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Home My WebLink AboutPermit Plumbing 2020-01-30OREGON web Address: www.springfield-or. gov Building Permit Residential Plumbing Permit Number: 81 1-2O-OOOO41-PLM WR Number: 811037381916 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 Email Address: permitcenter@springfield-or.9ov SPRINGFIELD Permit Issued: January 30,2020 TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: ADU Connecting to city sewer - 120 ft Type of Work: New JOB SITE INFORTTIATION Owner:Parcel 180206 1309500 RISLOV BEN]AMIN & SCHAEFFER EVA 3727 ]ASPER RD SPRINGFIELD, OR 97478 RISLOV BEN]AMIN & SCHAEFFER EVA 3727 ]ASPER RD SPRINGFIELD , OR 97478 Address: Owner: Address: LICENSED PROFESSIONAL INFORMATION Business Name HARRISON JACOBSON INC - Primary License ccB License Number 66447 Phone 54t-689-7762 PENDING INSPECTIOT{S Inspection 3999 Final Plumbing 3500 Rough Plumbing 3200 Sanitary Sewer Inspection Group Plumb Res Plumb Res Plumb Res Inspection Status Pending 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: 811037381916 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 18O Days or longer depending on the issuing agency's policy. All proyisions 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 952-001-OO10 through OAR 952-O01-OO9O. You may obtain copies of the rules by calling the Center at (503) 232-L987. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O (structural/uechanical), oRs 479.540 (Electrical), and ORS 693.o10-o2o (Plumbing). printed on: 1/30/20 page 1 of 2 C:\myReports/reports//production/01 STANDARD 06 Worksite Address 3723 ]ASPER RD Springfield, OR 97478 3727 JASPER RD Springfield, OR 97478 Permit Number: 81 1-2O-OOOO41-PLM Page 2 of 2 Fee Description Technology Fee Sanitary sewer - Total linear feet SDC: Reimbursement Cost - MWMC Regional Wastewater SDC SDC: Improvement Cost - Local Wastewater SDC: Reimbursement Cost - Local Wastewater SDC: Improvement Cost - MWMC Regional Wastewater SDC SDC: Total MWMC Administration Fee - Local SDC: Total Sewer Administration Fee SDC: Compliance Cost - MWMC Regional Wastewater SDC State of Oregon Surcharge - Plumb (L2o/o of applicable fees) Sewer connection - in-lieu-of-assessment fee, addtl sq ftg > 150 sq ft, per sq f, Sewer connection - in-lieu-of-assessment fee, first 50 ft depth, per sq foot Printed on: 1/30/20 Page 2 ol 2 Quantity 120 135.93 1847.78 3757 1620.85 89.48 279.94 22.82 4422 10699 Total Fees: Fee Amount $4s8.40 $131.00 $ 13s.93 $1,847.78 $3,751.00 $1,620.85 $89.48 $279.94 $22.82 $ts.72 $L,547.70 $7,489.30 $L7,3e9.92 C : \myReports/reports//production/01 STAN DARD PERITIIT FEES SPRINGFIELD nt Transaction Receipt 81r -20-000041-PLi,l IVR Number: 81r037381916 Receipt Number: 473484 Receipt Date: 1/8/20 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54r-726-3753 perm itcenter@spri n gfiel d-or. govOREGON www.springf ield-or. gov Worksite address: 3723 JASPER RD, Springfield, OR 97478 Parcel: 1 802061 309500 Transaction Units date 118120 120.00 LnFt 1t8t20 'u8t20 1t8t20 1t8t20 1t8t20 1t8t20 1t8120 1t8t20 4,422.00 Qty 1t8t20 10,699.00 Qty 1t8t20 Description Sanitary sewer - Total linear feet Sewer connection - in-lieu-of-assessment fee, addtl sq ftg > 1 50 sq ft, per sq foot Sewer connection - in-lieu-of-assessment fee, first 50 ft depth, per sq foot 224-00000-425603- 1 034 821 -00000-21 5004-0000 61 1 -00000-448024-8800 61 1 -00000-448025-8800 433-00000-448024-88 1 0 433-00000-448025-881 0 61 1 -00000-448051 -0000 61 'l -00000-448051 -0000 204-00000-425605-0000 1.00 Ea State of Oregon Surcharge - Plumb (12o/o ol applicable fees) 3,751.00 Amoun SDC: Reimbursement Cost - Local Wastewater 1,847.78 Amoun SDC: lmprovement Cost - Local Wastewater 135.93 Amount SDC: Reimbursement Cost - MWMC Regional Wastewater SDC 1,620.85 Amoun SDC: lmprovement Cost - MWMC Regional Wastewater SDC SDC: Compliance Cost - MWMC Regional Wastewater SDC Fees Paid Account code Fee amount $131 .00 $15.72 $3,751.00 $1,847.78 $135.93 $1,620.85 $22.82 $279.94 $89.48 $1,547.70 $7,489.30 $458.40 Paid amount $131.00 $15.72 $3,7s1.00 $1,847.78 $135.93 $1,620.85 $22.82 $279.94 $89.48 $1,547.70 $7,489.30 $458.40 22.82 Amount 433-00000-426607-881 0 279.94 Amount SDC: Total Sewer Administration Fee 719-00000-426604-8800 89.48 Amount SDC: Total MWMC Administration Fee - Local 7 I 9-00000-426604-8800 1.00 Automatic Technology Fee Payment Method: Check number: 'l 152 Payer: RISLOV BENJAMIN & SCHAEFFER EVA Payment Amount:$17,389.92 Printed: 1/30/20 1 1:20 am Page I of 2 Fl N_Tra nsaction Receipt_pr 1t8t20 Transaction Receipt 81 I -20-000041 -PLM Receipt number: 473484 Cashier: Brock Jabusch Receipt Total:$17,389.92 Printed: 1/30/20 11:20 am Page 2 of 2 FI N_TransactionReceipt_pr Ctrv or SpnrNGFIELn, OnrcoN Plumbing Permit Application 225 Fifth Street t Springfield, OR97477 . PH(541)726-)?53 . FAX(541)726-36E9 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 I 80 days of issuance or if work is suspended for I 80 days. FEE SCHEDULE Description aty Cost ea. Total cost New residential I bathroom/l kitchen (includes : first l00feet ofwater/sewer lines, hose bibs, ice maker, underfloor low-point droins and roin-drain packnges) $333.00 $ 2 bathrooms/l kitchen $s21.00 $ 3 bathrooms/l kitchen $6r3.00 $ Each additional bathroom (over 3)$132.00 $ Each additional kitchen (over I )$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 s 7,201 square feet and greater $324.00 $ Manufactured dwelling or pre-fab (circle one) Connections to building sewer and water supply 1102.00 $ Commercial, industrial, and dwellings other than one- or two-family Minimum fee $102.00 $ Each fixture $2s.00 $ Miscellaneous fees 100' storm, sewer, water line I i106.00 s lob- Each fixture, appurtenance, and piping I t25.00 $vs Storm water retention/detention facility 8106.00 $ Irrigation systems/Backfl ow t2s.00 $ Piping or private storm drainage svstems exceedinc the first 100 feet 025.00 $ 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: (1)$102.00 $ Medical gas piping Minimum fee $ Enter value of instal'lation and equipment $ -.Enter fee based on installation and equipment value.$ DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $102.00) $ 131 (B) Investigative fee (equal to [A])$ 'o- (C) Enter l2olo surcharge (.l2 x [A+B])$ l5?z (D) Technology Fee (5% of [A])$toi( TOTAL fees and surcharges (A through D):$s5,fi + $0Y *11q- ro ffi DEPARTMENT USE ONLY permit no.: )o-Cg:41 - ?U Date: t vlx>o LOCAL GOVERNMENT APPROVAL Zoningapproval verified? ! Ves E Uo Sanitation approval verified? fl Yes E No CATEGORY OF CONSTRUCTION ! Government E CommercialI Residential JOB SITE INFORMATION AND LOCATION Job site address: stlte5B ztYv*flt-t1-l { OF WORK Taxlot. oi, *r nr^ S ew'e!- lr'nP ) Af \':he- I PROPERTY OWNER Address: Name: Fax of my 0. owned by me exempt from 1SinstallationThis or a E-mail on{Business name: Address City:State ZIP Phone:Fax: E-mail: CCB license no.BCD license no. Plumbing license no. Print name Signature last edited 711l20t9 bjones fit7o l.07 zp4-24-t ?'stut", f ( [4].n) t