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Home My WebLink AboutPermit Demolition 2007-12-17 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01856 ISSUED' 12/17/2007 APPLIED: 12/17/2007 EXPIRES: 06/17/2008 VALUE: $ 3,50000 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lllle SITE ADDRESS 123 INTERNATIONAL WAY ASSESSOR'S PARCEL NO 1703154001101 SPRINGFIETYPE OF WORK Intenor TYPE OF USE. DemolitIOn CommercIal PROJECT DESCRIPTION Intenor demolitIOn - Futnre pathology Owner PEACEHEAL TH Address 123 INTERNATIONAL WAY SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Contractor JOHN HYLAND CONSTRUCTION INC LIcense 46071 ExpIratIon Date 07/11/2008 Phone 541-726-8081 # of Umts Pnmary Occupancy GI oup Secondary Occupancy Group Pnmary ConstructIOn Type Seconddry ConstructIOn Type # of Bedrooms I BUILDING INFORMATIO~1. ryouto JTENTION' Oregon Il:l" ,g..." j UtIlity A d bv the Oregon talloW rnl~l!lopteJ Nles are set torth Lot Size Notlflcat~"fCa~rtJaamghOAR952.oo1. Sq Ft 1st Floor InOAR~f.sQ1DthrOpleSU ottheNle8bf Sq Ft 2nd Flool 0090, YC\'MlQ\f~ CO . the telephone Sq Ft Basement ~~ ~I\ty Nol\fiCl8UOft Sq Ft GaragelCal port PJt\r~.2a44). Sq Ft Other s~dtll'1lIfI1Ig"-- nla Occupant Load I DEVELOPMENT INFORMATION I Frontyard Setback S,de I Setback SIde 2 Setback Rearyard Setback Solar Setbacks Overlay Dlst # Street Trees Rqd Paved DrIve Rqd % of Lot Coverage REQUIRED PARKING Total Handlc,lpped Compdct Street Improvements StOl m Sewer A vadable SpecIal InstructIOn ~~l.'ROVEMENTS J THIS PERMIT SHAll txP1M IfdM~ AUTHORIZED UNDER THIS p~t!.IU~~rallls COMMENCED OR IS A8ANOoma'rv" Aff( 180 DAY PERIOD. Notes I ValuatIOn DescriDtion I DeSCription Type of ConstructIOn $ Per Sq Ft or mulhpller Sqnare Footage or BId Amount Value Date Calculated Pd!!e I of2 Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01856 ISSUED. 12/17/2007 APPLIED 12/17/2007 EXPIRES 06/17/2008 VALUE: $ 3,500.00 225 Fifth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Bid Amount Use Bid Amount $100 3,500 00 $3,500 00 $3,500 00 12/17/2007 Total Value of ProJect Fees Paul I Fee Descnphon + 10% Admmlstratlve Fee + 5% Technology Fee + 8% State Surcha, ge DemolitIOn Amount PaId Date PaId ReceIpt Number $500 $250 $400 $50 00 12/17/07 12/17/07 12/17/07 12/17107 2200700000000001846 2200700000000001846 2200700000000001846 2200700000000001846 Total Amount PaId $61 50 I Plan ReVIews I To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspectIons requested before 7 00 a m. will be made the same working day, mspectlOns requested after 7:00 a.m. will be made the followmg work day. I ~eo~II~~.~ InsnectlOns I DemolitIOn After demohtlOn IS complete, sewer IS cdpped or sephc IS pumped and filled and mspectlOn IS requested and approved, and all debns IS removed from the site Fmal FIre Department After all requIrements of the Fire Department have heen met By sIgnature, I state dnd agree, thdt I have carefully exammed the completed applIcatIOn and do hereby cel tlfy thdt dIl mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shall be done 10 accordance WIth the Ordmances of the CIty of Spnngfield and the Laws 01 the State 01 Oregon pertammg to the work described hel em, dnd that NO OCCUPANCY wIll be made of any structure Without permISSion of the Commulllty Services DIVISIOn, Buddmg Safety I further certIfy that only contractors and employees who are m compliance WIth ORS 701005 WIll be used on thiS p,oJect I fm ther agree to ensure that all reqUired lDspectlOns are requested at the pi oper time, that each addl ess IS readable from the street, that the permit card IS located at the front of the propel ty, and the approved set of plans WIllI emam on the sIte at all times durmg constructIOn -Lk t~ - /J.- /7 -07- owne'f/or Contractors SIgnature Date Page 2 of2 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-0l856 COM2007-0 1856 COM2007-0 1856 COM2007-01856 Payments Type of Payment Cred ItCard cRecelOtl RECEIPT #. DescnptlOn DemolitIOn + 5% Technology Fee + 8% State Surcharge + 10% Admllllstratlve Fee Paid By JOHN HYLAND CONSTR lNC ~#l4' CIty of Sprmgfield OffiCial ReceIpt Development ServIces Department PublIc Works Department 2200700000000001846 Date' 12/17/2007 Item Total <":heck Number AuthorizatIOn ReceIved By Batch Number Number How Received dJb 017672 In Person Payment Total Page 1 of 1 80847AM Amount Due 5000 250 400 500 $6150 Amount Paid $61 50 $6150 12/17/2007