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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