HomeMy WebLinkAboutPermit Plumbing 2008-12-5
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01742
ISSUED: 12/05/2008
APPLIED: 12/05/2008
EXPIRES: 06/05/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4069 VIRGINIA AVE
ASSESSOR'S PARCEL NO.: 1702314406600
Springtield TYPE OF WORK: Plumbing Only
TYPE OF USE: Ne"
Residential
PROJECT DESCRIPTION: Tub to shower conversionl
Owner: BAIRD KA TY COLEEN
Address: 4069 VIRGINIA AVE
SPRINGFIELD OR 97477
Phone Nnmber: 541-915-7149
'1 CONTRACTOR INFORMATION ~
Contractor Type
Plumbing
Contractor License
BATHTUB SOLUTIONS 165987
BUILDING INFORMATION ,
Expiration Date
08/09/2009
Phone
503-595-8827
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
#,01' Stories:
Height of Structure
I, .
Type:ol Heat:
Water Type:
I
Range Type:
Energy Path:
Sprinkled Bnilding:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
,I DEVELOPMENT INFORMATION ~
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of,'Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
,Compact:
Street Improvements:
Storm Sewer Available:
Special Instrnction:.
1 PUBLIC IMPROV~S!.: Oregan law reqUireS \,O~,:,~,t
_ do ted by t1-,e Ursgan \_":"'~
. follow rUles a !Sidewalk Type:a!'E! sct T::rh
Notification Gentc::, ~';;;;';II'''h nAR 952-00>"
in OAR 952.001-ODownspon'tslDrains:,,1 O~ i,y'
, 0090 You may obtain Cc'PI8H" ,";~.' '::: o'
. (NotP' 'he ,8..,,,,, ,l,t
calling the cen~r. on IJiil\t" No\ifiGat.~,,;
number for the. ~e~oo ')c."'_';:~4"..
Center IS ,-v -.N'" - I
Notes:
NOT r: .
THIS PERMIT S __ ' i
AUT/10R/ZED U~~LL EXPIRE IF \?n Description
. ~OMMENr.ED nq}R ~~{~ PERMif PSr~~Ft, S uare Foota e
Descnpl\9p( 180 t)fyep~R/~t.J:UCflOONEQ,FlliilltiPlier o~ Bid Am~n:t
r
..
Valne
Date Calcnlated
~, ,
Paee I of2
Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
541'726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Fixtnre
Minimum/Adjustment Plumbing
Total Amonnt Paid
Amount Paid
$5.20
$6.24
$2.60 '
$17.00
$35.00
$66.04
Total Value of Project
Fees Paid _
Date Paid
I Plan Reviews ,
12/5/08
1215/08
]2/5/08
]215108
]215/08
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01742
ISSUED: 12/05/2008
APPLIED: 12/05/2008
EXPIRES: 06/05/2009
VALUE:
Receipt Number
3200800000000000779
3200800000000000779
3200800000000000779
3200800000000000779
3200800000000000779
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Reouired InsDections I
By signature, I state and agree. that] have carefully examined the completed application and do hereby certify that all
information hereon is true and correct. and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springtield and the Laws ot' the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structnre without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who,are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the pr.operty, and the approved set of plans will remain on the site at all
times during construction. .
Owner or Contractors Signature
Paee 2 of2
Date
City of Springfield
Plumbing Autborization To Begin Work
,
E.mailed T~: emartin@bathfitterwest.com
Check:on status of permit .
By Phone: (541)726-3753 orOEmail: permitcenter@ci.springfield.or.us
Receipt # EC543209
12/512008 12:56:05 PM
Description Qty.
f~jl~~rf~~~~~[^~~la~~6N0EY
Sanitary Sewer - first 100 feet not offered online at this jurisdiction
- each additional] 00 feet not offered online at this jurisdiction
Storm Sewer - first \00 feet
~ each additional] 00 feet
Water Service- first 100 feet
City/State/ZIP: SPRINGFIELD, OR 97478-6472
Suitelbldg./apt.no. :
P("()ject name:
Cross street/directions to job site:
-Drywell
- Catch basin or area drain
- Pressure reducing valve
- Grease interceptor
"
nol offered online at this jurisdiction
not offered online at this jurisdiction
not offered online at t~is jurisdiction
not olTered online at this jurisdiction
not offered online at this jurisdiction
not offered online at this jurisdiction
not offered online at this jurisdiction
not offered online at this jurisdiction
Subdivision:
Lot no.:
tub to shower conversion
l:3ackwaterva]ve
C]otheswasher
Dishwasher
Drinking fountain
Ejectors/sump
Expansion tank
Fixture/sewercap
Floor drainlfloor sink/hub
Garbage disposal
Hose bib
Business Name: BATHTUB SOLUTIONS INC
Contact: e]isabeth
Address: Il747 NE SUMNER
City/State/ZIP: PORTLAND OR 97220
Phone: (503)5958827
Email: emartin@bathfitterwcst.com
Metro lie. no.:
Ice maker
Primer- upto first 5
Primer -each additional
Fax: (503)5956051
Sink/basin/lavatory
Tub/shower/shower pan
Urinal
Water closet
Water heater
City lie, no,: ]65987
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day;
with instructions. on how to schedule your inspection,
NOTE: This Authorization To Begin Work expires within 180
days if a permit. Is not obta!ned.
not offered online at this jurisdiction
not offered online at this jurisdiction
not offered online at this jurisdiction
$17,00
$17.00
Subtotal $]7.00
Minimum fee used instead of Subtotal $52.00
State Surcharge (12% of permit fee) $6.24
City Of Springfield fees. $7.80
TOTAL PERMIT FEE $66.04
'" City Of Springfield fees: 1 0% Administration Fee; 5% Techno]ogy Fee
The local bullding_ department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
(1
LD\n.lulJ ~(~ 017"12.
NVV\
I~LOS-c)J
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
,
'.
,
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Deyelopment Services Department
Public Works Department
RECEIPT #:
3200800000000000779
Date: 12/05/2008
1:45:27PM
Job/Journal Number
COM2008-0 1742
COM2008-0 1742
COM2008-0 1742
COM2008-01742
COM2008-01742
Payments:
Type of Payment
ONLINE CHGS
'}
cReceintl.
Description
Fixture
Minimum/Adjustment Plnmbing
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Receive~ By
njm
Check Number
Batch Number
ONLINE
Page I of 1
I
Item Total:
Authorization
Number How Received
Amount Due
17.00
35.00
2.60
6.24
5.20
$66.04
Amount Paid
bathtub Online
solution~
Payment Total:
$6604
$66.04
12/512008