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