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HomeMy WebLinkAboutPermit Plumbing 2019-01-070rtrG0it web Address: www.springfield-or.gov Building Permit Residential Plumbing Permit Number: 81 1 -1 9-000040-PLM IVR Number: 81 1012996781 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Address: p€rmitcenter@springfi€ld-or.9ov 5PflINGFIELO fft ^,. s$\)"!i Permit lssued: January 07 , 2019 Type of Work: Demolitlon Worksite address 359 42ND ST Springfield, OR 97478 RICHARD L CRONK REVOCABLE LIVING TRUST 3034 RAIN OANCE LOOP HARKER HEIGHTS, TX 76544 Parcel 1702322400300 Owner: Address Business name STATON COMPANIES - Primary License CCB License number 3371 Phone 541 -726-9422 lnspection 3815 Cap Placemenl lnspection lnspection group Plumb Res lnspection status Pending Various inspections are minimally required on each project and often dependent on the scope of work. Contact the issuing jurisdiction indic€ted on the permit to determine required inspections for this project. Schedule or track inspections at www.buildingpermits.oregon.gov Schedule by phone call 'l-888-299-2821 use IVR number: 811012996781 Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store Fee Description Technology Fee Fixture cap State of Oregon Surcharge Plumb (12olo of applicable Quantity 1 Total Fees: Fee Amount $4.95 $99.00 $11.88 $ 115.83 -0 Permits must be posted in clear view on the worksite not starled in 180 Oays of issuance or if work is suspended lor 180 Oays or longer depending on the All provisions of laws and ordinances governing this lied with whether specified herein or not. Granting of a permit does not presume to give authority to violale or cancel the provisions o, any other stat€ or local law regulating construclion or the performance of construction, ATTENTION - CALL BEFORE YOU DIG: Oregon law requires you to follow r!les adopted by the Oregon Utility Notification Cent€r. Those rules are 3et forth in OAR 952{014010 through OAR 952-001-0090. You may obtain copies of the rules by calling the Center at (877) 6684001 or dial 811. All persons or entities pedorming work under this permit are required to be licensed unless exempted by ORS 701.010 (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing). Pnnbd on 1Al19 Page 1 of 1 std-BuildingPemit-pr b TYPE OF WORK - Category of Construction: Single Family Dwelling Submitbd Job Value: $0.00 Description of Work: Demo - Cap JOB SITE INFORMANO LICENSED PROFESSIONAL INFORIIIATION PENDING INSPECTIONS SCHEDULING INSPECTIONS PER,itTT FEES 5},RINOFIEID o*EGOil www.springf ield-or.gov Worksite address: 359 42ND ST, Springfield, OR 97478 Patcel 17 O23224OO3OO Transaction Receipt 81 1-1 9-000040-PLM Receipt Number: 469043 Receipt Date: 'll7/19 Development and Publlc Works 225 Fifth Street Sprlngfleld, OR 97477 54\-7 26-37 53 permitcenter@sprangfleld-or.gov City of Springfield Fees Paid Units 1.00 Qty Degcription Fixture cap State of Oregon Surcharqe - Plumb (12% of applicable fees) Account code 224-00000-425603-1 034 Fee amount $99.00 Paid amount $99.00 1t7/19 1.00 Ea 821-00000-2'1 5004-0000 $1 1.88 $11.88 1t7t19 1 00-00000-425605-0000 $4.95 $4.95 Payment Method: Credit card authorization: Payer: ronald richey Payment Amount: $115.83 0'14839 Cashier Katrina Anderson Receipt Total:$t't s.83 Pnnled 1/7/19 3:12 pm Page 1 of 1 Transaction dale 1t7t19 1.00 Automatic Technology Fee FIN_Transaclion Receipl_pr Crrv or SpRrxcrrnLn, ORTGoN Plumbing Permit Application 225 Fiih Street . Spflngfield, OR 97477 . 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 coDtractor doing the rflork. Permits expire if work is not stlrted within 180 dal s of issuance or if work is suspended for lE0 days. LOCAL GOVERNMENT APPROVAL Zoning approval verified? ! Yes E No Sanitation approval verified? E Yes I No CATEGORY OF CONSTRUCTION dResidential fl Commercial JOB SITE INFORMATION AND LOCATION Job site address: 359 42nd St City: Springfield State: oR Zfp:57478 Reference Taxlot DESCRIPTION OF WORK PROPERTY OWNER Name: Richard L Cronk Revocable Living Trust Address: 3034 Raindance Loop City: Harker Heights State: TX ZIP:16548 Phone:254 - 291 6763 Fax E-mail: spiderkilk@aol com This installation is being made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensins reouirements under OAR 918-695-0020 Signature €2 /''?- CONTRACTOR INSTALLATION Business name: stalon Companies City: Springield State: oR ZIP:97 475 Phone. 541 -726-9422 Fax: 541 -726 -9837 E-mail; ron@statonco.com ((! llqsms ns.; 3371 BCD license no Plumbing license no.: NA Print name: Ron Richey Signature DEPARTMENT USE ONLY Permit no ffr - rrrnL]c I p316.0'1/07/20'19 FEE SCHEDULE Description Qn'Costel.Total cost New residential I bathroon/l Vrtchei (includes: firstl00feet ofuater/sewer lines, hose bibs, ice fidker, underfloor loh-point drains ond rain4rain pockages\ s323.00 2 bathrooms/l kitchen 3s06.00 S 3 barhrooms/l kitchen s595.00 S Each additional bathroom (over 3)s128.00 S Each additional kitchen (over l)$128.00 $ Rcsidential fire sprinklcrs (includes plan revien) 0 to 2,000 square feet s99.00 S 2,001 to 3,600 square fcer s1s8.00 s 3,601 to 7200 square feel s236-00 S 7,201 square fe€t and greater s315.00 s Manufactured dwelling or pre-fab (circle one) Connections to building sewer and water supply s99.00 S Commercial, industrirl, ard dwellings other than one- or trrGfemilv Minimum fee s99.00 s SEach fixture s24.00 l\liscellaneous fees l00 stom, sewer, water line s103.00 S t24.00 $Each fixturc, appurtenance, and piping $103.00 $Storm water retenlion/detention facilitv Irrigation systems/Backfl ow $24.00 5 Piping or private storm drainage svstems exceedins the firsl 100 feet t24.00 S Specialty fixtures $24.00 S SReinspection (no. ofhrs. x fee p€r hr.)!99.00 Special requested inspections (no. of hrs. x fee per hr.)!99.00 5 5Each additional inspcction: (l)$99.00 Mcdical gas piping Minimum fee s Enter value ofinstallation and equipment S -sEnter fee based on installation and equipment value DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $99.00)S (B) lnvestigative fec (equal to IA])$ s(C) Enter l2% surcharge (.12 x [A+B]) s(D) Technology Fe€ (5% of IA])$llt.b7TOTAL fees ond surchsrges (A through D): IIIII t-asr edited 7/l /2018 blones E Government trdd1q55; PO Box 7515 I' H H__l H