HomeMy WebLinkAboutPermit Demolition 2003-10-3 (5)
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2027 S A ST
ASSESSOR'S PARCEL NO.: 1703364207300
.
. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-01007
ISSUED: 10/03/2003
APPLIED: 10/03/2003
EXPIRES: 04/03/2004
VALUE:
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
Demolition
Residential
PROJECT DESCRIPTION: Demolition and sanitary cap
Owner: ROSBORO LUMBER CO
Address: PO BOX 20 SPRINGFIELD OR 97477
Contractor Type
General
Plumbing
Contractor
OWNER
OWNER
# of Buildings:
Primary Occupancy Group: R-3
Secondary Occupancy Group:
Primary Construction Type VN
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I CONTRACTOR INFORMATION I
Expiration Date Phone
l)\O
~os '10..,\\\'1,
BUILDING INFORMATION l, \~"" ~a6~aQ,o'" ;e\~
~aQ,O /l \'(\9 S e~a 9J~'2.; \
# of Stories: O~.O 'l..ao'O Sa ~\}\~~e~\9"
Height .!}f\1\!.I;G1~g~009 ~.~'(\o ~o\}Q,'t'S~'fl-~t ~~
Type dr.He~~\}\0 ca~e r;~/\O\'l:\ o9\a~..'l~It~~e.liP.'"
Water\1%'et,e.\lO'" ,00'1'0 Xl\~'" ~o\e',l~liJ:;~~~ment:
Range,~:~ 9J~'2.; ~0.'l 0 'l..a~' ~ '" ~F.\.gJr'age/Carport
Energy ~iaii -{O~ e ea'" O~aQP :~'2FtOther:
r::FJ90.\X\"'Q,\'l:\ ~\'(\e. Ver::FJ Impervious Surface Area:
,..'t\, ...\0 .,.,S
I DEVELOPMENT INFtlR1uvrI'CrN I
License
REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Total:
Handicapped:
Compact:
% of Lot Coverage:
~()Il-'f,.
.~C \~ ,\-\'t. f l\\0'
I PUBLIC IMI'RO~E~TS:I'\.\. 'i:.1--~~~?'t.Il-'N\~ rOll-
\' - cx\\''' . .\:i)'t.1l- '.\0.\\~t:
,\-\\'2> ?\.. \l't.G \\\~ \'2> ~~~WiUR'Type:
1'o\\\\-\~~~c.'t.G ()~Il-\@9wnspoutslDrains:
c.O\'!i\'\~\} 'V1'o'l ?
I'o~'l"\ .
Page 1 of2
.
. CITY OF SPRIr'ltJJ'lJi.LD
Building/Combination Permit
PERMIT NO: COM2003-01007
ISSUED: 10/0312003
APPLIED: 10/0312003
EXPIRES: 04/03/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Insp~ction Line
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
F..e. Paid'
Fee Descriptiou
+ 10% Administrative Fee
+ 7% State Surcharge
Demolition
Sanitary or Storm Sewer Cap
Amount Paid
Date Paid
Receipt Number
$9.00
$6.30
$45.00
$45.00
10/3/03
10/3/03
10/3/03
10/3/03
2200200000000001621
2200200000000001621
2200200000000001621
2200200000000001621
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.
'. Rellllired In.n..ctinn.,
1 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.
2 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
tbat 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, tbat the permit2iS located at tbe front oftbe property, and the approved set ofplaris will remain on the site at all
times during construe ion.
/< bU ~5~ (Or3/~
I .
Owner or Contractors SIgnature Date
Pa2e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-0 1007
COM2003-0 1007
COM2003-0 1 007
COM2003-01007
Payments:
Type of Payment
CredilCard
~.~~.
~. .
, . ....... .1
~ ;;
_, " '. _z
--'--'-''-''._~."'" ,.. --.'
Receipt #: 2200200000000001621
Description
Demolition
Sanitary or Storm Sewer Cap
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
STATON COMPANIES
Received By
djb
Check Number
Batch Number Authorization Number
000186 003867
City of Springfield Official Receipt
Development Services Department
Public Works Depa'rtment
Date: 10/03/2003 2:48:08PM
Amount Paid
Item Total:
45,00
45.00
6.30
9.00
$105.30
How Received
In Person
Payment Total:
Amount Paid
$105.30
$105.30
.
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