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Home My WebLink AboutPermit Building 2004-10-15 >6PFilINGFIm..O I" ' !, 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: COM2004-01165 ISSUED: 10/15/2004 APPLIED: 09/21/2004 EXPIRES: 04/15/2005 VALUE: $ 20,000.00 SITE ADDRESS: 1917 J ST ASSESSOR'S PARCEL NO.: 1703361202100 Springfield TYPE OF WORK: Single Family Residence Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: .l, ~~-<:-'~ ,,~~~D PARKING ~~ ~~ ~~ <<~=capped: v<() '\.~Co ~<eompact: C:>~~~C:> ~~ ~~'. 't~ ,~() '\: ('~. I PUBLIC IMPROVEM~~<<"~~~~ ~~~- "'~ ~~\.)~ Type: ~ ~v~~v-- ~ \.><:::>~~~spoutS/Drains: ~ TYPE OF USE: PROJECT DESCRIPTION: Replace roof structure with truss system Owner: BERG JEFFREY S & TAMERA L Address: 1917 J ST SPRINGFIELD OR 97477 ....- I C~ .,,~ ,- ,~~~~QRINFORMATION I ~ ~ C:)0 a;'3 '(-;\ Contractor c..0():. O.,,'?J ~0 Q)~ ~rt" ~ License OWNER "'-~ rll ~ ~ ,..::s. \' ~ ;,",v..X" ~0 r."?' (l, '^o '.-:' ~0~'b'O~oC:lIc.J '-~tf)iN~!NFORMATION , ~~ o~q; f\.~ ~.o ~~ . t1S'r~ ~. # of Units: ._~O"" ~1's:,'~'~CP o:P'~~s: Primary Occupancy G~ro~ ~~, (j~, ~r$ ~ ~ of Structure Secondary Occupanc)\ ~'~JiiAO.A-e\- eCbOf, of Heat: Primary Construction . qp ~ ~(fI~ I. r1--.: ater Type: Secondary Constrnction~~ # fI!,.... ~#. Range Type: # of Bedrooms: ~ ..,~~~.. Energy Path: ct:Y' V~ Sprinkled Building: n/a I DEVELOPMENT INFORMATION I ~.!I Contractor Type General Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 20,000.00 Type of Construction Estimate Total Value of Project Pal!e 1 of 2 Alteration Residential Expiration Date Phone Value Date Calculated $20,000.00 $20,000.00 09/21/2004 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01165 ISSUED: 10/15/2004 APPLIED: 09/21/2004 EXPIRES: 04/15/2005 VALUE: $ 20,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fees Paid I $3.00 $120.51 $18.54 $12.98 $185.40 9/21/04 9/21/04 10/15/04 10/15/04 10/15/04 Receipt Number 1200400000000001372 1200400000000001372 1200400000000001479 1200400000000001479 1200400000000001479 Fee Description Miscellaneous Copy Chgs Plan Review Residential + 10% Administrative Fee + 7% State Surcharge Building Permit Amount Paid Date Paid Total Amount Paid $340.43 I Plan Reviews I Initial Review Structural Review 09/22/2004 09/22/2004 09/22/2004 10/12/2004 APP OK 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 Insnections , 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 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 times during construction. r=:\~~-^~ boJ'-a O~or Contractors Signature cJ CJcJ\ ~ \5 \ OL: Date Pal!e 2 of 2 225 Fifth Street Springtield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-0 1165 COM2004-01165 COM2004-0 1165 Payments: Type of Payment Check 10/15/2004 RECEIPT #: Description Building Permit + 7% State Surcharge + 10% Administrative Fee Paid By T AMERA BERG .P~.::ft Wir. .. r;ty of Springfield Official Receipt velopment Services Department Public Works Department 1200400000000001479 Date: 10/15/2004 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1011 In Person Payment Total: Page I of 1 1:54:12PM Amount Due 185.40 12.98 18.54 $216.92 Amount Paid $216.92 $216.92