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Home My WebLink AboutPermit Plumbing 1995-9-18 RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Orrice: 726.3759 I \ LOCATION OF PROPOSED WORK' ASSESSORS MAP: / 7 () "5 LOT: . SPRINGFIELD . YS/~~<< ~/tCJ :.12 JOB NUMBER 225 Filth Slreel Sprlnglleld, Oregon 97477 ] /17/~ nil CJ~ BLOCK: TAX LOT' SUBDIVISION: OWNER: ,c;:.(/11 /( C.' D; /;€Y"5 ADDRESS:' 702 J /1t1Jl(O L /lu~ CITY: E''''8PU e . STATE: 0 ~ A#9 II <)Cl.U~ DESCRIBE WORK: NEW I-- REMODEL ADDITION DEMOLISH OTHER CONTRACTOR'S NAME ADDRESS CON ST. CONTRACTOR' " GENERAL: PLUMBING: r:.A.R"\~. MECHANICAL: ELECTRICAl" ~c If? t.CJ. thdJ,lwQ!4.,)' I?t(<:;. .,. 7c/ (J 'f PHONE: 6r?'I-;<O()1' ZIP:!l...75/o ,</ EXPIRES PHONE 7//<:Z~ rrl' /... ~,l;!,-7h') 5 - . - 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: RANGE: __ SQUARE FOOTAGE: _ To requeSI an Inspection. you musl call 726.3769. This Is a 24 hour recording. Alllnspecllons requested belore 7:00 a.m. will be made the same workIng dny, Inspections requested Dfter 7:00 a.m. will bo made tho following work day. o Tornpornry Electric O Silo Inspection - To be mado afler excavallon, but prior to setting forms, o Underslnb Plumbing I Electricall Mechanical - PrIor to cover. o Fooling - Aller Irenches are excavated. o Mosonry - Steel location, bond beams, grouting, o Foundation - After forms are erected but prIor to concrete placement. o Undorground Plumbing - Prior 10 IIl1lnQ Irench. o Underlloor Plumblng/Mechanlcel - Prior to Insulallon or decl<lng, o Post and 8oam- - Prior to floor Insulallon or docl<lng, o Floor Insulation - PrIor to decking. i\:;( Sanitary Sewer - Prior 10 filling ~lronch. o Storm Sewer - PrIor 10 filling trench. o Walor Llno - Prior 10 filling trench. o Rough Plumblno - Prior to cover. REQUIRED INSPECTIONS o Rough Machanlcal - Prior to cover. o Rough Electrl.cal - Prior to cover, . o Electrical Service - Musl be approved to obtain permanonl olectrlcal power. o Fireplace - Prior to racing materials and hamlng Insp. o Fram.'ng - Prior to COVer. .0 Weill Ceiling Insulallon - Prior 10 cover. , o Orywall - Prior to laplng. o Wood Stovo - Atlor Instal/allon, o Insert - Atter Hreplace approv,,1 and Inslallallon of unit. . o Curbcut & Approach - After rorms are erected but prior 10 placemont of concrele. o Sidewalk & Drlvewav - After excavation Is compiato, forms and sub-base material In place. o Fence - When com~leted. o Street Trees - When all requIred trees are planted. o Final Plumbing - When all plumbing w9.rl< Is complet,e, D Final Eloclrlcal - 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 compleled. OOtllar MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. o Plumbing Connoctlons - When homo has been connected to waler and sewer. o Electrical Connoction .;... When blocking, sel,up. and plumbing Inspecllons 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 havo been Installed. Lot faces '-- fot sq, ftg. Lol Type. Interior Lot coverage Corner Topography Total height Panhandle Cul.de.sac I P,L. I IN Is Iw IE BUILDING PERMIT ITEM SO. FT. X $/SO. FT. = VALUE Main Garage Carport Totol Value Building Permit Fee Slate Surcharge Total Fcc (A) " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary Sewer FT. /0li'J Water FT, Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge 2-~ T /,2..0 TOlal Charge (C) MECHANICAL PERMIT Furnaco Exhaust Hood Vent Fan N' Wood StovellnsertlFlrcplace Unit Dryer Vent Mechanical Perml t Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk It It Curbcul Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) FEE #).~O ~ ,2.<:> 4"7. 2. 0 -fL.? 20 \,' Selbacks I I HSE GAR ACC .S 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 \0 permit issuance, APPROVED' BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit Is granted on the express cendllion thai the said construction shall,ln all respects, conlorm to'the Ordinance adopted by the City 01 Sprll1gflelcl, including the Development Code, regulating the COI):.lruc(ion and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan. Check Fee: Dale Paid: Recolpt Number:... Received By: Plans Rcvlc-wCd-"Sy..'"'--.--.-- Date Systems Developmenl Charge Is due on all undeveloped properties within tho City limits which arc being Improved. ADDITIONAL COMMENTS By sIgnature, I state and agree, that I have carefully examined the completed application and do hereby cerllfy that all InformatIon hereon Is true and correct, and I furthe:r certify that any and all work performed shall be done in accordance wllh the Ordinances of Ihe City of Springfield. and the Laws of the Stata of Oregon pertaining to the worl< descrIbed herein, and thai NO OCCUPANCY will be made of any structure without permission of the Building Safety DivisIon, I further certify that only contractors and employees who are In compliance with ORS 701.055 will be used on this prolect. I further agmo to ensure that all required Inspections are requested at the proper time, that oach address Is readable from the street. that the permit card Is localed at the front of the property, and the approved set of plans will remaIn on the site at ~lmos during consl1)tiOn. Xnaturp ~/H~ (J ()/(~ Date~9S- "" ' VALIDATION: n ~ RECEIPT NUMBER \V\.\) \'""\ DATE PAID C\. '\9-. .QS AMOUNT RECE~: ~_. R. .Tr4 0 ~ , '6:7- .. RECEIVED BY -ld... , , . .JOB NO. C\ ~\4-g~ ATTACHMENT B CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: ~ffil\'<- \)\ \\ 0 rs LOCATION: (PID R-owAI-I DEVELOPMENT TYPE\.~J\~f\,\\O Q BUILDING SIZE: lOT SIZe 1. STORM nRATNAG~ IMPERVIOUS SQ. FT. X $0.21 PER SQ. FT. 2. SANTTARY SFWFR-ClIY NO. OF PFU'S (See Reverse) /6 X $43.43 PER PFU 3. IEANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X X $437.93 x X $437.93 x X $437.93 4. SANITARY S~WFR-MWMr 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 -MWMr. snr. SUBTOTAL (ADD ITEMS 1.2.3 & 4) 5. AnMTNTSTATTVF FEES BASE CHARGE (SUBTOTAL ABOVE) X .05 -{1?0 ~ f"\ Clft.-J.-l S rr (Z.. ~S-rtt1t,"'!. Troy MeA 11 i ster SDC Coordinator Date: Q/'3/95 IQIAI snc. SQ. F t. $ $ "78 \ 'i.. $ - $ $ ~ , ~ $ $ . - $ 76f~ $ 3'l~ ..... $ P,'lo a1.... FIXTU'RE UNIT CALCUWION TABLE: Number of New FiXe x Unit Equivalent = Fixture. Unit: , (NOTE: For 'remodels, calculate on.e NET 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...... ................ ........ ..... 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, Residential Kitchen........................ Urinal, StalliWall....................................................... -... Wash Basin/Lavatory, Single.................................. Toilet, Public Installation........................................ -... Toilet, Private....................................................... Miscellaneous: -7 '2- TOTAL FIXTURE UNITS 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 = ~ z Z 'Z. 'Z- B Ie> 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 1 979 or before 1980 1981 1982 1983 1984 1985 1986 $3.4 7 3.39 3.33 3.21 3.06 2.92 2.74 2.46 1987 1988 1989 1990 1991 1992 1993 1994 L Credit for Parcel or Land Only If Applicable X $ (Rate X Assessed Value) X $ (Rate X Assessed Value) Improvement (if after annexation date) = = = Rate per $1,000 Assessed Value $2.13 1.76 1.35 0.95 0.58 0.41 0.29 0.14 -" 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