HomeMy WebLinkAboutPermit Plumbing 2020-01-16OREGON
Web Address: www.springfi eld-or. gov
Building Permit
Residential Plumbing
Permit Nu mber: 81 f -2O-OOO103-PLltl
IVR Number: 81 1053210209
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR97477
541-726-3753
Email Address : permitcenter@springfield-or. gov
SPRINGIIELD
tt
Permlt Issued: January L6, 2O2O
TYPE OF WORK
Category of Construction: Single Family Dwelling Type of Work: New
Submitted Job Value: $0.00
Description of Work: New bathroom - enclosing existing space inside the house
JOB SITE INFORMATION
Worksite Address
614 G ST
Springfield, OR 97477
Parcel
170335 1205200
Owner:
Address:
MORGAN STANLEY
STRUCTURED TRUST
1 MORTGAGE WAY MAIL
STOP SV O1
MT LAUREL, N] 08054
LICENSED PROFESSIONAL INFORMATION
Business Name
GLENN PRO INC - Primary
License
CCB
License Number
189341
Phone
541-345-2055
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.
Sched ule or track inspections at www. building perm its.oregon. gov
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811053210209
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
permits explre 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
regulatlng construction or the performance of construction.
ATTENTIONT Oregon law requires you to follow rules adopted by the Oregon Utility Notificauon Center. Those rules are set
forth in OAR 952-OO1-OO1O through OAR 952-OO1-OO9O. You may obtain coples 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
(StructurauMechanical), ORS 479.54O (Electrical), and ORS 693.010-020 (Plumbing).
printed on: 1/16/20 page 1 of 2 c:\myReports/reports//production/01 STANDARD
\r
Permit Number: 81 l-20-OOO103-pLM Page 2 of 2
Fee Descriptaon
Technology Fee
Balance of minimum permit fees - plumbing
Sink/basin/lavatory
Tub/shower/shower pan
Water closet
SDC: Improvement Cost - Local Wastewater
SDC: Reimbursement Cost - Local Wastewater
SDC: Total Sewer Administration Fee
State of Oregon Surcharge - Plumb (L2o/o of applicable fees)
Printed on: 1/16/20
Quantity
1
1
1
503.94
1023
76.35
Total Fees:
Fee Amount
$s.10
$27.O0
$2s.00
$25.00
$2s.00
$s03,94
$ 1,023.00
$76.3s
$L2.24
$t,722.63
Page 2 of 2 C :\myReports/reports//prcduction/0 1 STANDARD
PERMIT FEES
SPRINGFIELD
{fr
OREGON
www.spnngfield-or. gov
Worksite address: 614 G ST, Springfield, OR97477
Parcel: 1 703351205200
Transaction Receipt
81 I -20-000103-PLM
IVR Number: 811053210209
Receipt Number:473563
Receipt Date: 1/16/20
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54t-726-3753
permitcenter@springfi eld-or. gov
Transaction Units
date
1116120 1,023.00 Amoun
'U16120 503.94 Amount
1t16t20
1t16t20 1.00 Oty
1t16t20 1.00 Oty
'116t20 1.00 Qty
1t16t20 1.00 Automatic
1l't6120 1.00 Ea
1t16t20
Description
SDC: Reimbursemenl Cost - Local
Wastewater
SDC: lmprovement Cost - Local
Wastewater
Tub/shower/shower pan
Water closet
Balance of minimum permit fees -
plumbing
State of Oregon Surcharge - Plumb
('l2o/o ol applicable fees)
61 "t -00000-448024-8800
61 1 -00000-448025-8800
224-00000- 425603- 1 034
224-00000 -425603- 1 034
224 -00000-425603- 1 034
82 1 -00000-2 1 5004-0000
204-00000-425605-0000
76.35 Amount SDC: Total Sewer Administration Fee 719-00000-426604-8800
Sink/basin/lavatory 224-00000- 425603- 1 034
Fees Paid
Account code Fee amount
$1,023.00
$503.94
$76.35
$25.00
$25.00
$25.00
$27.00
$12.24
$5.1 0
Paid amount
$1,023 00
$503.94
$76.35
$25.00
$25.00
$25.00
$27.00
$12.24
$5.1 01.00 Automatic Technology Fee
Payment Method:Credit card
authorization: 00054d
Payer: puddles real estate Payment Amount:$1 ,722.63
Cashier: Katrina Anderson Receipt Total:$'1,722.63
Printed: 1/'16/20 8:34 am Page 1 of 1 Fl N_TransactionReceipt_pr
t
Crrv or SpTNGFIELU, ORrcoN
Plumbing Permit Application
225 Fifth Street o Springfield,OR97477 . PH(541Y126-3753 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.
LOCAL GOVERNMENT APPROVAL
Zoningapproval verified? ! Yes E No
Sanitation approval verified? ! Yes n No
CATEGORY OF CONSTRUCTION
dResidential I Govemment fl Commercial
JOB SITE INFORMATION AND LOCATION
Job site address: lJ lL,l A9yeOt
City:State: Ip aP:q1411
Referenle:Taxlot.
DESCRIPTION OF WORK
o
PROPERTY OWNER
Name:
Address: n4 I ha rdZn Al/{-.
City: fin624l4 State:Q/4-2tl4403
Phone:$1f1rb 2obq Fax
E-mail: rr->.*Ll S bW dcrvnal t k>rn
This installation is on
owned by me
exempt from
Signature:
ora of my
INSTALLATION
Business n ^", QllmttQm D f.rfn Vn"tO>
Address U
City:State ZIP
tu1 2{Fax:
E-mail:
CCB licenser"., \fi3q \BCD license no.
Plumbing license no.
Signature
FEE SCHEDULE
Description ary Cost
ea.
Total
cost
New residential
I bathroom/l kitchen (includes : first
l00feet ofwater/saner lines, hose
bibs, ice maker, ttnde(loor low-point
drains and rain-drain packages)
s333.00 $
2 bathrooms/l kitchen ss21.00 $
3 bathrooms/l kitchen s613.00 $
Each additional bathroom (over 3)$t32.00 $
Each additional kitchen (over I )$132.00 (
Residential fire sprinklers (includes plan review)
0 to 2,000 square feet s102.00 $
2,001 to 3,600 square feet s163.00 $
3,601 to 7,200 square feet s243.00 $
7,201 square feet and greater i324.00 $
Manufactured dwelling or pre-fab (circle one)
Connections to buildrng sewer and
water supply 1r02.00 $
Commercial, industrial, and dwellings other than one- or
two-family
Minimum fee $102.00 $
Each fixture 525.00 $
Miscellaneous fees
100' storm, sewer, water line il06.00 $
Each fixture, appurtenance, and piping g t25.00 $l@
Storm water retention/detention facility t106.00 $
Irrigation systems/Backfl ow i25.00 $
Pipilg or private storm drainage
systems exceeding the first 100 feet t25.00 s
Specialty fixtures i2s.00 $
Reinspection (no. ofhrs. x fee per hr.)$r02.00 S
Special requested inspections (no. of
hrs. x fee per hr.)$102.00 $
Each additional inspection: ( I )$102.00 $
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 $102.00)
t lr)A
(B) Investigative fee (equal to [A])$
(C) Enter l2olo surcharge (.12 x [A+B])$
(D) Technology Fee (5% of [A])$
TOTAL fees and surcharges (A through D):$
bo**s+^rq,P-'.
(6.-\1a'-a*'un;
e ncLx.V5 ery)stti5 floet- i "ld*-t*-.--1"-s"-
-tstots lleDv Lq
DEPARTMENT USE ONLY
p..-itno.'20 -oolo
Date:\r,>-,2
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lnwt*u
Print name:
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ovra $n\c
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7
JOURNAL OR JOB NUMBER:
NAME ORCOMPANY:
I.OCATION:
TAX T,OT NUMBER:
DEVET,OPMENT TYPE:
NEW DWELLING UNITS
IMPERVIOUS AREA
I. STORM DRAINAGE
DIRECT RUNOFF TO CITY STORM SYSTEM
A. REIMBURSEMENT COST
VIOUS S.F.x
0.00
B. IMPROVEMENT
AREA DRAINING TO
DRYWELL
0
$0.00
$1,526.94
COST PER TRIP
I 9.86
COST PER TRIP
s377.40
$0.00
s0.00
$1,526.94
C}IARGE
$76.35
COST PER S.F.
$0.301
COST PER S.F,
$0.437
COST PER DFU
$ 170.50
COST PER DFU
$83.99
NUMBER OF UNITS
0
NUMBER OF UNITS
0
COST PER FEU
$ 135.93
COST PER FEU
$ l,620.85
COST PER FEU
{rt R?
ADM. FEE RATE
s%
CHARGE
$0.00
CHARGE
$0.00
NEW TRIP FACTOR
1.00
NEW TRIP FACTOR
1.00
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET
Bathroom Addition 8 I l -20-000 103-PLM
Puddles Real Estate lnvestment
614 G St
I rMP-ffiffiris.sJ. x
I o.oo
ITEM I TOTAL. STORM DRAINAGE SDC
2. SANITARY SEWER. CITY
A. REIMBURSEMENTCOST:
NUMBEROFDFU's
6
B. IMPROVEMENT COST:
NUMBER OF DFU'S
6
x
x
x
x
ITEM 2 TOTAL. CITY SANITARY SEWf,R SDC
3. TRANSPORTATION
A. REIMBURSEMENT COST:
ADT TRIP RATE
9.s7
B. IMPROVEMENTCOST:
ADT TRIP RATE
9.57
xx
xx
ITEM 3 TOTAL. TRANSPORTATION SDC
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU'S
0
B. IMPROVEMENT COST:
COST:
x
x
C.
NUMBER OF FEU\
0
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMINISTRATIVE FEE
TTEM 4 TOTAL - MWMC SANITARY SEWER SDC
SUBTOTAL (ADD ITEMS 1,2,3, & 4)
5. ADMINISTRATIVE FEE:
x
TOTAL STORM ADMINISTRATION FEE
TOTAL SEWER ADMINISTRATION FEE:
TOTAL TRANSPORTATION ADMINISTRATION FEE:
TOTAL MWMC ADMINISTRATION FEE. I,OCAL
0
0 I-OT SIZE 0I
s0.00
$0.00
$0.00
$1,603.29
I 070
t09l
1092
1093
I 094
1054
l 055
I 056
1079
t0'17
a
U
Fa
I!d
Ii@I
IU
NUMBER OF FEU's
0
SUBTOTAL
I
BY Steven Petersen DATE 1fi6/2020
TOTAI, SDC CHARGES
x
DRAINAGE FIXTURE UNIT CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUIVALENT = DRAINACE FXTURE UNITS
FOR CAI,CUI.A,TE ONLY TI{E NET ADDITIONAL
NO. OF FIXTURES
UNIT
FIXTURE TYPE NEW OLD ALENT
MISCELLANEOUS DFU TYPE NUMBER OF EDU'S
TOTAL DRAINAGE FIXTURE UNITS
lsa toa unit set at 167
MWMC CREDIT CALCULATION TABLE: BASED ON COUNTY ASSESSED VALUE
20
DRAINAGE
FIXTURE
UNITS
0
IS LAND ELGIBLE FOR ANNEXATION CREDIT?
(Enter I for Yes, 2 for No)
IS IMPROVEMENT ELGIBLE FOR ANNEX. CREDIT?
(Enter I for Yes, 2 for No)
BASE YEAR
CREDIT FOR LAND (IF APPLICABLE)
0
$5.29
$5.1 I
$s.12
$4.98
$4.80
$4.63
$4.40
$4.07
$3.67
$3.22
$2.73
$2.2s
$1.80
0
1979
VALUE / IOOO
$0.00
CREDIT RATE
$5.29x
CREDIT FOR IMPROVEMENT (IF AFTER ANNEXATION)
VALUE / IOOO 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
BATHTUB 0 0 3 0
DRINKING FOLINTAIN 0 0 1 0
FLOOR DRAIN 0 0 3 0
INTERCEPTORS FOR GREASE / OIL / SOLIDS i ETC.0 0 3 0
INTERCEPTORS FOR SAND / AUTO WASH / ETC.0 0 6 0
LAUNDRY TUB 0 0 2 0
CLOTHESWASHER / MOP SINK 0 0 3 0
CLoTHESWASHER - 3 OR MORE (EA)0 0 6 0
MOB]LE HOME PARK TRAP (1 PER TRAILER)0 0 12 0
RECEPTOR FOR REFRIG / WATER STATION / ETC 0 0 1 0
RECEPTOR FOR COM. SINK / DISHWASHER / ETC.0 0 3 0
SHOWER, SINGLE STALL 1 0 2 2
SHOWER, GANG (NUMBER OF HEADS)0 0 2 0
SINK: COMMERCIAL/RESIDENTIAL KITCHEN 0 0 3 0
SINK: COMMERCIALBAR 0 0 2 0
SINK: WASH BASIN/DOUBLE LAVATORY 0 0 2 0
SINK: SINGLE LAVATORY/RESIDENTIAL BAR 1 0 1 1
URINAL, STALL / WALL 0 0 5 0
TOILET, PUBLIC INSTALLATION 0 0 6 0
TOILET, PRIVATE INSTALLATION 1 0 3 3
ANNEXED
CREDIT 1,000
ASSESSED VALUE
BEFORE 1979
1979
1980
l98l
t982
1983
1984
r985
I 986
1987
I 988
I 989
1990
l99l
t992
1993
t994
1995
I 996
1997
I 998
I 999
2000
2001