HomeMy WebLinkAboutPermit Plumbing 2020-01-06OREGON
Web Address: www,springfield-or.9ov
Building Permit
Residential Plumbing
Permit Number: 81 1-2O-OOOO23-PLM
IVR Number: 811030717516
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
Email Address: permitcenter@springfield-or. gov
SPRINGFIELD
n6
Permit Issued: January 06, 2O2O
TYPE OF WORK
Catcaory of Construction: Single Family Dwelling Type of Work: New
Submitted Job Value: $0.00
Description of Work: Adding 1/2 bathroom to 2nd floor addition and a utility sink in garage
JOB SITE INFORMATION
worksite Address
918 C ST
Springfield, OR 97477
Parcel
170335 13 10200
Owner:
Address:
CHASE EMILIE & ROUFS
DANIEL
918 C ST
SPRINGFIELD, OR 97477
LICENSED PROFESSIONAL INFORMATION
Business Name
TOM COPELAND PLUMBING LLC -
Primary
License
ccB
License Number
191 507
Phone
509-301-8574
PENDING INSPECTIONS
Inspection
3999 Final Plumbing
3500 Rough Plumbing
Inspection Group
Plumb Res
Plumb Res
Inspection Status
Pending
Pending
SCH EDULING 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.
Sched ule or track inspections at www.buildingpermits.oregon. gov
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811030717516
Schedule using the Oregon ePermitting 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 18o 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 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 Notification 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 Center at (503)
232-t987.
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 (Electrlcal), and ORS 693,OrO-O2O (Plumbing),
Printed oil Ll7lzo Page 1 of 2 C: \myReports/reports//production/0 1 STAN DARD
tr
Permit Number: 81 1-20-OOOO23-PLM Page 2 of 2
Fee Description
Technology Fee
Balance of minimum permit fees - plumbing
Sink/basin/lavatory
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 on: 1/7/20
Quantity
2
1
89.07
1 193.5
587.93
Total Fees:
Fee Amount
$s.10
$27,OO
$s0.00
$2s.00
$89.07
$1,193.50
$s87.93
$L2.24
$1,989.84
Page 2 of 2 C:\myReports/reports//prcduction/01 STANDARD
PERMIT FEES
SPRINGFIELD
OREGON
www.sprin gf ield-or. gov
Worksite address:918 C ST, Springfield, OR 97477
Parcel: 1703351310200
Transaction Receipt
81 1 -20-000023-PLM
IVR Number: 81 1 03071751 6
Receipt Number: 473461
Receipt Date: 1/6/20
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54].-726-3753
perm itcenter@springfield -or. gov
Transaction Units
date
116120 2.00 Qty
1t6t20
116120
1t6120
1t6t20
1t6t20
1t6t20
1t6120
Description
Sink/basin/lavatory
Water closet
Balance of minimum permit fees -
plumbing
State of Oregon Surcharge - Plumb
(12Yo ol applicable fees)
SDC: lmprovement Cost - Local
Wastewater
224-00000-425603-1 034
224 -00000-425603- 1 0341.00 Qty
'l .00 Automatic 224-00000-425603- t 034
'1 .00 Ea 821 -00000-21 5004-0000
1.00 Automatic Technology Fee 204-00000-425605-0000
1,193.50 Amoun SDC: Reimbursement Cost - Local
Wastewater
61 1 -00000-448024-8800
587.93 Amount 61 1-00000-448025-8800
89.07 Amount SDC: Total Sewer Administration Fee 719-00000-426604-8800
Fees Paid
Account code Fee amount
$50.00
$25.00
$27.00
$12.24
$5.1 0
$1 ,1 93.50
$587.93
$89.07
Paid amount
$50 00
$25.00
$27.00
$12.24
$5.1 0
$1,193 50
$587 93
$89.07
Payment Method:Credit card
authorization: 060838
Payer: CHASE EMILIE &
ROUFS DANIEL
Payment Amount:$1,989.84
Cashier: Katrina Anderson Receipt Total $1,989.84
Printed: 1rl20 3:38 pm Page 1 of 1 Fl N_Transaction Receipt_pr
Ir
tll
Cmv or SpnrNGFIELu, ORtrcox
Plumbing Permit Apptication
225 Fifth Strect t Springfield, OR 97477 . PH(541\726-3753 . FAX(541)726-3689
This permit is issued under OAR 9lE-780-0060. Permits are issued only to the person or contractor doing the work. Permits
expire if work is not started within I 80 days of issuance or if work is suspended for I E0 days.
l'pntxoTaELt,
LOCAL GOVERNMENT APPROVAL
Zoningapproval verified? ! Yes E No
Sanitation approval verified? fl Y". E No
CATEGORY OF CONSTRUCTION
@Residential ! Government E Commercial
JOB SITE INFORMATION AND LOCATION
Jobsiteaddress: q/tr C S
city: (6 PlJ.State'O<_z|:f 7 {J 7
R"f.rJd""'Taxlot.
DESCRIPTION OF WORK .^ -.+zt, r s ,
{-rrk- 'in
PROPERTY
Name:
Address:rJ La
City:L zrP: j TfSf
Phone: S// 11$-(1JS'Fax
E-mail a1
This insta ls
owned by me
exempt from
ora
Signature:
R INSTALLATION
Business name:
)
City:State ZIP:
Phone:Fax:
E-mail:
CCB license "r., I I I SO'7 BCD license no.:
Plumbing license no.:
Print name:
Signature:
FEE SCHEDULE
Description Qty.Cost
ea.
Total
cost
New residential
I bathroom/l kitchcn (includes : first
100 feet ofwater/seu)er lines, hose
bibs, ice maker, unde(loor low-point
droins and rain-drain packages)
t333.00 $
2 bathrooms/l kitchen $s2r.00 $
3 bathrooms/l kitchen 5613.00 $
Each additional bathroom (over 3)$132.00 $
Each additional kitchen (over l)$132.00 $
Residential fire sprinklers (includes plan review)
'o to 2,ooo square feet $102.00 $
2,001 to 3,600 square feet s163.00 $
3,601 to 7,200 square feet $243.00 $
7,201 square feet and greater s324.00 $
Manufactured dwelling or pre-fab (circle one)
Connections to building sewer and
water supply 8t02.00 $
Commercial, industrial, and dwellings other than one- or
two-family
Minimum fee $102.00 s
Each fixture $25.00 $
Miscellaneous fees
100' storm, sewer, water line Er 06.00 $
Each fixture, appurtenance, and piping \t25.00 $15
Storm water retention/detention facility 1106.00 $
Irrigation systems/Backfl ow $25.00 $
Piping or private storm drainage
svstems exceeding the first 100 feet $25.00 $
Specialty fixtures $2s.00 s
Reinspection (no. ofhrs. x fee per hr.)$r02.00 $
Special requested inspections (no. of
hrs. x fee per hr.)xt02.00 s
Each additional inspection: (l)8r02.00 $
Medical gas piping Minirnum fee S
Enter value of installation and equipment $
-.Enter fee based on installation and equipment value $
DEPARTMENT USE
(A) Enter subtotal ofabove fees
(Minimum Permit Fee $102.00)
t\Q
(B) Investigative fee (equal to [A])$
(C) Enter l27o surcharge (.12 x [A+B])$
(D) Technology Fee (5% of [A])$
TOTAL fees and surcharges (A through D):$
\9)C
'J^, a,,,fuu-s"-4or*" oS"*' \' *-'..
DEPARTMENT USE ONLY
Permitno.: MeO-O@2-3
(Date: I (o lzn
Lasr edited 7/l/2019 bjones \qB ?B.l
h,
on
Address:
ctw oF s PRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
Additonal Fixtures
AREA
DIRECT RI.'NOFF TO CITY STORM SYSTEM
A. REIMBURSEMENT COST
JOI.JRNAL OR JOB NUMBER:
NAME OR COMPANY:
I,OCATION:
TAX IOTNUMBER:
DEVEIOPMENT TYPE:
NEW DWELLING 1JNITS
B. IMPROVEMENT
918 C St
1703351310200
Residence
COST PER S.F,
$0.301
COST PER S.F.
$0.437
COST PERDFU
$170.50
COST PER DFU
$83.99
NUMBEROFUNITS
0
NUMBEROFUNITS
0
COST PER FEU
$135.93
COST PER FEU
$1,620.85
ADM. FEE RATE
5%
AREA DRAINING TO
DRYWELL
0
COST PER TRIP
19.86
COST PERTRIP
s371.40
s0.00
$0.00
$r,781.43
CHARGE
s89.08
0
IfrER\4orr'ss-F.
I 000
B. IMPROVEMENTCOST
I rMPER\4oIr-s s-F.-
I 000
x CHARGE
$0.00
CHARGE
$0.00
NEW TRIP FACTOR
r.00
NEW TRIPFACTOR
1.00
x
x
x
x
x
ITEM I TOTAL. STORM DRAINAGE SDC
2. SANITARY SEWER - CITY
A. REIMBURSEMENT COST:
NUMBER OF DFLIs
7
B. IMPROVEMENT COST:
NUMBER OFDFU's
7
B. IMPROVEIVIENT COST:
ADT TRIP RATE
9.57
ITEM 2 TOTAL. CITY SANITARY SEWER SDC
A. REIMBI.]RSEMENT COST:
ADTTRIPRATE
9.57
xx
xx
ITEM 3 TOTAL - TRANSFORTATION SDC
A, REIMBURSEMENT COST:
C.
x
xNUMBEROFFEU's
0
MWMC CREDIT tr APPUCABLE (SEE
MWMCADMIMSTRATTVE FEE
ITEM 4 TOTAL - MWMC SANITARY SEWER SDC
SLtsTOTAL (ADD ITEMS t,2,3,& 4l
5. ADMINISTRATI\IE FEE:
SIIBTOTAL
$ l,781.43
x
TOTAI STORM ADMINISTRATION FEE
TOTAL SEWER ADMIMSTRATION FEE:
TOTAL TRANSPORTATION ADMIMSTRATION FEE:
TOTAL MWMC ADMINISTRATION FEE - I,OCAL
0
00I,OT SIZE
$0.00
$587.93
$0.00
$0.00
$0.00
s0.00
$1,870.5r
1070
109 I
1092
1093
1094
t054
1055
1056
oq
U
gl
Fo
d
079
07't
078
IU
IIE
NUMBEROFFEU's
0
NUMBER OF FETIS
0
COST PER FEU
$22.82
PREPARED BY Steven Petersen
TOTAL SDC CHARGES
0.00
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OF NEW FXTURES x UNIT EQUIVALENT = DRAINAGE FXTURE T]NTTS
FOR CATUI-ATE T}IE NET ADDIT]ONAL
NO. OF FIXTURES
LINIT
FIXTLIRE TYPE NEW OLD
MISCELLANEOUS DFU ryPE NUMBER OF EDU'S
TOTAL DRAINAGE FIXTURE UNITS
lsa toa unil set at 167
MWMC CREDIT CALCULATION TABLE: BASED ON COIINTY ASSESSED VALUE
20
DRAINAGE
FIXTURE
UNITS
0
0
0
1979
+EDU
$5.29
$5.1 I
$s.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
CREDIT FOR LAND (IF APPLICABLE)
VALUE / IOOO
$0.00
CREDITRATE
$s.29x
CREDIT FOR TMPROVEMENT (tF A-FTER ANNEXATION)
VALUE / IOOO CREDIT RATE
$0.00 x $5.29
TOTAL MWMC CREDIT$1.59
$1.4s
$1.25
$1.09
$0.92
$o.tz
$0.48
$0.28
$0.0e
$0.05
BATHTUB 0 0 3 0
DRINKING FOTINTAIN 0 0 1 0
FLOOR DRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL/ SOLIDS / ETC.0 0 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0
LAUNDRYTUB 0 0 2 0
CLOTHESWASHER / MOP SINK 1 0 3 3
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 I 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0
SHOWER, SINGLE STALL 0 0 2 0
SHOWER, GANG (NLA,IBER OF HEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAI KITCHEN 0 0 3 0
STNK: COMMERCIAL BAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 1
LIRINAL, STALL/WALL 0 0 5 0
TOILET, PUBLIC INSTALLATION 0 0 6 0
TOILET, PRIVATE INSTALLATION I 0 3 3
YEAR
ANNEXED
CREDIT 1,000
ASSESSED VALUE
BEFORE 1979
1979
1980
l98l
1982
1983
1984
1985
1986
1987
1988
1989 0
1990
I 991
t992
1993
1994
1995
1996
1991
t998
1999
2000
2001