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Home My WebLink AboutPermit Plumbing 2009-11-24 \: '. City Of Springfield. 225 FifthSt Springfie(d, OR 97477 Phone: 541-726-3753 Email: permitcenter@cLspringfield.or.us Residential Plumbing Authorization To Begin Work 69600-BPB-09-00013 Approval Code: 060720 11/24/2009 11 :32 am . E~mailed To: emartin@bathfitterwest.com Sf, RING FIEL~D ' ilf. II _(22t,,-,: " 1'.,,' :'- ,'iW:~;r 0fil i t.y<J~<.. DREG Or.! o New Construction " IRJ Addition/alteration/replacement I [R] 1;:or 2 family dwelling 0 Multi.family 0 Commercial 0 Accessory I~~~i.:' 1'~\JoBYs1TE:iNF6RMATfON:AND1ir6tATf6N!I:'F~~t;1 I Job Address: 3793 DOUGLAS DR I eity/~tate/ZIP: SPRINGFIELD, OR 97478 I Suitelbldg./aptno.: I proj~:ct Name: O'Connor #3389 I eros's Street/directions to job' site: " I Tax ~aP/Parcel no.: 1802061204314 .tub to shower conversion Name: Elisabeth Martin I Pho~e: 503c595~8827 I Ema.if: 14/,= '11ii',"C "~-""". '," ,'~ ",'" 'm,~'0cr,'.""~__-, "',<e',___' ,,,,,,,,,,.,m._ ..r...<.".., "\'''''' ~" ''--'7"--+'&/~'" l;i-;;';:&f;,-7P "'fi' ,", t!~F'",'l", -" f.-'v'-it"-",~_" ~~~''8 """..."," 'CONTRACTOR'~' ,"'-' '" "..., ~ ''''''iA'lN'kJi-, ,~r-:@{ "". ,',';;.. ,...r",. -,:-\r:3-h+". -,..:eJ1.l.. ~, --' , ',_ -"., , 'tf~x:-'0k-i~ ':Q'; _~, _";'/';',; ,"b':0.-w;, "I P;U'!lb lie. no.: PB312 . cca lie. no,: ,_ \,~l. \."".~Q\ . ~\~.. ....""fa. ft Business'Name: BATHTUB SOLUTIONS INC \ ~ ~]oi.~1 ~~ - '~. ~Ill~ 'i.~ Con~act l(\'\\\';~""~ ~"\t\~\\ "\ ~~f/:J~ I '" YV' n~\'-e.",'?lJ Addres", 11747 N~~e\':f-\1.t'\!__(\~ ''''ua' I CltyiStatelZlP, POR~.h:~~t~~'t.~ ~t"'~ -, \)0'" -" \)~- Pho~e: 5035958827 \~ ~~", Fax: 5035956051 ~ I Fax: 503-595-6051 Em~!I: Metro lic. no.: City lie. no.: Upon ,review and approvlll by your local jurlsdlctlon, your permit will be e-mallecl or faxecl withln'one business c111Y, with Instructions on howto schecluleyou rinspection. N.OTE: This Authorlzation To Begin Work expi:;es within 180 clays If II permit Is not obtalnecl. The local building department may determine that an Authorlzatlon To Begin Work Is null and voId if.1! does- not meet applicable land use laws ana local ordlnance5. cq./lt1.r; Please eheck all that apply: o Med gas/vacuum system or health care facility o Vacuum drainage waste and vent system o Commercial booster pump o Addition of a new motor load Installation of multi-purpose fire sprinkler systems o Wastewater pretreatment system I Description I Tub/shower/shower pan I Balance of permit fees o Reclaimed wastewater o Chemical drainage waste and vent systems D Multi-purpose Fire sprinkler system D Water service with inside diameter or nominal pipe size of 2" or more except 2" . systems designed/stamped by licensed Oregon engineer Total $19.00 I $39.00 Subtotal $58.00 I State surcharge (12% of permit $6,96 total) I Technology fee (5% of permit total) $2,90 I TOTAL PERMIT FEE: $67.86 Lq-\1o~5 k.Q. 1112.4]OQ ,.. " !i~. .(.......009-. II J8IUIO UOR1lOY!lON ~I!ln uo6eJQ 'Ill JOJ Jeqwnu eU04dllll llIl :'ION) 'JllU80 8Ill flU!lreo Aq SllnJ 14110 se!doo UllllQo A'8W no),. '0600 .~OO-BS6 WO 46noJ4l0~Oo-~OO-BS6 !NO III lWoJ liS 8J' sellU 8s041 'Jawao UO!I'80Y!ION AIll!ln uo6eJO a4l ^Q peldop'8 S81nJ MOIIOJ ell noA S8JlnbeJ MSI uo6eJO :NOllN;I.uy ,,~":,. __,-.~.6\".. ~ ~:--.\ \\' L:R~ ' 8' ~ ~ Inspections Phone: 541-726.3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit CITY OF SPRIN171<1J!.LD Building/Combination Permit Status Issued PERMIT NO: cOM2009-01695 ISSUED: 11/24/2009 APPLIED: '11/24/2009 EXPIRES: OS/24/2010 VALUE: . " 225 Fifth Street, Springfield. OR 541-726-3753 Phone ., 54 I -.726-3676 Fax 541,,726-3769 Inspection Line, SITE ADDRESS: 3793 DOUGLAS DR ASSESSOR'S PARCEL NO.: 1802061204314 Springfield TYPE OF WORK: Plumbing Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Tub to shower conversion in residence. Owner: " Address: OCONNOR MICHAEL A & DEBBIE A 3793 DOUGLAS'DR SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION' Contractor Type Plumbing Contractor BATHTUB SOLUTIONS License 165987 Expiration Date 08/09/2011 Phone 503-595-8827 ,BUILDING INFORMATION I # of-Units: Primary Occupancy Group:, Secondary Occupancy Group: Primary Construction Type' Secondary Construction Typ~: # of Bedrooms: # of Stories: Height 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/Carporl Sq Ft Other: Occupant Load: . . ,'.-. n/a NOTICE: '. I DEVELOPMENT INFORMATION' THIS PERMIT SHAll EXPIRE lr tria Wvni.. REQUIRED PARKING Frohtyard Setl)acIO':RIZED UNDER THIS PERMlI'ealmly Dist: o(l' :-dot~181 . Sid~ 1 Setb'!5~iVIMENCED OR IS ABANDONED fQltreet Trees Rqd: UOII9Oll!ION "4.m~ uo~IfiU'R;?.ie~1III Side 2 Setb~~'{ 180 DAY PERIOD. Paved Drive Rqd: euoljdelel e41 :eIONF~~1 flUllreo Rearyard Setback: % of Lot Coverage: All SelnJ elll JO seldo:> U!81qo ,{1JW nOA '0600 Sol~r Setbacks: -~Oo-C;S6l:1VO 1I5nOJlIIO~Oo-~Oo-C;Se l:IVO UI l.pd9J J99 Gf9 9811\1 SSBa.;..;, .::~:..:_'" -...r....-u-:.,....,. I PUBLIC IMPROVEMENTS IAllmn u05eJO elll,{q peldop8 sainI I<IOUOI Street Improvements: '01 ng~~~flbf~m,~1 uo6aJO :NOI.I.N:JUY Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: .;:: I Valuation Des,cripti'on I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee ] of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2009-01695 ISSUED: 11/24/2009 APPLIED: 11/24/2009 EXPIRES: OS/2412010 VALUE: " , 225 Fifth Street, Springfield, OR 541-726-3753 Phone i' 541,,726-3676 Fax 541,726-3769 Inspection Line Total Valne of Project Fe~s Paid I Fee pescription + 12% State Surcharge + S% Technology Fee Fixture Mi~imum/Adjustment Plumbing Amount Paid Date Paid Receipt Number $6.96 $2.90 $19.00 $39.00 11/24/09 11124/09 11124/09 11124/09 2200900000000001323 2200900000000001323 2200900000000001323 2200900000000001323 Total Amount Paid $67.86 I Plan Reviews I To Request an inspectiofl 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.Jwill be made the following work day. '.. Rear/ired Tnsnectiom , Shower Pan. Prior to, covering and incInding~~equired testing. ,'t" .~..:, n - '; r ' 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 l further certify that any and all work performedshalLbe 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 OCCUP ANCY will be made of any strnctnre 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 nsed 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 const~uction. I . Owner or Contractors Signature Date Paee 2 01'2 225 Fifth Street , Springfield, Oregon 97477 541-726-3759 Phone ~, IIIL.,. Job/Jou~nal Number COM2009-0 1695 COM2009-0 1695 COM2009-0 I 695 COM2009-0 1695 Payments: Type of Payment ONLINE CHGS cReceinll Item Total: Check Number Authorization Received By Batch Number Number How Received RECEIPT #: 2200900000000001323 Description Fixture Minimum/Adjustment Plumbing + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS KR Page 1 of 1 City of Springfield Official Receipt Development Services Department Public Works Department Date: 11/24/2009 11 :49:50AM Amount Due 19.00 39.00 2.90 6,96 $67.86 ONLINE BATHTUB Online SOLUTION S Amount Paid $67.86 Payment Total: $67.86 11/2412009