HomeMy WebLinkAboutPermit Plumbing 2009-9-9
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City of Sprinefield
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Plumbing Authorization To Begin Work
E-mailedTo:emartin@bathfittcrwest.com
69600-BPB-09-00002
9/9/2009 to,31 am
I
Approval Code: 066299
Ch~ck on status of permit
By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.ils
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I D New Construction 0 Addition/alteration/replacement
o I or 2 family dwelling 0 Multi-family
o Accessory Building 0 Commercial/Industrial
I Job Address: ]470 W QUINALT ST
CitylStatclZIP: SPRINGFIELD, OR 97477
Suildbldg.lllpt.no.:
Project Name: Sanderson 3141
CrossStreetldirections to job site:
I Turn'plp"'''"" , .\r/q6~Jn~ Q:J\0f?
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tub to shower conversion
Name: ElisabethMartin
Phone: 503-595"8827
Fax: 503-595-6051
Email: emartin@bathfinerwesLcom
PJumb lie. no.: .~ ___.~.,~ """l^lc;Cy..IU:~Pf!JCI'~8fI-l.I= ,^,nRK
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Contact.. MU lIIVIIIl-l...1.J ....,........... . ...-
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Address: 11747NE-SijMNERI~ULLJ v' I..... t... ...- -
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City/State/ZIP: PORTLAND,IORJ9T120' l...............-,
Phone: 503-595-8827.
Fax: 503-595-6051
Email;
I Metrolic.no.:
City lie. no.:
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 ins.pection.
NOTE: This Authorization To Begin Work expires within 180 days if a pennit is
not obtained.
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
Please check aJl thm apply:
DMedgas/vacuum Sysl.em or health
care facility
DVacuum drainage l'.'llSte and vent
system
DCommercia' booster pump
DlnstaJlalionllfmulti-purposefire
spnnklersyslems
DWastewater pretreatment system
o Reclaimed wastew~ter
DChemicaJ drainage waste and venl
systems
o Multi.purpose Fire sprinkJersystem
o Water selVke with inside diameter or
, nominal pipe size of2" or more except
2"sy~temsdesignedlstampedby
licensed Oregon engineer
IDescription
pan
I Subtotal
I State sllrcharge (12'Yo'ofpennit lotal)
ITeclmology fee (5% ofp<:rmillotal)
!TOTAL PERMIT FEE
$58,001
$6.961
$2.901
$67,861
Cg-I23! kt q\q\U1
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I
I
ATTENTION: Oregon law requires youto
follow rules adopted by the Oregon Utility
Notification Cen,ter. Those rUhle~:~9s;~_fg~;~
in OAR 952-00110010 throug
0090, You may obtain caples of the rules by
caBin the center. (Note: the telephone
numb~r for tll~ Oregon Utility, NotificatIOn
Center is 1-800-332.2344),
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/C9mbination Permit
PERMIT NO: COM2009-01331
ISSUED: 09/0912009
APPLIED: 09/09/2009
EXPIRES: 03/09/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1470 W QUINALT ST
ASSESSOR'S PARCEL NO.: 1703273200108
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Tub to shower conversion in residence.
Owner:
Address:
SANDERSON MARSHA U
1470W QUINALT ST
SPRINGFIELD. OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor
BATHTUB SOLUTIONS
License
165987
Expiration Date
08/09/20 II
Phone
S03-595-8827
B.UILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
"eight 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 9ther:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback: Overlay Dist: Total:
Side 1 Setback: # Street Trees Rqd: Handicapped:
Side 2 Setback: Paved Drive Rqd: Compact:
Reat,y.rrd'S~fI,"ck: , % of Lot Coverage: ATTENTION: Oregon law requires you to
SolaG'SetbackS;\I1lT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility
"''''' . _ ,=-',''':''__ ... ........-n TIII(\ nCDnlllT I~ f\lnT ~Jf)mjf"!::)tjrln r(.mh~r o,'Thnco n doc:- !:IYO C'ot fr"lrth
MU I nVnll...L.U UI~""""'" (- ,- , .
MENCE 0 OR IS ABANDONED FlJIRUBLIC IMPROVEMENTS IIn OAR 952-00H01? thro~gh OAR 952-001-
, COM ' .. 0090, You may obtain caples of the rules by
Stre~t.lI.i1ipro~eme.litf.ERIOD. caSidJ'~~!k~1!YP~;, (Note: the telephone
Storm Sewer Available: nUrT'D'ii#J~p'J~Mj~~ih'1~ Utility Notification
SpecialInstruction: Ce,ner IS l-tluu-332-2344), ,
Notes:
I Valuation DescriDtion I
1:....
Description ~
Type of Construction
$ Per Sq' Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2 .
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Ij 'j",,- .. O'"l
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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
Minimum/Adjustment Plumbing
Amount Paid
$6.96
$2.90
$19.00
$39.00
Total Amount Paid
$67.86
Total Value of Project
Fees Paid.
Date Paid
Plan Reviews I
9/9/09
9/9/09
9/9/09
9/9/09
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01331
ISSUED: 09/09/2009
APPLIED: 69/09/2009
EXPIRES: 03/09/2010
VALUE:
Receipt Number
1200900000000001041
1200900000000001041
1200900000000001041
1200900000000001041
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.
1 Re?",ired .Tn~'lec!io~,s.
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 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 Serv,ices 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 at all
times during construction.
Owner or Contractors Signature
Paee 2 of2
Date
i25 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/JournalNumber
COM2009-0 1331 '
COM2009-01331
COM2009-0t331
COM2009-01331
Payments:
Type of Payment
ONLINE CHGS
cRcceint I
RECEIPT #:
1200900000000001041
,
Description
Fixture
Minimum/Adjustment Plumbing
+ 5% Technology Fee
+ 12% State Surcharge
City of Springfield Official Receipt
Development Services Department
,.
Public Works Department
I
Date: 09(09/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
KR
Page 1 of I
ONLINE. Bathtub Online
Solutions
Payment Total:
!
10:40:53AM
Amount Due
19,00
39,00
2,90
6,96
$67.86
Amount Paid
$67,86
$67.86
9/9/2009