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
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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
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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
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trdd1q55; PO Box 7515
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