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Home My WebLink AboutPermit Plumbing 1995-10-4 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 - SPRINGFIELD I ,~., ~ q CJfrf{J ,- JOB NUMBER '" = ()~D! ~ LOT' BLOCK' SUBDIVISION: 4.; OWNER~f)n~ ~(1rOY. ~ PHONE: ~\o{)\~ : ADDRE~' ~~O \'(\~. 0 ~ <\\\ 1.'1),./' - , ,I CITY-~) \ \J_~'l STATE ~ ZIP: ~IK DESCRIBEW:RK: M ~ JJJLfllD ~ WQJ:')',. \",X\OO',)=\ \ ""\O\~m~Q ~ NEW REMODEL r ADDITION - r-'~OLlSH O{HER - CON ST. CONTRACTOR' CONTRACTOR'S NAME ADDRESS GENERAl' ~ _ _ .L\ ~ _, \\' PLUMBING: Lt') i I(.v lJ.JCY?H.{'- nJlsv.lrrJJ MECHANICA' . ELECTRICAl' EXPIRES -, PHONE oc(~7 - OFFICE USE - QUAD AREA: LAND USE: FLOOD PLAIN' . OF BLDGS' . OF UNITS' ZONING CODE:_ OCCY GROUP: CONSTR. TYPE: . OF BDRMS' . OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER: RANG'" SQUARE FOOTAGE: To request an Inspection, you must call 726-3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be made the same working day, Inspectlons requested after 7:00 a.m. will be made the following wor ay. o Temporary Electric D Site Inspection - To be made after excavatlon, but prior to setting forms. o UndersJab PlumblngJ ElectricalJ Mechanical - Prior to cover, o Footing - After trenches are excavated. o Masonry - Steel locatIon, bond beams, grouting. o Foundation - After forms are erected but prior to concrete placement. o Underground Plumbing - Prior to filling trench. o Underlloor Plumbing/Mechanical - Prior to insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking, o Sanitary Sewer - Prior to. filling trench. o Storm Sewer - Prlor. to filling trench. ~' U,," - "'"' '" ''''',,'' ench Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS o Rough Mechanical - Prior to cover. o Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. o Framing - Prior to cover:. o Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stovo - After Installation. o Insert - After fireplace approvl!l and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placemont of concrete. o Sidewalk & Driveway - After excavation Is complete, forms and sub.base material In place. o Fence - When completed. o Street Trees - When all required trees are planted. Final Plumbing - When all plumbing work Is complete. o Final Electrical - When all electrical work Is complete. o Final Mechanical. - When all .' . mechanical work Is complete. o Final Building - When all required Inspections have been approved and building is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking, set.up, and plumbing InspectIons have been approved and the home is connected to the servIce panel. o Final - After all required inspections are approved and porches, skirting, decks, and venting have been Installed. BUILDING PERMIT ITEM SO. FT. X S/SO. FT. Setbacks I PL. I HSE GAR' ACC I I N I I I I S I I I Iw I I I lLL-L,j _IS THE PROPOSED WORK IN THE. . HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this applicatIon must be sIgned and approved by the Historical Coordinator prIor to permit issuance. lot faces Lot TY,e Interior Lot sq. ftg. Lot coverage Corner Topography Total height Panhandle Cur-dc-sac APPROVED: _ ...,:, .. VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Main Garage " This permit 1s granted on the express condition that the said constructlon shall, in all respects, conform to the Ordinance adopted by the City 01 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 said ordinances. Carport Plan Check Fee: Total Value Date Paid: Building Permi I Fee Receipt Numbcr:__. Stale Surcharge Received By; Total Fee (A) Plans Revlewod By -------..----- SYSTEMS DEVELOPMENT CHAR~SJSDC) (B) ~,ln\ Date PLUMBING PERMIT Systems Oevelopmcnl Charge is duo on all undeveloped properties within the City limlts whlc', are being Improved. ITEM ,y FIxtures Residential Bath(s) N' Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home CI~r/tD ADDITIONAL COMMENTS State Surcharge -+3()o r<JJCf-J (.00 dJJ . loO Plumbing Permit Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' By sIgnature, I state and agree, that I have carefUlly examined the completed application and do hereby certify that all Information hereon is true and correct, and I further certify that any and all work performed shall be done In accordance with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaIning to the work described herein. and that NO OCCUPANCY will be made of any structure without permission of the Building Safely Division. I further certify that only contractors and employees who are In compliance with ORS 701.055 will be used on thIs project. Wood Stove/Insert/Fireplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) I further agree to ensure that all required Inspectlons are requested at the proper time, t~at each address Is readable from the street. that the permit card Is located at the front of the property, and the approved set of plans will ,emain ~n the site ~ all times during constructIon. - ---- .""'- g ture ............... ~.... ....J. f'.... - - -, - '\j /"..J _ 5' - '7 j MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk II II I Date ,..J Curbcut Demolitlon Total Miscellaneous Permits (E) . VALIDATION: /) r-,{ RECEIPT NUMBER \ g WI DATE PAID U) . 4--.V{~ . AMOUNT REC~ T 'v:! \.^' RECEIVED BY C{{)~ .7 State Surcharge TOTAL AMOUNT DUE (excluding elect,,ri~al) (A, B, C. 0, and E Combined) , . . JOB NO. ~D 4;':2/7 ~ ATTACHMENT B CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE ORKSHEET LOCATION: \0'1 enD 'N\(\jj\ ~. .oat DEVELOPMENT TYPE:~>> <2cid 0 f\1l(Q ~ BUILDING SIZE: LOT SPF SQ. Ft. 1. STORM ORATNAr,F IMPERVIOUS SQ. FT. X $0.21 PER SQ. FT. $ '. " 2. S8NlIARY SFWFR-r.TTY NO. OF PFU'S (See Reverse) \ X $43.43 PER PFU /\-343 3. TRANS PORTAT Hlli. NO OF UNITS X TRIP RATE X COST PER TRIP X X $437.93 $ X X $437.93 $ X X $437.93 $ 4. SANTTARY SFWFR-MWM( NO. OF PFU'S x $18.75 PER PFU + $10 MWMC ADMIN.FEE $ (Use PFU Total From Item 2 Above) MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAl -MWMC SDC $ SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ 5. AOMTNTSTATTVF FFF~ BASE CHARGE (SUBTOTAL ABOVE) X .05 , 'um~ I SDC Coordin tor $ d, !f)' Date: '\O-~.v05 TOTAl SOk $ 4;~'\Q\ - ,'., <'FIXTURE UNIT CALCU~ION TABLE: Number of New Fi. X Unit Equivalent = Fixture Units . (NOTE: For remodels, calculate on~e Mil additional fixtures) "" NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub......,.............................................................. . Drinking Fountain... ...... ..... ... .......... ....... ........... ........ Floor Drain...,............................................................ Interceptors For Grease/Oil/Solids/Etc..,.............. Interceptors For Sand/Auto Wash/Etc.................. , Laundry Tub/Clotheswasher................................... G1otheswasher, 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, Gan9.......................................................... Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/Wall.........................:............................. Wash Basin/Lavatory, Single.................................. Toilet, Public Installation........................................ Toilet .. Private....................................................... Miscellaneous: 2 1 2 3 6 2 6 6 h 3 2 l/Head 2 2 1 6 4 TOTAL FIXTURE UNITS = '. Based on assessed value. If improvements occurred after annexation date in table, CREDIT CALCULATION TABLE: calculat~ credits separates. I I Year Annexed Rate per $1,000 Assessed Value Year Annexed $3.47 3.39 3.33 3.21 3.06 2.92 2.74 2.46 1987 1988 1989 1990 1991 1992 1993 1994 I, 1979 or before 1980 1981 1982 1983 1984 1985 1986 Rate per $1,000 Assessed Value $2.13 1.76 1.35 0.95 0.58 0.41 0.29 0.14 Credit for Parcel or land Only If Applicable X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) Improvement (if after annexation date) = = CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential........................... 0.4 Commerical......................... 0.9 Industrial............................ 05 Governmental...................... 0.5 = IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT