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Home My WebLink AboutPermit Plumbing 2019-10-23OIIEGON Web Address: www.springfield-or. gov Building Permit Residential Plumbing Permit Number: 8f 1-19-002393-PLM IVR Number: 811019064965 City of Springfield Development and Publlc Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 Email Address : permitcenter@springfield-or.gov SPilNGTIELD ,# Permit Issued: October 22, 2OL9 TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Adding new bathroom Type of Work: New JOB Worksite Address 945 22ND ST Springfield, OR 97477 Parce! 170336 1208000 Owner: Address: BASARABA DANIEL D PO BOX 72405 SPRINGFIELD, OR 97475 LICENSED PROFESSIONAL INFORMATION Business Name OWNER - Primary License ccB License Number 000000 Phone PENDING INSPECTIONS fnspectaon 3999 Final Plumbing 3500 Rough Plumbing Inspection Group Plumb Res Plumb Res Inspection Status Pending Pending ILING INSPECTIONS Permits expire if work is not started within 18O Days of assuance or if work is suspended for 18O Days or longer depending on the issuing agency's policy. All provisions of laws and ordinances goveming this type of work will be complied with whether specified 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 performance of construction. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notafication Center, Those rules are set forth in OAR 952-OO1-OO1O through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the C€nter at (5O3) 232-t9A7. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701,010 (structural/Mechanical), ORS 479.54O (Electrical), and ORS 693.010-020 (Plumbing), Printed on: 10/22119 Page 1 of 2 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: 811019064965 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store C : \myReports/reports//production/0 1 STANDARD r Permit Number: 81 1-19-002393-PLM Page 2 of 2 Fee Descriptaon Technology Fee Sin k/basi n/lavatory Tub/shower/shower pan Water closet 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 oni 10/22119 Quantity 2 2 2 76.35 1023 503.94 Total Fees: Fee Amount $7. s0 $s0.00 $s0.00 $s0.00 976.3s $ 1,023,00 $s03.94 $ 18.00 $t,778.79 Page 2 of 2 C : \myReports/reports//production/01 STANDARD PERMTT FEES W Transaction Receipt 811-19-002393-PLM Receipt Number: 472761 Receipt Date:10122119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 541-726-3753 perm itcenter@spri ngf ield -or. govwww.springfield-or. gov Worksite address: 945 22ND ST, Springfield, OR974l7 Parcel: 1 703361 208000 Fees Paid Transaction date Units 10122119 1,023 00 Amount Description SDC: Reimbursement Cost - Local Wastewater SDC: lmprovement Cost - Local Wastewater SDC: Total Sewer Administration Fee Sink/basin/lavatory Tub/shower/shower pan Water closet State of Oregon Surcharge - Plumb (12o/o ot applicable fees) Technology Fee Account code 61 1 -00000-448024-8800 61 1 -00000-448025-8800 719-00000426604-8800 224-00000425603-1 034 224-00000425603-1 034 224-00000425603-1 034 821 -00000-21 5004-0000 204-00000-425605-0000 10t22119 10t22t19 10t22t19 10t22t19 10t22119 10t22t19 10122t19 503 94 76.35 2.OO 2.OO 200 1.00 Amount Amount Qtv Qtv Qtv Ea 1.00 Automatic Fee amount $1,023.00 $s03.94 $76.35 $50.00 $50.00 $50.00 $18.00 $7 s0 Paid amount $1,023.00 $503.94 $76.35 $50.00 $50.00 $50.00 $18.00 $7.50 Payment Method:Check number: 11'10 Payer: BASARABA DANIEL D Payment Amount:$1,778 79 Cashier: Katrina Anderson Receipt Total:$'t,778.79 Pnnled. 10122119 11:43 am Page 1 of 1 Fl N_Tra nsaction Receipt_pr Ctrv or SpnrNGFrELo, ORrcou Plumbing Permit Application 225 Fifth Street . 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 I 80 days. FEE SCHEDULE Description 4ry.Cost ea. Total cost New residential I bathroom/l kttchen (includes : first l00feet ofwater/sewer lines, hose bibs, ice maker, underfloor low-point drains ond rain-drain packages) t333.00 $ 2 bathrooms/1 kitchen $521.00 s 3 bathrooms/1 kitchen 16t3.00 $ Each additional bathroom (over 3)\r $132.00 $ Each additional kitchen (over l)$132.00 $ Residential fire sprinklers (includes plan review) 0 to 2,000 square feet $102.00 $ 2,001 to 3,600 square feet $163.00 $ 3,601 to 7,200 square feet $243.00 $ 7,201 square feet and greater $324.00 s Manufactured dwelling or pre-fab (circle one) Connections to building sewer and water supply $102.00 $ Commercial, industrial, and dwellings other than one- or two-family Minimum fee 1102.00 $ Each fixture t25.00 $ Miscellaneous fees 100' stornr, sewer, water line ll 06.00 $ Each fxture, appurtenance, and piping (>A t25.00 $t Storm water retentior/detention facility 8r06.00 $ Irrigation systems/Backfl ou,t25.00 $ Piping or private storm drainage svstems exceedine the first 100 feet t25.00 $ Specialty fixtures $25.00 s Reinspection (no. ofhrs. x fee per hr.)$102.00 $ Special requested inspections (no. of hrs. x fee per hr.)$102.00 $ Each additional inspection: (1)$102.00 $ Medical gas piping Minirnum 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 $f02.00)'lg@. (B) Investigative fee (equal to [A])$a (C) Enter 12%o surcharge (.12 x [A+B])$l (D) Technology Fee (5% of [A])$ ?,5D TOTAL fees and surcharges (A through D):$11<q !PFII'G7I:LD l9 6\"r' N,-YwD S"* U"tr)'! &ft?o,71 DEPARTMENT USE ONLY 2 3q3p..-it no.' l{- Date:(q APPROVALLOCAL Zoning approval verifi ed? Sanitation approval verifi ed?Yes es ENo ENo CATEGORY OF CONSTRUCTION EI(esidential ! Government E Commercial JOB SITE INFORMATION AND LOCATION Job site address: ll, city:S,D[i,"q(i/ l/|,State zvq1q77 Referenle Taxlot. DESCRIPTION OF WORK .YafL r€"Y^ ) PROPERTY OWNER Nu-",-D.,nil I \u<,.ca.lo.. Address: ztPqtl q-a 7city: \g1^i", v(€-.,\-State: Phone Fax E-mail:'1, LorP1 being made on member of my Signature: This installation is owned meora exempt EoninAciffirALLATtoN Business name Address:4,r' )slate:ZIP:City <\\- Fax:Phone E-mail CCB license no.BCD license no. Plumbing license no. Signature: I Lasr edired 7/l/2019 bjones -u &J €n, t< hv 77qqs \ .1 Print name: .@ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET JOTJRNAL OR JOB NUMBER: NAME OR COMPANY: LOCATION: TAX t,OT NUMBER: DEVEI.OPMENT TYPE: NEW DWELLINC TJNITS IMPERVIOUS AREA 0.00 I. STORM DRAINACE DIRECT RI,]NOFF TO CITY STORM SYSTEM A. REIMBURSEMENT COST IMPER'S.F. Dan 945 22nd 1703361208000 Residence COST PER S.F. s0.301 COST PER S.F. $0.437 COST PER DFU s I 70.50 COST PER DFU s83.99 NIIMBER OF I]NITS 0 NUMBER OF UNITS 0 COST PER FEI.J s I 35.93 COST PER FEU $22.82 ADM. FEE RATE 5o/o AREA DRAINING TO DRYWELL 0 CIIARGE $0.00 CHARGE $0.00 NEW TRIP FACTOR 1.00 NEW TRIP FACTOR 1.00 0 B. IMPROVEMENT COST I- lMPLRVrorr's s.F. I ooo x x x x x x ITEM 2 TOTAL - CITY SANITARY SEWER SDC A. R.EIMBURSEMENT COST: ADT TRIP RATE 9.57 ITf,]\I I TOTAL. STORM DRAINAGE SDC 2. SANITARY SEWER. CITY A. REIMBURSEMENT COST: NUMBER OF DFU's 6 B. IMPROVEMENT COST: NUMBER OF DFU's 6 x B. IMPROVEMENT COST: ADT TRIP RATE 9.57 ITEM 3 TOTAL. TRANSPORTATION SDC 4. SANITARY SEWER- MWMC A. REIMBURSEMENT COST: B. IMPROVEMENT NUMBER OF FEU's 0 C. COMPLIANCE COST: NUMBER OF FEU'S 0 s0.00 COST PER TRIP 19.86 COST PER TRIP $377.40 $0.00 $0.00 $r,525.94 CHARGE s76.3s xx xx x x MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATIVE FEE ITEM 4 TOTAL - MWMC SANITARY SEWER SDC SUBTOTAL (ADD ITEMS 1,2,3,& 4) 5, ADMINISTRATIVE FEE: SUBTOTAL $ l,526.94 TOTAL STORM ADMINISTRATION FEE TOTAL SEWER ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: TOTAL MWMC ADMINISTRATION FEE - I,OCAL 0 526.94 I MAX45% $0.00 $1,023.00 $0.00 s0.00 $0.00 $0.00 $0.00 $0.00 $1,603.29 t09t t092 I 093 1094 1054 1055 1056 079 077 qql oO I E)Fa q.,l/, -E NUMBER OF FEU'S 0 COST PER FEU PREPARED BY Steven Petersen t0t22t2019 TOTAL SDC CHARGES $ 1,620.85 DRAINAGE FIXTURE UNIT CALCULATION TABLE NT]MBER OF NEW FIXTURES x UNIT EQUIVALENT : DRAINAGE FXTURE UNITS FOR CATUIATE ONLY T}IE NET ADDITIONAL UNIT FIXTURE TYPE NEW OLD ALENT MISCELLANEOUS DFU ryPE NUMBER OF EDU'S TOTAL DRAINAGE FIXTURE UNITS lsa toa unit set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE 20 DRAINAGE FIXTURE LINITS 0 rEDU IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter I for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter I for Yes, 2 for No) BASE YEAR CREDIT FOR LAND (IF APPLICABLE) 0 $5.29 $5.19 $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 0 l9'79 VALUE / IOOO $0.00 CREDIT RATE ss.29x CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / IOOO CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT$1.59 $1.4s $1.2s $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 BATHTUB 0 0 3 0 DRINKING FOUNTAIN 0 0 1 0 FLOOR DRAIN 0 0 3 0 INTERCEPTORS FOR GREASE i OIL / SOLIDS / ETC 0 0 3 0 INTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 0 LAUNDRY TUB 0 0 2 0 CLOTHESWASHER / MOP SINK 0 0 3 0 CLoTHESWASHER - 3 OR MORE (EA)0 0 6 0 MOBILE HOME PARK TRAP (I PER TRAILER)0 0 12 0 RECEPTOR FOR REFRIG / WATER STATION / ETC.0 0 1 0 RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0 SHOWER, SINGLE STALL I 0 2 2 sHowER, GANG (NUMBEROF HEADS)0 0 2 0 SINK: COM M ERCIAL/RESIDENTIAL KITCHEN 0 0 3 0 SINK: COMMERCIALBAR 0 0 2 0 SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0 SINK: SINGLE LAVATORY/RESIDENTIAL BAR I 0 I 1 URINAL, STALL / WALL 0 0 5 0 TOILET, PUBLIC INSTALLATION 0 0 6 0 TOILET, PRIVATE INSTALLATION I 0 3 3 6 YEAR ANNEXED CREDIT RATE/$I,OOO ASSESSED VALUE BEFORE 1979 1979 1980 l98l t982 1983 1984 I 985 1986 1987 I 988 1989 0 r990 l99l 1992 00 l 993 t994 1995 1996 t997 I 998 I 999 2000 200 I