HomeMy WebLinkAboutPermit Demolition 2006-10-30
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726.3676 Fax
541-726-3769 Inspection Line
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.. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01391
ISSUED: 10/30/2006
APPLIED: 10/30/2006
EXPIRES: 04/30/2007
VALUE:
SITE ADDRESS: 424 S 79TH ST
ASSESSOR'S PARCEL NO.: 1702363004000
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Demolition
Residential
PROJECT DESCRIPTION: Demolition ofhonse
Owner: DENNIS HOEPER
Address: 21222 GARCIA RD
BEND OR 97701
Contractor Type
General
Contractor
OWNER
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
Pbone Number: 541-419-0348
I CONTRACTOR INFORMATION I
License
Expiration Date Phone
BUILDING INFORMA nON I
R-3
# of Stories: Lot Size:
Height.of,Structure Sq Ft 1st Floor:
,.." 'I-'N)'
Type/of Heat: IUIV:Urego' Sq Ft 2nd Floor:
Ullnw... / n law
Wa~Ut;r~I?,~:. U as adopted by th reqISq#.;ty'/"'U~~ent:
R~nge Ty'peiOn Center Th e Or~qJ,t (jar~ge/Carport
t J \ ).l! OJ '-:\~ . oSe ~, f1('llh'
Energy Patfi:'2-001-001 rulesSq.ft 0 Iiev:
.J' h-,' .. 0 th- ... ~ set.,....
SpripRledrBui!<Hllg: Obt' nhlgh O",Occupanf-I!:oad:
r~l1j__.. J am ,..""'_~ 1"1 tl5.?~nn.,
I DEVELOPMEN'f~IN'F6RMA'fION!fi;;:;;~e rUles bl
C -). . -'C!Jun Utility N ~~hOntREQUIRED PARKING
- er!S I-ROO 3 otlflCatie
Overlay Dist: - - 32-2344). 'f1otal:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage:
Nn;II~S
I PUBLIC IM1!B~It'jj;j\1ENTS I
flJTHORIZE[) U"nflLL E~~liwalk Type:
COMM NOER T C /I' Tti/;.,W!1C _
AN ENCEQ OR 1D6~I!I'vYrry.rains:\
Y 180 DAY PER IS ABANDONED! /S NOT
100. FOR
VB
I Valuation Descrintion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa~e I of2
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.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-0I391
ISSUED: 10/30/2006
APPLIED: 10/30/2006
EXPIRES: 04/30/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F~~. Pair! I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Demolition
Amount Paid
Date Paid
Receipt Number
$4.50
$2.25
$3.60
$45.00
10/30/06
10/30/06
10/30/06
10/30/06
2200600000000001521
2200600000000001521
2200600000000001521
2200600000000001521
Total Amount Paid
$55.35
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.
IR':'l'lurP.C In.o~rtion..
flrlllllnlli'l. iiiI ~
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 Ordinaoces 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 ofany 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.
[ further agree to ensure tbat 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.
~ ~SL:-- '" ,--..
Owner or Contractors Signature
1{)-30 ~00
Date
Pa2e 2 of2
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Construction Contractors Board
700 Summer St NE Suite 300
PO Box 14140
Salem OR 97309-5052
Phone, 503-378-4621
Web Address: www.ccb.state.or.us
Permit #:
C~'c-crG_6/3"t: I
1--/ Z4 S 7 9+<'-" <;,.~
-c,6 Date: /u-]'d-Cb
Address:
Issued by:
Statement: Information Notice to Property Owners
About Construction Responsibilities
Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not
licensed with the Construction Contractors Board to sign the following statement before a building
permit can be issued. This statement is required for residential building, electrical, mechanical and
plumbing permits. Licensed architect and engineer applicants, exempt from licensing under
ORS 701.010(7), need not submit this statement. This statement will be filed with the permit,
Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B:
~I.
~2.
I own, reside in, or will reside in the completed structure.
l' understand that I must become licensed as a construction contractor if the structure is sold or
offered for sale before or on completion.
o 3A. My general contractor is
(Name)
(CCB #)
I will instruct my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
OR
"Q' 3B. I will be my own general contractor.
If! hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
licensed with the CCB and will immediately notifY the office issuing this building permit of the
name of the contractor.
I herehy certify that the above information is correct and that I have read and do understand the Information
Notice to Property Owners about Construction Responsihilities on the reverse side of this form.
~d--. ~._
(Sigfiature ofpe~ applicant)
16~,3CJ-{)G
(Date)
(White copy to issuing agency permit file, pink copy to applicant.)
Property_owner.doc 06-01-04
i\cting as -ftur Own General C!tractor?
INFORMATION NOTICE TO PROPERTY OWNERS
.:J ABOUT CONSTRUCTION RESPONSIBILITIES
NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the
Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature.
If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing
structure, you can prevent many problems by being aware of the following responsibilities and concerns.
Employer Responsibilities
You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if
you use contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the
construction or improvement of a residential structure. As the employer, you must comply with the foUowing:
Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time
employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your
employees. For more information, call the Department of Revenue at 503-378-4988,
Unemployment Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes
on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488,
The Oregon Business Identification Number (BIN) is a combined number for both Oregon Withholding and
Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.doLstateoLus/formsnav.htmll for the
appropriate forms.
Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law,
and must obtain workers' compensation insurance for your employees, If you fail to obtain workers' compensation
insurance, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on the
job, For more information, call the Workers' Compensation Division at the Department of Consumer and Business
Services at 503-947-7815.
U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages..
You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the
IRS at 1-800-829-4933 or visit their web site at www.irs.l!ov.
Other Responsibilities and Areas of Concerns
Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to meet code
requirements that may be brought to your attention through inspections.
Liability and Property Damage Insurance: Contact your insurance agent to see if you have adequate insurance
coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or
work that must be redone,
j
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Time: Make sure you have sufficient time to supervise your employees. '
Expertise: Make sure you have the skills to act as your own general contractor, to coordinate the work of rough-in
and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections.
If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO
Box 14140, Salem, OR 97309-5052,
Property_owner.doc 06-01-04
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SPRINGFIELD
~I
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
DEMOLITION PERMIT APPLICATIONS
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.
Documentation will consist of photographing the building, taking measurements and
making scaled drav.~ngs, The documentation ,,~ll 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 pro,~de the
City with the follo,,~ng information: 1) black and white photographs of each
elevation, a floor plan with measurements, and 2) a set of elevation drawings with
measurements.'" I e/'J I,v, '.vi' , .'
Tollow rule-t; ado ?;;" 1C1"V r"'lJUlres you '..
h k r Notifj,,~+:_., ~ p e by the Oreg U' ~u
T an ' you lor y.our'patIence.'er. Thos on hllty
~~ UAR 952-001-0010 th e rules are set fortI
90. You may obtain c~ou9h OAR 952-001
calling the center (N tas of the rules bl
number for the Or~ o~ e;.the telephone '
I h C. fS """'fi Id g .U.'"lv ~'()+:"- t. I
grant t e Ity 0 prmg e iPg!:Ul~,~1C!Il~g ,~nteF m~ property to comp ete
documentation prior to the requested oeindlition ofthe structure located at:
Address: J/2/1 $.(\ ~972- ~~~~-Q~lcQ
Property O'WtJfH!rature: ~,~ - =."- t:\-. ,.- ^-.~ ./
TH I ;YP"f13Mi~
Job Numbe}\UmtJ~i7~u;;-,':.4~1 ~ <1.,I.} 'i f Date:
;~~~~~}J p~~:IJt:~~\~i'11r~~:
/e --:S 0 - c (",
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SP'~INGFI[;:t..O
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
~I
DEMOLITION PERMIT APPLICATION
Address: 412C/
,'<)0.
"/rL 6p-\V0,,~\~
Ii \.j
t-f-("., I:JJ'" ~
Structure to be Demolished:
. .
Job Number: r<l1lV\. z.=~' - 6/~ c,. I
The applicant is hereby notified that any redevelopment of the subject site must
comply "1th 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 credi,tjqf
the previously existing use shall expire two years after the date\6fiss\Uih'1:'Uf1they
t:.:,," \UI" V' -;;) -I"O~Ol.i \. \',-
demolition permit or other removal of th'efpre\.jousli'jt:.~~!ipg"~se!'3(Springr8eJ~lor1
Municipal Code 3.416(1)), lo\loW r.ule6center. Those rules ar" 952-001
Notilicalion (\f)1 .00; 0 through OAR les b
My signature below indicates that I haVe'liead:[h'd unaerstand,the,above\he rU e .
conditions relating to the demolition :&jJ.l~ Jioove'fu"ehH\3\{'ed\iti~sttire,te\ephO~
\\'ng the cemel. \ U ,\.ty Notlllcat\On
ca , oregon tll
number tor the. _800-332-2344).
centeflS ;
~fA.-_~
Signature
..--
/() ~(3() -00
Date
MOlICE: E WORK
::UI{:~~~~~ ~~~~~ E{~~~~~~i IS N01
COMMENCED OR IS ABANOONEO FOR
ANY 1BO OAY PERIOD,
225 Fifth Street
SFrhigfield, Oregon 97477
541-726-3759 Phone'
Job/Journal Number
COM2006-01391
COM2006-0139!
COM2006-0139!
COM2006-0139!
Payments:
Type or Payment
Cred itCard
cReceintl
.
RECEIPT #:
Description
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Demolition
Paid By
DENNIS HOEPER
~~, ','
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~~
<A of Springfield Official Receipt
_Iopment Services Department
Public Works Department
2200600000000001521
Date: 10/30/2006
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 005232 In Person
Payment Total:
Page I of I
1:47:38PM
Amount Due
2.25
3.60
4.50
45.00
$55.35
Amount Paid
$55.35
$55.35
10/30/2006