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HomeMy WebLinkAboutPermit Building 2013-9-13 SPRINGFIELD- 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 --`l Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02064 www.springfield-cr.gov permitcenter @springfeld-or.gov PROJECT STATUS: Issued ISSUED: 09/13/2013 EXPIRES: 03/12/2014 STATUS DATE: 09/13/2013 APPLIED: 09/13/2013 SITE ADDRESS: 3825 E 19TH AVE,Eugene,OR 97403 SCOPE: Site Work Only ASSESOR'S PARCEL NO: 1703344313300 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Demolish house and septic pump and fill OWNER: JENSEN JERALD J&CAROLYN D Phone Number: ADDRESS: 1775 HENDERSON AVE EUGENE OR 97403 _ CONTRACTOR INFORMATION 4 Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor JENSEN DRILLING CO CCB 97276 04/05/2014 541-726-7435 General Contractor JENSEN DRILLING CO CCB 97276 04/05/2014 541-726-7435 INSPECTIONS REQUIRED II Inspections 1820 Demolition 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. 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 or 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 o e property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractor Si tur 0\)\‘‘i Date h Q �O<e9° gycoesay2sv l a N, cke °Se \\OP e<a cNe`Od° Ir O ° a -tic. es e `e<' �< ° 5 \err "°a 03:oc� ,0ei a P N0 � \)0/30.0. P a 2 Gt' NI ��\5 p FOP o ec � 9° 2 � e p e0 3 �:��\S P E E�SN o �P BN Q , 0°9°..Oq� < h .s*6 °a et W << cot Gel\ � NG� EC 0 P G \0�. CO ON •O Springfield Building Permit 9/13/2013 9:46:33AM Page 1 of 1 SPRINGFIELD — CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Springfield.OR 97477 ` O OREGON 541-726-3753 811-SPR2013-02064 www.springfield-or.gov 3825 E 19TH AVE permitcenter @springfield-or.gov RECEIPT NO: 2013002028 RECORD NO:811-SPR2013-02064 DATE:09/13/2013 :DESC-IPTION .re`,'T.tsr'R r x'tE`s ' '_a`'"�,�faSi i''�n ACCOUNT=CODE/TRANS+CODE" y'a'—'T'VAMOUNT'DUE' C1 Admin fee(10%of applicable fees) 224-00000-426605 1098 8.00 Demolition of a Building or Structure 224-00000-425602 1011 80.00 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 92.00 'PAYMENT,TYPE ei PAYOR .castllea 000wCSeY_e :,:''?COMMENTS_v a=, 3 ':.AMOUNT,PAIU,;; SO. ' { Check JENSEN DRILLING CO 92.00 713 TOTAL PAID: 92.00 • SPRINGFIELD -- •� 225 Fifth St rt: �°— CITY OF SPRINGFIELD Springfield,OR 97477 K it Phone: 541-726-3753 \OREGON Building / Residential Permit Inspection Phone: 541-726-3769 • Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02065 mm.springfield-or.gay permitcenter©springfield-ar.gov • PROJECT STATUS: Issued ISSUED: 09/13/2013 EXPIRES: 03/12/2014 STATUS DATE: 09/13/2013 APPLIED: 09/13/2013 SITE ADDRESS: 3825 E 19TH AVE, Eugene,OR 97403 SCOPE: Site Work Only ASSESOR'S PARCEL NO: 1703344313300 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Demolish house and septic pump and fill OWNER: . JENSEN JERALD J&CAROLYN D Phone Number: ADDRESS: 1775 HENDERSON AVE EUGENE OR 97403 CONTRACTOR INFORMATION • Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor JENSEN DRILLING CO CCB 97276 04/05/2014 541-726-7435 General Contractor JENSEN DRILLING CO CCB 97276 04/05/2014 541-726-7435 INSPECTIONS REQUIRED Inspections 7160 Sewer/Septic Cap 7170 Septic Tank Abandonment 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 or 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 fr f the property,and the approved set of plans will remain on the site at all times during construction. Owner or Contractor Sf et re -t t e s 0 J\t ter Date g�a.1 teeOts ce se' cfl; \A OteOe6,,,csi se.,4X\ 'et°r° o� w0V‘‘‘C t�� des ett�es' o'r°OC't .`re ,°,.0\ at‘ %I SO P< 0 �O OP`ate °tie .o\\ �A A . \ )\"PERM\1,\0� 'l°�o��(t°P9g J,,.a.�et t 0 00 r5 0�\���0 s N10% gip ) F �p0 p y° `re `,°e�\- I\\\S POSaten 0;\S pgP • 03�a�( �et(Oetiett Pvj�MENGEO PEpd00' . c0m CO M 1a(0 NO • • Springfield Building Permit 9/13/2013 9:48:03AM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD .�.. .: 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR 97477 �'`tO0.EGON 541-726-3753 811-SPR2013-02065 w w.spnngfield-or.gov 3825 E 19TH AVE permitcenter @spnngeem-ar.gov RECEIPT NO: 2013002029 RECORD NO:811-SPR2013-02065 DATE:09/13/2013 jot .Ye�:JY»h A[nan,'�$ *N `a T— " aMACCOUNT CODE/TRANSiCODEThant AMOUNT DUE—it Sewer cap/septic tank demolition 224-00000-425603 1005 80.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Technology fee(5% of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: • 93.60 -o AVeFNT PF! _ _PAVO Cnrint15 60. rS BYs: - . _ 1_MMENTS zAMOUNTPAID '5. Check JENSEN DRILLING CO 93.60 713 TOTAL PAID: 93.60 • Plumbing Permit ApplicatioII DEPARTMENT USE.ONLY ;-:; ?S"„C'ITg'OTIMIZ NGETEL'a rREGON� x � `- �i Permitno.:573 --O-Z-O 'x:.' �.-ti_`R,_.` ' ._4..x�.. '- ,8 ,�'e�.., 3_ d,w,.r"><.i, v`s3S /AA?225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 e FAX(541)726-3689 Date: This permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. LOCAL GOVERNMENT APPROVAL } , FEE"SCHEDULE `' x i'Q , Zoning approval verified? ❑ Yes .Cost +,Total ,_ ❑No '`Descrlptlon Qty yea ,:cost ,y: Sanitation approval verified? ❑ Yes ❑No New residential CATEGORY;OF sr CONSTRUCTION 1 bathroom/1 kitchen(includes:first esidential ❑ Government ❑ Commercial 100 feet of water/sewer lines, hose $262.00 $ bibs, ice maker, underfloor low point ' JOB”°SITE"INFOORMATION::AND, LOCATIONS = r drains and rain-drain packages) Job site address: 3 p.Z,^ 1=.—`, 7• L /d V 2 bathrooms/I kitchen $411.00 $ City: —�l� (J`L zip:`77e(0.? 3 bathrooms 1 kitchen $483.00 $ Cij State: f r l f G Each additional bathroom(over 3) $104.50 $ Reference:17x3 3 �I 'l '3 ' Taxlot.: 1334 Each additional kitchen(over I) $1 04.50 $ DESCRIPTION `OF ORK=" `:t„ ; Residential fire sprinklers(includes plan review)■ SC2ric ttAwe I ( 0 to 2,000 square feet - $80.00 $ fedi/ ` _ ---°` 2,001 to 3,600 square feet $128.00 $ ':,- ;;^£PROPER ,-O ER ..., 3,601 to 7,200 square feet $192.00 $ Name: Tent-M- S-erNS ere 7,201 square feet and greater $255.00 $ x,77 S' Q Lr ...CO ^ Connections to building or pre-fab(circle one) Address: Connections to building sewer and $80.00 $ water supply City: [ u �/ Cr (l E' State: Cal_ ZIP: 743 Commercial,industrial,and dwellings other than one-or Phone: ,/�J-9f•3-o7dy Fax: 39 F2.6/y0 two-family E-mail: 4 N'� �` 4 ,a .Sci es0;1 u . coµ, Minimum fee $80.00 $ This installatiodis being made on residential or farm preperty Each fixture $21.00 $ owned by me or a member of my immediate family, and is Miscellaneous fees exempt from licensing requirements under OAR 918-695-0020. 100' storm,sewer,water line $83.50 $ Signature: Each fixture,appurtenance,and piping $21.00 $ ..%CONTRACTOR':INSTALLATION' , facility $21.00 $ '-Y s",�- Storm water retention detention facili Business name: Irrigation systems $21.00 $ Piping or private storm drainage Address: _ systems exceeding the first 100 feet $21.00 $ City: State: ZIP: Specialty fixtures $21.00 $ Reinspection(no.of hrs.x fee per hr.) $80.00 $ Phone: - - Fax: - - Special requested inspections(no.of E-mail: - hrs.x fee per hr.) G_ pr/L� $80.00 $ p��/'� �� CCB license no.: BCD license no.: Each additional inspection:(1) 7Cf(1y $80.00 $ U�+i�-- `Medm41 as' i m a ,,J' Plumbing license no.: g p.p g :;i -/or Minimum fee $ Print name: Enter value of installation and equipment$_. Enter fee based on installation and equipment value $ Signature: ,,r'!; pry APPLICANT.`USE '` .;' t ;r,,.;r zaFwvO .r::. x' ? tip. (A) Enter subtotal of abov $ 2=36-- - . (Minimum Permit F $80,00 (B)Investigative fee(equal to [A]) $ (C)Enter 12%surcharge(.12 x[Ai-B]) $ (D)Technology Fee(5%of[A]) $ TOTAL fees and surcharges(A through D): $ 93 60 • 440-2500-1(4/1/2013/COM) SPRINGFIELD CITY OF SPRINGFIELD, OREGON 225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH:(541)726-3753 • FAX: (541)726-3689 aGy DEMOLITION PERMIT APPLICATIONS Your demolition permit is currently being processed. There maybe 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. Documentation 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 documentation yourself 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 demolitio I • the structure located at: Address: 3 e0.5- e I el-R ' , /// ( VC 6:3 Property Owner Signature: �// � J`—. Job Number: 5 1.7- O Zo 6 L Date: " 7 (7 a O SPPINOFIELO I. CITY OF SPRINGFIELD, OREGON 225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH:(541)726-3753 • FAX: (541)726-3689 DEMOLITION PERMIT APPLICATION Address: 3 gz � D L AV (&--,'L J Structure to be Demolished: 0SvE" Job Number: S 13 -0206 / 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. . / //, //d / f� Sig/air/ / sate