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Home My WebLink AboutPermit Plumbing 2020-02-07SPRINGFI EtD th OREGON Web Address: www.springfield-or.9ov Permit fssued: February 07, 2O2O Category of Construction ;Submitted Job Value: g0.0 Building permit Residential ptumbing Permit Number: 8t t_2O-OOO254-pLM IVR Number: 811013787320 Type of Work: New City of Springfield Development and public Works 225 Fifth Streer Springfietd, OR 97477 541_726_3753 Permitcenter@springfield-or '' gov OSingle Family Dwelling Parcet 1703257204500 License CCB Owner: Address: License Number 000000 Email Address: WOODS HOWARD M 2167 LOMOND AVE SPRINGFIELD , oR 97477 Description of Work: Connect to city sewer 90ft Worksite Address 2167 LOMOND AVE Springfield, OR 97477 Business Name OWNER - primary fnspection 3999 Final plumbing 3500 Rough plumbing 3200 Sanitary Sewer fnspection Group Plumb Res Plumb Res Plumb Res Phone fnspection Status Pending Pending Pending TYPE OF WORK JOB SITE INFORMA TION LICENSED PENDING INSPECTIONS SCHEDULING INSPECTIONS Various inspections are minimally requi the issuing jurisdiction indicated red on each project and often dependent on the scope of work. Contacton the permit to determine required ins pections for this project. Schedule or track inspections at www.buildingpermits.oregon.gov Call or text the word "schedule" to 1_g8g_299_2g21 use IVR nu mber:811013787320 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 presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. ATTEI{TIOI{: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in oAR g52-OO1-0010 through oAR 952-001-OO9O. You may obtain copies of the rules bv callinc the center at (5o3) 232-L947. All persons or entities performing work under this Permit are required to be licensed unless exempted by oRs 7o1'o1o iitructurat/r.rechanical), oRs 479.540 (Electrical), and oRs 693,01O-O20 (Plumbing). Printedon:2/7/2oPa9e1of2C:\myReports/reports//prcduction/0lsTANDARD .*- / Permit Number: 811-2O-OOO254-PLM Fee DescriPtion TechnologY Fee SanitarY sewer - Total linear feet SDC: Reimbursement Cost - Local Wastewater SDC: Total Sewer Administration Fee SDC: Total MWMC Administration Fee - Local SDC: Improvement Cost - Local Wastewater SDC: Reimbursement Cost - MWMC Regional Wastewater SDC SDC: Improvement Cost - MWMC Regional Wastewater SDC State of Oregon Surcharge - Plumb (12olo of applicable fees) Sewer connection - in-liJu-of-assessment fee' first 50 ft depth' per sq foot QuantitY 90 3239.5 24t.77 89.48 1595.81 135,93 1620.85 10560 Total Fees: Page 2 of 2 Fee Amount $385.46 $106'00 $3,239.50 $24L.77 $89.48 $1,595'81 $13s.93 $1,620.85 512.72 $7,603'20 $15,030.72 C:\myReports/reports//production/01 STANDARD Page 2 of 2 pdnted oni 2l7l2o PERMIT FEES IELD Transaction Receipt 811-20.0,00254-PLM IVR N umber: 81 1 0137 87 320 Receipt Number: 473765 Receipt Date= 2l7l2O City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 permitcenter@spri n gfi eld -or. govORIGON w\ rw.springfield-or. gov Worksite address: 2167 LOMOND AVE, Springfield, OR97477 Parcnl: 1703251204500 2t7t20 2n120 135.93 Amount 2t7t20 1,620.85 Amoun 1,595.81 Amoun SDC: lmprovement Cost - Local Wastewater Transaction Units date 217120 90.00 LnFt 2t7120 '1 .00 Ea 217t20 10,560.00 Qty 217120 2t7120 3,239.50 Amoun Description Sanitary sewer - Total linear feet State of Oregon Surcharge - Plumb (12o/. ot applicable fees) Sewer connection - in-lieu-of-assessment fee, first 50 ft depth, per sq foot SDC: Reimbursement Cost - Local Wastewater 224-00000- 425603- 1 034 $106.00 82 1 -00000-21 5004-0000 $12.72 61 1 -00000-448051 -0000 $7,603.20 20 4 -00000 -42560 5-0000 $385.46 61 1-00000-448024-8800 $3,239.50 61 1 -00000-448025-8800 $1,595.81 433-00000-448024-88 1 0 433-00000-448025-881 0 $1,620.85 $241.77 71 9-OOO00-426604-8800 $89.48 Payment ReceiPt Total: SDC: Reimbursement Cost - MWMC Regional Wastewater SDC SDC: lmprovement Cost - MWMC Regional Wastewater SDC Fees Paid Account code Fee amount Paid amount $106.00 $12.72 $7,603.20 $385.46 $3,239.50 $1,595.81 $135.93 $1,620.85 $241.77 $89.48 $15,030.72 $t 5,030.72 241 .77 Amount SDC: Total Sewer Administration Fee 719-00000-426604-8800 217120 2t7120 89.48 Amount Payment Method: Check number: 1110 Cashier: Brock Jabusch SDC: Total MWMC Administration Fee - Local Payer: Karl Wieseke Amount: Pilled'.2t7120 8:27 an Page't of 1 F I N-T ra nsactionReceiPt-Pr 6{ 'qfi 1.00 Automatic TechnologY Fee $135.93 Permit Application s?etucFlEL.O h,Lt/v\- 225 Fifth Street o Springfield,oR97477 . PH(541\726-3753 . FAx(541)726-3689 This permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. This installation is residential or farm property and isowned by me exempt from' ora liqensing c-69i-0020 Crcy oF SpRrrvcrrrr.,4 Onrcorv DEPARTMENT USE OA'LY Permit no. -1Date LOCAL GOVERNMENT APPROVAL Zoning approval verifi ed?lves ENo Sanitation approval verified?lYes ENo CATEGORY OF CONSTRUCTION E CommercialVResidential! Govemment LOCATIONDNoANSITEJOBINFORMATI Job site address: U(A LOfnOlfP State:(D€-ZIP T7civ, ?q{lrbE!d-o_ Taxlot.: \56ILReference: \-l PROPERTY OWN ZIP WORKOFPTIONRIDESC Address: Name: L\ Faxl-?Phone$ E-mail: ALLATIONNST Business name: Address ZIP:State:City: Fax:Phone: E-mail BCD license no CCB license no. Plumbing license no. Print name Signature: FEE SCHEDULE aty Cost ea. Total costDescription New residential $333.00 $ I bathroom/l kitchen (includes : first l00feet ofwaler/sewer lines. hose bibs, ice maker. underfloor low-point drains and rain-drain Packages) $s21.00 $2 bathrooms/l kitchen 8613.00 $3 bathrooms/l kitchen $132.00 qEach additional bathroom (over 3) 1) $ Residential fire rklers 0 to 2,000 square feet Each additional kitchen $$163.002,001 to 3,600 square feet $243.00 $3,601 to 7,200 square feet 02.00 $ $ 7,201 square feet and greater orManufactured sewerConnections to water Commercial, industrial,and dwellings other than one- or 106.00 $ $ $ Miscellaneous fees 100' storm,sewer. water line Minimum fee Each fixtu,e $$25.00Each fixture,and $$106.00facilityretention/detentionwaterStorm sIrrigation $ $ or storm fixtures $02.00hr)x feehrs.of per(noReinspection $102.00of hr.hrs. x fee $ $ $ andinstallationvalueofEnter andinstallationonbasedfeeEnter USEDEP 02.00Each additional insPection: (1) Minimum fee Illedical $_. value $(A) Enter subtotal ofabove fees $102.00)FeePermit to Al)tfee(equallnvestigative(B) A+Bxt2surchatge2%(1Enter Fee (5%of [A)(D) $ $ $through D): TOT'AL fees and Last edited 7/1i2019 bjones /, State: QQ. [25.00 t25.00 i25.00 s