HomeMy WebLinkAboutPermit Plumbing 2008-12-31
Status
Issued
CITY OF SPK11'1hJ11ELD
Building/Combination Permit
PERMIT NO: COM2008-01822
ISSUED: 12/31/2008
APPLIED: 12/31/2008
EXPIRES: 06/30/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4819 CAMELLIA ST
ASSESSOR'S PARCEL NO.: .1702324403000
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Tub to shower conversion
Owner:
Address:
TRENT MICHAEL & PEGGY
4819 CAMELLlAST .
SPRINGFIELD OR 97478
I 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 Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Heigbt of Structure
Type of Heat:
Water Type:
Range Type:
Euergy Path:
Sprinkled Building:
Lot Size:
Sq'Ft tst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Otber:
Occupant Load:
n/a '.
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Street I~~9.A!.fuliills:
Storm Sr,tJJ~ fJ..~~m:SHALL EXPIRE IF THE WORK
Special fn~~'j:It.rti~MED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
Notes: ANY 180 DAY PERIOD.
,.
I Valnation DescriDtionl
DescriDtion
TYDe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I of 2.
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-01822
ISSUED:' 12/31/2008
APPLIED: 12/31/2008
EXPIRES: 06/30/2009
VALUE:
225 Fifth Street, Springfield, OR
54t-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectioIl Line
Total Value of Project
Fee.~ Paid .1
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Minimum/Adjustment Plumbing
Amount Paid
Date Paid
Receipt Number
$5.20
$6.24
$2.60
$17.00
$35.00
12/31/08
12/31/08
12/31/08
12/31/08
12/31/08
3200800000000000813
3200800000000000813
3200800000000000813
3200800000000000813
3200800000000000813
Total Amount Paid
$66.04
I Plan Reviews I
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.
ReolJired Jnsnections 1
Rough Plumbing: Prior to cover and including required testing.
Final Plumbing: When all plumbing work is complete.
By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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 without permission of the Community Services Division, Building Safety.
!further certify tbat only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I furtber 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 of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Page 2 of2
PhlmbingAuthorization To Begin Work
E-mailedTo:emartin@bathfitterwest.com
Check on status of permit
By Phone: (54t)726-3753 or Email: permitcenter@ci.springfield.or.us
I D New construction
I Description
I
I
I
I
I
I
I
I
I
Garbage disposal I
Hose bIb ,\TT~"TII"'\M' t,I'PIJ"n I, w requlrl's vou to I
Ice mak" f;'li~\;;'r"I"" SC Doted b, the Ore~don Utili!)!
Pnm" - ufl\H'fi~Mstion Cert~etrorl'f~<f.Ql1ll1f<Ulter;;,q6",ffialolOrl~
Pnmer -eacll1<@J!\ftl952-001frtilOjlfJrllno!illh@1il ~i'i!;j,~h'~ I-
SmklbasinnOOfile. You may- omam C(llple~ 01 tll'" I UI"~ yf
. ., ,---
I Tub/s"ow"/s".call~';l,g me CE nl!r. 1",' 1~',,'~\9 Jo ;ti;;~mi~~
I U. 1 nUHlUttl IVI 1I1. lJ1vl:::1V' t:t("~l~
Tina . ~ 8GG <'J.,t"J <')QA i)
I . :;,;;.1;;;1151-- - I
Water closet
I Wa'" ""lcr I I I
lliJ Addition/alteration/replacement
(Xl ] or 2 family dwelling
o Commercial I Industrial
I Sanitary Sewer - I1rst 100 feet
I . each additional 100 feet
I Storm Sewer - first 100 feet
I - each additional 100 feet
I Water Service ~ first 100 feet
I ~ each additional 100 feet
I
I I - Rain drain collector system
II -D<)'wcll
I - Catch basin or area drain
I - ~ressure reducing valve
I - Grease interceptor
o Multi-family
o Accessory Building
!Jobno.: 2546 IJobaddress: 4819 CAMELl,.IAST
I City/StatclZIP: SPRfNGFIELD, OR 97478-6753
I Suitelbldg.Japt.no.:
I Project name:
Cross street/directions to job site:
/ Subdh'jsion:
Tax map/parcel no.: 1702324403000
JLot no.:
Clothes washer
Dishwasher
Drinking fountain
Ejectors/sump
I Name: Peggy and Michae] Trent
I Phon" (541) 98S-107S
I Email:
I Fa>:
I
I
I
Expansion tank
Fixture/sewer cap
Floor drainJfloor sink/hub
IPlmb.lic. no.: INmrr:l:. ICCBlic. no.: \65987
I Bn,i",,, N"m"~~~IfM~E EXPIRE :f TI-J~ \veM
IContact: elt'ab'llUTHOl:!t!t~ !IN.cm THIS PERMIT IS tlS-T
IAdd"''' \I747~[)~ED DR IS ABANDStl::O ran
I CitY/Sta'eJZIP:.~flNygB '[J'AY'tltRID
I Phone: (503)5958827 . 9rax: (503)595605 I
I Email: emartin@bathfitterwest.com
I Metro lie. no.: I 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.
Receipt # ECS44347
12/31/200810:44:52 AM
Qty..
fa,
Total
l"ot offered online at this jurisdiction
not offered online at this jurisdiction
Inot offered 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
not offered online at this jurisdiction
not offered online at this jurisdiction
not oITered online at this jurisdiction'
not offered online at this jurisdiction
not offered online at this jurisdiction
I-Swimming pool or spa - not oITered online at this jurisdiction
water supply and drain '
- Hydronic -heating - opcn loop not oflered online at this jurisdiction
NOTE: This Authorization To Begin Work expires within 180
days if a permit is ,not obtained.
Subtotal I $]7.00 I
Minimum fee used instead of Subtotal $52.00 I
State Surchar~c (12% of permit fee). $6.24 I
City OfSprin~field fees +1 $7,80 I
I TOTAL PERMIT FEE $66.04 I
+ City Of SpriilgfieldTees: 10% Administration Fee; 5% Technology Fee
C-f)YY) 2..DDB -0181-.'2-
3Otl&- '613 ; 12..\31 I {)6
~-Q~
This Authorization To 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
Job/Journal Number
COM2008-0 1822
COM2008-0 1822
COM2008-01822
COM2008-0 1822
COM2008-0 1822
Payments:
Type of Paymeot
ONLINE CHGS
cReceintl
RECEIPT #:
Description
Fixture
Minimum/Adjustment Plumbing
+ 5% Technology Fee
+ 12% State Surcharge"
+ I 0% Administrative Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200800000000000813
Date: 12/31/2008
Item Total:
<":heck Number Authorization
Received By Batch Number Number' How Received
KR
ONLINE BATHTUB Online
SOLUTION
S
Payment Total:
Page lof I
1I:04:t6AM
Amount Due
17.00
35,00
2.60
6.24
5.20
$66.04
Amount Paid
$6604
$66.04
12/31/2008