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Home My WebLink AboutPermit Plumbing 1997-7-22 OWNER:t \. \U\m s, 0f'illilllZ..-- . ADDRE\S~/6l(\~~ Icr~OOrl CITY: iV^ U'C\'\t oj. - STATE: ~'(\ DESCRIBE WORK: \ ^(~Jt 0 \.J:\ ~ _~ \ ~O.Q; NEW REMODEL ADDITION \. DEMOLI OTHER ) CONST. CONTRACTOR' " -'"e RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOT' CONTRACTOR'S NAME GENERAl' ~ I PLUMBINC'"' d.J ~ MECHANICAl' ELECTRICAl' '^" \ '--'l€ t2- SPRINGFIELD BLOCK' ADDRESS q D~ 9"2...- . JOB NUMBER C\ ~OO _\.0 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION: llm Jl'(} PHONE:J!6,la_J..)~l13 ZIP: (}l41~ ~ EXPIRES ,~ PHONE " .-1'- ~~ .~ - OFFICE USE - QUAD AREA: LAND USE: FLOOD PLAIN: . OF BLDG1'" # OF UNITS: ZONING CODE: OCCY GROUP' CONSTR. TYPE: . OF BDRMS' . OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER' RANGE: SQUARE FOOTAGE: To request an Inspection, you must call 726-3769. This Is a 24 hour recording. Alllnspecllons requested before 7:00 a.m. will be made the same working day. Inspections requested after 7:00 8.m. will be made the following work day. REQUIRED INSPECTIONS D Temporary Electric D Site Inspection - To be made after excavation, but prior to selling forms. D Underslsb Plumblng/Electrlcsl/ Mechanical - Prior to cover. D Footing - After .trenches are excavated. D Masonry - Steel location, bon~ beams, grouting. o Foundation - After forms are erected but prior to concrete placement. D Underground Plumbfng - Prior to fltllng trench. D Underlloor Plumbing/Mechanical - Prior to Insulation or decking. D Post and Beam,- Prior to floor Insulation or deckIng. ' D Floor Insulation - Prior to decking. .' D Sanitary Sewer - Prior to filling trench. D Storm Sewer - Prior to filling trench. O Water Line - Prior to filling trench. ' 1771' Rough Plumbing - Prior to ~ cover. . D Rough MechanIcal - Prior to cover. o Rough Electrical - Prior to cover. D Electrical Service - Must be approved to obtain permanent electrical power. D Fireplace - Prior to facing materials and framing Insp. D FramIng - Prior to cover. o D Wail/Ceiling Insulation - Prior to cover. D Drywsll - Prior to taplng. , D Wood Stovo - Arter Installation. D Insert - After fireplace approvlll and Installation of unit. D Curbcut & Approach - After , forms are erected but prior to placement of concrete. D Sldewslk & Driveway - After excavation Is compiete, forms and sub-base material In place. o Fence - When completed. o Street Trees - When all required trees are planted. ~al Plumbing - When all plumbIng worl< Is complete. . . D Final Electrical - When all electrical work Is complete. D Final Mechanical - When all mechanical work Is complete. D Final Bulldfng - When all required Inspections have been approved and building Is completed. ~ . DOther MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. D Plumbing Connections - When home has been connected to water and sewer. D Electrical Connection - When blocking, set-up, and.plumblng Inspecllons have been approved and the home Is connected to the service panel. D Final - Alter all required Inspections are approved and porches, skirting, decks, and venting have been Installed. LOI ~ype '. ::' !;'l Lot faces Lot sq. rtg. Interior I P.L. IN Lot coverage Corner Is Topography Panhandle '{ Iw Total height Cul'de-sac IE BUILDING PERMITi ITEM sa. FT. '( " X $/sa. FT. a VALUE Main Garage " Carport Total Val ue Building Perml t Fee Slate Surcharge Totat Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM \ qf)tD Fixtures \1 Residential Bath(s) N' SanItary S~wer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit ..~((90 State Surcharge ',:a~ Total Charge (C) (~An MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan N' I ~OO Wood Stove/lnsertlFlreplace Unit Dryer Vent Mechanical Permit ,;:1? M.l. l.5'p9 /rJ.CO /..20 U,2.0 Issuance State Surcharge Total Permit (7)"r,-fS" (D) MISCELLANEOUS PERMITS Mobile Home State Issuance Stato Surcharge Sidewalk It Curbcut II Demolition State Surcharge -v\~ '( 1f.~2- Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (1.1. B, C. D, and E Combined) ,-,.... ....." .-. .. ~.........._., ','.".....' .; :::~; ~t:}(i~ \:)' /;1' i, '(t! THEPROPOSED WORK IN THE_' ".'HISTORICAL DISTRICT, OR ON THE HISlORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. Setbacks. HSE GAR Acc'l I I I I APPROVED: BUILDING VAU1E, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express condition that the said construction shall,ln all respects, conform to the Ordinance adopted by the Clty.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 said ordinances. Plan Check Fee: I Date Paid: Receipt Number' Received By: Plans Reviewed By. Date Systems Development Charge Is due on all undeveloped properties within the City tlmlts which are being Improved. ADDITIONAL COMMENTS By signature, I state and agree, that I have carefully examIned the completed application and do hereby certify that all In(ormatlon hereon Is true and correct, and I further certify that any and all work perfo~med shall be done In accordance with the Ordlnancos 01. the City of Springfield, and the Laws of the State of Oregon perlalnlng to the work described herein, and that NO OC~UPANCY will be made of any structure without permission of the Building Safety Division. I further certify that only pontractor~ and employees who are In compliance with ORS 701.055 will be used on this project. Slgnatur ~9V Date -.., VALIDATION: DATE PAID RECEIVED BY ." .. . I . JOB NO. Cf5191 zJ~ ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY. DENtVl<; 5Au' A(?,G LOCATION ":3c-zq HAl/v <;T. DEVELOPMENT TYPE. P" tJ,....P"AJf~ APtJr-rfC''''/ BUILDING SIZE LOT SIZE - SO. Ft. 1 . STORM DRA. HiAGF , IMPERVIOUS SO. FT. X $0.226 PER SQ. FT. $ 2. SANITARY SFWFR-rrTY NO. OF PFU'S "7 (See Reverse Side) x $46.86 PER PFU $ :~ 2Jl , 07.- 3. TRANSPORTATiON .NO OF UNITS X TRIP RATE X COST PER TRIP x X $472. 49 $ X X $472.49 $ x X $472. 49 $ 4. SANITARY SFWFR-MWMr NO. OF FEU'S "7. X PER FEU + $10 MWMC/ADM FEE $ MWMC CREDIT IF APPLICABLE (SEE REVERSE) $ TOTAL-MWM[ SD[ $ SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 3z.Koz 5. ADMINISTRATIVF FFFS BASE CHARGE (SUBTOTAL ABOVE) X .05 .. $ lb. f () {) :96- Date. 7-2..:Z--:Q7 SDC Coordinator .. TOTAl SD[ $ 31-t. 42.... .' L . FIXTURE UNIT CALCULATION TABLE: Number of New Fix. X Unit Equivalent = Fixture Units (NOTE: For remodels, calculate o.e NET additional fixtures) . . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub.... .................................................................. Drinking. Fountain..................................................... Floor Drain...... ........................................................... Interceptors For Grease/Oil/Soiids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher................................... 'Clotheswasher - 3 Or More...................................... Mobile Home Park Trap 11 Per Trailer).................. Receptor For Refrigerator/Water Srarion/Erc........ Receptor For Commerciai Sink/Oishwasher/Erc.. Shower, Single StaiL................................................ Shower, Gang.......................................................... Sink: Bar, CommerCial. Residenrial Kirchen........................ Urinal, Stail/WaIL...................................................... Wash Basin/Lavatory, Singie.................................. Toiiet, Pubiic instailation... ............. ............... ......... Toilet, Private........................ ...:........................... Misceilaneous: 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 "2-. 4- TOTAL FIXTURE UNITS = 7 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in tabie, caiculate credits separates. Year Rate per $1,000 Year Rate per $1,000 Annexed Assessed Value Annexed Assessed Value ! 1979 or before $3.97 1987 $2.56 1980 3.89 1988 2.17 1981 3.83 1989 1.73 1982 3.70 1990 1.31 1983' 3.55 1991 0.92 1984 3.39 1992 0.74 1985 3.20 1993 0.61 1986 2.91 1994 0.45 1995 0.31 I 1996 0.17 Credit for Parcel or Land Oniy If Applicable X $ = IRate X Assessed Value) Improvement (if after annexation date) X $ = . (Rate X Assessed Value) CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) ResidentiaL..:....................... 0.4 CommerlcaL........................ 0.9 IndustriaL........................... 05 GovernmentaL..................... 0.5 '. IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT t>- . , '-1 N -, 36")<, 3&; SI1;- . ;) . r~ , n~~ ( J u ~ 3:r ~ pedes-t.L E' La.v ~., '1\<1 "., .,.. ~.',... . ;- ,. . -, I' , ,