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Home My WebLink AboutPermit Plumbing 2009-6-9 City of Springfield Plumbing Authorization To Begin Work E-mailedTo:emartin@bathfitterwest.com Receipt # EC553282 6/9/2009 8: 18:53 AM <6\~ V~I .ij Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us I. " TYPE OFW9RK o Addition/altcrlllionlreplacement II- . .FEE SCHEDULE ,; CATEGORY,'OF CONSTRUCTION~ . .~, 1 1,~~;::i~;i~t~:.repaJr ORiePbtcem~~t ~~~}~y ~ ~:~l. 'Iota 1 .: I Sllnilary Sewer- firsllOOtt:et I . each additional] 00 feel I I Storm Sewer - first 100 feet I' I . each additional 100 feel I 'I I Water Service. !iTS! ] 00 feel I I I - each additionullOO feet I 11:;'otii'erSi"'tcUtHitics '. _ - ?". " "I I > ~.- . I II - Rain drain collector system I -Drywell I I - Catch basin or area drain I I . Pn:ssurt:' reducing valve I I - Grease interceptor I I 1~'hiS~(;:c!~~~ap~ll~s. t(a'il~,iti.~n~,.~~lie~~ii,?~~})r, ~p'afe'Jri,e_nts-o.r :r~,'",~ 'I I pIU~lbll~_g..., -'.,,-, ?-~ -' =-::... ',. -, -? .~. ._~ '- . =1 I Backllow preventer I Backwater valve I Clothes wllsher I Dishwasher .1 Drinking fountain I Ejectors/sump .1 I Expunsion tank II Fixlure/sewercap ! i Floor dnlinllloor sink/hub I I Garbage disposal '-1 III0se bib I j Ice maker I 1 Primer-up to first 5 (Enter O.,..t=1) I I Primer -each additional I Sink/basin/lavatory I I Tub/shower/shower pan II Urinal II Watcrc10set I I Water heater liMisceli~~t'ou.s7,~ - .:..~. ~.~ I - Swinlming pool or spa- water suDol v and drain I - Hydronic heuting . open loop system I':;.. I I I I I TOTALPEH.;\IIT FEE '" City Of Springfield fees: 5% Technology Fee not offered online at this jurisdiction I D New construction [K] I or 2 family dwelling D Commercial/Industrial o Multi-family D Accessory Building .-. ~':~QB:SIIE'INFORMATl6NANIii:oS:1\TIOfj',,: IJob no.: 2902 I Job address: 2355 11 TH ST ICily/State/ZIP: SPRINGFIELD, OR 97477-2462 I Suite/bldg.htpl.no.: I Project name: Cross street/directions to job site: !Subdivision: ITax map/parcel no.: I Lot no.: L 1703261105100 ~;)~ _ DE_scfiipTlqNfOf wqRK: tub to shower conversion -~':1n5~ I Name: dennis and carolyn batsch IPhone: (541) 746-38]] IEmail: I....' ----- .'''? SITE CONTACT' I Fa>: . .CbNTRA~CTOR I Plmb. lie. no.: PB312 I CCUlie. 110.: 165987 I Business NlImc: BATHTUB SOLUTIONS INC I Contact: Elisabeth 1,\(hJrcss: 1 ]747 NE SUMNER ICity/StatcrLIP: PORTLAND OR 97220 I Phone: (503)5958827 I Fax: (503)595605 I I Email: emunin@balhfittef\vcst.com 1l\1ctro lie, no.: I City lie, no,: 165987 not offered online at Ihis jurisdiction $19.00 $19.00 NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. ~ -; PLUMBING PERMIT FEES I I '1 ,I $19.00 I $58.00 I $6.96 I $2.90 I $67.861 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. 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, SUbW1Ul Minimum fee used instead of Subtotal State Surcharge (12% ofoermil fee) eil)! OfSpril1~lield fees '" ComMV?-O()tf'/'Y . ~ - f -09 /ll/Y'" This Authorization To Begin Work must be posted at the job site until replaced by a Permit. -Wi~ ~ .1 -, " ., ._.. .-,-." .,... ~ - -'.' Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00814 ISSUED: 06/09/2009 APPLIED: 06/09/2009 EXPIRES: 12/09/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2355 11TH ST ASSESSOR'S PARCEL NO.: 1703261105100 'Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Tub to shower conversion Owner: BATSCH LIVING TRUST Address: 2355 1 ITH ST. SPRINGFIELD OR 97477 Phone Number: 541-746-3811 I CONTRACTOR INFORMA nON 1 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: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building:, Lot Size: Sq Ft I st Floor: Sq Ft 2ud Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: . Occupant Load: nla Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I DEVELOPMENT INFORMATION 1 REQUIRED PARKING I w reqllireS you to Overlay Dist: ATTENTION: Oregon a th O:rotal:\ Utility d ted by e """'-' # Street Trees Rqd:ow rules a op leHandicap'peil: -. Those rLl ~ ~."-- Paved Drive Rqd:JtiticatlOn Center. h €omnact:001- . 10010throug ,-".."L_ % of Lot Coveragc:,AR .952-00 - .' opies ot the rutes by 0090, YOLl may ob,am Cote' the telephone .........lIinrt 1hp center. (N "d .. _ ~.t:_....j-;,",n I PUBLIC IMPROVEMEJN'"S'I' tor the ur1e6;~0"_~~2~2i44i, , Center IS - v u Sidewalk Type: Downspouts/Drains: , Street Improvements: Storm Sewer Available: Special Instruction: NonCE' nl/S PER'r.1IT S : IITIJf'lro,~__ HALL EXp/Qr: Ir ~,._ :'!.::f:W:NC'E'UD uoIRVI';~;~ I' ntt~ PED~h~;; ';'t":~';;1 'Y i G I'. a ua IOn, escnp 1011 " ,,-0 DAY PER/OO - -"LU rUK T t' C .' t' $ Per Sq Ft Square Footage ype 0 ODS rue IOn . . . . or mulhpher or B,d Amount Value Dale Calculated Notes: D~scription Pa!!:e I 01'2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00814 ISSUED: 06/09/2009 APPLIED: 06/09/2009 EXPIRES: 12/09/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid 1 Fee Description + 12% State Surcharge + 5% Technology Fee Fixture MinimumlAdjustment Plumbing Amount Paid Date Paid Receipt Number $6.96 $2.90 $19.00 $39.00 6/9/09 6/9/09 6/9/09 6/9/09 3200900000000000432 3200900000000000432 3200900000000000432 3200900000000000432 Total Amuunt Paid $67.86 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. I Reoll i -ed II soections , 11111 II II I I III j r I I I I Shower Pan. Prior to covering and including required testing. 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 lhat 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. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used 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 of plans will remain on the site al all times during construction. Owner or Contractors Signature Date Paee 2 of 2 ! 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~.ftI City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2009-00814 COM2009-00814 COM2009-00814 COM2009-00814 Payments: Type of Payment ONLINE CHGS cRec~inll RECEIPT #: 3200900000000000432 Date: 06/09/2009 Description Fixture Minimum/Adjustment Plumbing + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorizntion Received By Batch Number Number How Received NJM ONLINE BATHTUB Online SOLUTION S Payment Total: Page I of I 10:34:46AM Amount Due. 19.00 39.00 2.90 6.96 $67.86 Amount Paid $67.86 $67.86 6/9/2009