HomeMy WebLinkAboutPermit Plumbing 2019-10-110flE60N
Web Address: www.springReld-or. gov
Building Permit
Commercial Plumbing
Permit Number: 811-19-002320-PLM
IVR Number: 811021198584
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54L-726-3753
Email Address : permitcenter@springfield-or. gov
SPRINGFIELD
,#
Permit Issued: October L7,2019
Category of Construction: Commercial Type of Work: New
Submitted Job Value: $0.00
Description of Work: Install 4 sinks & 1 grease trap Cornucopia (new dishwasher & utility/mop sink)
Worksate Address
521 MAIN ST
Springfield, OR 97477
Parcel
1703353 1 10600
Owner:
Addressl
BREILA LLC
3289 WINTERCREEK DR
EUGENE, OR 97405
LICENSED PROFESSIONAL IN FORIIATION
License
CCB
Business Name
]OSHUA DAVID STEWART -
Primary
License Number
206056
Phone
54 1 -228-8330
PENDING INSPECTIONS
Inspection
3999 Final Plumbing
3500 Rough Plumbing
3610 Grease Trapllnterceptor
Inspectlon Group
Plumb Com
Plumb Com
Plumb Com
Inspection Status
Pending
Pending
Pending
Various inspections are minimally required on each project and often dependent on the scope of work. Contact
the issuing jurisdiction indicated on the permit to determine required inspections for this project.
Schedule or track inspections at www, buildingpermits.oregon.gov
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 81102119g584
Schedule using the Oregon ePermifting Inspection App, search "epermitting" in the app store
Permlts expire if work is not started within 18o Days of issuance or if work is suspended for 1go Days or longer depending onthe issuing agenry's policy.
All plovisions of laws and ordinances governing this type of work will be complied with whether specified herein or not.Granting of a permit does not pnesume to give authority to violate or cancel the provisions of any other state or local lawregulating construction or th€ performance of construction.
ATTENTToN: oregon law requires you to follow rules adopted by the oregon utility Notification center. Those rules are setforth in oAR 952-001-oo1o through oAR 952-oo1-oo9o, You may obtain copies ofthe rules by calling the center at (5o3)232-t9A7.
All Persons or entities performing work under this permit are required to be licensed unless exempted by oRs 701,o10(structural/Mechanicar), oRs 479.540 (Erectricar), and oRS 693.o10-o2o (prumbing).
Pr'nted on: 10/11/19 Page 1 of 2 c:\myReports/reports//production/01 STANDARD
TYPE OF WORK
JOB SITE INFORMATION
SCH EDULING INSPECTIONS
Permit Number: 8t 1-19-OO232O-PLM
Fee DescriPtion
TechnologY Fee
lnterceptor/grease traP
Sink/basin/lavatory
SDC: Total Sewer Administration Fee
SDC: Reimbursement Cost - Local Wastewater
SDC: Improvement Cost - Local Wastewater
State of Oregon Surcharge - Plumb (l2o/o of applicable fees)
Printed on: 10/11/19
QuantitY
1
4
63.62
852.5
419.95
Total Fees:
Page 2 of 2
Fee Amount
$6.25
$2s.00
$100.00
$63.62
$852,50
$419.95
$ 1s.00
$L,482.32
Page 2 of 2 C | \myReports/reports//production/0 1 STANDARD
PERMIT FEES
W Transaction Receipt
81't -19-002320-PLM
Receipt Number: 472668
Receipt Date:10/11/19
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR97477
541-726-3753
permitcenter@spri ngfield -or.9ovwww. sprin gfield-or. gov
Worksite address: 521 MAIN ST, Springfield,OR97477
Parcel: 17033531 10600
Fees Paid
Transaction date
10t11t19
10t11t19
10t11t19
10t11119
10t11t19
10t11119
10t11t19
Units
1.00 Qty
4.00 Qty
1.00 Ea
1.00 Automatic
852.50 Amount
419.95 Amount
63.62 Amount
Description
lnterceptor/grease trap
Sink/basinilavatory
State of Oregon Surcharge - Plumb (12% of
applicable fees)
Technology Fee
SDC: Reimbursement Cost - Local
Wastewater
SDC: lmprovement Cost - Local Wastewater
SDC: Total Sewer Administration Fee
Account code
224-00000425603-1 034
224-00000425603-1 034
82't -00000-21 5004-0000
204-00000425605-0000
6'l 1 -00000448024-8800
61 1-00000448025-8800
719-00000426604-8800
Fee amount
$25.00
$100.00
$15.00
$6 25
$852 50
$419.9s
$63 62
Paid amount
$25.00
$100.00
$15.00
$6 2s
$8s2.s0
$419.95
$63.62
Payment Method:
Payment Method:
Cred it card authorization
407372
Cash
Payer: JOSHUA DAVID STEWART
Payer: JOSHUA DAVID STEWART
Payment Amount:
Payment Amount:
$1,479.71
$2.61
Cashier: Katrina Anderson Receipt Total:$1,482.32
Printed: 10/'11l19 1 t:28 am Page 1 of 1 F I N_Tra nsaction Reeipt_pr
Crrv on SrnrNGFrELo, ORnGox
Plumbing Permit Application
225 Fifth Streer i Springfield, OR 97477 . PH(541\726-3753 . FAX(541)726-3689
This permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits
expire if work is not started within 180 days of issuance or if work is suspended for 180 days.
t{ sMl'-<
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SPnrxGTrlLD
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DEPARTMENT USE ONLY
Permit no.: 9-O A>3 2O'(
Date: totto\t1
LOCAL GOVERNMENT APPROVAL
Zoningapproval verified? ! Vet E No
Sanitation approval verified? ! Yes E Uo
CATEGORY OF CONSTRUCTION
E Residential fl Government -Eldommercial
JOB SITE INFORMATION AND LOCATION
Job site address: fi 1 {v\ f'^t 11 (1.I
City:State: $(zIr: Q-lt\
Referencb:Taxlot.
DESCRIPTION OF WORK
PROPERW OWNER
Address:
Name:
City: (6, , ^ ,Ii, ["Jl State: 6A ZIP: c\-fu1
Fax:
\,
Phone:
E-mail:
This installation is being made on residential or farm properly
owned by me or a member of my immediate family, and is
exempt from licensing requirements under OAR 9l 8-695-0020
Signature:
CONTRACTOR INST
f..TION
Business name:
Address:16i,, l)rr n A ui,/ n t I
City: (1 1 6a lvyz {tut"t 6r(ztP: Q'J\sx
Phone Fax
E-mail: S\r.r^.rr.nzx (- [,,r,vr & a-,.a]l. r onr
CCB license no ecP ttsen#no.:
Plumbing license no.
Print name:
Signatu.e: \..L S\+l.uir,v Jr-
FEE SCHEDULE
Description 4ry.Cost
ea.
Total
cost
New residential
I bathroom/l kitchen (includes : first
l00feet ofwater/sewer lines, hose
bibs, ice maker, underfloor low-point
drains and rain-drain packnges)
$333.00 $
2 bathrooms/l kitchen s521.00 $
3 bathroonrs/l kitchen s613.00 $
Each additional bathroom (over 3)sr32.00 s
Each additional kitchen (over l)$132.00 $
Residential fire sprinklers (includes plan review)
0 to 2,000 square feet u02.00 $
2,001 to 3,600 square feet 1163.00 $
3,601 to 7,200 square feet s243.00 $
7,201 square feet and greater t324.00 $
Manufactured dwelling or pre-fab (circle one)
Connections to building sewer and
wat€r supply x102.00 $
Commercial, industrial, and dwellings other than one- or
two-family
Minimum fee il02.00 ${
Each fixture t2s.00 $
Miscellaneous fees
100' storm, sewer, water line 1106.00 $
Each fixture, appurtenance, and piping r $25.00 $\ey
Storm water retention/detention facility $106.00 s
Irrigation systems/Backfl ow $2s.00 $
Piping or private storm drainage
systems exceedins the first I 00 feet $25.00 $
Specialty fixtures $25.00 $
Reinspection (no. ofhrs. x fee per hr.)$102.00 $
Special requested inspections (no. of
hrs. x fee per hr.)$102.00 $
Each additional inspection: (l)s102.00 $
Medical gas piping Minirnurn fee $
Enter value of installation and equipment $ _.
Enter fee based on installation and equipment value.$
DEPARTMENT USE
(A) Enter subtotal ofabove fees
(Minimum Permit Fee $102.00)$
(B) Investigative fee (equal to [A])$
(C) Enter l2oZ surcharge (.12 x lA+Bl)$
(D) Technology Fee (5% of [A])$
TOTAL fees and surcharges (A through D)sl4Az^1
lasr edited 7/l/2019 bjones
€n,
I
CITY
OR
NAMEORCOMPANY:
LOCATION:
MAP &TAXLOT NUMBER:
81 -1
St
1
TYPE:
#N/A 5%x
STORM DRAINAGE
SEWER ADMINISTRATION
TRANSPORTATION ADMINISTRATION
LOCAL MWMC ADMINISTRATION
EXISTING DEVELOPED AREA (s'F'):
TOTAL
MWMC:ffit
-
lrE:
Cost SF=
x$
TOTAL STORM DRAINAGE SDC:
SQ. FT
IMPROVEMENT COST:
SQ.FT
REIMBURSEMENT COST:
IMPERVIOUS SQ. FT
$0.00
$0.00
x $ 0.303 PER SF
0.437 PER SF
0.140
9.95
II
REIMBURSEMENT COST:
NUMBER OF DFU's 5 x
IMPROVEMENT COST:
NUMBEROF DFU's 5 x
(see reverse
TOTAL WASTEWATER
$ 170.50 PER DFU
$ 83.99 PER DFU
$ 254.49
#N/A
#N/A,A
#N/A
#N/A#N/A
$ 377.40 PER TRIP
s 397.26
#N/A
x
x
x
x $ 19.86 PER TRIP x
x $ 377.40 PER TRIP x
#N/A NTF$ 19.86 PER TRIPx
x
AREA TGSF X TRIP RATE X COST PER ADT X NEW TRIP FACTOR
0.00
TOTAL TRANSPORTATION REIMBURSEMENT
TOTAL TRANSPORTATION
TOTAL TRANSPORTATION
NTF
NTF
#N/A NTF
REIMBURSEMENT COST:
0.00 x #N/A
IMPROVEMENT COST:
0.00 x #N/A
REIMBURSEMENT COST:
0 x #N/A
COS_
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
SUBTOTAL
0.00 #N/A
#N/A0.00
#N/A0.00
x
x
x
x
x
x
TOTAL MWMC SDC:
&4
REIMBURSEMENT COST:
NUMBEROF FEU's
IMPROVEMENT COST:
NUMBEROFFEU's
COMPLIANCE COST:
NUMBEROF FEU's
PER FEU
PER FEU
PER FEU
#N/A PER FEU
#N/A PER FEU
#N/A PER FEU
REIMBURSEMENT COST:
NUMBER OF FEU's 0.00
IMPROVEMENT COST:
NUMBER OF FEU's 0.00
COMPLIANCECOST:
NUMBER OF FEU's 0.00
CREDIT IF APPLICABLE (SEE REV;18'-
TOTAL MWMC REIMBURSEMENT
TOTALMWMC IMPROVEMENT
TOTAL MWMC COMPLIANCE
MWMC ADMINISTRATIVE
0.0c
63.62
#N/A
#N/A
#N/A
BASE CHARGE (SUBTOTAL ABOVE)
10/1112019 TOTAL SDC CHARGES
#N/A
DRAINAGE F'IXTURE UNIT (DFU) CALCULATION TABLENUMBEROF NEW FIXTURES x UNIT EQUIVALENT =DRAINAGE FIXTURE LTNITSFORCALCULATEONLY THE NET
#REF!
FIXTURE TYPE
BATHTUB
DRINKING FOLINTAIN
FLOOR DRAIN, FLOOR SINK
INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC.
INTERCEPTORS FOR SAND/AUTO WASH/ETC.
LAUNDRYTUB
CLOTHES WASHER/MOP SINK
CLOTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARKTRAP (I PERTRAILER)
RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC.
RECEPTOR FOR COMMERCIAL SINK/ DISHWASHEPJETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASIN/DOUBLE LAVATORY
SINK: SINGLE LAVATORY/RESIDENTIAL BAR
URINAL, STALUWALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
NUMBER OF EDU'S*
*EDU (Eouivalent
rorAl DRATNAGE FrxrURE r-rNrrs = !---
FIXTURES
NEW OLD
UNIT FIXTURE
UNITS
3
I
3
3
6
2
J
6
12
1
3
2
2
3
2
2
I
5
6
3
0
0
0
0
0
0
0
0
0
0
3
0
0
0
2
0
0
0
0
0
0
Unit) is a discharge equivalent to a single dwelling (20 DFU) set at 167 sallons oer dav
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRID AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY
YEAR
ANNEXED
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
RATE PER $1,OOO
ASSESSED VALUE
$1.45
$1.2s
$1.09
$0.92
$0.72
$0.48
$0.28
$0.09
$0.0s
$0.00
$0.00
x
x $0.00
RATE PER $I,OOO
ASSESSED VALUE
YEAR
ANNEXED
$5.29
$5. l9
$5. l2
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$1.22
$2.73(, ,<
$1.80
1992
1993
t994
I 995
1996
1997
I 998
1999
2000
2001
2002
2003
2004
1979
I 980
1981
1982
I 983
1984
1 985
I 986
I 987
1 988
1 989
I 990
1991
or before
CREDITTOTAL I so.oo