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Home My WebLink AboutPermit Plumbing 2009-9-17 ~-. 'I Plumbing Authorizatiou To Begiu Work E;-mailcd To: emartin@bathfittenvest.com 69600-BPB-09-00003 9/17/2009 1:21 pm Approval Cod" 088852 Check on status of permit By Phone: 541-726-3753 or Email: pennitcenter@ci.springfield.or.us I D NcwConstruction o Additionfalterationfreplacement Please check all thaI apply' DMedgas!vacuumsystemorhealth cafe facility OVacuumdrainagewasteandvent system DCommercial booster pump Dlnstal'ation of mull i-purpose fire sprinkler systems Dwast.;water prelreatm~nt system D Reclaimed wastewater D Chemical drainage waste and vent systems DMulti-purposcFiresprinklersystem lor2familyd:welling D Accessory Building o Multi-family D Commerciallln'dustrial o Water servicc....ith inside diameter or nominalpipcsizeof2'ormoreexcepl 2"systemsdesignedlstampedby licensed Or;llon cng;neer Job Adrlren: 819 B ST City/StateJZIP: SPRINGFIELD, OR 97477 I Tax map/parcel no.: , ofpemlitfees SuiteJbldg.lapt.no.: I Description Project Name: Mark Jackins Cross Street/directions to job site: Tub/sbower!showerpan tub to shower conversion Subtotal I Stale surcharge (12% of p<:rmit tOlal) IT<:cbnology fee (5% ofp<:nnit tOlal) I TOTAL PERMIT FEE S58.00 $6.961 $2901 '67.861 Name: Elisabeth Martin tq -13 'l Lo kQ 9 /1, I DC( Phone: 503-595-8827 Fax: 503'595-6051 Email: emartin@bathfitterwest.com Plumb lie. no.:PB312 CCB lie. no.: 165?87 Business Name: BATHTUB SOLUTIONS INC Contact: Address: 11747Nf,S~~l'tE~tr'" CityfStateJZIP: P2.~~~N~!.9! _9?~~ _. _ Phone: 503-595-8li2711v r CnlVfll 0nI-\FJ.: W.:M9St6MJif THt VVUtil\ - . --.. - - ---- MU I nUnlLCU UI~UCti IMI" I-'cKIVill I" I~U I NOTE: This Authorization To Begin_ Work expires within 180 days if a permit Is not obtained. . .~~~ ry 0..: ~ eo" ATTENTION: Oregon 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. (Note: the telephone number for the Oregon Utility Notification Center is 1,800-332-2344). ~VcS\ G.:~~o/ ~~ Email: Metro lie. no.: \.JVlvllVll.:r~\.JCU un relt1tl'!:;>Ja.~\JUUI\lI:U tun. /-\I~l IOU U/-\l t-'tIiIUU. Upon review and approval by your local jurisdiction, your permit will be a-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 This Authorization To Begin Work must be posted at the job site until replaced by a Permit ~'. SP-AIMIi'I&l;q ~-: ~f"'.':';";'''''';,~~';:}':'*''~: !/-, , . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-01376 ISSUED: 09/17/2009 APPLIED: 09/17/2009 EXPIRES: 03/17/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phoue 541-726-3676 Fax. 541-726-3769 Inspection Line SITE ADDRESS: 819 B ST ASSESSOR'S PARCEL NO.: 1703354201300 Spriugfield TYPE OF WORK: Plumbiug Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Tub to shower conversiou iu resideuce. Owner: JACKINS MARK W Address: 819 B ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMA TION I Contractor Type Plumbiug Contractor BATHTUB SOLUTIONS License 165987 Expiration Date 08/0912011 Phone 503-595-8827 BUILDING INFORMATION I # of Uuits: Primary Occupancy Group: Secoudary Occupancy Group: Primary Construclion Type Secoudary Construcliou Type: # of Bedrooms: # of Slories: Height of Structure Type of Heat: Water Type: Rauge Type: Energy Patb: Sprinkled Buildiug: Lot Size: Sq FIIsl Floor: Sq Ft 2ud Floor: Sq FI Basemeut: Sq FI Garage/Carporl Sq Ft Olher: Occupaul Load: ula I DEVELOPMENT INFORMATION I REQUIRED PARKING Slreet Improvements: Frontyard SetlNc'ilIlCE: Overlay Dist: Total: Side 1 Setback:THIS PERMIT SHALL EXPIRE IF TM~'V~r1RKees Rqd: H~ndica~8frd: . Side 2 Selback\!\lJTHORIZED UNDER THIS PERM~~V~~lJft' e Rqd: ATTENTION: Orego'rUllIWt. Ires you to I follow rules adop/edoy me regon Utility Rearyard Setbt~fVlMENCED OR IS ABANDONED.~8 0 overage: Notification Center. Those rules are setforfh Solar Setbacks: r 01 ANY 1 Rn nAV pJ:Rlnn in OAR 952-001-0010 through OAR 952-0 - 0090 You may omam cople, VI lll~ I u,,,, uy I PUBLIC IMPROVEMENTS I caliing the center. (Note:the telephone nuS'U:JewMk ti1ypQregon Utility Notification Center is 1-800,332,2344). Downspoots/Draius: . Storm Sewer A vaHable: Special Instructiou: Noles: I Valuation Descriotion I Description Type of Coustructiou $ Per Sq Ft or multiplier Square Footage or Bid Amouut Value Date Calculated Page 1 of2 C:... ~,~~,~~~.g~~~~~1: ~,l~'i}!i;;~~ ~,.c 1;'.'1 ..",~" /f!''-.,'J ...",; , . Status Issued 225 Fifth Street, Spriugfield, OR 541-726-3753 Phoue 541-726-3676 Fax 541-726-3769 Iuspection Line Fee Descriplion + 12% State Surcharge + 5% Technology Fee Fixture' Minimum/Adjustment Pluinbiug Amount Paid $6.96 $2.90 $19.00 $39.00 Total Amouut Paid $67.86 Total Value of Project Fe~s Paid J Date Paid I Plan Reviews I 9/17/09 9/17/09 9/17/09 9/17/09 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01376 ISSUED: 09/17/2009 APPLIED: 09/17/2009 EXPIRES: 03/17/2010 VALUE: Receipl Number 2200900000000001058 2200900000000001058 2200900000000001058 2200900000000001058 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 Reouired Insnections . Rough Plumbiug: Prior to cover and iucludiug required tesliug. Final Plumbing: When all plumbiug work is complele. By siguature, I state and agree, that I have carefully examined Ihe completed applicatiou and do bereby certify that all information hereou is true and correct, aud I further certify that auy aud all work performed shall be doue iu accordauce with Ihe Ordinauces of tbe City of Spriugfield aud the Laws ofthe State of Oregon pertaiuing to the work described hereiu, and tbat NO OCCUPANCY will be made of auy structure witbout permissiou of the Commuuity Services Division, Building Safety. I further certify tbat ouly coutractors and employees who are iu compliauce with ORS 701.005 will be used ou this project I further agree to eusure that all required in spec lions are requested al the proper time, tbat eacb address is readable from the streel, tbat Ihe permit card is located at tbe front ofthe property, and Ihe approved set of pia us will remaiu ou the slle at all times during construction. . Owuer or Coutractors Siguature Paee 2 of2 Date 225 Fifth Street Springfield, Oregon 97477 ::.41-726-3759 Phone , City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200900000000001058 Date: 09/17/2009 I :2S:0SPM Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received A~ount Due 19.00 39.00 2.90 6.96 $67.86 Job/Journal Number COM2009-01376 COM2009-01376 COM2009-01376 COM2009-01376 Description Fixture Minimum! Adjustment Plumbing + 5% Technology Fee + 12% State Surcharge Payments: Type of Payment Amount Paid ONLINE CHGS ONLINE PERMIT CHGS KR ONLINE BATHTUB Online SLOUTlON S $67.86 Payment Total: $67.86 cReceintl Page 1 of I 9/17/2009