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Home My WebLink AboutPermit 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 \