HomeMy WebLinkAboutPermit Plumbing 2020-02-27OREGON
Web Address: www'springfield-or.gov
Building Permit
Gommercial Plumbing
Permit Number: 81 1-2O-OOO215-PLM
IVR Number: 81 1043812661
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54L-726-3753
Email Add ress : permitcenter@springfield-or'9ov
SlRIN6lFIELD
'qfi
Permit Issued: February 27, 2O2O
TYPE OF WORK
Category of Construction : Commercial
Submitted Job Value: $0'00
Type of Work: New
Description of work: install 3 new hair sinks, t hand sink, and 30 gallon water heater
Worksite Address
870 MAIN ST
Springfield, OR 97477
Parcel
1703354205800
Owner:
Address:
PJK INVESTMENTS LLC
3474 SPRING BLVD
EUGENE, OR 97405
INALPROFESSIONLICENSED
Business Name
CASCADIA CONSTRUCTION AND
PLUMBING LLC - Primary
License
ccB
License Number
205034
Phone
541-460-5060
PEl{DING INSPECTIONS
Inspection
3999 Final Plumbing
3500 Rough Plumbing
Inspection GrouP
Plumb Com
Plumb Com
Inspection Status
Pending
Pending
Various inspections are minimally required on
the issuing jurisdiction indicated on the
each project and often dependent on the scope of work' Contact
permit to determine required inspections for this project'
schedule or track inspections at www'buildingpermits'oregon'gov
Callortexttheword"schedule"tol-888-299-232luseIVRnumber:811043812661
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 provisions of laws and ordinances governing this type of work will be co.nr.!t]e_d with whether speeified herein or not'
cranting of a permit 0".. n"i'ol""r.! to gir. "u*ro.,lii"-","i"a"
or cancer ttre provisions of any other state or local law
'^"#:H#:"iJ;fl;;:ff,:T;ffi:J:::'"'"":'"'h o"n-':::1":uuritv Notincation cent€r'rhose rures are set
forth in oAR 952-oo1-ooroii.orsi oAR 9s2-oo1-ooi6' i"' nll' obtain copies o;ti" tuttt bv calling the center at (503)
232-L9A7.
Allpersonsorentitiesperformingworkunderthispermitarerequiredtobelicensedun]essexemptedbyoRsTol.olo
(structural/Mechanical), o-*J o'-S'soo (Electrical)' and oRs 693'o1o-o20 (Plumbins)'
Page1of,C:\myReports/reports//production/o1STANDARD
Prinled oni 2127l2O
JOB SITE INFORMATION
Permit Number: 811-20-OOO215-PLM
Fee DescriPtion
TechnologY Fee
Sink/basin/lavatory
Water heater
State of Oregon Surcharge - Plumb (12olo of applicable fees)
Ptinted on: 2/27/20
QuantitY
Total Fees:
Page 2 of 2
Fee Amount
$6.2s
$100,00
$2s.00
$1s.00
$146.25
4
1
Page 2 of 2 C: \myReports/repo rtsl /produdion/O! STAN DA RD
PERI.IIIT FEES
Transaction Units
date
2127t20 4.00 QtY
Description
SinUbasin/lavatory
Water heater
State of Oregon Surcharge - Plumb
(12o/o oI aPPlicable fees)
Payer: katelYn chaffin
098'tld
Fees Paid
Account code
224 -00000 - 425603- 1 034
224 -00000 - 425603 - 1 0 34
821 -00000-21 5004-0000
204-0o0oo-425605-0000
2t27120 1.00 Ea
2127120 1.00 Automatic TechnologY Fee
OREGON
www.springfield-or.gov
Worksite address: 870 MAIN ST, Springfield , OR97477
Parcel: 1703354205800
Transaction Receipt
811-2040021'-PLM
tVR Number: 81 1043812661
Receipt Number:473950
Receipt Datel.2127120
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
permitcenter@spri ngfield-or. gov
Paid amount
$100.00
$25.00
$15.00
$6.25
Payment Amount:$146.25
$146.25
Fee amount
$100.00
$25.00
$15.00
$6.25
Pavment Method: Credit card
authorization:
Cashier: Katrina Anderson
ReceiPt Total:
P nnled'. 2127 l2O 1 2: 1 6 Pm
Page 1 of 1
F I N-Tra nsaction ReceiPt-Pr
2t27120
Cry or SpnnvcrIELD, ORrcou
Plumbing Permit Application
h,
This permit is issued under oAR glg-7g0-0060. permits are issuedexpire if work is not started within lg0 days of issuance or if work .only to the person or contractor doing the work. permits
is suspended for 180 days.
f FdA N u4'o4\'11- ffr"nit
q }io\'s
225Fifth Street . Springfield, OR 97477 . PH(54 t)726 -37 s3 o FAX(54 I )726J689
DEPARTMENT USE ONLY
Permit no.)o<ru21;-
FEE SCHEDULE
Description aty Cost
ea.
Total
cost
New residential
maker,
kitchcnbathroom/l (includes.firsr00Iwater/seweroffeet hoselines,
icebibs.u1derJloor
drains and rain-drain
$
2 bathrooms/l kitchen .00
3 bathrooms/l kitchen .00
Each additional bathroom (over 3 $
Each additional kitchen (over I
Residential fire
0 to 2,000 feet $
2,001 to 3,600 feet 63.00 $
3,601 to 7,200 square feet $
7,201 square feet and greater $
Manufactured or
sewer andto
water $
Commercial, industrial, and dwellings other than one- or
Minimum fee 02.00 $
Each fixture $
Miscellaneous fees
100' storm, sewer, water line 06.00 $
Each fixture,and
Storm water retention/detention facility 06.00 $
Irrigation systems/Backfl ow $
or
feet
storm
the first I $
fixtures $
Reinspection (no. ofhrs. x fee per hr.)$
hrs. x fee
lnspectrons
hr $
Each additional inspection: (l)02.00 $
Medical Minimum fee $
Enter value of installation and equipment $ _.
$Enter fee based on installation and value.
DEPARTMENT USE
(A) Enter subtotal ofabove fees
(Minimum Permit Fee $f 02.00)$
(B) Investigative fee (equal to [A])$
(C) Enter 12o% surcharge (.12 x [A+B])$
$(D) Technology Fee (5% of [A])
TOTAL fees and surcharges (A through D)$
APPROVALLOCALGOVERNMENT
Zoning approval verifi ed?E Yet nNo
Sanitation approval verifi ed?! ves ENo
TEGORY OF CONSTRUCTION
E Residential ! Govemment 6 Commercial
INFORMATION LOCATIONSITEJOBAND
Job site address:o /Vta;rt {l
City:a State:0e .1llZIP:
Reference Taxlot.
DESCRIPTION OF WORK
ir',stli3UU Ks
0 I {
OWNER
Name:
Address
State:ZIP
Phone Fax
E-mail
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.
CONTRACTOR INSTALLATION
Business nu-", (1,.5 U,,vbr
Av<Address A
State: 0 L ZIP4)N-City:
Phone I U {Fax
E-rnail €r,\C (0
CCB license no.BCD license no.
Print name:
Signature:
Lasl edited 7/l/2019 bjones
\,'{u.
if-r^ €r\.*
City:
Plumbing license no.:
0t Ln
pate: 2hl>o
$
S
it 32.00
0132.00
1102.00
1243.00
t324.00
(circle one)
$102.00
125.00
5 125.00 s 106
125.00
025.00
s25.00
H02.00
1102.00
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET
JOURNAL OR JOB NUMBER
NAMEORCOMPANY:
LOCATION:
MAP & TAX LOT NUMBER:
DEVELOPMENT TYPE:
870 Main St
to Hair Salon
l,000.00
LOT SZE
MWMC: 876 ITE:EXISTING DEVELOPED AREA (S.F.):
TOTAL IMPERVIOUS SURFACE
TOTAL STORM DRAINAGE SDC:SF=Cost
x $ 0.303 PER SF
x$
SQ. FT
REIMBURSEMENT COST:
IMPERVIOUS SQ. FT
IMPROVEMENT COST:
VIOUS SQ. FT
$0.00
$0.000.437 PER SF
0.740
$335.96
$1,017.96
s682.00
1,017.96$
REIMBURSEMENT COST:
NUMBEROF DFU's
IMPROVEMENT COST:
NUMBER OF DFU's x $ 83.99 PER DFU
s 254.49
TOTAL LOCAL WASTEWATER SDC:
(see reverse side)
4
4
x $ 170.50 PER DFU
AREA TGSF X TRIP RATE X COST PER ADT X NEW TRIP FACTOR
$486.5 1
$9,245.17
($486.5 I )
$ 397.26
0.85xx
0.85x
1x
rmm
$ I9.86 PER TRIP
x $ 377.40 PER TRIP
x $ 19.86 PER TRIP
x $ 377.40 PER TRIP
TOTAL TRANSPORTATION REIMBURSEMENT SDC:
TOTAL TRANSPORTATION
$TOTAL TRANSPORTATION
NTF
NTF
0.85 NTF
0.85 NTF
REIMBURSEMENT COST:
1.00 x 28.82
IMPROVEMENT COST:
1.00 x 28.82
REIMBURSEMENT COST:
-1.00 x 28.82
IMPROVEMENT COST:
-1.00 x 28.82
,00
10
$6.s2
$10.00
$51a.45518.45$
36.41
PER FEU
PER FEU
PER FEU
PER FEU
,PER FEU
PER FEU
$77.67
$926.20
$ 13.04
-re
$77.671.00
1.00
$ 13.041.00
$38.84- 1.00
$463. I 0
x
x $926.20
x
x
x
x $6.s2
AL 3 &4
COST:COMPLIANCE
.00-1FEU'sOFNUMBER
REVERSE)(SEEAPPLICABLEIFCREDIT TOTAL MWMC REIMBURSEMENT
TOTAL MWMC IMPROVEMENT FEE:
TOTALMWMC COMPLIANCE
REIMBURSEMENT COST:
NUMBER OF FEU's
IMPROVEMENT COST:
NUMBEROF FEU's
COMPLIANCE COST:
NUMBEROF FEU's
REIMBURSEMENT COST:
NUMBER OF FEU's
IMPROVEMENT COST:
MWMC
TOTALMWMC
NUMBER OF FEU's -1.00
-@
1,536.41 *5%
STORM DRAINAGE,
SEWER
TRANSPORTATION
LOCALMWMC
ADMINISTRATION
ADMINISTRATION
1 13.23
BASECHARGE (suBTOT ALABOVE)$
1t)''112020 TOTAL SDC CHARGES
x
0.o(
50.9(
0.0(
25.9"
DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINAGE FIXTURE UNITS
(NOTE: FOR REMODELS, CALCULATE ONLY THE NET ADDITIONAL FIXTURES)
#REF!
FIXTURES
NEW OLD
UNIT
FIXTURE TYPE
BATHTUB
DRINKING FOUNTAIN
FLOOR DRAIN, FLOOR SINK
INTERCEPTORS FOR GREASE/OIUSOLIDS/ETC.
INTERCEPTORS FOR SAND/AUTO WASH/ETC.
LAI.]NDRY TUB
CLOTHES WASHER/MOP SINK
CLoTHES WASHER - 3 OR MORE (EA)
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC.
RECEPTOR FOR COMMERCIAL SINIV DISHWASHER/ETC,
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: COMMERCIAL, RESIDENTIAL KITCHEN
SINK: COMMERCIAL BAR
SINK: WASH BASIN/DOUBLE LAVATORY
SINK: SINGLE LAVATORY/RESIDENTIAL BAR
URINAL, STALUWALL
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
NI'MBER OF EDU'S*
4
0
0
0
0
0
0
0
0
0
0
0
0
0
0
4
3
I
3
3
6
2
3
6
t2
1
3
2
2
3
2
2
I
5
6
3
0
0
0
0
*EDU (Equivalent Dwelline Unit) is a discharge equivalent to a single family dwelline (20 DFU)set at 167 per day
DRAINAGE
FIXTTJRE
UNITS
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATELY
YEAR
ANNEXED
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE
IMPROVEMENT (IF AFTER ANNEXATION DATE)
RATE PER $I,OOO
ASSESSED VALUE
$1.45
$1.25
$1.09
$0.92
s0.72
$0.48
$0.28
$0.09
$0.05
$0.00
$0.00
$0.00
x
x
RATE PER $1,OOO
ASSESSED VALUE
YEAR
ANNEXED
1979
1 980
I 981
1982
1 983
I 984
l 985
I 986
1987
l 988
l 989
1990
199t
or before $s.29
$5. l9
s5.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
s3.22
$2.73
$2.2s
$ 1.80
t992
1993
1994
I 995
1996
1997
r998
t999
2000
2001
2002
2003
2004
CREDIT TOTAL l--$o^m-
ToTALDRATNAGE FTXTURE UNrrS = l--._