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Home My WebLink AboutPermit Building 2005-8-15 " CITY OF SPRINGFIELD ..' Status Issued Building/Combination Permit PERMIT NO: COM2004-01165 ISSUED: 08/15/2005 APPLIED: 09/21/2004 EXPIRES: 02/15/2006 VALUE: $ 20,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone , 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1917 J ST ASSESSOR'S PARCEL NO.: 1703361202100 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Replace roof structure with truss system Owner: BERG JEFFREY S & TAMERA L Address: 1917 J ST SPRINGFIELD OR 97477 1 CONTAACTOR INFORMATION I ~'V' 0- Contractor Type Contractor ,\'0<<"- S ~\J General OWNER (, ~ _~~ ~.\\<<-- , ~"'>';BIJIiDiNG INFORMATION I , :v'" '\:~V ~'V- , ~ # of Units: .~. 0~'\:>.<<"-<<-- ~~ # of Stories: , Lot Size: Primary Occupancy Gl..?~IW #- ~R-3 {O ~. Height of Structure._ ,0 Sq Ft Ist Floor: Secondary OccupancOGrou~ -::V<<..-<V ~ \J~<<..-~\:S Type of Heat: " ~o~ .~~~Ft 2nd Floor: Primary Constructrt~~f~~<0~ S0\;~~< , Water Type: '.' .~0<::> ~-0'1\: :\.\cS1.o.ft Basement: Secondary Construction ~ype\~~\0 <v\>= Range Type: \0& t-.ei0O e <::>0 ~sq ~arage/Carport # of Bedrooms: ~ \;\J~-..\. ,<0 Energy Path: ,'b-~ eO ~ '(} ~ <?}~J~l:.F,^fe,Other: \'\.~ Sprinkled Buildin~ A.;s' \.s'6/1f)~ ~e ~p~ Load: r (>()) )-'0 _e ^~ ~ 'I\: .,r,Q ().~ I' DEVELOPMEN~~~-MttH,<ffl~~ ~e \.~o~'~ ~ ~'" ':\,v cr e. ,~~ e..~ REQUIRED PARKING J(,,<V~ ",,~ee;, (je~ ':\, ~\) ~1Y<::- ~o~ -0~ :l"f'!:J O'4rlaYJ>ls~;\' ~\) &'~. ~ o~ f}:)f'J0; # s~~'J?Jj~~, ' ~.:p~ ve~e o,e~'Od:Y pav~dJri~1.\.qJt: -S-e -S-e. F:J " % of .0f'CQYerage: <0' %,,<.." , !0~ ~'~' ~~ <::s vi} ~eI (jel ,~ ,,- I PUBLIC IMPROVEMENTS I Lice'nse , Expiration Date Phone Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: ~, Street'Improvements: Storm Sewer Available: Special InstructiOli: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01165 ISSUED: 08/15/2005 APPLIED: 09/21/2004 EXPIRES: 02/15/2006 VALUE: $ 20,000.00 , . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Estimate Estimate $1.00 20,000.00 $20,000.00 $20,000.00 09/21/2004 Total Value of Project Fees Paid I . Fee Description' Miscellaneous Copy Chgs :. Plan Review Residential + 10% Administrative Fee + 7% State Surcharge ' Building Permit Building Permit Amount Paid Date Paid $3.00 $120.51 $18.54 $12.98 $185.40 $92.70 9/21/04 9/21/04 10/15/04 10/15/04 10/15/04 8/15/05 Receipt Number 1200400000000001372 1200400000000001372 1200400000000001479 1200400000000001479 1200400000000001479 2200500000000001091 Total Amount Paid $433.13 I Plan Reviews I Initial Review Structural Review 09/22/2004 09/22/2004 09/22/2004 10/12/2004 APP APP SKG RJB 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. I Reouired Insoections , Framing Inspection: Prior to cover and after all rough in inspections have been approved. Final Building: After all required inspections have been requested and approved and the building 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 arid the Laws of the State of Oregon pertaining to the work described berein, 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 times during construction. 0~Sl.^l\- ~-^-f\ Owner or Contractors Signature 0 (\ ~). 0 \ 5 \o'-..~ Dat~ - ., () Pae:e 2 of2 541-726-3753 Phone 541-726-3676 Fax Description Plan Review Residential Miscellaneous Copy Chgs Building Permit + 7% State Surcharge + 10% Administrative Fee s:\tidemark\forms\casefees I.rpt Trans Code 1061 1040 1002 1099 1098 Fees Associated '''ith Case #: COM200.: 165 1917 J ST BERG JEFFREY S & TAMERA L Revenue Date Calculated Original Account Number Calculated By Amount 224-00000-425602 9/2 1/2004 TDI 120.51 224-00000-425602 9/2 1/2004 TDI 3.00 224-00000-425602 10/12/2004 RJB 185.40 "-- 821-00000-215004 10/12/2004 RJB "12.98 224-00000-426605 10/12/2004 RJB 18.54 Total Due: 8/15/2005 11 :55:22AM Amount Due 0.00 0.00 0.00 0.00 0.00 $0.00 (.0 ,:; ;1...-.., (~}., 0-, ,'t,' ,"_ 0) '2. "7 0 Page I of 1 225 Fifth Street · Springfield, Oregon 97477 : 541-726-3759 Phone RECEIPT #: Job/Journal Number Description COM2004-01165 Building Permit Payments: Type of Payment Check .. " " " 8/1512005 ~~~ Paid By T AMERA BERG _ City of Springfield Official Receipt evelopment Services Department Public Works Department 2200500000000001091 Date: 08/15/2005 Received By Item Total: Check Number Authorization Batch Number Number How Received Jmp 3622 In Person Payment Total: Page 1 of 1 12:00:02PM Amount Due 92.70 $92.70 Amount Paid $92.70 $92.70 \