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Home My WebLink AboutPermit Plumbing 2019-11-15OREGON Web Address: www.springfield-or.gov Building Permit Residential Plumbing Permit Number: 8f 1-f9-OO2578-PLM IVR Number: 81 1035258994 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 54t-726-3753 Email Address : permitcenter@springfield-or.9ov SPRINGFIELD ofi Permit Issued: November 15, 2019 TYPE OF WORK Category of Construction: Single Family Dwelling Type of Work: Alteration Submitted Job Value: $0.00 Description of Work: Remodel kitchen and master bath (new fixtures tub and one sink) ,OB SITE INFORMATION Worksite Address 863 S 44TH PL Springfield, OR 97478 Parcel 1802052103800 Owner: Address: ADAMS MICAH D & JENNIFER L 863 S 44TH PL SPRINGFIELD , OR 97478 LICENSED PROFESSIONAL INFORMATION Business Name NORMS PLUMBING LLC - Primary License ccB License Number 195248 Phone 541-556-7455 PENDING INSPECTIONS Inspection 3999 Final Plumbing 3500 Rough Plumbing Inspection Group Plumb Res Plumb Res Inspection Status Pending Pending SCHEDULING INSPECTIONS 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: 811035258994 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store permits expire if work is not started within 180 Days of issuance or if work is susPended for 180 Days or longer depending on the issuing agency's policy. All provisions 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 law regulating construction or the performance of construction' ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-OO1-OO10 through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (5O3) 232-1987. All persons or entities performing work under this permit are required to be licensed unless exempted bY ORS 7O1.O1O (Structural/Mechanical), ORS 479.54O (Electrical), and ORS 693.O10-O2O (Plumbing). printed on: tt/tstLg page 1 of 2 c:\myReports/reports//production/01 STANDARD [r "r Permit Numbers 81 1-19-OO257a-PLM Page 2 ot 2 Fee Description Technology Fee S in k/basin/lavatory Tub/shower/shower pan 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: 11/15/19 Quantity 3 2 50.9 682 335.96 Fee Amount $6.2s $7s.00 $s0.00 $s0.90 $682.00 $33s.96 $1s.00 $ 1,215. 1 1 Page 2 of 2 Total Fees: C: \myReports/reports//production/01 STAN DARD PERMIT FEES SPRINGFITLD t& Transaction Receipt 8.l I -1 9-002578-PLM Receipt Number: 473001 Receipt Date:11/15/19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 permitcenter@springfield-or.gov ORTGON www. springfi eld-or. gov Worksite address: 863 S 44TH PL, Springfield, OR 97478 Parcel: 1802052103800 Fees Paid Transaction date 11t15t19 11t15t19 11t15t19 11t15t19 11t15119 11t15t19 11t15119 Units 3.00 Qty 2.00 Qty '1.00 Ea 1.00 Automatic 682.00 Amount 335.96 Amount 50.90 Amount Account code 224-00000-425603- 1 0 34 224-OOO00-425603-1 034 821 -00000 -2 1 5004-0000 20 4 -00000-425605-0000 61 1 -00000-448024-8800 6'1 1 -00000-448025-8800 7 1 9-00000-426604-8800 Fee amount $75.00 $50.00 $15.00 $6.25 $682.00 $335.96 $50.90 Description SinUbasin/lavatory Tub/shower/shower pan 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 Paid amount $75.00 $50.00 $15.00 $6.25 $682.00 $33s.96 $50.90 Payment Method:Credit card authorization: 015844 Payer:ADAMS MICAH D & JENNIFER L Payment Amount:$1 ,215.1 1 Cashier: Katrina Anderson Receipt Total:$1,215.11 Printed: 11/15/19 9:47 am Page 1 of 1 Fl N_Transaction Receipt_pr [.r Crrv or SpmNGFrELn, ORrcoN Plumbing Permit Application )"^L S{\.-( DEPARTMENT USE ONLY Permit no.: Date l'\\i(tq SFNIilGFIELD 225 Fifth Street t Springfield,oR97477 . PH(541)726-1753 o 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. Nla^r NIA^^r S t ok ?e,gQ LOCAL GOVERNMENT APPROVAL Zoningapproval verified? E yes E Uo Sanitation approval verified? E Yes E No CATEGORY OF CONSTRUCTION fi Residential I Govemment E Commercial JOB SITE INFORMATION AND LOCATION Job site address: EG3 S, t-tL4 il 4L Crty:Spfr4q {..,cu State:0h nP: lta74 Reference:Taxlot.: DESCRIPTION OF WORK ho-r*.\ I 0c,Q\,c.e \Lt-fcr^ar- ,<iit- . r,tr,,(o\ h: ir," St'uc*L1,i"o<- trq,rt'( gf"iL t Wtfu,oc*[,r.e PROPERW OWNER Name: l{1gi\a Ar,tarnS Address: &C: S, L+4+\ ,4L. city: S/fr,ti herl State: pft nP:q+\4+{ Phone:!1[ -65l- 12 o v{Fax: E-mail: Ivtria\, r.rAryr-r e y *Ltol This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements under OAR 918-695-0020 Signature: Hr,t'\ A.tlo- CONTRACTOR INSTALLATION Business name:'ff g/oi I p lv,."bg,< Address: City:State:ZIP: Phone:Fax: E-mai1 CCB license no BCD license no.: Plumbing license no. Print name Signature FEE SCHEDULE Description Qty Cost ea. Total cost New residential I bathroom/l kitchen (includes : firstl00feet ofwater/sewer lines, hose bibs, ice maker, underfloor low-poin, drains and rain-dratn pocknges) t $333.00 $ 2 bathrooms/1 kitchen $s21.00 $ 3 bathroonrs/1 kitchen 8613.00 $ Each additional bathroom (over 3)Er32.00 $ Each additional kitchen (over 1 )ll32.00 $ Residential fire sprinklers (includes plan review) 0 to 2,000 square feet u02.00 $ 2,001 to 3,600 square feet 0163.00 $ 3,601 to 7,200 square feet E243.00 $ 7,201 square feet and greater 8324.00 $ Manufactured dwelling or pre-fab (circle one) Connections to building sewer and water supply 0102.00 $ Commercial, industrial, and dwellings other than one- or two-family Minimum fee 8102.00 $ Each fixture 025.00 $ Miscellaneous fees 100' storm, sewer, water line Ir 06.00 s Each fixture, appurtenance, and piping 5 t25.00 $lz5 Storm water retention/detention facility 1106.00 $ Irrigation systems/Backfl ow t2s.00 $ Pipilg or private storm drainage systems exceeding the first 100 feet t25.00 s Specialty fixtures t25.00 $ Reinspection (no. ofhrs. x fee per hr.)$102.00 $ Special requested inspections (no. of hrs. x fee per hr.)i102.00 $ Each additional inspection: (1)t102.00 $ Medical gas piping Minimurn 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 $f 02.00)'v{ (B) Investigative fee (equal to [A])$ (C) Enter l20% surcharge (.12 x [A+B])$ (D) Technology Fee (s% of [A])$ TOTAL fees and surcharges (A through D):$ Lasr edired 7/l/2019 bjones .)v' r5br.-- Slzt s.(\ -oo o'7- CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET Home Remodel for Adams -oo?t73 JOURNAI OR JOB NIIMBER: NAME OR COMPANY: I,OCATION: TAX T.OT NUMBER: DEVEI-OPMENT TYPE: NEW DWELLING UNITS IMPERYIOUS AREA Residence COST PER S.F, $0.301 COST PER S.F. $0.437 COST PER DF[,I s 170.s0 COST PER DFU $83.99 NUMBER OF LTNITS 0 NUMBER OF UNITS 0 COST PER FEU $ r 35.93 COST PER FEU $ 1,620.8s ADM. FEE RATE 5o/o 863 S 44th 0 0 DIRECT RI]NOFF TO CITY STORM SYSTEM A. REIMBURSEMENT COST IMPERVIOUS S.F. 0.00 B. IMPROVEMENTCOSTlffiuss"El--a:66- ITEM 1 TOTAL - STORM DRAINAGE SDC 2. SAN]TARY SEWER - CITY COST: x B. IMPROVEMENT COST: ADT TRIP RATE 9.57 ITEM 3 TOTAL. TRANSPORTATION SDC A. REIMBURSEMENT COST: NUMBER OF FEU's 0 B. IMPROVEMENT COST: NUMBER OF FEU's 0 x eC- (,(^-Q- uh'j'[r"nkl^- AREA DRAINING TO DRYWELL 0 $0.00 Ic 'u COST PER TRIP 19.86 COST PER TRIP s377.40 $0.00 $0.00 C}IARGE $s0.90 CHARGE $0.00 CHARGE $0.00 NEW TRIP FACTOR 1.00 NEW TRIP FACTOR 1.00 x x x x x ITEM 2 TOTAL - CITY SANITARY SEWER SDC 3. TRANSPORTATION A. REIMBURSEMENT COST: ADT TzuP RATE 9.57 xx xx x C. COMPLIANCE COST: (SEE MWMC ADMTNISTRATIVE FEE ITEM 4 TOTAL. MWMC SANITARY SEWER SDC SL]BTOTAL (ADD ITEMS 1,2,3,& 4) 5. ADMINISTRATIVE FEE: SUBTOTAL $1,017.96 x TOTAL STORM ADMINISTRATION FEE TOTAL SEWER ADMINISTRATION FEE: TOTAL TRANSPORTATION ADMINISTRATION FEE: TOTALMWMC ADMINISTRATION FEE - I-OCAL 0 OF DFU's 4 DFU's I SIZE LOT $0.00 $335.96 $0.00 $0.00 $0.00 $0.00 $r,06E.86 1070 l09l 1092 1093 1094 1054 1055 l 056 I! o Q & ElF6(, E]& NUMBER OF FEU's 0 COST PER FEU s22.82 PREPARED BY Steven Petersen DATE tln TOTAL SDC CHARGES $I,017.96 ] - $t,0l7.96 ---___-.l x DRAINAGE FIXTURE UNIT CALCULATION TABLE NUMBER OFNEW FXTURES X UNIT EQUIVALENT: DRAINAGE FIXTURE UNITS FOR CALCUIATE ONLY T}IE NET ADDITIONAL NO. OF UNIT FIXTURE TYPE NEW OLD ALENT MISCELLANEOUS DFU TYPE NUMBER OF EDU'S 20 TOTAL DRAINAGE FIXTURE UNITS lsa toa unil set at 167 MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE *EDU DRAINAGE FIXTURE UNITS 0 0 t979 $5.29 $s.1 I $5.12 $4.98 $4.80 $4.63 $4.40 $4.07 $3.67 $3.22 $2.73 $2.25 $1.80 IS LAND ELGIBLE FOR ANNEXATION CREDIT? (Enter 1 for Yes, 2 for No) IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT? (Enter 1 for Yes, 2 for No) BASE YEAR C 0 VALUE / lOOO $0.00 CREDIT RATE $s.29x CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION) VALUE / 1OOO CREDIT RATE $0.00 x $5.29 TOTAL MWMC CREDIT$1.59 $1.45 $1.25 $1.09 $0.92 $0.72 $0.48 $0.28 $0.09 $0.05 0 3 31BATHTUB 0001DRINKING FOLINTAIN 0 3 00FLOORDRAIN 0003INTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC b 000INTERCEPTORS FOR SAND / AUTO WASH / ETC. 0 2 00LALTNDRY TUB 0003CLOTHESWASHER / MOP SINK 6 000CLOTHESWASHER - 3 OR MORE (EA) 0 12 00MOBILE HOME PARK TRAP (I PER TRAILER) 0 0 I 0RECEPTOR FOR REFzuG / WATER STATION / ETC. 3 000RECEPTOR FOR COM. SINK / DISHWASHER / ETC. 0 0 2 0SHOWER. SINGLE STALL 0002SHOWER, GANG (NUMBER OF HEADS) 0 3 0SINK: COMMERCIAL/RESI DENTIAL KITCHEN 0 0 0 2 0SINK: COMMERCIAL BAR 2 000SINK: WASH BASIN/DOUBLE LAVATORY 1 0 1 1SINK: SINGLE LAVATORY/RESIDENTIAL BAR 0005URINAL, STALL / WALL 6 000TOILET, PUBLIC INSTALLATION 0 0 3 0TOILET. PRIVATE INSTALLATION 4 YEAR ANNEXED CREDIT RATE/$1,OOO ASSESSED VALUE BEFORE 1979 1979 1980 l98l 1982 1983 1984 I 985 1986 1987 l 988 0I 989 I 990 l99l 1992 1993 1994 1 995 1996 1997 r998 I 999 2000 2001