HomeMy WebLinkAboutPermit Plumbing 1997-11-18GFIELDBESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Office: 726-3759
JOB NUMBER
225 Fifth Street
Springfleld, Oregon 97477
2/
LOCATION OF PROPOSED WOFIK:
ASSESSORS MAP:
LOT:
TAX LOT:
BLOCK:SUBDIVISION
ADDRESS:
CITY:
PHONE:
STATE:ZlPi
DEMOLISH OTHER
\-,
XDESCRIBE WORK:
NEW REMODEL ADDITION
ELECTRICAL:
ADDRESS EXPIRES .A PHONECONTRACTOR'S NAME
MECHANICAL:
CONST.
CONTRACTOR #
GENERAL:
PLUMBING
RANGE:
- OFFICE USE -
LAND USE:
WATER HEATER
FLOOD PLAIN
* OF UNITS:
OUAD AREA:
* OF BLDGS:
SECONDARY HEAT:
SOUARE. FOOTAGE:
, OF BDRMS:
-
OCCY GROUP:
I OF STORIES:
ZONING CODE: _
CONSTR. TYPE:
HEAT SOURCE:
To request an inspectlon, you must call 726-3769. Thls ls a24naur recording. All lnspectlons requested before 7;00 a.m. wlll be
made the same worklng day, lnspections reguested after 7:00 a.m. wlll be made the followlng work day.
REQUIRED INSPECTIONS
Temporary Electrlc Rough Mechanlcal - Prior to
cover.
[-l Flnal Plumbing - When aillJ plumblng work ls complete.
tl
D
E
E
E
E
E
tl
SIte lnspectlon - To be mado
after excavatlon, but prior to
setting forms.
Rough Electrical - Prior to Flnal Electrlcal - When all
electrlcal work is complete.cover.
Underslab Plumblngl Electrical /
Mechanlcal - Prlor to cover.Electrlcal Service - Must be
approved to obtaln permanent
olectrlcal power.
Final Mechanlcal - When all
mechanical work ls complete.
Footlng - After trenches are
excavated.Flnal Buildlng - When alt
requlred lnspectlons have been
approved and bulldlng is
completed.Masonry - Steel locatlon, bond
beams, groutlng.
Foundatlon - After forms are
erected but prlor to concrete
placement.
Other
Underground Plumblng - Prior
to lilllng trench.
MOBI
Underlloor Plumblng/ Mechanlcal
- Prior to lnsulatlon or decklng.
Post and Beam - Prlor to floor
lnsulatlon or decking.lnsert - After flreplace approvsl
and lnstallatlon of unlt.
Blocking and Set.Up - When alt
blocklng ls complete.
Floor lnsulalion - Prior to
decking.Curbcut & Agrproach - After
forms are erected but prior to
placement of concrete.
Plumbing Connecllons - When
home has been connected to
water and sewer.
Storm Sewer - Prior to fllling
trench.
Sidewalk & Drlvewav - After
excavation is complete, forms
and sub-base material ln place.
Electrlcal Connection - When
blocking, set.up, and plumbing
inspections have been approved
and the home is connected to
the servlce panel.
Water Llne - Prlor to filling
trench.[--l fence - When cor,rpleted
Rough Plumbing - Prlor to
cover.
$treet Trees - When all requlred
trees are planted.
Final - After all required
lnspections are approved andporches, sklrting, decks, and
ventlng have been lnstalled.E K
1)f
tl
ftl Sanltary Sewer - Prlor to fllling
!fltrench,
E
ll flreplace - Prior to faclng
-
materlals and framing lnsp.
n Framlng - Prlor to cover.
l-l Wal!tCelllng tnsutatlon - Prlor tolJ cover.
l-l Drywall - Prlor to taping.
I I Wood Stovo - After lnstallatlon.l_J
tl
E
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total helght
Lot TyfJ
-
lnterlor
-
Corner
-
Panhandle I
-
Cul-de-sac
(.IS THE PROPOSED WORK TN THE "
HISTORICAL DISTRICI, OR ON
THE HISTORICAL REGISTER?
-
lf yes, thls appllcatlon must be slgned
and approved by the Historlcal
Coordinator prlor to permit issuance.
APPROVED:
P.L.HSE GAR ACC
N
s
E
BUILDING PERNIIT ; :' T
ITEM SO. FT. X $/SQ, FT.VALUE
(A)
Total Value
Building Permit Fee
State Surcharge
Total Fee
Main
Garage
Carport
This permit is granted on the cxpress conditlon that the said
construction shall, in all respects, conform to the Ordlnance
adopted 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 sald ordinances.
Plans Reviewed By Date
Receipt Numbe
Plan Check Fee:
Date Paid
Fleceived By:
BUILDING VhIUE
AND BUILDING P
, i5tRu cHEcK
ERMIT
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
Systems Development Charge is due on all undeveloped
properties within tlre City limits which are being improved.
ITEM
Flxtures
Residentlal Bath(s)
Sanitary Sewer
Water
Storm Sewer
Moblle Home
FEE
3-*
?43
/.2Qfr
(c)fr-?
Nr/
Fr. 61!
PLUMBING PERMIT
Plumblng Permit
State Surcharge
Total Charge
ADDITIONAL COMMENTS
Wood Stove/ lnsert/ Flreplace Unit
Dryer Vent
(D)
NoVent Fan
Mechanical Permit
lssuance
State Surcharge
Total Permit
MECHANICAL PERMIT
Furnace
Exhaust Hood By slgnature, I state and agree, that I have carefully examlned
the completed application and do hereby certlfy that all
lnformatlon hereon is true and correct, and I f urther cerilfy
that any and all work performed shall be done in accordance
with the Ordinances of the City of Sprlngfield, and the Laws
of the State of Oregon pertainlng to the work descrlbed
herein, and that NO OCCUPANCy wlll be made of any
structure wlthout perrnission of the Bulldlng Safety Divislon.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 wlll be used on thls
proiect.
I further agree to ensure that all requlred lnspections are
requested at the proper tlme, that each address ls readable
from the street, that the permlt card ls located at the front
IS
Date
on lon
of the property, and t set of plans will remaln
all tim durl cons
MISCELLANEOUS PERMITS
Moblle Home
State lssuance
State Surcharge
Sidewalk
-
ft
Curbcut
-
ft
Demolitlon
State Surcharge
Total Mlscellaneous Permils (E)
TOTAL AMOUNT DUE (excludlng electricat)
(A, B, C, Q and E Comblned)
2o
17DATE PAID /K, A h-r* /q
AMOUNT RECEIVED
RECEIVED BY
VALIDATION:
RECEIPT NUMBER
"' ' i1.'; ll
FT,
FT.
aKn ^/t
JOB N0. ru"7/62+
ATTACHMENT A
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY
./1h,C > LzO ag *t,aa)
LOCATION
e
DEVELOPMENT TYPt
BUILDING SIZE LOT SIZ 0Fr
1 SIORM DRAINAGi
IMPERVIOUS SO FT e X $0.225 PER SQ FI 5E_
2 . SAN ITARY SE,,.{ER -C ITY
NO. OF PFU'S ,l X $.16. 86 PER PFU $ ,tT,4-6
(See Revense Side)
3. TRANSPORTATiON
NO OF UNITS X TR.IP RATE X COST PER TRIP
x-x$47249 $ -e-
x _ x $472.49 $
4 . SANiTARY SEWER -MIdMC
NO. OF FEU'S
$
PER FEU + $10 MI^JMC/ADM FEE $O-
$ z(. 77
X x $472.49
X
MI^IMC CREDIT IF APPLICABLE (SEE REVERSE)
5. ADMINISTRAIIVE FTES
BASE CHARGE (SUBTOIAL ABOVE) X .05
SDC Coordi nator
$
TOTAL-MI^JMC SDC $
SUBTOTAL (ADD ITEMS i.2,3 & 4) g ( l(.44
e,r1,r,l-$ru',177
Date t l- t
TOIAL SDC $ 54I . 2A
t r'\ ! vr rL vrrr I v,1r-rrvr-ra I l\,, lY I FI'ULL. l\umoer oI New Frxt'-s X Untt Equivalent = Fixture Unirs(NOTE: For remodels, calculate on,-- r NET additional fixtures)
NUMBER OF UNIT FIXTURE
NEW FIXTURES EOUIVALENT UNITSFIXTURE TYPE
Bathtuo......
Drinking Fountain....... .. . ... ... .......... ..........
Floor Drain..................
lnterceptors For GreaseiOil/So1ids,,Etc............,....
lnterceprors For Sand/Auto WashiEtc..................
Laundry Tuo/Clotheswasher.....
Clotheswasher - 3 Or More...
Mobiie Home Park Trap (1 Per Trailer) ..................
Receptor For RefrigeratoriWater Station/Etc........
Receptor For Commercial SinkiDishwasher/Etc..
Shower, Single Stall......
Shower, Gan9.........
Sink: Bar, Commercial, Residerrtial Kitchen............
Urinal, Stall/Wall...
Wash Basini Lavatory, Single..
Toilet, Pubiic lnstallation.
Toilet, Privare.......
Misceilaneous:
z_
adIH
2
1
2
a
6
2
6
b
1
3
2
I
2
2
1
b
4
>
Z_
ll
--?--
TOTAL FIXTURE UNITS
CREDIT CALCULAT]ON TABLE: Based on assessed value. lf tmprovements occurred after annexation date in rable,calculate credits se a rates
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
(Rate X Assessed Value)x$
(Rate X Assessed Value)
CREDIT TOTAL =$
Y ear
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per S1,COO
Assessed Value
1 979 or before
1 980
1 981
1 982
1 983
1 984
1 985
1 986
$3.97
3.89
3.83
3.70
3.55
3.39
3.20
2.91
1 987
1 988
1 989
1 990
1 991
1 992
1 993
1 994
1 995
1 996
vz.co
2.17
1.73
1.31
0.92
o.74
o.61
0.45
0.31
o.17
RUNOFF COEFFICIENTS FOR STORM DRATNAGE
(For Estimating Purposes Only)
Fesroen iiai.......
Commerical...,..
tndustrial..........
Governmental...
.. 0.4
0.9
05
0.5
lMPERVlous AREA : TorAL Lor stzE x RUNOFF coEFFtctENT
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