HomeMy WebLinkAboutPermit Building 2005-5-12
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2004-01556
ISSUED: 05/12/2005
APPLIED: 12/17/2004
EXPIRES: 11/12/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4125 CAMELLIA ST
ASSESSOR'S PARCEL NO.: 1702323304102
Springfield TYPE OF WORK: Fire Damage
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Fire Damage - demolition of house
Owner: US BANK NATIONAL ASSOCIATION ND
Address: 205 W 4TH ST
CINCINNATI OH 45202
I CONTRACTOR INFORMATION I
Contractor ~\J~*--\ License
,v ~ _ ~\J
"'....:\.. v
~~ ~ \\J~~
, 9.~ ()<<v~ ~\0
# of Units: <8 ~" '0~
Primary Occupancy GrRt!P~ '\~ ;~<:k-3
Secondary Occupancyjhr~1ip.: ~
Primary Con~iruc!~ r~~..:~ 0-<0' VN
L'."",~ /0...." /<:) .:,\'\'~.J
Secondary'Cons.truction-:ryp'~
# of Be'd~~~6r~ ).\J~~\.J~v~ '<.
'" '\('):~.~~~ q.,'0 \0'C
",", A"
'0.~
\'>-:
Contractor Type
Expiration Date
Phone
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
BUILDING INFORMATION'
,0
# of Stories: 4..0~~~0{$" ~ot Size:
Height of Structure ;1:-'lJt? o~ W ~ ~~S~Ft 1st Floor:
Type of Heat: ,'lJ(S:. 0....'lJ<:$ ~'lJ (;j OJV)r'/; ~'lJc1i6'Ft 2nd Floor:
Water Type: #' lO lOt? ~ ...." 1~~!.'Basement:
Range Type: o~~ ~ -:.s' '1J ....~ ~ 0 ~ ~0 ~0(ff,i?i Garage/Carport
Energy P~t ~0<:$l>'O o(;j ov~ P:J 0 ~ ~ Ft Other:
Sprinkle ' 12~X::- ~ o~''f.!a.~0 ~\~ ~cupant Load:
f"\ " .0<::' ~~ t, ,,0' .,~ 0..1>1
I DEVELO~~i~~bfi~1j~~il;
~ . 0" '!V ~\ ~~ <zi ~
~ ~~. ~ ~r'/; ~'l>---" v0~ lO 0<:' ",'0"5
o~r~Cfus~~ov ~0 -:.s' .~
# s~~.,ifr~s .~~~.'o"" ~0'
Pavea-.~ev~~<zi CJrQ
% of Lot Cov~e:
REQUIRED P ARKlNG
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pae.e 1 of2
_~PRII';IGF'iELn
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CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: COM2004-01556
ISSUED: 05/12/2005
APPLIED: 12/17/2004
EXPIRES: 11/12/2005
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Demolition
Sanitary or Storm Sewer Cap
Amount Paid
Date Paid
$9.00
$6.30
$45.00
$45.00
5/12/05
5/12/05
5/12/05
5/12/05
Receipt Number
2200500000000000571
2200500000000000571
2200500000000000571
2200500000000000571
Total Amount Paid
$105.30
I Plan Reviews I
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.
LReouired Insoections I
Demolition: After demolition is complete, sewer is capped or septic is pumped and filled and inspection is
requested and approved, and all debris is removed from the site.
Sanitary Sewer Cap: Capped within five (5) feet of the property line and capped with an approved material as
required by the code.
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 dUri~~c.nstructi~
~~ ~. _~/;' 5- IZ- DE>'
Owner or Contractors Signature C Date
Page 2 of2
:,
.'
SPRINGFIELD
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
DEMOLITION PERMIT APPLICArtONS
Your demolition permit is currently being processed. There may be a slight delay, of
up to :2: working days for small structures, due to the time required to review the
history of the structure to determine if it needs to be documented before demolition.
This documentation is for archival purposes only and will not affect the granting of
the demolition permit. If the structure is very large or complicated the
'documentation process may take up to a maximum of 4 working days.
, Doc~mentation will consist of photographing the building, taking measurements and
making scaled drawings. The documentation Will be undertaken by the City at no cost
to you. 'Documentation is being done on all structures dated prior to 1940 that may
have historic importance to the City's development.
THIS DOCUMENTATION WILL NOT IMPEDE THE DEMOLITION PROCESS.
An age cut-off of 1940 was chosen because this is the date that the National Parks
Service and The Springfield Development Code use to determine potential historic
significance. '
If you would prefer to complete this documentationyourself you must provide the
'City with the following information: 1) black and white photographs of each
elevation, a floor plan with measurements, and 2) a set of elevation drawings with
measurements.
Thank you for your patience. '
I grant the City of Springfield permission to enter my property to complete
, documentation prior to the requested demolition of the structure located at:
L('2~
Address:
CAvV\cLLIA,
Property Owner Signature~ f1;ii~\ <:S- ,;~<<: ~ '" F,. .
Job Number: Co""" ZOO L.( - 0 I 'S5:b' Date:-'S-IZ -- D S
H-DV-St'
.
SPRINGFIELD
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
DEMOLITION PERMIT APPLICATION
Address: Y 12 S- CAW'\. cl-LI A
Structure to be Demolished: rf-c, lA ~ C,-
Job Number: COvY1. Zo04 - D I S- 5"b
The applicant is hereby notified that any redevelopment of the subject site must
comply with all of the applicable laws, codes, ordinances, polices and plans in
effect at the time the redevelopment proposal is accepted as complete for City
review. This would include correction of substandard conditions associated with
the present development. Examples of such corrections may include
modification of inadequate drainage facilities; compliance with building set-
backs from property lines; correction of substandard sidewalks and street
improvements, including driveway width and placement; and other corrections
which may be necessary to comply with existing development standards.
Furthermore, if an existing use is demolished or otherwise removed prior to the
development of the proposed use, then the system development charge credit for
the previously existing use shall expire two years after the date of issuance of the
demolition permit or other removal of the previously existing use. (Springfield
Municipal Code 3-416(1)).
My signature below indicates that I have read and understand the above
conditions relating to the demolition of the above mentioned structure.
~'~'Jf'~
~ 0- / Z-Ob
Date
, ~~ r First American
. ....'Il~e.,.... .
estern Pioneer Tille Co. of Lal -:Ounty
a division of First American Title Insurance Co.
600 Country club Road. Eugene, OR 97401
Buyer~s Estimated Settlement Statement
File No: 7191-504530
Officer: Joyce Surface/jds
New Loan No:
SettIel11ent Date:
Disbursement Date:
Print Date:
Property: 4125 Camellia Street, Springfield, OR 97478
Buyel-:
Address:
Seller:
Address:
Federico S. Marin
2510 Edison Street, Eugene, OR 97402
U.S. Bank National Association N.D.
01/10/2005
115/2005, 10:07 AM
n _
, Considera tion:
I-
I Total Consideration
Earnest Money:
Total Deposit/Earnest Money
. Prorations:
I County Tax 01/10/05 to 07/01105 @$688,02/yr
I
, Title/Escrow Charges to:
Escrow/Closing Fee - Western Pioneer Title Co. of Lane County a division of First American
Title Insurance Co,
,Record Warranty Deed-First - Western Pioneer Title Co. of Lane County a division of First
I American Title Insurance Co,
Cash (X From) ( To) Borrower
I
, ,
I
r
I
48,000,00
1,000.00
324,22
122,00
36.00
47,482.22
48,482,22
48,482.22
Notice - this Estimated Settlement Statement is subject to changes, corrections or additions
at the time af final comp0tatian of the Settlement Statement.
BUYER(S):
~,gx.IIl-1) 5 .
FeCkric;;tS. Marin
~~((/;
(
Western Pioneer Title Co. of Lane County a /
division of First American ;itle 'n~~rance7
By ( \ ~ /
225 Fifth Street
~pringfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2004-01556
COM2004-01556
COM2004-01556
COM2004-0 1556
Payments:
Type of Payment
Check
5/12/2005
RECEIPT #:
Description
Sanitary or Storm Sewer Cap
Demolition
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
FEDERICO S. MARIN
fA:jiJ
iii:
r'ity of Springfield Official Receipt
~velopment Services Department
Public Works Department
2200500000000000571
Date: 05/12/2005
Received By
Item Total:
Check Number Authorization
Batch Number Number How Received
Jmp
1123
In Person
Payment Total:
Page 1 of 1
8:18:19AM
Amount Due
45.00
45.00
6.30
9.00
$105.30
Amount Paid
$105.30
$105.30