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HomeMy WebLinkAboutPermit Demolition 2003-6-12 -G...~.;: jiI -...., . .:. CITY OF ~rK1j~tjnJi,LU Building/Combination Permit PERMIT NO: COM2003-00492 ISSUED: 06/12/2003 APPLIED: 06/1212003 EXPIRES: 12/12/2003 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 739 S A ST ASSESSOR'S PARCEL NO.: 1703353113400 Springfield TYPE OF WORK: Site Work Only TYPE OF USE: Demolition Commercial PROJECT DESCRIPTION: Demolition Owner: LEHIGH NORTHWEST CEMENT CO Address: PO BOX 84728 SEATTLE WA 98124 , CONTRACTOR INFORMATION I Contractor Type General Owner Plumbing \0 Contractor License '\)llExP1~tW.l!n Date STANTON GREGORY PAYNE 27~pN le~le\)O\'l05/~W2004 LEHIGH NORTHWEST CEMENT CO '01a\)0~ '0'1 \\\a as '3le S~'2_GG' STANTON GREGORY PA\1l.ij:~~\ 'U~~c'l0?\'2.7~p"e l\)~ ()f>-t'105i!f~!7004 I BUILD"NG'INFORM~TioNI" IlO~~e'" 0\ \l~~~\\o\'l~ \'I ...\,,~I\IC::" '6?.-GIJ' . :ow\\'I CO e'. \\\e ~t)\\\\C'3\IO # of. Stories~ ril'3'1 0 'e' 1..\,\0\ "'I'\\'11\ot Size: ~~V' "n\~\' '(\\.,. U\.,' ",~n,. Heig~l:9! Strucw[sce Ole\)O\\ :;''2.-'"Sq Ft 1st Floor: Typ'e of,~Jat:\) \01 \\\e. ,_'aGO-?) Sq Ft 2nd Floor: Water 1:~J'.~i;Jel ca\'l\e1 IS Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Impervious Surface Area: . Phone 541-688-7038 541-688-7038 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN SETBACKS I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: ~ ~~I: # Street Trees Rqd: SI\?\:. \r 1~ 1 \s Wi)t\ticapped: Paved, D~~tf.'ld: S\\~\.\. \:.~ ~S \l't.~w.\ ~a~ompact: % of\it\\~~~l \j~\)'t.~ i~[>.~\)a~'t.\) i\-\\';:l ()~\lt:v ~ \S [>.'v ~\Ii~_.,\,[t.\\,() I{f-l'\ I PUBLIC IMP80VE:Ml\l'ilI'9(t.: U,\"" . " SIdewalk Type: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: Paee I of 2 . . CITY OF ~rKll~vJ'1Jj,LU Status Issued Building/Combination Permit PERMIT NO: COM2003-00492 ISSUED: 06/12/2003 APPLIED: 06/12/2003 EXPIRES: 12/12/2003 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I Valuation Descriotion I Description Type of Construction $ Per Sq Ft Square Foota!!e Value Date Calculated Total Value of Project F..... PairlJ Fee Description + 10% Administrative Fee + 7% State Surcharge Demolition Sanitary or Storm Sewer Cap Amount Paid Date Paid Receipt Number $9.00 6/12/03 2200200000000001055 $6.30 6/12/03 2200200000000001055 $45.00 6/12/03 2200200000000001055 $45.00 6/12/03 2200200000000001055 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. I R,,011ire,rl In.n\>i'~l.k),. . II r ..iiiIiIllIlIfll.'" 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 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. 1 further agree to ensure that all required inspections are requested at the proper time, tbat 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 remaiu on the site at all times during construction. 4ft .. .~~::... r::-/...:J-,--)? Owner or Contract(S'{. Signature Date Pa!!e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00492 COM2003-00492 COM2003-00492 COM2003-00492 Payments: Type of Payment Check 6/12/2003 City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 2200200000000001055 Description Demolition Sanitary or Storm Sewer Cap + 7% State Surcharge + 10% Administrative Fee Paid lIy GREG PAYNE Received By djb 2:51:14PM Date: 06/12/2003 Amount Paid Item Total: 45.00 45.00 6.30 9.00 $105.30 l.:heck Number Confirm No How Received In Person Payment Total: Amount Paid . 105.30 $105.30 . Page 1 of 1 cRcceipt.rpt