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Home My WebLink AboutPermit Plumbing 1999-5-21 OWN ER: ~Il VJ ..t ()t? /) /' G;; ud tfh ADDRESS: ...., lC/66' ~,/"! J// CITY ~1~- .P~'IfV ~'f~TE' ~ DESCRIBE WORK{I ~.Jl ~ r-)'~ m , ~. , ' , CON~ CONTRACTOR'S NAM Vt!F? ' ADD~S '. CONTRACTOR ~ G'EN'ERAL: :fI/JA~ W b!?~~ (/ ATTENlION:Oregon iaw requife~Cf5 USE - follow rules adopted by the Or~g9n Utility f\!otifioation-Geflter. Thos~tr'61e!S lffErSet Torm in OAR 952-001-001 0 th~g~952=Oo..1- 0090. You may obtain COr:1ies.9~t~~p'~es by calling the center. (N&~!'iNerrelephdrle number for the Oregoll-l.1!Wit~~otiOOuati(u:1 Centeris 1-800-332-2344). RANGF" ' RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 .office: 726.3759 LOCATION OF PROPOSED WORK: 660 ASSESSORS MAP- 1763311); 3 LOT: NEW REMODEL PLUMBING: MECHANICAl' ELECTRICAL' QUAD AREA: If OF BLDGS: OCCY GROUP: BLOCK: ADDITION DEMOLISH OTHER JOB NUMBER tftl () 70/ 225 Fifth Street Springfield, Oregon 97477 ,I TAX LOT: _t;(j ]0 I SUBDIVISION: PHONF' ZIP: 9?C/77 - ~.. ' , ~ , &/~J~~ EXPIRES '1;? PHONE FLOOD PLAIN: ZONING CODE: If OF BDRMS: N011CE: SECONDARY HEAT: , _ THISPERMn:~~AII F)(PIRE~F!HEWUH" , . ' . OOlJA'RF.~bOIAG f' MIitSNOT (I) .TunOl7Fn IINDERTHI~ Pt::H To request an Inspection, you must call 726-3769, Ttlls Is a 24 ho~r reCOrdlng"~~et<<D~OOeijSA~I'iQQJ>JfP&Yt~m, will be made the same working day, Inspections requested af~er 7:00 a.m. will be made tq~o<6'~\5!RYef).day. REQUIRED INSPECTIO~~Y If OF STORIES: WATER HEATER: D Temporary Electric D Site Inspection - To be made after excavation, but prior to setting forms, D Underslab Plumbing/Electrical/ Mechanical - Prior to cover. D Footing - After trenches are excavated. D Masonry - Stee~ location, bond beams, grouting.:; ',~" D Foundation - After forms are ereoted but prior to' concrete placement. >. ~~ o Underground PI~f11blng - Prior to filling trench, I D Underfloor Plumbing/Mechanical - Prior to Insulation or deckln'g. D Post and Beam - Prior to floor Insulation or decking, ' , D Storm Sewer - Prior to filling trench, , ; (f ~'~ '.- D Water Line - Prior to filling trench. ',: ' ., D Rough Plumbingb;, Prl~r to' cover. I '. ' 4;, I ~ D Rough Mechanical -- Prior to cove~ . D Rough Electrical ....,. Prior to cover. D Electrical Service - Must be approved to obtain permanent electr.lcal power. D Fireplace - Prior to facing materials and framing Insp. D Framing - Prior to cover. o Wail/Ceiling Insulatl~on - Prior to ' cover. ' D Drywall- Prior to taping, D Wood ,Stove - Atte~' Installation. o Insert - Atter fireplace approvfll and Installation of unit. D Curbcllt & Approach - Atter . forms are erected but prior to placement of concrete. DSidewall< & Driveway -- After excavation Is complete,forms' ahd su b-base' materl al I n place, o Fence~- When cOfl1pleted., , D ISt~eet Trees - When all required .. trees are planted. D Final Plumbing - When all plumbing worl< Is complete. o 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, o Other MOBILE HOME INSPECTIONS o Blocking and ?et;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 plumbing Inspections 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 have been Installed, (' Lot faces Lot sq. ftg. Lot coverage Topography Total height BUILDING PERttlJlT 'i:j ITEM SQ. FT. Main Garage Carport Total Value Building Permit Fee State Surcharge Total Fee Lot TYPl Interior Corner Panhandle '; Cul-de.sac .';~ ',:~, X $/SQ, FT. (A) '-/. ! ;, ';,\"'" ,,"I \::';~;',:~!fr~t;';' N ----.-.. I P.L. HSE GAR ACC' Setbacks S THE PROPOSED WORK iN TIiE. HISTORICAL DISTRICT, OR ON THE HISTORiCAL REGISTER? If yes, this appll,eatlon must be signed and approved by the Historical Coordinator prl~r to permit Issuance, S '^' E VALUE " SYSTEMS DEVELOPMENT CHARGE (SDC) (B) PLUMBING PERMIT ITEM Fixtures Residential Bath(s) N' Sanitary S~wer Water FT. If'?) FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan NO Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (C) Mobile Home MISCELLANEOUS PERMITS (D) State Issuance State Surcharge Sidewalk ft ft Curbcut Demolition State Surcharge 5"nl_ Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) FEE 0/0 ~ t...> 'f() I -;,0 oj/. 2v L(l- hJ _1$1:/2-: /.; 7 , AP~ROVEI?: , ',,";. ,.' 'I ,{! BUILDING VAu1E, PLAN tHECK AND BUILDING PERMIT' This permit is granted on the expres!i condition that 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: Date 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 shall be done in accordance with the Ordinances of 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 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 project. 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 propert f'Jand the approved set of plans will remain on the Sl;, ill:: u/' ~st~u;tl::;J ~ !J:na'7J qrq . ~'!:!:tJ ' Date (/ 6/3/leff VALIDATION: RECEIPT NUMBE~ 0 3l/ I Lf r DATE PAID 572-t /17 AMOUNT RECEIVEDI1 /9 05A V RECEIVED BY t/J t) ~ \ - . ' -- JOUR~f^~,/ OR JOB NO .. 9907tJ/ ~ -- ..." -- ATIACHMENT A J., CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE I WORKSHEET NAME OR COMPANY: Ga; l/' +- ' De bioi 6a.vtd d fc, LOCATION: (peL) ASDen I . DEVELOPMENT TYPE: ~~I/''' C'o Yl /l')c-=otl'Cr'rl BUILDING SIZE: LOT SIZE SQ. Ft. 1. STORM DRAINAGE IMPERVIOUS SQ. FT. X $0.227 PER SQ. FT.' $NA 2. SANITARY SEWER-CITY NO. OF PFU'S . 31, (See Reverse Side) X $47.14 PER PFU $ \ 4~ I ,34- 3.. TRANS PORTA TI ON NO OF UNITS X TRIP RATE X COST PER TRIP , ' , X X $475.32 $ (VA x X $475.32 $ 4, ,SANITARY SEWER-MWMC A. REIMBURSEMENT COST: . NO. OF FEU I S \ X 2'l7.44flER FEU $ '':;2..11 ; 44 B. IMPROVEMENT COST: NO. OF FEU'S \X '2S,WPER FEU $ 25,zn MWMC CREDIT IF APPLICABLE (SEE ,REVERSE) MWMC ADMINISTRATIVE, FEE <$ - > '$ 10.00 TOTAL-MWMC SDC $ 3\"1.. {f)4-" $ 11-1 '3,9~' , $ <{'(,lO ~~L- SDC Coordinator ATIACH'A,WPD Date: 51:2.\ 1Cf1 TOTAL SDC $ \ 802 liP ~ FIXTURE tJNIT 'CALCI~.J 1:\ TION TABLE: Number of New Fi (NOTE: For remodels, calculate 0 he NET additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES 'es X Unit Equivalent = Fixture Units UNIT EQUIV ALENT Bathtub......... .'...................... .'...............:..........:........... Drinking Fountain......... ............. .............. .,............. '" Floor Drai n.. . .. .......... .... ....... .... .............. .. .'. . .. . . . . . . . . ..... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc.................. Laundry Tub/Clotheswasher........ ......................... ~. Clotheswasher - 3 Or MorEL....................................... Mobile Home P,ark 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........................ U ri n ai, Sta II/W all. ... .... . .... .... . . . .. ................. .. .. . ... .. ......., ' Wash Basin/Lavatory, Single.................................. Toilet, Public Installation.........:.............................. Toilet, Private....... ...................... ....................... ....' Miscellaneous: ' 2 1 2 3 6 2 6 6 1 3 2 1/Head 2 2 1 6 4 TOTAL FIXTURE UNITS = .-~, :" ~ ',~ FIXTURE UNITS CREDIT CALCULATION TABLE: 'Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. Rate ,per $,1,000 Assessed Value Year Annexed Year Annexed ,/ 1979 or before 1980 1981 1982 1983 1984 1985 1986 1987 1988 $4.27 4.18 4.12 3.99 3.83 ' 3.68 3.48 3.18 2.82 2.42 1989 1990 1991 1992 1993 1994 1995 1996 1997 Rate per $1,000 Assessed Value $1.98 1.55 1.15 0.96 0.83 0.67 0.52 0.38 0.21 Credit for Parcel 91' Land Only If Applicable X $ (Rate X Assessed Value) X$ = (Rate X Assessed Value) CREDIT TOTAL = $ Improvement ,(if after annexation date) RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only) Residential........................... 0.4 Commerical................ ..'........ 0.9 Industrial............................ 05 Governmental................. ..... 0.5 FIXUNIT,WPD . IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT