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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~ .. ~i,\".__" . .~ (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