HomeMy WebLinkAboutPermit Plumbing 1992-3-9 SPRINGFIELD .Wirt.~. \ : , LOCATION OF PROPOSED WORK: 'z5'~ 7" ~'77 ASSESSORS MAP: 17~3-~~-?~ M~~ ?s~~~~/f ADDRESS: ?,~b' A;P~L-Z;> ~ "" - / DESCRIBE WORK: ~;::-~~ " T NEW REMODEL ADDITION .....'2 . .r RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726-3759 LOT: OWNER: CITY: CONTRACTOR'S NAME BLOCK: STATE: 6/~ JOB NUMBER _"9::2~ J ~./ 225 Fifth Street Springfield, Oregon 97477 TAX LOT: ~/~~ SUBDIVISION: PHON E: 7l./?--7~7? - . ZIP: Q7t:V?? ?~~~.?~' 7?:> -qr-~~"- DEMOLISH OTHER ADDRESS, CONST. CONTRACTOR 1/ PHONE EXPIRES G EN ERA L: _____ __________________ --uu-';;r2S#c.V-"P~"K~:----~------u----------_:------------- --- ___u_____________ PLUMBING:/~Zj#4-fc::/c:::.--~-PU-~~~~- ~'9/ ?~--?:2. MECHANICAL: ELECTRICAL: ~UAD AREA: /I OF BLDGS: OCCY GROUP: /I OF STORIES: WATER HEATER: <,' ......... -\.' . . i~' ,\ FLOOD PLAIN: , ZONING CODE: 1/ OF. BDRMS: ", \ SECONDARY HEAT: SO!-JARE 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, insRections requested after 7:00 a.m. will be made the following work day. ,- I, Temporary Electric 1=1 Site Inspection --:.. To be made afterexcavalion, but prior to set Ii ng forms. o Underslab Plumbing/ Electrical! 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 11001' insulation or decking. o .. , Floor Insulation - Prior to decki ng. !IJ Sanitary Sewer - Prior to filling trench. o Storm Sewer - Prior to filling trench. o Water Line - Prior to filling trench. \ o Rough Plumbing - Prior to cover. " - OFFI'CE USE - LAND USE: 1/ OF UNITS: CONSTR. TYPE: ,.". '0... ",~. " HEAT SOURCE: RANGE: REQUIRED INSPECTIONS , . ~'.' o Rough Mechanical ~. P/iQ,I'--:tel cover. . .... ....... o . >.\' Rough Electrical - Priclr "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 Wall/Ceiling Insulation - Prior to cover. I o Drywall - Prior to taping. o Wood Stove - After installation. D Insert - After fireplace approval and installation of unit. \ I t'\ ,- . . o Curbcut & Approach - After forms are erected but prior to placement of. concrete. o Sidewalk & Driveway - After excavation is complete, forms and sub-base material in place., o Fence - Wl1,en completed. o i Street Trees .:.- When all, requi red' trees are planted. '.... ~ '~V~:,~". D Final Plumbing -When all plumbing worl, is complete. I I Final Electrical - Wilen all . electrical worl, is cornplele. o Final Mechanical - When all mechanical wort, is cori'lplete. o Final Building - When all required inspections have been approved and building is complE!ted. o Other MOBILE HOME INSPECTIONS D Blocking and Set-Up -' Wilen all blocking is complete. o Plumbing Connections - When . home has been connected to water and sewer. D Electrical Connection - When blocl,ing, set-up, and- plumbing inspections have been approved and the home is connected to the service panel. D Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. Lot faces Lot Type :~.." l.. Lot sq. fIg. ',.. '. -. '1. Interior Lot coverage Corner Topography Panhandle Total height Cul.de-sac " ~I BUILDING PERMIT ITEM SO. FT. X $/SO. FT. < '.. .; Main 1>-. .~ ". Garage ',,' .', -., 'Carport ..... ". '. Total Value Building Permit Fee State Surcllarge ~ .. I-~.L. Setbacl<s HSE G:AR ACC .3 THE PROPOSED WORt<. IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? N S , I Ir yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. w ~ I,., E " . --+--- (B) SYSTEMS DEVELOPMENT CHARGE (SDC) !Ltjg: Z~ VALUE FEE .~L? . t./t!J.~C> . r %..... 4'iP --Z-'2~~ 'i~~ . :,P.?':'lqvE.D; '. " BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT I This permit is granted on the express condition that the said .: construction sh'all, 'in 31'\ resp'~cts,'cclnfo'rm tothe Ordinance adopted by the City' of 'Spr'ingfield: '~i'~'cluding the Development Code, regulating the const-ruc,ti'on and use of buildings, and may be susp'eilded or:revoked at any time t upon violation of any provis'ions of ~aid ord.i~ances. -. '. '. Plan ChE;;ck Fee: i Date Paid: ... Receipt Number' Received By: . ,;~'i: " ".,'" ~ ."...- ....:~.:.' (A) '. ..:;:~;-=,--::~~~~' \' '\:.rlpn.~'.Revie~.e~ 13y ~ ,,-;-... , ...; ..\.... "to Total Fee PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Nq', Sanitary Sewer FT. I /2 FT. Water Storm Sewer FT. Ii#, Mobile Home Plumbing Permit Sta.le Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood .[ Vent Fan, NO Wood Stove/lnserllFircplace Unit Dryer Vc]nt. Mecllailical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demoli lion Stale SurcharrJc Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) Date Systems Developlllent Charge is due on all undevcloped properlieswithin the City limits which are bcing improved. ADDITIONAL COMMENTS By signature, I state and agree, 1I1atlhave carefully examined I the completed aPrllicalion and do hereby certify that all information hereoni~> true and cOrl'ecl, and I further certify that any and all work performed shali'be done in accordance with the Ordinances of the City of Sprin~Jfield. ami the Laws of the State of Oreqon perlaininf) to tile worl< dC~.;cribed herein, and thai NO OCCUPANCY will be !lIade of any structure willlOut permission of the Building Safety Division. I further certify that only contractors and' employees who are in compliance willl ORS 701.055 will be used on this projec l. I further agree to ensure that all required inspections are requested at the proper time, that 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 remain on the site at all times during construction. Signature>' 'rv1..;Jl CZ ~-^. Date ""3..-q.- '9"Z VALIDATION: RECEIPT NUMBER_ ??L??2~~.- _?-7~'-;:;L '-!&?-25- a~ ~ DATE PAID I AMOUNT RECEIVED ... RECEIVED BY i JOB NO. '?ZtP 3 V;:> CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEEr (COMMERCIAL & RESIDE~TIAL) NAME OR COMPANY: /#//J.1G: ~r.4/#A~ ,. r, "" LOCATION: ~~ Y . 212' "5T C' (/7-03 ';2~-Z.'/ /!>/6.00~ DEVELOPMENT TY;E: ~~~~ ~A'A~..:;> P 5~4=/'; BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. \ X $0;186 PER SQ. FT. $ (See Reverse For Runoff Coefficients If Actual Imperv. Area Is' Unknown) t. SANITARY SEWER-CITY \-::. , NO. OF PFU'S II X $38.55 PER PFU (See Reverse To Determine Total PFU'S) $ '/ 241. ~~ 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X X $388.61 X $388.61 $ $ X X $388.61 $ (See Attachment C To.Determine Trip Rates)". SUBTOTAL (ADD ITEMS 1,2, & 3) $ 4. ADMINISTRATIVE FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 TOTAL - C ITY SDC I s A/'Z~ $ 'fVg. z r; 5. SANITARY SEWER-MWMC NO. OF PFU'S , '_,., _.....\ I...~ x $13.25 PERPFU + SID MWMC ADMIN. FEE $ (Use PFU.T6tal From Item 2 Above) MWMC CREDIT IF APP(ICABLE (SEE REVERSE) $ TOTAL-MWMC SDC $ -0- TOTAL SDC $ "?'Y'.t#':2S- ~o A~~~A~ ~.. ~ "Kfjp"Burai#- r SDC.Coordinator FIXTURE UNIT CALCUL '-ION TABLE: Number of New Fixture Unit Equivalent = Fixture Units (NOTE: '" For remodels, calculate only the NET additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES UNIT FIXTURE EQUIVALENT 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, Single Stall.. ........ ,.... ....... ........... ................ Shower, Gang.... ............ ........................... ................ Sink, Bar, CommerciaL............................................ Urinal, Stall /WaiL....."..,.....................,...................... Wash Basin/Lavatory, Single.................................. Water Closet, Public Installation............................. Water Closet, Private..,............................................ Miscellaneous: . / 2 ::z 1 2 3 6 2 "'2. 6 6 1 3 2 l/Head 2 2. 2 1 I 6 4 '-/ , I ~. / / . , / TOTAL FIXTURE UNITS 1/ CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1,000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 $2.66 2.64 2.53 2.41 2.19 2.04 1985 1986 1987 1988 1989 1990 $1.69 1.35 1.15 0.92 0.59 0.23 Credit for Parcel or Land Only If Applicable ~t.(:be; X $ (Rate X Assessed Value) Improvement (if after annexation date) X $ (Rate X Assessed Value) CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential.................................. ...................... 0.4 CommerciaL.............. ........... ........ ................... 0.9" I nd ustrial............,.............................................. 0.45 GovernmentaL............... ............... ................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT