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Home My WebLink AboutPermit Building 2005-6-3 " CITY OF SPRINGFIELD Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2005-00664 ISSUED: 06/03/2005 APPLIED: 06/03/2005 EXPIRES: 01113/2006 VALUE: $ 5,000.00 SITE ADDRESS: 922 CENTENNIAL BLVD ASSESSOR'S PARCEL NO.: 1703264302000 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Repair PROJECT DESCRIPTION: Replace foundation on west side only. Approx 25lf storm sewer connection . Owner: ERIK BERGLAND Address: 1311 G ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION. Contractor Type General Plumbing Contractor OWNER OWNER License # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I BUILDING INFORM~n(i)N~~" . I ~'J.S?\\\E \r \ \ - \S ~G"'\ ~GinC~' srtt-\o1i.Stories:t'E\\~\\ \\-\~~E\\~\\ \J~~SightIM~t~8t,t!t&) rO~ \\'r\O\\\lED r'M~~Q(\He~: Nr4hr~E~CED 'Watc-!}\fype: CG\'J\ '\ COG Df\'{ R"i.iige Type: I\~'{ Energy Path: Sprinkled Building: n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Residential Phone Number: 541-744-1642 Expiration Date Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVE~~_W reQu\re&~~W.. A""E.N"v,t . dbytheQregon ~ to\\oW ru\eS adopte lhose fUf~~~W~ . 1- Notificatio~~~~~~~1 0 thrO~gft~~ltW6,ns: \n OAR 9~ may obtain COPI~Sh~ telephone OO~~i\~~ the cente~e (~~t~t~ity Notification number tor the.O" _~00-332-2344). center IS , Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pa2e 1 of3 -~-jjI Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00664 ISSUED: 06/03/2005 APPLIED: 06/03/2005 EXPIRES: 01113/2006 VALUE: $ 5,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Fee Description Amount Paid Date Paid Receipt Number + 10% Administrative Fee $11.34 6/3/05 3200500000000000283 + 7% State Surcharge $7.94 6/3/05 3200500000000000283 Encroachment Permit $130.00 6/3/05 3200500000000000283 Foundation Permit $68.40 6/3/05 3200500000000000283 Storm Sewer - ht 50 Feet $45.00 6/3/05 3200500000000000283 + 10% Administrative Fee $4.50 7/13/05 3200500000000000432 + 7% State Surcharge $3.15 7/13/05 3200500000000000432 Fixture $42.00 7/13/05 3200500000000000432 Minimum/Adjustment Plumbing $3.00 7/13/05 3200500000000000432 Total Amount Paid $315.33 I Plan Reviews I Structural Review 06/03/2005 06/03/2005 APP DJB To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. ~eouire<UnSDections I Footing: After trenches are excavated. Foundation: After forms are erected but prior to concrete placement. Storm Sewer Line: Prior to filling trench. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Paee 2 of 3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00664 ISSUED: 06/03/2005 APPLIED: 06/03/2005 EXPIRES: 01/13/2006 VALUE: $ 5,000.00 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 Oregon pertaining 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 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 all t~3~g~ Owner or contrac~ Signatu~ . Pal!e 3 of 3 ~/'J: p nil r - / ( 6~- 225 Fifth Street Springfiel.d, Oregon 97477 54r-726-3759 Phone r-ity of Springfield Official Receipt evelopment Services Department Public Works Department' RECEIPT #: 3200500000000000432 Date: 07/13/2005 8:18:14AM Job/Journal Number COM2005-00664 COM2005-00664 COM2005-00664 COM2005-00664 Description Fixture Minimum! Adjustment Plumbing + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 42.00 3.00 3.15 4.50 $52.65 Amount Paid Check ERIK BERGLAND djb 2287 In Person Payment Total: $52.65 $52.65 o. ij. (~ . 7/13/2005 Page 1 of 1