HomeMy WebLinkAboutPermit Plumbing 1995-07-10LOT:- BLoCK.:
SPRIN FIELE)
RK:
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hol 5
TAX LOT:
JOB NUMBER
LOCATION OF PROPO
ASSESSORS MAP
RESIDENTIAL
PERMIT APPLICATION
lnspections: 726.3769
Office: 726-3759
SUBDIVISION:--__
225 Fif th Street
Sprlngf leld, Oregon g7477
OWNER
ADDR
CITY:
PHONE
STATE ZIP
ADDITION DEMOLISH OTHER
DESCFIIBE WOR}(
NEW .--_-_- REMODEL
ADDRESS
EXPI R ES PHONE
CONTRACTOR'S NAME
MECHANICAL:
ELECTBICAL:
CONST,
CONTRACTOR ,f
G EN EBAL:
PLU M BI NG
_ OFFICE USE -
RANGE:
LAND USE:QUAD AREAI
J OF BLDGS
SECONDARY HEAT:
SQUANE FOOTAGE:
WATER FiEATEF:_..-'-
OCCY GBOUP:
r OF STORIES:
CONSTR. TYPE
HEAT SOUBCE:
/ OF UNITSi
To re q a n EC yo al 26.3 769. Thls ls a 24 hour recordlng. All
uested af ter 7;00 a.m. wlll be made
REQUIRED INSPECTIONS
Rough Mechanlcal - prlor tocover.
Rough Electrical - prlor tocovor.
U n p U SUonm c
rn ad he sa nl ki n s ay,D ec o NS 'e qeodnS
n pec re qu ES ed be f oreon 7:00 a.m wlll be
Site lnspection - To be madoafter excavation, but prior tosetting forrr)s.
U_ndersl ab plumbing / Electrical /Mechanlcal - prioi to cover.
Footlng - Af ter trenches areexcavated.
Masonry - Steel locatlon, boncJbeams, grouting.
Foundatlon - After forms areerected but prior to concreteplacement.
Underground plumbing _ prior
to filllng trench.
Underlloor plumblng/ Mechanlcal
- Ptior to lnsulation or decl(lng.
Post and Beany. - prior to f loorlnsulation or decklng.
Ternporary Ele'ctric
Floor lnsulation - prior todecki ng,
'Sanltary Sewer - prior to f lllingtrench,
Storm Sewer - prior lo filllngtrench.
Water Line - prtor ro filtingtrench.
Rough Plumbing - prlor to
cover.
e fo ow ng wo rk
Othor
day,
Final Plumbing - When ailplumblng worl< ls complete.
l--l rinat Etecrrtcat - When ail
-
etectrical work is complete.
h
Electrlcal Servlco - Must beapproved to obtaln permanent
electrlcal power.
Flnal Mecharrlcal - When allmechanical work ls complete.
Flreplace - prlor to faclngmaterlals and lramlng lnsI
Framlng - prlor to cover.
Wall/Celling lnsulatlon - prlor tocover,
[-l Orywail - prior ro taptng,
[-_l Wood Stovo - Afror tnstailatlon,
I lnsert - After flreptace approval._ and tnstallatlon o, unlt.
Curbcut & Approach - Afterlorms are erected but prior toplacomont of concrete.
Final Buildlng - When ailrequlred lnspecllons have beenapproved and bullding lscompteted.
MOBILE HOME INSPECTIONS
I-l Aiocking and Ser.Up _ When ail.- blocklng ls compleie.
Plumblng Connectlons _ Whenhome has been connected towater and sewer.
Sidowalk & Drlvewav - Afterexcavatlon ls cornpleto, formsand sub.base materlal ln place.
Electrical Connection _ When
,o]::lllp, ser.up, ano plumorrigrnspoctions have been approvedand the home ls connected tothe servlce panel.l-l Fence - Whon compteted.
fl Stroet Treee - When ail requtred
-
trees are planled.
FInal - Af ter all requiredtnspecuons are approved andporches, sklrilng, decks, andvenilng have been lnstalled,
,1
FLOOO PLAIN:
ZONING CODE:--
, OF BDBMS: _ _
ti
ti
r l EtlE
P.L.HSE GAR ACC
N
S
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot Typc
-
lnterior
-
Corner
-
Panhandle
-
Cul.de.sac
et IS THE PROPOSED WORK IN THE
HISTOHICAL DISTRICT, OR ON
TI]E HISTOBICAL REGISTER? _-_
lf yes, thls apptication must be signedand approved by lhe Hlstorlcal
Coordinator prior to peflnit issuance,
APPROVED:
BUILDING PERMIT
ITEM SQ. FT.
Main
Garage
Carport
VALUE
(A)
X $iSO. FT,
Total Value
Building Permit Fee
State Surcharge
Total Fee
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
Thls permit is grantecJ on the cxpress corrclition that the saidconstruction shall, ln all respects, conform to the Ordinanceadopted by the City of SpringfielcJ, including the
Development Code, regulating the coDstruction and use ofbulldlngs, and may be suspended or revol(ed at any time
upon violation of any provisions ol saicJ ordinances.
Plan Check Fee: .- _ _-
Date Pald:
Recelpt Nurnbcr:_-_..
DatePlans Rcviewecl tit -_- ----
Recelved By
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B) 5Cl\ \rL
Systems Developmcnt Charge is cJue on all undeveloped
properties wlthln rhc City linrits whiclr are being improved,
ITEM
Flxtures
Resldenllal Bath(s)
Sanltary Sewer
Water
Slorm Sewer
Moblle Home
FEE
(c)
f,t0;Fq,q,
0
PLUMBING PERMIT
Plumblng Permlt
state surchars*i3%
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/Flroplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanlcal Permlt
lssu ance
State Surcharge
Totel Permlt
MECHANICAL PERMIT
Furnaco
Exhaust Hood By slgnature, I state and agree, that I l.rave carcf ully examlned
the completed apptication and cjo hcreby cerilfy that all
lnformatlon hereon is true ancl correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
wlth tho Ordlnanccs of thc Clty o( Sprlngfictc,, and the Laws
of the Stato of Oregon pertalnlng to thc vrorl< descrlbed
hereln, and that NO OCCUPANCy wiil be made ol any
structure wlthout perrnlssion of the Bulldtrrg Safety Dlvislon.
I further certlly lhat only contractors and employees who
are ln compllance wtth OFIS 701.055 wiil be used on thls
prolect.
I f urther agree to ensure that all required inspections are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the f ront
of the property, and the approvecJ set of plans will remaln
on the slte at all times duling constructl.On.
Date
---
x,g natu re
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sldewalk
-
{t
Curbcut ' f t
Demolltlon
State Surcharge
Total Mlscellaneous Permlts (E)
TOTAL AMOUNT DUE (excludlng electrical)
(A, B, C, D, and E Comblned)
EI E
DATE PAID
VALIDATION:
RECEIPT NUMBER
AMOUNT REC
RECEIVED BY
50D-
FT.
FT.
sLb)oL
QtJOB NO.
ATTACHMENT B
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY
st-LOCATION
DEVELOPMENT TYPE
BUILDING SIZE OT SIZ
1. STORM DRAINAGE
IMPERVIOUS SQ. FT X $0.21 PER SQ. FT $
2. SANITARY SEI^IER-CITY
No. oF PFU'S it x $43.43 PER PFU
(See Reverse)
3. TRANSPORTATION
NO OF UNITS X TRIP RATE X COST PER TRIP
x _ x $437.93
x _ x $437.93
x _ x $437.93
4. SANITARY SEWER-MI^IMC
N0. 0F PFU'S
-x
$18.75 PER PFU + $10 Mll.lMC ADMIN.FEE
(Use PFU Total From item 2 Above)
$
t.4t^JMC CREDIT IF APPLICABLE (SEE REVERSE)
TOTAL-].,lI^It'4C SDC
$
$
SUBTOTAL (ADD ITEMS 1,2,3 & 4)$
5. ADMiNISTATIVE FEES
BASE CHARGE (SUBTOTAL ABOVE) X .05
fu'a-l-L,il^q5
roy McAllister
Ft
b
5
$
Z38L
SDC Coordi nator
Date -7 lo
TOTAL SDC $ 501 bz
FIXTURE UNIT CALCULATION TABLE: Number of New Fixt--s X Unit Equivatent : Fixture Units
(NOTE: For remodels, calculate on ,e NET additional fixtures)
NUMBER OF UNIT FIXTURE
FIXTURE TYPE NEW FIXTURES EqUIVALENT UNITS
Bathtub.....Z
Drinking Fouhtain....
Floor Drain.
lnterceptors For Grease/Oil/Solids/Etc.
lnterceptors For Sand/Auto Wash/Etc.
Laundry Tub/Clotheswasher......
_T
a7
Clotheswasher - 3 Or More.....
Mobile Home Park Trap (1 Per Trailer)
Receptor For Refrigerator/Vvater Station/Etc......
Receptor For Commercial Sink/Dishwasher/Etc..
Shower, Single Sta|1..........
Shower, Gan9.........
Sink: Bar, Commercial, Residential Kitchen....
Urinal, Stall/Wall...
Wash Basin lLavatory, Single..
Toilet, Public lnstallation
\
2__e_-
t
lHead
2
1
2
3
6
2
6
6
1
2
2
1
2
2
1
6
4
I
I
Toilet , Private.....
Miscellaneous:
TOTAL FIXTURE UNITS tt
CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table,
calculate credits 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 $
Year
Annexed
Rate per $1,OOO
Assessed Value
Year
Annexed
Rate per $1,000
Assessed Value
1 979 or before
1 980
1 981
1982
1 983
1 984
1 985
1 986
$3.47
3.39
3.33
3.21
3.06
2.92
2.74
2.46
1 987
1 988
1 989
1 990
1 991
1 992
1 993
1 994
$2.1 3
1.76
1.35
o.95
o.58
o.41
o.29
o.14
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Onlyl
Residential.
Commerica1...............
lndustrial...
Governmental
o.4
o.9
o5
0.5
IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT
t