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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'-< tIfJ'*+n5 SPnrxGTrlLD 4 ^g),+ "9 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