HomeMy WebLinkAboutPermit Plumbing 2009-5-15
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City of Springfield
Plumbing Authorization To Begin Work
E-mailedTo:emartin@bathfitterwest.com
Receipt # EC551792
5/15/2009 10:34:26. AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us.
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This Authorization To Begin Work r:nust be posted at the job site until replaced by a Permit.
0~ Addition/alteration/replacement
[K] 1 or 2 family dwelling
o Commercial! Industrial
D Multi"family
D Accessory Building
I Job no.: 2834 I Job nddress: 387' 53RD PL
ICity/St:de/ZIP: SPRINGFIELD, OR 97478-6] 89
I Suite/bldg.lapt.no.:
I Project name:
Cross street/directions to job site:
I Subdivision:
Tax map/parcel no.: ]702333100104
ILot no.:
tub to shower conversion
I Name: luelle wright
I Phone: (541) 747~0706
[mail:
IFllX:
IPlmb.Ii,.oo.: PB3f.HI~t]{ff . .
I Bo,lo"s Nnme; B,l\I)IffiI!1PI'I~(!!5'~WIC- '. HE yv~
I ' ... - IVtR THIS P[f,-,Jilf 1.5 I~U I
Con""" Eh"bethCnMMnlr'l:n aD I" ~O ^ "D' --
I... . -- Fl" " "" O]dHi Fun
Add"". 11747 N'A'l'NNIWn !:l.W PERI83..
I City/Stale/ZIP: PORTLAND OR 97220
I Phone: (503)5958827' I Fax: (503)595605]
I Emai!: emanin@bathfiuerwcst.cum
I Metro lie. no.: I Cily lic~ no.: 165987
Upon review and approval by y6ur local jurisdiction, your
permit will bee-mailed or faxed within one business day,
with instructions on how to sch,edule your inspection.
I
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may determine that'an
Authorization To Begin Work iSinull and void if it does not
meet applicable land use laws a'nd local ordinances.
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li~0~;J;hii;~p,~tPRlep!;;f$~"L~ht)lr~;~~:<;;.~:.~:'~
I Sanitary Sewer - first 100 feel
I . each additional 100 feet
I Stonn Sewer - first ] 00 feet
I - each additional 100 feet
I Water Service - first 1 00 I~et
I - each addilionallOO feet
I
I I - Rain drain collector system
II .D<ywell
I - Catch. basin or area drain
I - Pressure reducing valve
I - Grease 'interceptor
I
I
I
I
I
I
I
I
I Floor drain/floor sin~~_b_ _ _ I
I Garbage dil~TJ[".'!U"; uegon la"1' require: you to I
I Ho;e bib ._.'.~." . :-..v~ "J'-1fJl~U uy "JIB uregton Utility I
I\I"hf,,...,.,+,......... r---t.- "T"I. I I I
I --...-.. _0.. '.' "::us1'u ~"(I~'ellOrtnl
Ice make~n (JA8 Ql;?_nn-1 J noi" tlr-' '~~ 0 tr;.l-.rr - - .
I Prim".uw~ot SoIEot"m noi ;(f;d8~Q';jti,;e ,rJhi>1,iiis'di1aro'fi I"
OVl:]) .:. IOU ay 0 J<a,fl~' ,lIe, U! Ine ru es bv
I Prim" .eac!.'':"liiY(~~dnl!'e ~en1F~t o~~I<6h)itaiil iiwi"1tj""'oo .
I Sink/basin~avatdrY";;1 IVI LJ It::, 'f,eyun ~TIIIIY NotllHcation I
~t:;;t.~;. ,,-, 1-CCG- - ~ I~-
I Tub/shower/shower pan .., Il::'$f'tfi*; $19.00 I
I Urinal
IWaterdoset
IWlllcrheater
I Baekflow preventer
I Baekwatervalve
I Clothes washer
I Dishwasher
I Drinking fountain
I Ejectors/sump
I Expan:sion tank
I Fixture/sewer cap
I - S\viinming pool or spa-
water supplv and drain
- Hydronic 'heating - open loop
SllblOtaJ I
Minimum fee lIsed instead ofSubtotrll1
State Surcharge(l2% ofpemlit fee) I
Clly Of Springfield fees.
I TOTAL PERMIT J"EE
* City Of Springfield fees: 5% Technology Fce
CCl- u1 Lj~ ~e-
$]9.00 I
$58.00 I
$6.96 I
$290 I
$67.S6 I
5\ t5.\CA
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00674
ISSUED: 05/15/2009
APPLIED: 05/15/2009
EXPIRES: 11/15/2009
VALUE:
I!
225 Fifth Street, Springfield, OR
,
541-726-3753 Phone ji
541-726-3676 Fax ,,~
541-726-3769 Inspection Line
SITE ADDRESS: 387 53RD PL
ASSESSOR'S PARCEL NO.; 1702333100104
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Tub to shower conversion
Owner:
Address:
,
WRIGHT LUELLA L
387 53RD PL '
. "
SPRINGFIELD OR 97478
.'
,
,il
1 CONTRACTOR INFORMATION'
Contractor Type
Plumbing
Contractor
, .
BATHTUB SOLUTIONS
!I
License
165987
Expiration Date
08/09/2009
Phone
503-595-8827
BUILDING INFORMATION I
# of Units: '!
"
Primary Occupancy Grou~.:
Secondary Occnpancy 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 Siz'e:
Sq Ft 1st Floor:
Sq Ft 2nd Floor;
Sq Ft Basement;
Sq Ft Garage/Carport
Sq Ft Other:
Occllp~nt Load;
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
ATTENTION: Oregon law requires you to
follow rules adopted ~t~!~ Oregon Utility
Notification Center. Th~~8~~~~llpJ;<1:set forth
in OAR 952-001-001 O'tfrl'lmB~,ci!iAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
, , \'.... ",'1-, ,. .".
..-............ .-. ....... -'-:j-" -.....J ..........."".......""..
Center is 1-800-332-2344),
Front yard Setback: Overlay Dist:
Side I Setback:NOTlCE: ;' # Street Trees Rqd:
Side 2 Setback:THIS PERMIT SHALL EXPIRE IF Paved Drive Rqd:
Rearyard Setback:rHORIZm UNDE Tw;,WQ,~lSoverage:
Solar SetbacksCOU ,i R THIS PERMIT IS NOT
v MMF~Ir.m nR Ie: AD^"t\t\''[r ~:;..~ .
ANY 180 DAY PERIOD. . i PliBLlC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special I nstruction:
Sidewalk Type: ,
Downspouts/Drains:
Notes:
I Valuation Descrip,tion I
Description
Type of Construction
$ Per Sq Ft
or multiplier.
Sq uare Footage
or Bid Amount
Value
Date Calculated
Pa2e I on
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,.
Fee Description
_ + .12% State Surcharge
+ 5% Technology Fee
Fixture
Amount Paid
$6.96
$2.90
$58.00
Total Amount Paid
$67.86
Total Vallie of Project
Fees Paid I
Date Paid
I Plan Reviews I
5/15/09
5/15/09
5/15/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00674
ISSUED: 05/1512009
APPLIED: 05/15/2009
EXPIRES: 11/1512009
VALUE:
Receipt Number
2200900000000000530
2200900000000000530
2200900000000000530
To Request an inspecti?n 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,
I RetJllired' nsnections I
.111.11 111
Rough Plumbing: Prior to cover and including required testing.
I .
Final Plumbing: When all plumbing work is complete.
JI .
By signature, I state and agree, that I have.carefully examined the completed application and do hereby certify that all
information hereon is true *nd 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 win be made of any strncture without permission of the Commullity Services Division, Building Safety.
[ further certify that only contractors and employees who are in compliance with ORS 701.005 win be used on this project.
I further agree to ensure thht 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 win remain on the site at all
times during construction. ;'
Owner or C~ntractors Sign:ature
Page 2 on
Date.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
,
Job/Journal Number
COM2009-00674
COM20Q9-00674
COM2009-00674
Payments:
Type of Payment
ONLINE CHGS
cReceintl
City of Springfield Official Receipt
Developme~t Services Department
Public Works Department
RECEIPT #: . 2200900000000000530
Description
Fixture
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE P~RMlT CHGS
Date: 05/15/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page I of I
ONLINE Bathtub Online
Solutions
Payment Total:
10:52:00AM
Amount Due
58.00
2.90
6.96
$67.86
Amount Paid
$67.86
$67.86
5/1 5/2009