HomeMy WebLinkAboutPermit Demolition 2005-5-17
.
.. CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2005-00580
ISSUED: 05/17/2005
APPLIED: 05/17/2005
EXPIRES: 11/17/2005
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3360 GAME FARM RD
ASSESSOR'S PARCEL NO.: 1703221202000
A'It:NIIUN:OrenonfAwr.."'tIr"ol'''...... .
Springfi.,.tolftWm w(lm~~~If'~anlilli!iiye
Notification Center. Those rules are set forth
In 0ffifiFJ~P10tll!Illtl<<ft09AR 952~~dentIal
PROJECT DESCRIPTION: Demolition of structure @ 3360 Game ~l(pu may obtaIn copies of the rul8S !)y
calling the center. (~I,..t8: tI-r'c'. r' '1,19
nUrllU(?r -.- I" r..J ' JU:Hll...~tlon
l _, .._. ,~ . OUJ-3",e-,,:.>44).
N W DIST OF LUTHERAN CHURCH
1700 NE KNOTT ST
PORTLAND OR 97212
Owner:
Address:
Contractor Type
Contractor
I CONTRACTOR INFORMATION I
NOTlt~:ense
Expiration Date Phone
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
'.".,.. "''0'111 \JIIMLL L^rlnc Ir IMt VVUHK
BUILDING INFORMATION '~D UNDER THIS PERMIT IS NOT
# of Stories: COMMENCED OR IS .I!.li~sireIJNED FOR
Height ofStructflP~Y 180 DAY PERIOfSq Ft Is; Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
SprInkled Building: nla Occupant Load:
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
HandIcapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
SIdewalk Type:
DownspoutslDrains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of2
.
. CITY OF ~rK.ll'\j\.d'lELD
Building/Combination Permit
PERMIT NO: COM2005-00580
ISSUED: 05/17/2005
APPLIED: 05/17/2005
EXPIRES: 11/17/2005
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
Fees P1I.id J
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Demolltlon
Sanitary or Storm Sewer Cap
Amount Paid
Date Paid
$9.00
$6.30
$45.00
$45.00
5/17/05
5/17/05
5/17/05
5/17/05
Receipt Number
1200500000000000631
1200500000000000631
1200500000000000631
1200500000000000631
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 ~rr~n~nep.tlon~ I
Demolltlon: After demolltion is complete, sewer is capped or septlc is pumped and fiUed and inspection is
requested and approved, and all debris Is removed from the site.
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 aU 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 berein, 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 compllanee with ORS 701.005 will be used on this project.
I further agree to ensure that all requIred Inspections are requested at the proper tlme, 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.
Owner or Contractors Signature
Date
Pal!e 2 of2
22!=:Jfth Street
,Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2005-00580
COM2005-00580
COM2005-00580
COM2005-00580
Payments:
Type of Payment
Cash
5/17/2005
.
RECEIPT #:
Description
Sanitary or Stonn Sewer Cap
Demolition
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
BREANNE COMMONS
Wi:.....'.-~."""......~..-~...._~.~.._-- -.. ..'.
L .. )
--,._--.-' ;
, . c
. '____.' ...../1< .:'
~ of Springfield Official Receipt
.elopment Services Department
Public Works Department
1200500000000000631
Date: 05/17/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm In Person
Payment Total:
Page 1 ofJ
11:39:37AM
Amount Due
45.00
45.00
6.30
9.00
$105.30
Amount Paid
$105.30
$105.30
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" CITY OF SPRINGF'-I.D
City Hall '--
Sprlngftold, Orogon
Development Services
OFFICIAL RECEIPT
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05/13/2005 14:00 IFAX
t1a~ 13 05 01:24p
\
Home_te
Developement
360
~ FAX TO ElLUL IaI 002/003
57.2286 ~ ~; 0c)~
I CITY OF SPRI)\GFIELD. OREGO?\!
.......NGPUILD
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 d"~~u.Jne 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 drawings. The documentation will 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 WIU. 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 provide the
City with the following information: 1) black and white photographs of each
elevation, a floor plan with measurements, and 2) a set of elevation drawings with
measurements.
Thank you for your patience.
I grant the City of Springfield pennission to enter my property to complete
documentation prior to the requested demolition of the structure located at:
Address: 3360 G"""" "'''rJTl 1'10"(\ '~Drin!"fj-"l ti
l,.U.L-Llh,~;.::.... es'tr- ct O~
Property Owner Signature: \J\^ ~Y.h(\, r 1,)(\ \...", j-
~ha Conboy,Busine~s
Job Number: Date:
~Ee ~u~neran ~nurch-
Missouri Synod
Manager
05/13/2005 14:00 IFAX
Ha~. ~3 05 01:24p
-+ FAX TO EMAIL
574 2286
.
Ham.e
nevelapement
360
eIT'!' OF SPRINGFIELD. OREGON
.-...........
225 FIFTIf STREET . SPRINGFIELD, OR 97477 . P8:(54])726-3753 . FAX: (541)7U-3689
DEMOLffiON PERMIT APPUCATION
Breanne Commons
Address: 33RO Game Farm Roa~ R~~~~fielrl_ OR
Structure to be Demolished,: Small House
Job Number:
The applicant is hereby notified that any redevelopment of the subject site must
comply with all of the applicable laws, codes, ordinances, polices and plans in
effect at the time the redevelopment proposal is a_~..;~j 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 "idth 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 credit for
the previously existing use shall expire two years after the date of issuance of the
demolition permit or other removal of the previously existing use. (Springfield
Municipal Code 3-416(1)).
My signature below indicates that I have read and understand the above
conditions relating to the demolltion of the above mentioned structure.
){1.."tho, r u.o.h/." a lnA
Signature N w ~~ - L..U'1 S Date
Ii!I 003/003
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