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Home My WebLink AboutPermit Plumbing 2009-4-24 11 s'7 0...../ t . City of Springfield Plumbing Authorization To Begin Work E-mailedTo:em~~rtin@bathfitterwest.com R~ceipt # EC550528 4/24/200910:02:24 AM Check on status of permit By Phone: (541)726-3753 or Email: permitccntcr@ci.springfield.or.us I Sanitary Sewer - first 100 feel I - each lldditional190 feet I Storm Sewer - first lOa feet , each additional 100 feet 1,",f+C:~~~::C:t:r ,?'Z" "'':~Y~O'BlsiTE:jNF6RMATiO'NrANl)~LOC'ATfoN'i::-~i!>:il'~~tt: '~~i>[~~r& I I . . ','''' ..:>_,..\;;, ,-,..K"'"'<tY.0f.:WfJ>." 0"..._ "._,' _J-o J' '--"'"'''''.'''''.~''.''' ____"'A"''''''''-'..,,~......_. "~J:'~,,,..>,~."i .,,,",,,m,.,__,__ "., ~ Wafer ServIce _ first 100 leet IJob 110.: 2803 IJob address: 233 W M $T I I ~ each'additional 100 feel I City/State/ZIP: SPRINGFIELD, OR 97477-2950 I I SuitcJbldg.hlpt.no.: I I - Rain drain collector system I Project name: I I . Drywell I - Cateh basin or area drain I - Pressure reducing valve I - Grease interceptor I D New constmction IX] Addition/alteration/replacement [X] 1 or 2 family dwelling o Commercial/Industrial o Multi-fmnily o Accessory Building Cross street/directions to job site: ILot no.: 1703274405800 tub 10 shower conversion I Name: Anna Willhite I t:'r;-I-- IPhon" (541) 74\l!i-M vI;;. _._ _. I.E~}:......" I 11:~.~.:":!l.7. -'iXI~:..:~H:~;~~':0:~z~~r~~~R!~~:..!1'~~I~~fl,'. ;,!i'JW'J4!$.J 1~~;-~,'n::~'-;;'~~;I~r~NCtUUK~I~ f~~p:w1~p,;rp n"- .f':'M,,,,~1 11l",;ness NomeA,,'A'hilrlJih;lJI:\l'TI6I<!NM! . I I Contact: Elisabeth I !Addrcss: 11747 NE SUMNER I l~itY/Stlltc/ZIP: PORTLAND OR 97220 I IPhom': (503)5958827 I Fax: (503)595605] I I Email: emartin@bathfitterwest.com I I Metro lie. no.: !City lie. no.: ]65987 I 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. -. .D The local building department may determine that an ~. Authorization To Begin Work is null and void if it does not .. ~ meet applicahle land use laws and local ordinances. ~~~ I Description I Backllow preventer I Backw<llervalve I Clothes washer I Dishwasher I Drinking fountain I Ejectors/sump I Expansion tank I Fixlure/sewercap I Floor drainfflq!?~PI()N' j )rpnr'\n I~\M ra". .ir,.~ \1/"'11' tl"\ I I Garbage disrNJ!<!OW rules ac ooied b" the 6rp.(n~ 11l1l-i;,) I Hose bib Notification Ger ler. Thof e rules a e set forih lice ,,,,,k,, 1[1 UAK 952-001 ,0010 thr,~ugh OAI~ 952-0011- I i'cimar-op IIJl!1!ti1i(PH<<tJ may J.IJ\iIt.rldi'Ii\jr,lfJ~IIi)/iJ~asnlJ'1il5 tf Oyl=l) . (,::llnna thp ('0 ~~r-'0t~. ~h,:, ~'J!ophon:: I Plim" -earhM.diWt'l~r for thE "€llWl'ffili)1JjrA~yhl\\f'f!lHi>!!Plhn I Si,klbasi,/I,,",ocy Genter is 1-800- 332-2344 I. I. Tllb!~hower/shower pan ] $]9.00 $19,00 I Urinal I Water closet I Water heater I ~ Swimming pool or spa- water supp]y and drain - Hydronic 'heating - open loop Subtotal $19.00 I Minimum fee used instead of Subtotal $58.00 I State Surcharge (12% of permit fee) $6.96 I City Of Sp'ringfield fees'" $2.90 I I TOTAL PERl\lIT FEE $67,86 I ... City Of Springfield fees: 5% Technology Fee , . CP\- \~Sd.' ~.. Ltl2.J-tlCF! This Authorization To Begin Work must be posted at the job site until replaced by a Permit. , -! 1~. ,~ Status Issued CITY OF SPRINtJl<II'.,LD Building/COmbination Permit PERMIT NO: COM2009-00552 ISSUED: 04/24/2009 APPLIED: 04/2412009 EXPIRES: 10/24/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 233 W M ST ASSESSOR'S PARCEL NO.: 170327440580.0 Springlield TYPE OF WORK: Plumbing Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Tub to shower conversion Owner: Address: WILLHITE EDGAR & ANN 233 W M ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor BATHTUB SOLUTIONS License 165987 Expirati~n Date 08/09/2009 Phone 503-595-8827 L BUILDING INFORMA nON I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure 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 Garage/Carport Sq Ft ()ther: Occup~nt Load: n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rcaryard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: ATTENTION: Oregon law requires'you to follow rules_ adopte~, by the Oregon Utility NU live. . .1U..,,\J<..<UUII .........".......'. .' ,'v......... ....,""..., .....,...... ....... .......... THIS PERMIT SHAll EXP.lREllflWIDllYlMiIi'ROVEMENTS I in OAR 952-001-0010 through OAR 952-001- Street ImpniyemeR'iP.IZED UNDER THIS PERIVI\ \ 1!;I~Ut 009g1dl~~liPfY.Il1~tain copies of the rules by Au , , , , ONED FOR calling me c{J,lfer. (Note: the telephone Storm SewerOCva'i[.f611J.-CED OR IS ABAND nuDOlf.nspoutsLriiiaiJ!s:.n Utility Notification Speciallnstr\41t;iM80 DAY PERIOD. Center is 1 '800-332-2344). Notes: I Valuatio~ De~~riDtion.1 Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value. Date Calculated Pa2e 1 of 2 CITY, OF SPRINGFIELD Building/Combination Permit " Status Issued , PERMIT NO: COM2009-00552 ISSUED: 04/24/2009 APPLIED: 04/24/2009 EXPIRES: 10/24/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees P~i~ I Fee Description - + 12% State Surcharge + 5% Technology Fee Fixture Amount Paid Date Paid Receipt Number $6.96 $2.90 $58.00 4/24/09 4/24/09 4/24/09 . 1200900000000000297 1200900000000000297 1200900000000000297 Total Amount Paid $67.86 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. AIi inspections r~quested 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. I Relluired Inspections I Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. By signature, I state and agree, thaU 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 without permission of the Community Servkes Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 wiWbe used on this project. 1 further agree to ensure that all required inspections are requested at the proper tim.c, 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 Paee 2 01'2 225 Fifth Street Sprin~field, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00552 COM2009-00552 COM2009-00552 Payments: Type of Payment ONLINE CHGS cReccintl RECEIPT #: Description Fixture + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS 1200900000000000297 City of Springfield Official Rcceipt . Dcvelopmen.t Services Department Public Works Department Date: 04/24/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR Page 1 of 1 ONLINE Bathtub Online Solutions Payment Total: 1O:58:17AM AmountDue 58.00 2.90 6.96 $67.86 Amount Paid $67.86 $67.86 4/24/2009