The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 2009-9-3 Plumbing Authorization To Begin Work E-mailedTo:emartin@bathfitterwest.com City of Sprinefield \~RlNaiflm:.D! . <.. l::"'--=""'P,~, ~', ,-:":"..' . , ItBc;:, ' ~,_____.__~_..1. }' :-';P- :.~,~ Check on status of permit By Phone: 541-726~3753 or ~mail: pcrmitccntcr@ci.springficld.or.us I D New Construction 0 Addition/alteration/replacement )~~CAtEG()RWOF~G()-NStRUCTI()N"lLkf.',~.j!ft,.', ~ 1 or 2 family dwel1in~ D ' Muhi-family D Accessory Building 0 Commercial/Industrial 1!r,,:',,"F~,~JOBTsYfE'INFbRMATION;A'ND LochloN:' ;"'''1 ~ l Job Addr6S: 954 N ST I City/State/ZIP: SPRINGFIELD, OR 97477 I SUittlblde.lKpt.no.: I Project Name: Matteson Cross Streetfdirections to job site: Tall map/parcel no.: ~,*,::~",!I:1t~~~SCRII~}ION'OF-4W()RK~,~~,;,,"~:., tub to shower conversion I Name: Elisabeth Martin Phone: 503.595-8827 l<'lll: 503-595-6051 I Emllll: emanin@bllthfinerwest.com I Plumb lit. no.: P~~ll__ _ _ CCB lie. no.: 165987 I Business Name:~A~:H~'ill~iS8bUTIONS INC I Con',," I n10 t"Ct'lIVIII 0MALL tAt'llit It I Ht WUIi/\ I Add",,, 11747 iII!-,tlJM"NER\ ILtU UI~Utli I HI~ t-'tliIVIII I~ NU I 1 c;rylStat.JZlddRT;:\\ND;biiAlI20UIi I~ AtlAI~UUI~tU tUIi I Phon" 5OJ-595""2~1 I aU UAY t'tIiJIElIJ.50J-595-605I I Emllil: I Metro lie. no.: City lie. uo.: 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 pennit Is not obtained. The local building department may detennine that an Authorization To Begin Work is null and void If It does not meet applicable land use laws and local ordinances '';'''Y ~ --~ t_i1Y~.~ ~:"'." 69600-BPB-09-00001 ! 9/3/2009 12:34 pm App~o"'al Code: 076645 ~'~"');,;>'(i~~'~':-~~~-": ---':,<;-"'PLA:NREVIEW . i-.,n J. .~~F. :r A Please check all thai apply DMedgas/vacuumsyslcmorhelllth care facility Ovacuumdrainagewasteandvent system DCommcfciaJ booster pump Olnstallation of multi-purpose fire sprinkJersyslems OWastcwater pretrealmentsystem o Reclaimed wastewater o Chemical drainage wasle and vent systems O'Muhi-pu1JlOseF~resprinkJerSYStem Di~at~r sc~ice ~ith inside diameter or nomlnaJ pipe sIze of 2' or more except 2" systems designedlstamped by ,licensed Oregon engineer ..~-\' r': I Total .1 ';''''~'"-.FEE SCHEDUtE I' 1 Qry. Ell. I Description IFj>!~~r:!"l!:r,!ie~.7:;';i~{~~~ l:~;=;:~:::;.~~~:,~~ Bll1anccIlfpermit fees ~lumpinKI:'!,r.~itIc~e:':4%. -:'"-:.;, ..,,~. Subtotlll 'IState surchargc (J2% ofpcnnil total) ITechnology fee (5% ofpcrmillotal) I TOTAL PERMIT FEE I I 1 '~;1 I I I I ] ~q -\oD~ ...." Ii I 'I \19,001 ~S.:~~~ I $39.00 : I I ~"o~~- $58.00 $6.96 $2.90 S67.86 ~ C11310Q ATTENTION: Oregcjn law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. j'(Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). /: ~~~ 0..:" 9i 'SJ-Q/ (\>...0" (Y" ~~ ~ This Authorization To Begin WOfk must be posted at the job site unlit replaced by a Permi,t _S~!!!:!'IS~I~':~ ~. ': -, ~, CITY OF SPRlNGFl1<,LU Status Issued " Building/Combination Permit PERMIT NO: COM2009-0I308 ISSUED: 09/03/2009 APPLIED: 09/03/2009 EXPIRES: 03/03/20]0 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 954 N ST ASSESSOR'S PARCEL NO.: 1703264203903 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New Reside~tial PROJECT DESCRIPTION: tub to shower conversion in residence Owner: MATTESON VIRGINIA J Address: 954 N ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Plumbing Contractor BATHTUB SOLUTIONS License 165987 Expiration Date 08/09/2011 Phone 503-595-8827 BUILDING INFORM~ TION, # 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 J"st Floor: ': Sq Ft 2pd Floor: Sq Ft Basement: Sq Ft qarage/Carport Sq Ft Other: " Occup~nt Load: n/a , REQUIRED PARKING Frontyard Setback: Overlay Dist: l' Total: Side 1 Setback: # Street Trees Rqd: Handicapped: Side 2 Setback: NOTICE: Paved Drive Rqd: ATTENTION: Oregonc~'r't\p\l2i!'res you.to R d S b k "'\' iif "'In' follow rules adopted by ttle uregon Uttllty earyar et a~ ,ilS PERMIT SHALL EXPIRE IF I'. L \1J"",,,(lverage: Nolification Center. Those rules are set forth' Solar Setbacks: AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 throuqh OAR 952-001- GUIVIIVIl:NGl:U UK I::; !\l:lAl'ipUBi:ic~MpROVEMENTS ,lJ090.. You may ootam caples 01 me rUles oy ANY 180 DAY PERIOD: ' I callmg the center. (Note: the telephone Street Improvements: nunSidewantl1:yjili':3gon Utility Notification Center is 1-800-332-2344). Storm Sewer Available: DownspoutslDrains: . Special Instruction: I DEVELOPMENT INFORMATION I Notes: I V aluation Desc~iDtion , Des.criPtion Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 -~~"'fl!~'~j., , :~F'"i""-"" ..' '"_'--:'-',,;"'~' ,'). ~' I: CITY OF SPRINGFIELD i; Building/C~mbination Permit , Status Issued PERMIT NO: COM2009-01308 ISSUED: 0'9/03/2009 APPLIED: 0'9/0312009 EXPIRES: 03/03/2010 VALUE: ' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Pairl ,I $6.96 $2.90 $19.00 $39.00 9/3/09 9/3/09 9/3/09 9/3/09 Recei~t Number " " 1200900000000001025 1200900000000001025 1200900000000001025 1200900000000001025 '\ Ii I', Fee Description + 12% State Surcharge + 5% Technology Fee Fixture Minimum/Adjustment Plumbing Amount Paid Date Paid Total Amount Paid $67.86 Plan Reviews I i Ii To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested before 7:00 a.m. will be made thesame working day, inspections requested after 7:00 a.m. will:!be made the following work day. I r '1' I, I ,R~fJ!,ir~d T~~.~edio,n~ I Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. By signature, I state and agree, that I have carefully examined the completed application and do h~rebY certify that all information hereon is true and correct, and I furthe;' certify that any and all work performed shall be done in accordance with the Ordinances ofthe City of Springfield and the Laws of the State of Oregon pertaining to the w6rk described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community SeJ'Vi~es 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 ~'ddress is readable from the street, that the permit card is located at the front of the property, and the approved set of plans wiil remain on the site at all times during construction. . Owner or Contractors Signature Date Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 54] -726-3759 Phone 'j' II City of Sprihgfield Official Receipt Developmeht Services Department 1, ' Public Works Department II II Date: 09/03/2009 1:03:11PM RECEIPT #: ]20090000000000]025 Payments: , Type of Payment ONLINE CHGS Paid By ONLINE PERMIT CHGS Received By Item Total: Check Number Authorization Batch Number Number Amount Due 19.00 39.00 2.90 6.96 $67.86 Job/Journal Number COM2009-0 I 308 COM2009-0 1308 COM2009-0 I 308 COM2009-0 I 308 Description Fixture Minimum/Adjustment Plumbing + 5% Technology Fee + 12% State Surcharge ONLINE BATHTUB SLOUTlON S How,Received Online !' Amount Paid KR $67.86 Paym~iJt Total: " $67.86 cReceiotl Page I of 1 9/3/2009