HomeMy WebLinkAboutPermit Plumbing 2011-3-15
. .
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00421
IVR Number: 811110057494
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
03/15/2011
03/15/2011
Issued
03/15/2011
225 Fifth St
Springfield. OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield.or.us
EXPIRES:
VALUE:
09/11/2011
$0.00
SITE ADDRESS: 457 MOUNTAINGATE DR, Springfield, OR 97478-7734
ASSESOR'S PARCEL NO: 1702343403400
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
Plumbing Only
Alteration
Residential
PROJECT DESCRIPTION:
Relocate water closet, revent existing and replace tub/shower with ADA shower
Phone Number:
OWNER:
ADDRESS:
PRUDENTIAL RELOCATION INC
457 MOUNTAINGATE DR
SPRINGFIELD OR 97478
Contractor Type
Plumbing Contractor
Contractor Name
C & R PLUMBING LLC
CONTRACTOR INFORMATION ~
Lie Type
eeB
BUILDING INFORMA TION ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Units:
o
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Lic No
167015
Lic Exp
07/01/2012
Phone
541-736-9582
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy Load:
o
Site Information
~
Engineered Fill:
Fill Volume:
Flood Hazard Aro'llTTEN110N: Oregon law requires you to
Land Hazard Ar4ll111DW rules adopted by the Oregon Utility
Retaining wall:Notillcatlon Center. Those rules are set forth
Soils Report,RdQ.Qb.R 952-o01-o010through 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).
NOTICE: 'H"'E"'~ORK'
THIS PERMIT SHAll EXPIRE IF T .
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Springfield Building Permit
3/15/2011 10:23:0SAM
Page 1 of 3
SP~..I.N...G. FI.E~ ..
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.~ (ffi
~~;~ OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00421
IVR Number: 811110057494
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilce nter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
03/15/2011
ISSUED:
APPLIED:
03/15/2011
03/15/2011
EXPIRES:
VALUE:
09/11/2011
$0.00
SITE ADDRESS: 457 MOUNTAINGATE DR, Springfield, OR 97478-7734
ASSESOR'S PARCEL NO: 1702343403400
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
Plumbing Only
Alteration
Residential
PROJECT DESCRIPTION:
Relocate water closet, raven. existing and replace tub/shower with ADA shower
DEVELOPMENT INFORMA TION ~
"
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
~
Descriotion
Tvoe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
FEES PAID
~
Descriotion
Water closet
Balance of Minim~.f!.l Plumbin~ Permit Fees
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
Showe~Showerpan
Fixture
Amount Paid
$19.00
$1.00
_._-,~-.-~--
$6.96
$2.90
$19.00
$19.00
$67.86
Date Paid
03/15/2011
03/15/2011
03/15/2011
03/15/2011
03/15/2011
03/15/2011
Reciot #
2011000482
2011000482
2011000482
2011000482
2011000482
2011000482
Total Amount Paid
Springfield Building Permit
3/15/2011 10:23:05AM
Page 2of3
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00421
IVR Number: 811110057494
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
03/15/2011
03/15/2011
Issued
03/15/2011
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@ci.springfield.or.us
EXPIRES:
VALUE:
09/11/2011
$0.00
SITE ADDRESS: 457 MOUNTAINGATE DR, Springfield, OR 97478-7734
ASSESOR'S PARCEL NO: 1702343403400
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
Plumbing Only
Alteration
Residential
Plan Review
Relocate water closet, revent existing and replace tub/shower with ADA shower
~
PROJECT DESCRIPTION:
Deoartment
Application Acceptance
Received Due Date ComDleted
03/15/2011 03/15/2011 03/15/2011
Result
Over the Counter
Plumbing Review 03/15/2011
Comments: Oyer the counter permit
Initial Review'-'j',c' ':'.;'.', -.',03/15/20'11: "03/15/2011 '03/15/2011.;'
:,.... ,'" :.~ .:"-, ';",~.';..,""',"" "'....--,.~.:.-.,-:;^'y;,o:.'b~. .~. ,":':'~'~,-- <,," ;,4:'
(:,c;9",r!}~en!s::' -Overthec?u,"n.t~~:Eermit' " ';::'"A. *;':;:&-.\~""" ~" i:'
Reviewer
David Bowlsby
David Bowlsby
qver"the Counler~'.~ ;'"'-"VaVTdrBOWlsbp~.-'.~. _.,,!-i
~_.~'~';~;'-': ~~-:';.c.~::QJ~~~;':~:.:'~.;'~~_~'; . ~-""" T' /
'~"":'~"';".li
, . ' '.-
. "
. .
INSPECTIONS REQUIRED ~
Inspections
3500 Rough Plumbing
3650 Shower Pan
Rough Plumbing: Prior to cover and including required testing.
3999 Final Plumbing
Shower Pan. Prior to covering 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 o~ Oregon pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without permissio~ 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 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 a/l times during
cons on.
_S-J5- J(
Date
Springfield Building Permit
3/15/2011 10:23:05AM
Page 3 of3
s.rR.I.N.GFI.EL..~.D-
.~.
. OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541.726.3753
www.ci.springfield.or.us
811-SPR2011-00421
457 MOUNTAINGATE DR
perm itcenter@ci.springfield.or,us
RECORD NO: 811-SPR2011-00421 DATE: 03/15/2011
~;."i i.i..,,;. . '";"A(;COUNJ~CijDE'."i"'P;""\:\"'AI\II0"UNTcD"UE ii '" ';~" -I
224-00000-425603 1.00
224-00000-425603 19.00
._--_._--~-.__.~...--~-~-
224-00000-425603 19.00
__m..__.____
821-00000-215004 6.96
100-00000-425605 2.90
224-00000-425603 19.00
TOTAL DUE: 67.86
," PAYORc~> "CASHiE'RtjDBOWLSB-,(/~ ~~. c",,:t~''':~'CQMMENffs~:_ip:~7;r:',,\~/>; - '.,~"'"Z~'-~AMOUNTPAlp'~Y' -" ,~.
C & R PLUMBING LLC 67.86
RECEIPT NO: 2011000482
[DESCRIP..TIONc~' . _ . j -. -" ".' ,,'. ,'"..
Balance of Mjnim~m Plumbing Permit Fees
Fixture
Shower/Shower pan
State of Oregon Surcharge (12% of ~ppricable fees)
Technol09Y fee (5% of permit total)
Water closet
LEAYMI;,NJTYe.,E "
Credit Card
698160
TOTAL PAID:
67.86