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Home My WebLink AboutPermit Plumbing 2019-01-07SPRINGFIELD /,Building Permit Residential Plumbing City of Springfield Deveiopment and Public works 225 Fifth Street Springfield, OR 97477 541-7 26-37 53 Email Add.ess: permitcenter@springfi€ld'or.qov 0'lEG0ri *r sHrL)-? ,]ffi'; Permit Number: 81 1 -19-000042-PLM IVR Number: 81 1069585042 Web Address: www.springfr eld-or qov Permit lssued: January 07,2019 Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Demo - cap Type of Work: Demolition Wo.ksite address 425 42ND ST Springfield, OR 97478 RICHARD L CRONK REVOCABLE LIVING TRUST 3034 RAIN DANCE LOOP HARKER HEIGHTS, TX 76548 Parcel 1702322400200 Owner: Address Business name STATON COMPANIES - Primary License Licensg number 3371 Phone 541 -726-9422 lnspection 3815 Cap Placement 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 indicated on the permit to determine required inspections for this project. Schedule or track inspections at www.buildingpermits.oregon.gov Schedule by phone call 1-888-299-2821 use lVRnumber: 811069585042 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 fees) QuantiW Fee Amount $4.95 $99.00 $11.88 $ 115.83 1 Total Fees: Permits must be posted in clear view on the worksite. Permits erpire if work is not staned within 180 Days of issuance or if work is suspended for'180 Days or longer depending on the issuing ag6ncy'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 permil does not presume to give authority to violate or cancel the provisions of any other stale or local law regulating constauction or the performance of construction, ATTENTION - CALL BEFORE YOU DIG: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set fo.th in OAR 952-001{0'10 through OAR 952-00'l{090. You may obtain copies of the rules by calling the Center at (877) 568{001 or dial 81'1. All persons or entities perlorming work under this permit are required to be licensed unless exempted by ORS 701.010 (StructuraUMechanical), ORS,179.540 (Electrical), and ORS 693.010{20 (Plumbing). Pnnled on lrl19 Page 1 of 1 std-BuildrngPenn[-Pr TYPE OF WORK JOB SITE INFORTIATION LICENSED PROFESSIONAL INFORIUATION PENDING INSPECTIONS sct PERMIT FEES SPRINGFIETD tt OREGON www.springfield-or.gov Worksite address: 425 42ND ST, Springfield, OR 97478 Patcel 1702322400200 Development and Publlc works 225 Ftfth Street Sprlngfield, OR 97477 541-726-3753 permltcenter@springfield-o..gov Transaction Receipt 811-19400042-PLM Receipt Number: 459041 Receipt Date: 1/7/19 Cily of Springfield Fees Paid Transaclion date 1t7 t19 Un ils '1 00 Qty Description Fixlure cap State of Oregon Surcharge - Plumb (12% of applicable fees) Account code 224-00000425603-1034 Fee amount $99 00 Paid amount $99.00 1/7t19 117119 '1.00 Ea 1.00 Automatic Technology Fee 821-00000-21 5004-0000 1 00-00000-425605-0000 $11.88 $4.95 $1 1.88 $4.95 Payment Method Credit card authorization 014839 Payer. ronald richey Paymenl Amount $115.83 Cashier: Katrina Anderson Receipt Totali $'t 't 5.83 Printed: 1/7/19 3 04 pm FIN_TransaclionReceipl_pr CIrv on SpruNcnrLo, OneGoN Plumbing Permit Application 225 Fifih Srfeet . Spflngfield, OR 97477 . PH(54t )726-3?53 . FAX(541)726-368S LOCAL GOVERNMENT APPROVAL Zoning approval verified? ! Yes E No Sanitation approval verified? ! Yes E No CATEGORY OF CONSTRUCTION ffiesidential E Government ! Commercial JOB SITE INFORMATION AND LOCATION Job site address: 425 42nd Sl City: SpringJield State: oR zly 97478 Reference Taxlot DESCRIPTION OF WORK Demolish House PROPERTY OWNER Name: Richard L Cronk Revocable Living Trusl Address: 3034 Raindance Loop City:Harker Heighls State: TX ZIP:165a8 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 licensing reouirements under OAR 918-695-0020 Signature Qz t'-z CONTRACTOR INSTALLATION Business name: Slaton companies trdd1q55; PO Box 7515 City: Springfield State: oR ZlPt 9747s Phone| 541 -726-9422 Fax:541 -726 -9837 E-mail: ron@statonco.com CCB license no.: 3371 Plumbing license no.: NA Print name: Ron Richey Signature rermit no.:\{ -CfCtt,9 L 96'1s. 41107/2019 FEE SCHEDULE Description Qt)Cost ea. Totalcost Nelr residcntial I bathroorn/l V.itchen (includes: lirstl00feet of water/sev'er lines, hose bibs, ice maker, undedloor lovt-point drains ond rain4roin packages\ s323.00 2 bathrooms/l kitchen $506.00 5 3 bathroomrl kitchen $s95.00 S Each additional bathroom (over J)s128.00 S Each additional kitchen (over l)$128.00 S Residential fire sprinklcrs (includcs plan rcvic*) 0 to 2,000 square feet s99.00 s 2,001 to 3,600 square feet s15E.00 S 3,601 to 7.200 square feet s236.00 s 7.201 square feet and greater s315.00 S Manufactured dwelling or pre-fab (circle one) Connections to building sewer and water supply s99.00 s Commercial, industrial, and d}lellilgs other than one- or two-frmilv Minimum fee ss3.00 s Each fixture s24.00 Miscellaneous fees l00 storm. sewer, water line s103.00 s Each fixture, appurtenance, and piping t24.00 S Storm water retention/detention facility $103.00 S lrrigation systems/Backfl ow $2,t.00 S Piping or private storm drainage svstems exceedinq the first 100 feet t24.00 s Specialty fixtures s24.00 s Reinspection (no. ofhrs. x fee per hr.)s99.00 $ Special requested inspections (no. of hrs. x fee per hr.)s99.00 s Each additiooal inspection: (1)$99.00 S Medicsl grs piping Minimum fee Enter value ofinstallation and equipment $ -Enter fee based on installation and equipmenl value 5 DEPARTMENT USE (A) Enter subtotal ofabove fees (Minimum Permit Fee $99.00)s (B) lnvestigative fee (equal to [A])s (C) Enter l2% surcharge (.12 x [A+B])S (D) Technology Fee (57o of [A])s TOTAL fees and surchrrges (A through D):s ll(.9, This permit is issued under OAR 9lE-7E0-0060. Permits are issued o y to the person or contrsctor doing the work Permits expire if work is not stsrted within 180 days of issuance or if work is suspended for lEO days. l-asr ediled 7/1/2018 bjones BCD license no.: DEPARTMENT USE ONLY s S L I lsH L_ F