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Home My WebLink AboutPermit Plumbing 2018-10-10SPRINGFIELD City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54 t-7 26- 37 530RtG0rt web Address: www.spnngfleld-or.9ov Emarl Address: permrtcente.@spnngfield or.9o! Permit lssued: October '10. 20'18 TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0 00 Descriptlon of Work: Adding bathroom to master bedroom Type of Work: New JOB SITE INFORMATION Worksite address 1174 S 39TH ST Springfield, OR 97478 Parcel 1802064200108 Owner: Addrass LICENSED PROFESSIONAL INFORMATION Business name NORMS PLUMBING LLC - Primary License Phone 541-556-7455 PENDING INSPECTIONS lnspection 3999 Final Plumbrng 3500 Rough Plumbing 3650 Shower Pan lnspection group Plumb Res Plumb Res Plumb Res lnspection status Pending Pending Pending SCHEDULING INSPECTIONS Various rnspections are minimally required on each project and often dependent on the scope of work Contacl the rssurng lurisdrction indicated on the permil lo determine requrred inspections for thrs project Schedule or track inspectrons at www.burldingpermrts oregon gov Schedule by phone call 1-888-299-2821 use IVR number: 811084660812 Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store All provisions of laws and ordinances governing this type of work will be compli€d with whether specilied herein or not. Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the perfoamance of construction. ATTENTION - CALL BEFORE YOU DIG: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You Inay obtain copies of the rules by calling the Center at (877) 668{001 or dial811. All persons or entities performing work under this pelmit are required to be licensed unless exempted by ORS 701.010 (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.0'10"020 (Plumbing). Prinred on 10/10/18 Page 1 ol2 srd_Au,tdrngperm _pr t6 Building Permit Residential Plumbing Permit Number: 81 1-18-002407-PLM IVR Number: 81 1084660812 KNOX JAMES S & AMY N 1174 S 39TH ST SPRINGFIELD. OR 97478 LicenEe number 195248 Permits must be posted in clear view on the worksite. Permits expire if work is not started within 180 Oays of issuance or il work is suspended for 180 Days or longsr depending on the issuing agency's policy. o Permit N umber: 811 -18-002407-PLM Page 2 ol 2 Fee Description Technology Fee Balance of minimum permit fees - plumbing Sink/basin/lavatory Tub/shower/shower pan Water closet State of Oregon Surcharge - Plumb (12olo of applicable fees) Quantity Fee Amount $4.9 5 $3.00 $48.00 $24.OO $24.00 $ 11.88 $ 1 15.83 std_Bu{dingPemd_pr 2 1 1 Total Fees: Page 2 ol 2Pnnred on 10/10/18 PERMIT FEES SPRINGFI€LD ,b OREGON www.springfield-or.gov Worksite address: 1 174 S 39TH ST, Springfield, OR 97478 Parcel: 1 802064200'1 08 Development and Public works 225 Fifth Street Springfield, oR 97477 541-7 26-37 53 permitcenter@springfi eld-or. gov Transaction Receipt 811-'t 8-002407-PLM Receipt Number: 468299 Receipt Date: 10/'10/18 City ol Springfield Fees Paid Transaction date 10t10t18 10t1u1a 10t10ha 10t10/18 10t10t14 10t10/18 Units 2 00 Oty 1.00 Qty 1 00 Qty 100 Automatic 100 Ea 1 00 Automatic Description SinUbasin/lavatory Tub/shower/shower pan Water closet Balance of minimum permit fees - plumblng State of Oregon Surcharge - Plumb (12% of applicable fees) Technology Fee Account code 224 -OOOOO - 42 5603- 1 034 224 -OOOO O - 42 5603- 1 034 224-00000425603-1034 22 4 - 0 000 0 - 425603 - 1 034 821 -00000-21 5004-0000 Fee amount $48 00 $24 00 $24.00 $3.00 $11.88 Paid amount $48.00 $24 00 $24.00 $3.00 $11 .88 100-00000-425605-0000 $4 95 $4 95 Payment lrelhod Credrt card authoflzation 020925 Payer: lonnie heisler Payment Amount $115.83 Cashier: Kalnna Anderson Receipt Total:$1 15.83 Pnnred 10/10/18 220pm FIN TransaclbnRecelpt Pr Crrv or SpnrNcrrnln, Ontrcol Plumbing Permit Application T / tffi llach additional inspection: I ll 4nlq s s235.00 s24.00 S s$103.00 $24.00 s24.00 S 5 s99.00 s $Mrnimum fee s t-a0 :25 Finh StrEel . Spdngfield, OR 97477 . PH(541)126-3753 . FAX(541)726-3689 This permit is issued under OAR 918-780-0060. Permits are issued onl! to tbe person or corfractor doitrg the worlL Permits expire if work is trot started within 180 days ofissuance or if work is suspended for 180 days. Zoning approval verified? ! Yes D lo Sanitation approval verified? ! Yes n lo Permit no 3.601 !o 7.200 squarc feet \lanufactured dlnellin or fab (circle oDe Connections to building sewer and water suppl) Each fix1ure. appunenance, and piping Sto.m water retenriorvdetention faciliq Piping or private storo ralnase the first I00 feer i Special requested rnspeoions tno of Name /^a 0^ PhoneSql- E-mail !- f v v,,t nox Fa)i E-mail This installation is being made on residential or farm proper5, owned by me or a member of m),immediate famill. and is exempt fiom Iicensing requirements under OAR 918-695-0020 Sisnature: CONTRACTOR INSTALLATION Business name r I Address q "84 U.^cL1 t^<it- State: Q Fari )q (>hls. x fee hr.) CCB license no 4 lv a Piumbins license no /JP Print name r Enrer value ofin$allation and equipmem S _ Enter fee based on insrallation and equipme valueSignatule Auio G}e5 (A) Enrer subtoral ofabove fees (Minimum Permit Fee S99.00)! S(B) Invesdgative fee (equal ro [A]) (C) Enter 129lo surcharge t.12 r [A-Bl) 7 I (D) Technolo$/ Fee (5o/o of [A] I l4i, DEPARTMENT USE ONLY LOCAL GOVERNMENT APPROVAL CATEGORY OF CONSTRUCTION IResidential E Govemment ! Commercial JOB SITE INFORMATION AND LOCATION Job site address ll-74. 5",Ih 51+,- Sr State"t- Talilot. ZIP Referen cio' DESCRIPTION OF WORKAll Rq'l-nJ L)eJ PROPERTY OWNER 1(Address l- J4 i/State: u !(1-lr/'tgZIP FEE SCHEDULE Oescription Coste& Total cost Ne$ resideotial I bathroori./ I Y,ttcheo (includes: Jirst I 00 feet of \sater/sewer lines, hose bibs, ice makcr, undefloor low-point drairrs and rain4rain packages) )-. W 5 2 bathrooms./ I kirchen s506.00 5 3 bathrooms/l kitchen $595.00 i $ Each additional bathroom (over 3)s128.00 S Each additional kitchen (over I )$128.00 Residential fire spritrklers (itrcludes pla! re\ries ) 0 to 2.000 square feet $99.00 S :,001 to 3.600 square feet s158.00 S s 7,201 square feel and gea1er s315.00 s99.00 S s ComEercial, industrial, and dwellings other thoD one- or two-frail]., Mrnimum fee s99.00 S Each fixlu.e 524.00 5 Iliscellaneous fees I00 storm. sewer. water iine s103.00 S Irrigation s),stems/Backfl o\s24.OO $ Reinspection (no. ofhrs. x fee per hr.)s99.00 $ I-ai edited 7/12018 blones TOTAL fees aDd surcharges (A through D) Date:t s323.00 I Specialq'fixnres $99.00 5 ] Medical gas piping Phone: ts(ll) hcense no A"PG- lo'r. ZlP: DEPART!'ENT USE JOURNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: T,{X LOT NUMBER: DEVELOPMENT TYPE: NEW DWELLING TJMTS TMPERVIOUS AREA CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET l8-00t.107 0 117.1S t9th 0 Sin le Famil L STORNI DRAIj\-AGE DIRLCT RLNOFF TO CITY STORM SYSTE]VI IT[}I I TOTAL - STOR\, DR{I\ACE SDC 2- SANITARY SEWER. CITY A. REIMBLIRSEMENT COST IMPFR\''IOI iS S F 0.00 B. IMPRO\TMENT COST I\IPERVl()LS S,F 0.00 A, RELVBIJRSET{ENT COST COST PER S.F s0.l9,l COST PER S,F s0.121 COST PER DFU sr65.5.1 COST PER DIU s8l 5.r NTJMBER OF LNITS 0 NLI}IBER OF TD{ITS 0 COST PER FEU sll1.89 COST PER FEU s1.597.44 COST PER FEU $22.82 ADM, FEE R{TE AREA DRAINTNG TO DRYWELL 0 ( I { \1t(,t $0 00 C[I,A.RGE s0.00 NEW TRIP FACTOR 1.00 NEW TRIP I'ACTOR 1.00 s0.00 st,729.56 COST PER TRIP l! lr COST PER TRIP s166.,{l s0.00 $0.00 $r.729.s6 5116.,18 NTMBER OF Drus B }IPRO\T\1I\T ( OST Nt {BEROF Drus ADT ]RIP RA.TE 9.5,1 rIE}t 2 TOT\L. CITY SA.\ITARY Sf,\}TR SDC 3. r&{NSPORTAnON A. REIMBIJRSEMENI COST B, D{PRO\TN{ENT COST ADT TzuP RATE 9.5r ITEIT 3 TOT-CI - TR{\SPORTATIO\ SDC .T. SANITARY SEWER. MWMC .\, REL\'iBLASEMENT COST N-[n,,IBER OF FEU s 0 B. IMPROVEMENT COST ]W*MBER O[ FEU"S 0 C. COM?LIANCE COST: NUMBER OF FEU'S 0 SLIBTOT-A-L 5 r.7r9 56 MWMC CREDIT IF A?PLICABLE (SEE REVERSE) MWMC ADMIMSTRATTVE FEE rTf}t 4 TOT-{I- - }n}fIC SA:{ITARY SI\YER SDC SUBT0TAL (ADD rTEMS r,2,3, & 4) 5, A'NINISTRATI}T FEE: TOTAI STORM ADMINISTRA.TION FEE TOTAI SEWER ADMIMSTRA.TION FEE: IOTAI TR"A.NSPORTATION ADMIMSTRATION FEE TOTAL MWMC ADMIMSTRATION FEE - LOCAL 0 LOT SIZE (S 0I i\4"\-x 45%MAX 35 s0.00 s570.7E s0.00 86.{8 $0.00 $1.816.04 r0t0 l09 r l09l 109-1 109.r I05.{ 10,i5 1054 1056 1079 to't'7 1078 c -.2 c @ rtr EE PREPARED BY Steven Pelersen DAIL l0/10/20t8 r'o r,\t. sD( CII.\R(;lts CHARGE IELILDTNG stzE (sn lo I sr-Lt&rs t so"oo t soJo I so.oo J so.oo I so.oo I so-oo $0.00 DR{INAGE UXTURE UNIT FU) CAI,CUI,ATIO\ TABLE NUMBEROFNEW FIXTI]RES x UNIT EQUIVAIENT= DRAINAGE FIXTIJRE UMTS (NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAI- FD(TTJRES) FIXTURE TYPE MISCELLANEOUS DFU T\?E TOTAI- DRAINACE FIXTLRE I,\ITS . TDU valenl Dsell Lni isadr NEW NT,]VIBER OF EDU,S lc Iirmil dll ell umr (10 DFU',s UNIT OLD UlVALENT ser al 167 DRAINAGE FIXTURE UNITS 20 0 \I\\'lIC CREDI'I C.\t-CLLAI'IO\ TABLE: B-\SED O\ COL\T\' .\SSUSSED YALLE $5.29 $5.29 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 s3.67 $3.22 $2.73 $2.2s $1.80 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELCIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR 0 0 1979 CREDIT FOR LAND (IF APPLICABLE) VAIUE / 1OOO $0.00 CREDIT RATE ss.29 CREDIT FOR IMPROVEMENT OF A]TTER ANNEXATION) VALUE / 1OOO CREDIT RATE $0.00 x $5.29 TOTAI }IIl NIC CRIDIT$1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 BATHTUB 0 0 3 0 DRINKING FOLNTAIN 0 0 0FLOOR DR-A.IN INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 0 6 0INTERCEPTORS FOR SAND / AUTO WASH / ETC LATINDRY TTJB 0 0CI,OTHESWASHER / MOP SINK CLOTHESWASHER - 3 OR MORE (EA) MOBILE HOME PARK TLAP (1 PER TRAILER)0 0 12 0 RECEPTOR FOR REFRIG i WATEI{ STATION / ETC 0 0 1 0 RECEPTOR FOR COM. SINK i DISHWASHER / ETC 0 0 3 0 SHOWER SINGLE STALL SHOWER. GANC (NL]},BER OF HEADS)0 0 2 SINK: COMMERCIAL/RESIDENTIAL KITCHEN SI\K: CO\I\lERCIAL B\R 0 SINK: WASH BASIN/DOLtsLE LAVATORY 2 2 SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0 5 0 TOILET. PUBLIC INSTALLATION 0 0 6 0 TOILET, PRIVATE INSTALLATION 3 YEAR ANNEXED CREDIT R4.TE $i.OOO ASSESSED VAt.UE r979 t9s0 t98l 198: l9t1 l9E6 r987 1939 0 1990 1991 $0.00 1994 t99i r99l 1999 r000 t001 NO, OF FIXTURES BEFORE 1979 t933 l9riri 1993 1998 lololil=o---l- 3 -T =I o I o | 3l=Tt-ffiI o I o | 6 l=l oTt- T=lllolzl=l2+T----]-t-I o I o | 3l= Mlllo ffi lun.r+L.stnrL urLL I o I o l1lol3 t_t-t_l- l- I so oo