HomeMy WebLinkAboutPermit Plumbing 2010-4-13
SPRINGFIELO~ ~
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City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
D New Construction
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IKJ Addition/alter~li~'~if~~lac~me~t -
. ~"~,"CATEGORY'OF,CONSTRUCTI6N:':!:i:Ji, "~,,t:;:'t~~;
IRJ ,1 or 2 family dwelling
D Multi-family 0 Commercial
D Accessory
'\" cJOB'SITE iNFORMATION AND tOCATION~: ~
Job Address: 2463 CLEAR VUE LN
City/State/ZIP: SPRINGFIELD. OR 97477
Suite/bldg./apt.no.:
Project Name: lavelle #3772
Cross Street/directions to job site:
Tax map/parcel no.:
1703271202200
. D,ESCRIPIIQ~:9!;;w9Rk'I;;ii{" ~~)' ,:t;;;, '.;
tub to shower conversion
<<~ITE. C,ONTACT,
Name: Elisabeth Martin
Phone: 503-595-8827
Fax: 503-595-6051
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Email:
'CONTRACTOR
Plumb lie. no.: PB312
CCB lie. no.:
165987
Business Nama: BATHTUB SOLUTIONS INC
Contact:
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Phone: 5035958827
Email:
Metro lie. no.:
City lie. no.:
C-IO - \.tlSlt:>
Residential Plumbing Authorization To Begin Work
69600-BPB-10-00004
Approval Code: 086571 4/13/2010 10:59 am
E-mailedTo:emartin@bathfitterwest.com
',./ PI:.AN REVIEW ,
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NOTE: This Authorization To Begin Worll. eltpires within 180 days if a permit Is not obtained.
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
voidifltdoesnotmeetapplicablelanduselawsandlocalordlnanees.
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Please check all that apply:
o Med gaslvacuum system or
health care facility
o Vacuum drainage waste and
vent system
D Commercial booster pump
o Addition of a new motor load
Installation of multi~purpose
fire sprinkler systems
o Wastewater pretreatment
system
Description
Fi#ure'cifhem
Balance of permit lees
Pfumbing"Permit_f;~e~;t1"' 'i-,,'~~:'
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit lotal)
TOTAL PERMIT FEE
o Reciaimed wastewater
o Chemical drainage waste
and vent systems
o Multi-purpose Fire sprinkler
system
o Water service with inside
diameter or nominal pipe size
of 2" or more excepl2"
systems designed/stamped
by licensed Oregon engineer
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$58,00
$6.96
$2,90
$67.86
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ATTENTION: Oregon law requires you,-
follow rules adopted by the Oregon Utility
Notification Center. Those rules are I8l fortIa
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rutesllr
calling the center. (Note: the telephone
number for the Oregon Utility NotiliCllllclft
Center is 1-800-332-2344).
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Inspections Phone: 541-726-3769
Th!s Authorization To Begin Work must be posted at the job site until replaced by a Permit
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00456
ISSUED: 04/13/2010
APPLIED: 04/13/2010
EXPIRES: 10/13/2010
VALUE:
Status
Issued
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SITE ADDRESS: 2463 CLEAR VUE LN
ASSESSOR'S PARCEL NO.: 1703271202200
Springfield TYPE OF WORK: Plumbing Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Tub to shower conversiou in residence
Owner: LA VELLE ROBERT B & LINDA L
Address: 37253 CAMP CREEK RD
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Plumbing
Contractor License
BA THTUB SOLUTIONS ]65987
BUI~~mG INFORMATION I
Expiration Date
08/09/20 II
Phone
503-595-8827
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# <if Stories:
:. Height <if Structure
Type of Heat:
Water Type:
Range Type:
Euergy Path:
Sprinkled Building:
Lot Size:
Sq Ft ] st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Rqd:
. Paved Drive Rqd:
. %of Lot Coverage:
IRE IF THE WORK
AUTHORIZED UNDER THIS
SABAN
Street ImprovfJ;\MMENCED OR I
Storm Sewer f,,~Xat~e9 DAY PERIOD.
Special I nstruction:
Frontyard Setback:
Side] Setback:
Side 2 Setback:
Rearyard Setb.~<;l<.;.
Solar Setbacks~U liCE:
REQUIRED PARKING
Total:
HaWidic' .ped:
ATTENTION: Oregon ~ .es you to
follow rules adopted by the regon UtIlity
Notification Center. Those rules are set forth
_ -D010throu hOAR952.oo1.
90. You may obta n copIes
calling the center. (Note: the tslephona
numt:fupf~"'Mr~egon Utility NotlflcatlOlll
r:enter is 1-8QO-332-2344)~
Do'Wnspouts/Drams:
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Notes:
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I Valuation Description ~
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e ] 01'2
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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.., Totai Valne of Project
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LFees Paid ,
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Fixture
Amount Paid
Date Paid
$6.96
$2.90
$58.00
4/13/10
4/13/10
4/13/10
Total Amount Paid
$67.86
Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00456
ISSUED: 04/13/2010
APPLIED: 04/13/2010
EXPIRES: 10113/2010
VALUE:
Receipt Number
1201000000000000337
1201000000000000337
1201000000000000337
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.
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L Reouired InsDect~
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Rough Plumbing: Prior to cover and includiriji'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 Oregou pertaiuing 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 70\.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 theproperty, '~rid the approved set of plans will remain on the site at all
times during construction. . f< :
Owner or Contractors Signature
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Page 2 01'2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000337
Date: 04/13/2010
11 :12:43AM
Job/Journal Number
COM20 I 0-00456
COM20 I 0-00456
COM20 I 0-00456
Payments:
Type of Payment
ONLINE CHGS
cReccintJ
Description
Fixture
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Amount Due
58.00
6.96
2.90
$67.86
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
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Page I of I
Amount Paid
ONLINE BATHTUB Online
SOLUTION
S
$67.86
Payment Total:
$67.86
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4113/20 I 0