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Home My WebLink AboutPermit Plumbing 1997-6-2 RESIDENTIAL PERMIT APPLICATION Inspections: 726-3769 Office: 726.3759 LOCATION OF PROPOSED WORK: ASSESSORS MAP' 1703 LOT' OWNER: , ~~. (:t1(.l), , 'c~2 /~~;:', ~ ADDRF'"'' CITY' DESCRIBE WORI<' /" /')I?'" 'rP-ro-T NEW REMODEL CONTRACTOR'S NAME GENERAL: ;I/~i9I S~ '. I. PLUMBING: _. _ MECHANICAl' ELECTRICAl' . .. JOB NUMBER.:l.7 02:>~ 225 Fifth Slreel Springfield, Oregon 97477 ;At/E TAX LOT' D//// ~;?;'2.... S 4- :;Z.. , Kt:U.J~ ) 2, SUBDIVISION' PHONE:' 7d/ -/'j 1:S:1 ,,- BLOCK' qt;Y.h?A-.i_J Ave STAT'" yn .c:' Pi.f) h? ZIP' ADDRESS P.O ~/I/~h 'ECl4. ,/<:?Jtl..."ji l7G CONST. CONTRACTOR' J5'1- 3.~ 3 .~ D Rough Mechanical - Prior to cover. D Rough Electrical - Prlor'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. D Wail/Ceiling Insulation - Prior to cover. D Drywall - Prior 10 taping. D Wood Stove - After Installation. D Insert - After fireplace approvlll and Ins lallation of unit. D Curbcut & Approach - After forms are erected but prior 10 placemont of concrete. D Sidewalk & Driveway - After excavation Is complete, forms and'sub-base material In place. D Fence - When completed. D Street Trees - When all required" trees are planted. EXPIRES PHONE ADDITION DEMOLISH OTHER - OFFICE USE - OUAD AREA: LAND U."". FLOOD PLAIN' . OF BLDGS' . OF UNITI" ZONING COD~' OCCY GROUP' CONSTR. TYPE: · OF BDRMS' . OF STORIES: HEAT SOURCE: SECONDARY HEAT: WATER HEATER' RANGE: SQUARE FOOTAGE: To request an Inspection,. you musl call 726-3769. This Is a 24 hour recording. Alllnspecllons requesled before 7:00 a.m. will be made the same working day, In;spectlons requested after 7:00 a.m. will ,be made the following ~ork day. REQUIRED INSPECTIONS . D Temporary Electric D Site Inspection - To be made after excavatlon, but prior to setting forms. D Underslab Plumblng/Electrlcall Mechanical - Prior to cover. D Footing - After lrenches are excavated. D Masonry - Steel locatlon, bond .beams, grouting. D Foundation - After forms are erected but prior to concrete placement. D Underground Plumbing - Prior 10 filling 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. D Water Line - Prior to filling trench. D Rough Plumbing - Prior 10 cover. D Final Plumbing - When all plumbing wprk Is complete. D Final Electrical - When all electrical work Is complete. D Final Mechanical - When all mechanical work Is complete. D Final Building - When all required Inspections have been approved and building Is completed. DOther MOBILE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complel.e. D Plumbing Connections - When home has been connected 10 water and sewer. D Electrical Connection - When blocking, sel: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 porchos, skirting, decks, and venting have been Installed. J Lot faces .. LOl lype Lot sq. Itg. Interior Lot coverage Corner \. Panhandle . Topography Total helghl Cul-de-sac BUILDING PERMIT "1 ;; .~ ITEM sa. FT. x $/SO. FT. a Main Garage Carport Total Value Building Permil Fee State Surcharge TOlal Fee (A) Date , ,..<.... 4' "i; ,~ ;;, :;.;. .~.. ,.~."" ';''\'':''I:,)..ll)j:tJ.,'~'il~~t '.'.. :: :,1 .' .' :'.' :',>N:';; Setbacks I PL. I HSE 'GAR I ACe' I I N I I I I I S I I I I W I I I I LLLLJ BUILDING VA Ll1 E, PLAN CHECK AND BUILDING PERMIT VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) Z,o 3 I e;.. (B) PLUMBING PERMIT ITEM Fixtures Residential Balh(s) N' Sanllary S~wer FT. Water FT, Storm Sewer FT. Mobile Home ~~.be4;;V8 , Plumbing Permit State Surcharge /,7S"i-I,oS- Tolal Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' Wood StovellnserllFlreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk Curbcut Demolition Stale Surcharge "\7l (l, v- Tolal Miscellaneous Permits (E) It It TOTAL AMOUNT DUE (excluding eleclrlcal) (A, B, C, 0: and E Combined) . FEE 2..~ /0 ?~oc. 2.,&0 ~ 7,P>O -:2h~.I. u. .f:4 ,~ . i IS THE PROPOSED WORK IN THE _ .".HIST08ICAL DISTRICT, OR ON THE HISTORICAL REGISTER? " yes, lhls application musl be signed and approved by the Hlslorlcal Coordinator prior to permit Issuance. APPROVED: This permllls gran led on lhe express condition thaI lhe said construct/on shall, In all respects, conform to the Ordinance adopted by lhe City of Springfield, inClUding the Development Code, regulating the construction and use of buildings, and may be Suspended or revoked al any time upon violation of any provisions of said ordinances. Plan Check Fee: Dale Paid: Recelpl Number: Received By: ,', Plans Reviewed By Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS ~(<:;7' f; -~~?7 ('~ /;IW)A( 5'di4~ ~ .#arh?~~ .l<a >4 L/('h-Kc,1 ,) /' --S.9f/,77f1 :"i''''''<P-'/t7~/ lJig,) .~ ~ -"flC ~ ~J..c ~.a25/L . /.W4i,.::", 7 ,:. ,TY~ ~JR ,~~ /.,0/77/ .6Af?~t M' <b--:~ 0/ 4C -pt,f.JL sh54-/r'. "a~ -f~~ . ,. By signature, lotato and egree, lhall have carofully examined the completed application and do hereby certify that all Information hareon 10 true end coriect, end I furthor certify thaI any end ell work porformed ahall be done In eccordance with the Ordlnancus of lhe City of Springfield, end lhe Lawa of the Stoto of Oregon pertaining to lho work deocrlbed herein, and that NO OCCUPANCY will be medo of any struclure wlthoul permloslon of the Building Ssfely Division.. I furlher certify lhat only contraclors and employees who are In compliance with ORS 701.055 will be used on lhls project. I further agreo to ensuro that all required Inspoctlons are requeated st the propor lime, that oach eddressl. roadable from tho street, thaI tho pormlt card Is locatod at tho front of the property. and the approved set of plans will remain on the site al all times during construction. au.. 3. ~a.-, Slgnatur~ . C;-(. '1'7 Datp VALIDATION: '19 5' RECEIPT NUMBER ?- /5 ~/~ 'J ? DATE PAID l' '5' '2. AMOUNT RECEIVED ~~ RECEIVED BY - fO JOB NO. 9708'1'8 . ATTACHMENT B .. . CITY OF SPRINGFIELD SYSTEMS DEVEL~MENT CHARGE WORKSHEET NAME OR COMPANY: SAt\r::s } I "120w I'W-f /!.,."../ ' G.Oy<'(VI.M LOCATION: c'aV /'rv€:H ut:. DEVELOPMENT TYPE' .. Co,.,,-a:..r..noN' 'TO efT::) swt:(Z.. BUILDING SIZE: 1. STORM nRATN~ IMPERVIOUS SQ. FT. 2. ~NTTARY SEWER-CTTY NO. OF PFU'S ?'o (See Reverse Side) 3. TRANSPORTATTON lOT SIZE SQ. Ft. . X $0.216 PER SQ. FT. $ -- X $44.75 PER PFU so $ 134"Z.-- NO OF UNITS X TRIP RATE X COST PER TRIP X X $451.26 . $ -- X X $451.26 $ X X $451. 26 $ 4. S8tilIARY <;FWER-MWMC $ "-'2~ ~ NO. OF PFU'S '3<:. )($20.69 PER PFU+$lO MWMCfADM FEE 1O..;>v (Use PFU Total From Item 2 Above) $ 3" ~ MWMC CREDIT IF APPLICABLE (SEE REVERSE) U IQIAI -MWMr. snr. $ 592. ~ SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ 1935'"':1- 5. ~nMTNTSTRATTVF FFFS . BASE .CHARGE (SUBTOTAl ABOVE) X .05 $ % t:}- -(1!.O") /A-"A J.,LlS17!:t2- Troy MeA 11 i ster SDC Coordi nator ' Date: ro/-z/97 I . IQIAI snc. ./ 8<: $ Z..631 - FIXTURE UNIT CALCULalON TABLE: Number of New Fixt. Unit Equivalent = I.'i~ture Units' (NOTE: For remodels. calculate onl.)llll f:iEI additional fixtures) '. NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS Bathtub..................................................................... . Drinking Fountain....... ........ ..... .............. ................... Floor Drain......... ............... ...... .................................. Interceptors For Grease/OiIlSolidsIEtc................. , . Interceptors For Sand/Auto Wash/Etc.......::......... Laundry T ub/Clotheswasher................................... Clothes washer . 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer).................. Receptor For RefrigeratorlWater Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall................................................. Shower, Ga.ng.....................~........ .... .............. .......... Sink: Bar, Commercial, Residential Kitchen........................ Urinal, StalllWall...........~........................................... Wash Basin/Lavatory, Single.................................. Toilet, Public Installation........................................ ' Toilet, Private........................................................ Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 C:, CREDIT CALCULATION TABLE: calculate credits separates. II I Year Annexed 197.9 or before 1980 1981 1982 1983 1984 1985 1986 " ''2.- -z... jj. + <I /(.., TOTAL FIXTURE UNITS 30 = Based on assessed value. If improvements occurred after annexation date in table, Credit for Parcel or land Only If Applicable i' Rate per $1,000 Assessed Value $3.72 3.64 3.58 3.45 3.30 3.15 2.96 2.68 Improvement (if after annexation date) Year Annexed Rate per $1,000 Assessed Value 3/'H 1987 1988 1989. 1990 1991 1992 1993 -- 1994 1995 $2.34 1.95 1.53 1.11 0.73 0.56 0.44 0.27 0.13 38 !2- ~ /'II, Z30 X $ 0 ~{~ = (Rate X Assessed Value) X $ = (Rate X Assessed Value) CREDIT TOTAL 38'1- = $ 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 ~ e::\