HomeMy WebLinkAboutPermit Building 2012-9-11 SPRINGFIELD 225 Fifth St
■ CITY OF SPRINGFIELD Springfield,OR 97477
Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone:541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2012-01695
www.Springfield-or.gov permitcenter @ springfield-or.gov
PROJECT STATUS: Issued ISSUED: 09/11/2012 EXPIRES: 03/09/2013
STATUS DATE: 09/11/2012 APPLIED: 09/11/2012 •
SITE ADDRESS: 1212 38TH ST,Springfield,OR 97478 SCOPE: Manufactured Home on Private Lot
ASSESOR'S PARCEL NO: 1702304303203 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Remove/demo manufactured home and SS cap
OWNER: LARELLE G GRANT TRUST Phone Number:
ADDRESS: 65 DIVISION W-1
EUGENE OR 97404 .•
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor VALLEY CONTRACTING LLC CCB 194612 08/01/2013 541-501-0234
L INSPECTIONS REQUIRED
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 of the property, and the approved set of plans will remain on the site at all times during
construction.
�N L C , '%myµ` 7/742--
Owner on Contractor Signature Date
ATTENTION: Oregon law requires you to
follow ruts; adopted by the Oregon Utility
No
Center. Those rules are set forth l
n OAR 952-001-0010 through OAR'S __ t:
in O you I'(RI✓117 SHALL EXPIRE IF THE WORK
may obtain copies of the rules by IU/I D UNDER THIS PERMIT IS NOT
calling the cem.,er. (Nvte: the telec;tone
number for the Orcgor, Why
III-CD OR IS ABANDONED FOR
Center is 1-800-332-23,44).tl':cation ;JAY PERIOD.
Springfield Building Permit 9/11/2012 1:10:07PM Page 1 of 1
SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
C:.+r Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2012-01696
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 09/11/2012 EXPIRES: 03/09/2013
STATUS DATE: 09/11/2012 APPLIED: 09/11/2012
SITE ADDRESS: 1212 38TH ST,Springfield,OR 97478 SCOPE: Plumbing Only
ASSESOR'S PARCEL NO: 1702304303203 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Remove/demo manufactured home and SS cap
OWNER: LARELLE G GRANT TRUST Phone Number:
ADDRESS: 65 DIVISION W-1
EUGENE OR 97404
L. CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor VALLEY CONTRACTING LLC CCB 194612 08/01/2013 541-501-0234
INSPECTIONS REQUIRED
Inspections
7160 Sewer/Septic Cap
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 of the property,and the approved set of plans will remain on the site at all times during
construction.
(I6 ((ey4 t r, 0.5 LL C. 4 yl�,,,,,vt 9//
Owner or Contractor Signature Date
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR. )2-001- NOTICE:
0090. You may obtain copi3s of the rweo by T.HIS PERMIT SHALL EXPIRE IF THE WORK
calling the center. (Not1e�: t '3 ! -1•I ITI;ORI?ED UNDER THIS PERMIT 1S NOT
number for the Orenon kit " Fi,'CED OR IS ABANDONED FOR
Center is 1-&�J-3:.2- ;-,) PERIOD.
Springfield Building Permit 9/11/2012 1:11:07PM Page 1 of 1
Plumbing Pe 1 it Application DEPARTMENT USE ONLY
}' CITY OF SPRINGFIELD, OREGON •eR1NQ,"LLO�a t4 .... _
Permit nGor.:/
225 Fifth Streets Springfield, nR 97477 • PH(541)726-3753• FAX(541)726-3689 Date: //// / `-Z
This permit is issued u der OAR 918-780-0060.Permits are issued only to the person or contractor doing the work.Permits
expire if work is not sta ted within 180 days of issuance or if work is suspended for 180 days.
LOCAL GO ERNMENT APPROVAL • •. H FEE SCHEDULE .
Zoning approval verified' X Yes El No Description Qty, Cost. Total
ea. cost
Sanitation approval verif ed? X Yes ❑No New residential
. CATEGOR • OF CONSTRUCTION • 1 bathroom/1 kitchen(includes:first
(Residential 11 Government ❑Commercial 100 fret of water/sewer lines, hose 5238.00 $
or2 bibs,ice maker,underfloor low-point
JOB' SITE•INF•RMATION :AND LOCATION. C • ; • drains and rain-drain packages)
Job site address: 1;2.1Z 3.y SI^e{,4 2 bathrooms/1 kitchen $374.00 $
_ (` q 3 bathrooms/1 kitchen $439.00 $
City: .Son e�'Tr t:(: 5tate:0 F< ZIP: ?9-‘17-i? . Each additional bathroom(over 3) $95.00 I $
Subdivision: Lot no.: Each additional kitchen(over t) $95.00 $
p DESC-IPTION (OF WORK Residential fire sprinklers(includes plan review)
1/pi...,,LyLt o..- 84 f-[p.,-a #u re-ok 0 to 2,000 square feet $58.00 $
V" `` 2,001 to 3,600 square feet 5116.00 $
• 1400%_— ar r4a��( titan
PR•PERTY OWNER :. 3,601 to 7,200 square feet 5174.00 $
Name: 7,201 square feet and greater 5232.00 $
�`° Fa`` r G�� Manufactured dwelling or pre-fab(circle one)
Address: P 1?7; Di V - 1f)r-- 1C‘...-'' . 0-1P.0 ,-,1:a'5 Connections to building sewer and $58.00 $
water supply
City: '( r:x State. ZIP: G,.j'- i
U Commercial,industrial,and dwellings other than one-or
Phone:.$1f 5S9 .. 1?- 30 Fax: - - two-family
E-mail: �(s� '' 11 Minimum fee $58.00 $
�rTTa.r Id 7G■ tt.tiN . t,,wt Each fixture $19.00 S
This installation is being made on residential or farm property
owned by me or a memb-r of my immediate family,and is Miscellaneous fees
exempt from licensing r..uireem"ents under OAR 918-695-0020. 100'storm,sewer,water line $76.00 $
Signature: t�(.-;1( :,- y:-__;-Z .4it L.(•>) Each fixture,appurtenance,and piping 519.00 $
. CONT•AC OR-I INNSTAAL�L'AT�IIONN =• .. . . Storm water retention/detention facility $19.00 $
Business name: ' - `/ SyiyV)teyvv t t N 5
Irrigation systems $19.00 S
Piping or private storm drainage
Address: S 17 L J l systems exceeding the first 100 feet $19.20 S
City: C-T C-TAI I State: r�- I ZIP: c 7l(li A Specialty fixtures 519.00 5
Reinspection(no.of hrs.x fee per hr.) $58.00 $
Phone: SAl Ot c.( I Fax: - - Special requested Inspections(nu.of
E-mail:
hrs.x fee per hr.) $58.00 $
CCB license no.: f L/(�/ L BCD license no.: Each additional inspection: (1) SLOV $58.00 $��
Plumbing license no.: 6 Medical gas piping . . Minimum fee $
t Enter value of installation and equipment$—
Print name: �14,1(1� � n cc 5 L(,
���-„,,,, ”""ill Enter fee based on installation and equipment value. $
Signature: 5y �r-Mii' y� >H '
/ �-APPLICANT-USE: •:.•
(A) Enter subtotal of above fees
(Minimum Permit Fee$58.00) $ se=
(B)Investigative fee(equal to(AI) S
(C)Enter 12%surcharge(.12 x [A+R]) $ 6 as
. (D)Technology Fee(5%of[A]) $ AIL
TOTAL fees and surcharges(A through D): $ 6/ a.
440-2500-i(11/08/COM)
I •'S daD =aT 21 TE 2ne
1 .. .. . ....::. .... .. SPflINGFIELD
CITY OF:SPRINGFIELD, OREGON - ..-:
225 FIFTH STREET • SPRINGFIELD,OR 97477 • PH:(541)726-3753 •FAX: (541)726-3689 afr,
DEMOLITION PERMIT APPLICATION
Address: I3.IV, 3%-"" S-re..--� - (. r, �Ie�tok t e7& 97418 LI
structure to be Demolished: I` a...,,,��..�,T.,L
Job N tuber: C / Z- /(77C
The ap Ii cant is hereby notified that any redevdopment of the subject site must
compl with all of the applicable laws, codes, ordinances, polices and plans in
effect a the ti me the redevdopment proposal is accepted as complete for City
review. This would include correction of substandard conditions associated with
the pr t devdopment. Examples of such corrections may include
modifi 4ati on of i nadequate drai nage faci l iti es; compliance with building set-
backs from property lines; correction of substandard sidewalks and street
impro ents, including driveway width and placement; and other corrections
which ay be necessary to comply with existing development standards.
Furth more if an existing use is demolished or otherwise removed prior to the
devdo ment of the proposed use, then the system devdopment charge credit for
the pr i ousl y 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 Code3.416(1)).
My signature below indicates that I have read and understand the above
conditions relating to the demolition of the above mentioned structure.
Signature Date
a -d dao :ZI al Is 2ne
FORM Na 853-GENERAL POWER OF ATTORNEY !ABLE @181YWuat CarpoRAet. 0 VAS 2010 STET SS IAWPLBUDIG CO.PORTLAND OR ovavommsnestcom
BE NO PART OF ANY STEVENS-NESS FORM MAY BE REPRODUCED IN ANY FORM OR BY ANY ELECTRONIC OR MECHANICAL MEANS. „Tr,
• Division of Chief Deputy Clark --h
POWER OF ATTORNEY
Lane County Deeds and Records 2010■03341
NN1 'I111�1Ili''lttI111111ll1111111p 1 11l
$47,00
•
1. th- i 11/14/2010 03:44:11 PM
91-,off X17�I7$__ RPR—PA Crael Str=15 CASHIER 05
b $10.00 $10.00 $11.00 $16.00
RECORDERS USE
—�eJ Witness my hand and seal of County affixed.
p
7 11C_L7
A-ltos rocoatng.Mttuil to atone.AEmaf.apt:
NAME TITLE
-- ` ! 2C` J(Z By Deputy.
KNOW ALL BY THESE PRESENTS,that I, _ d L - VCIA.X'cht t d
have made,constituted and appointed,and by these presents do make,constitute and appoint
my true
and lawful attorney in fact("my attorney"), for me and in my name,place and stead,and for my use and benefit:
(I) To lease, let,grant,bargain,sell,contract to sell,convey,exchange,remise,release and dispose of any real or personal
property of which I am now or hereafter may he possessed,or in which I may have any right, title or interest, including rights of
homestead, for any price or sum,and upon such terms and conditions as to my attorney may seem proper;
(2) To take possession of, manage,maintain,operate,repair and improve any and all real or personal property now or here-
after belonging to me, to pay the expense thereof, to insure and keep the same insured,and to pay any and all taxes, charges and
assessments that may be levied or imposed upon any thereof;
(3) To buy,sell and generally deal in and with goods, wares and merchandise of every name, nature and description,and to
hypothecate,pledge and encumber the same;
(4) To buy,sell,assign,transfer and deliver all or any shares of stock in my name in any corporation for any price,and upon
such terms as to my attorney may seem proper,and to receive and make payment therefor,
(5) To borrow any sums of money on such terms and at such rates of interest as to my attorney may seem proper,and to give
security for the repayment of the same;
(6) To ask for,demand,recover,collect and receive all moneys,debts,rents,dues,accounts,legacies,bequests,interests,div-
idends and claims whatsoever which are now or which hereafter may become due, owing and payable or belonging to me,and to
have, use and take all lawful ways and means in my name for the recovery of any thereof by attachments, levies or otherwise;
(7) To prepare,execute and file any proof of debt and other instruments in any court and to take any lawful proceedings in
connection with any sum of money or demand due or payable to me,and in any proceedings,to vote in my name for the election of
any trustee(s),and to demand,receive and accept any dividend or distribution whatsoever,
(8) To adjust, settle, compromise or submit to arbitration any account, debt,claim,demand or dispute, as well as matters
. which now exist or hereafter may arise between me or my attorney and any other person or persons;
(9) To sell,discount endorse,negotiate and deliver any check draft,order,bill of exchange,promissory note or other nego-
tiable paper payable to me,and to collect,receive and apply the proceeds therefrom for my use for any lawful purpose;to pay to or
deposit the same or any other sum of money coming into the hands of my attorney into checking and into savings accounts in my
name with any bank or banker of my attorney's selection, and to draw out moneys deposited to my credit with any bank.by check
or otherwise, including deposits in savings accounts,and to apply the same for any of the purposes of my business as my attorney
may deem proper;to purchase and sell certificates of deposit;to appoint any bank or trust company as escrow agent;to transfer any
asset of mine into any form or sort of trust;and,generally,to conduct any and all banking transactions on my behalf;
(10) To make,execute and deliver any and all manner of contracts with reference to minerals, oil, gas, oil and gas rights,
rents and royalties,including agreements facilitating exploration for and discovery of oil,gas,minerals and deposits;
(11) To commence and prosecute, and to defend against,answer and oppose all actions, suits and proceedings concerning
any matters in which I am or hereafter may be interested or concerned;
(12) To vote any stock in my name as proxy;
(13) To have access to any safe deposit box which has been or may be rented in my name or in the name of myself and any
other person or persons;
(OVER)