HomeMy WebLinkAboutPermit Plumbing 2008-12-5
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01743
ISSUED: 12/05/2008
APPLIED: 12/05/2008
EXPIRES: 06/05/2009
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line,
SITE ADDRESS: 564 SCOTTS GLEN DR
ASSESSOR'S PARCEL NO.: 1703271305600
Springfield TYPE OF WQRK: Plnmbing Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Tnb to shower conversion
Owner: HARVEY MILES & CYNTHIA
Address: 564 SCOTTS GLEN DR
SPRINGFIELD OR 97477
1 CONTRACTOR INFORMATION ~
Contractor Type
Plumbing
Contractor
BATHTUB SOLUTIONS
License
165987
Expiration Date
08/09/2009
Phone
503-595-8827
BUILDING INFORMATION i
# of Units:
Primary Occupancy Group:
, Secondary Occnpancy Group:
Primary Constrnction Type
, Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structnre
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
n/a
:
1 DEVELOPMENT INFORMATION ~
Frontyard Setback:
Side 1 Setback:
Side 2 S~tback:
Rearyard Setback:
Solar Setbacks:
ATTENTION: Oregon law requires you to
follow rules ado ted b the 'I'
NOTICE: _C IMPROVEMENTS ~ Ion en er. ass rules are set forth
~~R~IT SHALL EXPIRE IF THE In OAR 952-Q01-001 0 through OAR 952-001-
StreeT A 8 "Ii BttiNDER THIS PERMIT IS NOT - OO~X9lil1/ffllYpWtafn COpies of the rules by
U. . _., calling the centerdNote: the telephone
Stor't.am~~I!P!:l'R IS ABANDONED FOR n~SWt'tlflA!WtI!j6n Utility Notification
Spec'A\llfslWtlJllt PERIOD. ' , Center is 1-800-332-2344). '
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIREP PARKING
Total:
Handicapped:
Compact:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or mnltiplier
Square Footage
or Bid Amonnt
Value
Date Calculated
Paee 1 of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
. Fixture
Minimum/Adjnstlllent Plumbing
Total Amonnt Paid
Amonnt Paid
$5.20
$6.24
$2.60
$17.00
$35.00
$66.04
Total Value of Project
Fees Paid _.
Date Paid
12/5/08
1215/08
, 1215108
12/5/08
12/5/08
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01743
ISSUED: 12/05/2008
APPLIED: 12/05/2008
EXPIRES: 06/05/2009
VALUE:
Receipt Nnmber
2200800000000001715
2200800000000001715
2200800000000001715
2200800000000001715
2200800000000001715
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.
1 Reauired Insnect~
r'
Rongh Plumbing: Prior to cover and including reqnired testing.
Final Plnmbing: When all plumbing work is complete.
By signature, I state and agree, that I 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 Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure withont 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 nsed 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 property, and the approved set:ofplans will remain on the site at all
times during construction.
Owner or Contractors Signatnre
Paee 2 of 2
Date
City of Springfield
Plumbing Aut~orization To Begin Work
E-mailedTo:ernartin@bathfitterwest.com
Receipt # EC543204
12/5/200812:44:55 PM
Checkion status of permit
By Phone: (541)726-3753 or Emaii: permitcenter@cLspringfield.or.ns
Storm Sewer - first 100 feet
- each additional 100 feet
Water Service - first 100 feet
not offered online at this jurisdiction
not offered online at this jurisdiction
not otTered online at this jurisdiction
not offered online at this jurisdiction
not offered online at this jurisdiction
City/State/ZIP:
Suitc/bldg.lapt.no.:
Project name:
Cross street/directions to job sile:
-Drywell
,- Catch basin or area drain
- Pressure reducing valve
Subdivision:
Lot no.:
tub to shower conversion
Clolheswasher
Dishwasher
Drinking fountain
Ejectors/sump
Expansion tank
Fixture/sewer cap
Floor drainlfloor sinklhub
not oITered online at this jurisdiction
o
'n
'on
Metro lie. no.:
City lie. no.: 165987
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 obtained. .
This Authorization To
Subtotal
Minimum fee u'sed instead of Subtotal
State Surcharge (12% of permit fee)
City OfSpringlield fees.
TOTAL PERMIT ,"'EE $66.04
. City Of Springfield'fees: 10% Administration Fee; 5% Technology Fee
. Q/))n~'l))D- O\~-lLi3
, d'c{DCCJ- n \5 . .
, I L\5\ DB k:.l2u:..cLeL
Begin Work must be posted at the job site until replaced by a Permit.
The local building 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.
225.Fifth Street
Springfield, Oregon 97477
541~726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200800000000001715
Date: 12/05/2008
1:52:17PM
Job/Journal Number
COM2008-0 1743
COM200S-0 1743
COM200S-0 1743
COM2008-0 1743
COM2008-0 1743
Descrip.ti~n
Fixture
Minimum/Adjnstment Plumbing
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee '
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
17,00
35,00
2,60
6.24
5,20
$66.04
Payments:
Type of Payment
ONLINE CHGS
Amount Paid
KR
ONLINE BATHTUB Online
SOLUTION
S
$66,04
Payment Total:
,
$66.04
"
cReceil1tl
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