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HomeMy WebLinkAboutPermit Plumbing 2010-4-13 SPRINGFIELO~ ~ ~l.' ~~~c" )~. ~ Jk .'. < ~UI!"J 0~7.r_ ;',' 'OREGON City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us D New Construction ~~~~ TYpEoP:w6RK~;::' 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 .",>",. !: ~,~ Email: 'CONTRACTOR Plumb lie. no.: PB312 CCB lie. no.: 165987 Business Nama: BATHTUB SOLUTIONS INC Contact: '"nT 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 , '.1 r.", ",', 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. ......-,1).;11 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 >'1 ,4 $58,00 $6.96 $2,90 $67.86 ClO~ L\5LD ~ l\~r~/ \0 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). ~~ 6(.\ ~ ~~ ~ 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 !',. 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 \. ".-'- ","",' '. 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: .... ;':~-!':" '.-'1,";;;,.. ' Notes: ) . . u":; I Valuation Description ~ Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e ] 01'2 .'. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line '_!',,--,.~.< . 1 ~',..... ....,.. ,'" ." .., Totai Valne of Project 1,:> _.-, :: 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. '_;;/';:::' . ~ Z'~. L Reouired InsDect~ L: -;), 1 ~~, 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 " ';,.~- " ild~ n::'~Ii':;~ . " ~ ( f' ,-,; _ ~l\) ~:',J; ....! ~t: ' 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 KR .' .1, ~ I:' ,','::' ". ';"': ','- Page I of I Amount Paid ONLINE BATHTUB Online SOLUTION S $67.86 Payment Total: $67.86 " 4113/20 I 0