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HomeMy WebLinkAboutPermit Plumbing 2009-5-15 (\~: I\)J V 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. ~ _"Y ~,~/ ~O^- ~ Od . 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. .~ (f- 'J~o/ ~~ li~0~;J;hii;~p,~tPRlep!;;f$~"L~ht)lr~;~~:<;;.~:.~:'~ I Sanitary Sewer - first 100 feel I . each additional 100 feet I Stonn Sewer - first ] 00 feet I - each additional 100 feet I Water Service - first 1 00 I~et I - each addilionallOO feet I I I - Rain drain collector system II .D<ywell I - Catch. basin or area drain I - Pressure reducing valve I - Grease 'interceptor I I I I I I I I I Floor drain/floor sin~~_b_ _ _ I I Garbage dil~TJ[".'!U"; uegon la"1' require: you to I I Ho;e bib ._.'.~." . :-..v~ "J'-1fJl~U uy "JIB uregton Utility I I\I"hf,,...,.,+,......... r---t.- "T"I. I I I I --...-.. _0.. '.' "::us1'u ~"(I~'ellOrtnl Ice make~n (JA8 Ql;?_nn-1 J noi" tlr-' '~~ 0 tr;.l-.rr - - . I Prim".uw~ot SoIEot"m noi ;(f;d8~Q';jti,;e ,rJhi>1,iiis'di1aro'fi I" OVl:]) .:. IOU ay 0 J<a,fl~' ,lIe, U! Ine ru es bv I Prim" .eac!.'':"liiY(~~dnl!'e ~en1F~t o~~I&lt6h)itaiil iiwi"1tj""'oo . I Sink/basin~avatdrY";;1 IVI LJ It::, 'f,eyun ~TIIIIY NotllHcation I ~t:;;t.~;. ,,-, 1-CCG- - ~ I~- I Tub/shower/shower pan .., Il::'$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