISTORICAL DISTRIfi, OR ON THE HISTOBICAL REGISTER? - lf yes, this applicatlon must be slgned arrd approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: PL.HSE GAR ACC N S E VALUE (A) Main Carport Garage Total Value Building Permit Fee State Surcharge Total Fee X $/SO. FT. BUILDING PERMIT ITEM SO. FT. .! i. 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 adopted by the City of Springfield, including the Development Code, regulating the constructlon and use of buildings, and may be suspended or revoked at any tlme upon violation of any provisions of said ordinances. Receipt Number:- Plans Reviewed By Date Date Paid Received By: Plan Check Fee: SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within tlre City limits which are being improved. ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE rL€2:/* FT. .2 fr.2-2(c) -O PLUMBING PERMIT Plumblng Permit State Surcharge Total Charge ADDITIONAL COMMENTS MECHANICAL PERM!T Furnace Exhaust Hood Vent Fan No , -Wood Stove/ lnsert/ Flreplace Unit Dryer Vent Mechanical Permit' (D) lssuance State Surcharge Total Permit By slgnature, I state and agreg that I have carefully examlned the completed application and do hereby certlfy that all lnformation hereon iS true and correct, and I further cerilfy that any and all work performed shall be done in accorrJance with the Ordinanccs of the City of Sprlngfield, and the Laws of the State of Oregon pertainlng to the work descrlbed hereln, and that NO OCCUPANCy will be made of any structure without permission of the Buildlrrg Safety Divislon. I further certily that only contractors and erhployees who are ln compliance with ORS 701.055 wlll be used on thls proiect. I further agree to ensure that all required lnspectioris are reguested at the proper time, that each address ls readable from the street, that the permlt card ls located at the front Signature I Date all times U 8Kr property, and the a set of plans will remain structlon of the on the MISCELLANEOUS PERMITS Mobile Home State lssuance State SUrcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electricat) (A,. B, C, Q and E Comblned) REcErPr NUMBER ?t 7o VALIDATION ?- DATE PAID AMOUNT RECEIVED RECEIVED BY €-7-2e NAME OR COMPANY JouRNAr.- oR JoB no. ?3 rt < I ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET /A t€L h/r c9o LOCATION Z>+f {r u DEVELOPMENT TYPE:oo BUILDING SIZE:OT SiZ 1. STORM DRAINAGE IMPERViOUS SQ. FT X $0.227 PER SQ FT. $ 2. SANITARY SEWER-CITY NO. OF PFU'S It X $47.14 PER PFU (See Reverse Side) 3. TMNSP0RTATi0N NO OF UNITS X TRIP RATE X COST PER TRIP x x $475.32 Ft $ X x $475.32 $ 4. SANITARY SEI,\IER-MWMC A. REIMBURSEMENT COST: NO. OF FEU'S X B. IMPROVEMENT COST: NO. OF FEU'S X PER FEU l4l^lMc CREDIT IF APPLICABLE (SEE REVERSE) MhIMC ADMINISTRATIVE FEE 5. ADMINISTRATIVE FEES BASE C SDC Coord'inator ATTACH 'A. tdPD PER FEU s &-- $e- <$ TOTAL-MI^JMC SDC $ 10.00 $o- SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ </8 . '+ TOTAL ABOVE) X .05 $.?Z Date: ?-?-?tr TOTAL SDC $ 5+4 .+: $ f( %,(4 FIXTURE UNIT CALCUT ATION TABLET Number of New Fi> (NOTE: For remodels, calculate on _ re NET additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES Bathtub..... Drinking Fountain Floor Drain. lnterceptors For Grease/Oil/Solids/Etc.. lnterceptors For Sand/Auto Wash/Etc.. Laundry Tub/Clotheswasher...... 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 Stall..... Shower, Gang. Sink: Bar, Commercial, Residential Kitchen.. Urinal, Stall/Wall... Wash Basin/Lavatory, Single..... Toilet, Public lnstallation Toilet, Private....... Miscellaneous: TOTAL FIXTURE UNITS rs X Unit Equivalent = Fixture Units UNIT FIXTURE EOUIVALENT UNITS L- --T ead 2 1 2 3 6 2 b 6 1 3 2 1tH 2 2 1 6 4 CREDIT CALCULATION TABLE:Based on assessed value. lf improvements occurred after annexation date in table calculate credits se arates Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) X$ (Rate X Assessed Value)x $_: (Rate X Assessed Value) . CREDIT TOTAL $ Rate per $1,OOOYear Anne Year Annexed Rate per $1,OOO Assessed Value 1 980 1 981 1982 1 983 1 984 1 985 1 986 1 987 1 988 4.18 4.12 3.99 3.83 3.68 3.48 3.18 2.82 2.42 979 or before 1 989 1 990 1 991 1 992 1 993 1 994 1 995 1 996 1 997 $1.98 1.55 1 .15 o.96 0.83 o.67 o.52 0.38 o.21 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating purposes Onlyl FIXUNIT.WPD IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFTCTENT ( u - L- \ I