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Home My WebLink AboutPermit Plumbing 1997-7-22 (2) ~ ~ RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 l.O1' . BLOCI<' . JOB NUMBER Q ~OL? \0. 225 Fifth Sir el ]~ SprIng Id, t!fJ:?fll ~ I ..1)ill J(} JOt) It@; SUBDIVISION' OWNERW~f\mc:; ~ . ADDRE\~';)~~ 1\'{\('\~ODr, . CITY: ~ I~ , ~lt OJ ('\j . STATE: ~'(\ DESCRIBE WORK: l AI\CL 0 \J\.w \(\ \ . ( NEW REMODEL .ADDITION \ " '. DEMOLl OTHER CONTRACTOR'S NAME GENERAl' PLUMBIN'" ~~ ~".., \ \...,Le;12- MECHANICAl' ELECTRICAl' ADDRESS. CONST. CONTRACTOR # PHONE:Jj;\.ln '~0t )3 ZIP: 0. "l41PJ j} ~L ;;tAr' .... ,~ ~1 ty~ 9""2- EXPtRES .~ PHONE - OFFICE USE - QUAD ARE'" LAND USF' FLOOD PLAIN: # OF BLDGS' # OF UNIT~' ZONING CODE: OCCY GROUP' CONSTR. TYP'" . 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, Inspections requested alter 7:00 a.m. will be made the following work day. REQUIRED INSPECTIONS o Temporery Electric O Site Inspection - To be msde after excavation, but prior to setting forms. D.,underslab Plumblng/Electrlcsl/ Mechanical - Prior to cover, o Footing - After trenches are excavBted. . 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 snd Besm,- Prior to 1I00r Insulation or decking. . ' o Floor Insulation - Prior to decking. . o Ssnltsry Sewer - Prior 10 III11n9 trench. O Storm Sewer - Prior to filling trench. O Wster Line - Prior to filling trench. . l7?f Rough PlumbIng:"" Prior to ULJ cover. . o Rough Mechsnlcsl ~ Prior to cover. D Rough Electrlcsl - Prior to cover. o Electrlcsl Service - 'Must be approved to obtain permanent electrical power. o Flreptace - Prior to facing materials and framing Insp. o Framing - Prior to cover. o o Wall/C'elllng Insulstlon - PrIor to cover. o Drywall - Prior to taping. o Wood Stove - After Installation. o Insert - After fireplace approval and Installation 01 unit. o Curbcut & Al>prosch - After , forms are erected but prior to placemont of concrete. o Sidewalk & DrIveway - Alter excavation Is complete. forms and sub.base material In place. o Fence. - When completed. D Street noos - When all required trees are planted. ~al Plumbing - When all plumbing w9rl< Is complete. D Final Electrical - When all electrical work Is complete. o FInal Mechanlcel - When all mechanical work Is complete. o Flnel Building - When all required Inspections have been epproved and building Is completed. .. . o Other MOBILE HOME INSPECTIONS o Blocking end 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 Flnsl - After all required Inspections are approved and porch os, skIrting, decks, and venting have been Installed. Lot (aces Lot lYpe . Lot sQ. fig. Interior Lot coverage Corner Topography Panhandle , Total height Cul-de.sac ~ ..' I P.L IN Is Iw IE BUILDING PERMIT ITEM sa. FT. .{ x $/sa. FT. _ VAWE Main Garage Carport '. Total Value Building Permit Fee Slale Surcharge Tolal Fee (A) SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM , qf)tD Fixtures \~ Residential Bath(s) N' Sanitary S!3wer FT. Water FT. Slorm Sewer FT. Mobile Home Plumbing Permit ..'1((90 Slate Surcharge '.lQ~ Total Charge (e) ('J,A An MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan N' J 1"'" Wood Stove/lnsertlFlreplace.Unlt Dryer Vent Mechanical Permit ,HI?r.(/. I."~ //J CO '-- /..2.0 U.2.0 Issuance State Surcharge Total Permit /7) r, --is" CD) MISCELLANEOUS PERMITS Mobile Home State Issuance Slate Surcharge Sidewalk II fI Curbcul Demolition Slale Surcharge """\.1ltl ? 1f.~2- Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (P.., B, C, 0, and E Combined) ~-"'.~ ..... ...; :::..;~~::~.;~'.:~l . -: -. (~ THE PROPOSED WORK IN THE. .'''HISTORICAL DtSTRICT, OR ON THE HISTORICAL REGISTER? II yes, this appllcetlon must be signed and approved by the Historical . Coordinator prior to permit Issuance. Setbacks . HSE GAR Acc'l I I I I BUILDING "ALOE, PLAN CHECK AND BUILDING PERMIT APPROV'"'' . This permit Is granled on the express condition thai the said construction shall, In all respects, conform to the Ordinance 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 saId ordinances. Plan Check Fee: Dote Paid: Receipt Number' Received By: Plans Reviewed By. Date Systems Development Charge Is due on all undeveloped properties within the City limits 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 Information hereon Is true and correct. and I further certify that any and all work performed ahall be done In accordance wflh the Ordinances 01 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 permlsslbn of the Building Safely DIvision. I further certify thai only ~ontraclors and employees who are In compliance with ORS 701.055 will be used on this project. Slgnatur Date , /' VALIDATION: ~ 77 '7 RECEIPT NUMBER -:' ~ .-.?7.'!. DATE PAIl'" 1/2-2./1'7 . AMOUNT RECEIVED' ';;$1 4ZJ3,t!J2... RECEIVED BY _ _ _. . ~ , I ~ ,. . ..~ Ij .~. ./\'1:>7 r'7-1-s;;>f~d -(:- (I (: ~ "7- n ~ ) i"""=-'4a. l' { ,~...-::~ . '- . I <:: JOB NO. '1Sc9J..bCz. · . ATTACHMENT A . CITY OF SPRINGFIELD. SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: DEA//V/~ 54L/ At':$G LOCATION: ~e-2.q HAIIV ST. DEVELOPMENT TYPE: PLu,..../',',ur. A POI-r,o-./ BUILDING SIZE: I nT SIZF - <;0. Ft. 1. STORM ORATNA.GE . IMPERV IOUS SO. FT. - . X $0.226 PER SQ. FT. $ 2. SANITARY SF~FR-rrTY NO. OF PFU'S "7 (See Reverse Side) X $46.86 PER PFU $ ,~25!, 07- 3. IR8NSPORTATiON '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 -MWMr sac $ SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 32 K ~2 5. ADMINISTRATTVF F(E2 BASE CHARGE (SUBTOTAL ABOVE) X .05 f),9b- . $ lb. fO SDC Coordinator Date: 7-2."L-:Q7 TOTAL SOC $' 34-{-, 42- . . riA. vnc VI'''' ""J-U..\."UL_IV.\I 'J'"'\UL.J....a.I~U1I1U~1 VI 1\ll:W rl)('lU.~ ^ UIIIL J:.4UIV8Ien( =:: t"IX(~,~e ~~ItS (NOTE: For remodels, calculate onl. NET additional fixtures). .-,. . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub.................................................................... .. Drinking. Fountain........................................ ............. Floor Drain.... ...~...... ......... ..... ............ ............... ......... interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher............. ......... ............. Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Singie StalL................................................ Shower, Gang. ... .... .................................. ..... ....... .... Sink: Bar. CommerCial. Residential Kitchen........................ Urinal, Stall/Wall............... .......... .... ........ ...... ...... ....... Wash Basin/Lavatory, Single.................................. Toiiet. Public Installation........... ............................. Toilet, Private....................................................... Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 "Z- 4 TOTAL FIXTURE UNITS = 7 CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date In table, calculate credits separates. 1979 or before 1980 1981 1982 1983 1984 1985 19B6 $3.97 3.89 3.83 3.70 3.55 3.39 3.20 2.91 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 Ratep: $l,oo~l Assessed Value . $2.56 2.17 1.73 1.31 0.92 0.74 0.61 0.45 0.31 0.17 Year Annexed Rate per $1,000 Assessed Value Year Annexed Improvement (if after annexation date) X $ (Rate X Assessed Value) X $ . (Rate X Assessed Value) = Credit for Parcel or Land Only If Applicable = CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) ResidentiaL..:....................... 0.4 CommericaL........................ 0.9 Industria!............................ 05 GovernmentaL..................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT