HomeMy WebLinkAboutPermit Demolition 2005-9-23
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2005-01296
ISSUED: 09/23/2005
APPLIED: 09/23/2005
EXPIRES: 03/23/2006
VALUE:
.
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2833 GAME FARM RD
ASSESSOR'S PARCEL NO.: 1703224105700
Springfield TYPE OF
Site Work Only
TYPE OF USE: Demolition
PROJECT DESCRIPTION: Demolition of house #2 (known as 2853 Gamefarm)
"Owner: RALPH CLINE
Address: 1150 WIDSTLERS LN
ROSEBURG OR 97470
'CONTRACTOR INFORMATION I
Contractor Type
General
Plumbing
Contractor
BRING RECYCLING
OWNER
License Expiration Date Phone
119422 01/17/2007 541-746-3023
, BUILDING INFORMATlONI
# of Units: # ofStorles:
PrImary Occupancy Group: R-3 Height of
Secondary Occupancy. Type of Heat:
Primary Construction Type VN Water Type:
Secondary Construction Range Type:
NOTICE" . ~~"f~Vth.
lHIS PERMIT SH~ll EXPIR~rih'ill'e~'V~~~ n1a
AUlnun",;;[, UUEE:-: 1!~} 0 Mil I, ,
, COMMENCED OR ISIm.1)ffiliORMENmINFORMATION I
, ANY 180 DAY PERIOD.
Front yard Setblick:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
. # of Bedrooms:
Overlay Dist:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
Residential
Phone Number: 541-464-6088
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occu pan t Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
IPUBLIC IMPROVEMENTS I
ATTENTIOtSl&!W81lCl1).lI'e,requlres you to
follow rules adopted by the .Oregon Utility
Notification &?1mr.PPHbWmm~ are set forth
in OAR 952-001-0010 through OAR 952-001-
0090, You may obtain copies of the rules by
calling the center, (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332"2344).
Street
Storm Sewer Available:
Special Instruction:
. Notes:
I of 3
.
.
CITY OF SPRINGFIELD
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Building/Combination Permit
PERMIT NO: cOM2005-0I296
ISSUED: ' 09/23/2005
APPLIED: 09/23/2005
EXPIRES: 03/23/2006
VALUE:
I Valuation Descrintion ,
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fees tiWU
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Demolition
Sanitary or Storm Sewer Cap
Amount Paid
Date Paid
$9.00
$6.30
$45.00
$45.00
9/23/05
9123/05
9123/05
9/23/05
Receipt Number
1200500000000001388
1200500000000001388
1200500000000001388
1200500000000001388
Total Amount
$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.
Demolition: After demolition Is complete, sewer is capped or septic is pumped and fIlled and inspection is
requested and approved, and aU debris is removed from the site.
Septic Tank Pumped: After septic tank has been pumped and filled. Please provide the inspector with receipt and
verification from company performing pump and fill.
Sanitary Sewer Cap: Capped within five (5) feet ofthe property line and capped with an approved material as
required by the code.,
2 of 3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2005-01296
ISSUED: 09/23/2005
APPLIED: 09/23/2005
EXPIRES: 03/23/2006
VALUE:
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 ht 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 wiD be made of any structure without permission ofthe Conununity 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, that the permit card is located at the front ofthe property, and the app ;d\'ed set of plans wiD remain on the site
atall~~olL ~~ ~). ~I 2./)00-
Owner or Contractors Signature Date U
3 of 3
225 Fifth Street
Springfield, Oregon 97477
'541-726-3759 Phone
.
SPRINQFlm..Dj
Wi:-.=~.. c=~ I
~_.".~ j
. ..... iI'
. "--~. .
~ty of Springfield Official Receipt
.velopment Services Department
Public Works Department
Job/Journal Number
COM2005-0 1296
COM2005-01296
COM2005-0 1296
COM2005-01296
Payments:
Type of Payment
CreditCard
'I
\
9/23/2005
RECEIPT #:
1200500000000001388
Date: 09/23/2005
Description
Demolition
Sanitary or Storm Sewer Cap
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
RALPH CLINE
Recei ved By
djb
I of I
Item Total:
Lbecl<NumlJer AuUlorlzation
Batch Number Number How Received
011774 In Person
Payment Total:
.. .
10:08:44AM
Amouot Due
45.00
45.00
6.30
9.00
$105.30
Amount Paid .
$105.30
$105.30
, .
CI1Y OF SPRlNGFIELD, OREGON ,.'
SPRINGFIELD' .. . ",'
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
", &)
DEMOLffiON PERMIT APPliCATION
Address: 2 B"5 ~ ~:(;v"""" (2.-J
Structure to be Demolished: Hou.sc::;/z /""'0"'"'.... A-!o. z.BS3 GA....E~r-~
-
Job Number: C~ '2..00 S' - 0 /2- "7 b
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 accepted 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 width 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 thatI have read and understand the above
conditions relating to the demolition of the above mentioned structure.
,~?_A7~' -
Signature
!l-
;I j;,.r~~.r
Date
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
'0090. You may obtain copies of the rules by
calling the center, (Note: the telephone,
number for the Oregon Utility Notification
Center is 1-800-332-2344).
. .
.
.
CITY OF SPRINGFIELD, OREGON .
SPRINGFIELD
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
-
~Ol\CE: XP\RE IF I\-1E WORK
, 1\-11S PERMIT S~~i~ \\-IIS PERM\1' IS NO r
f>.U1HORIZEO U" NOOt-lEO FOR
DEMOLmON PERMIT APPUOA1'm.(\):N$O OR IS f>.Sf>.
- AN'i 1BO O~'{ PERIOD,
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 determine 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 takeup 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 WILL 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 }C~~~ME'f?m.AA~~ires you to
City with the following information: 1) black and whit&flf~grap.fi~ 5\tffi.,cfthe Oregon Utility
elevation, a floor plan with measurements, and 2) a sel::'6'f)eteW:~Jt\$a~Rg~Y<i!h3 are set forth
measurements. ~otlfIC:~~~_001_001 0 through OAR 952-001-
'~0~6 You may obtain copies of the rulesby
Thank you for your patience. '. h center (Note: the telephone
calling tf e the Or~gon Utility Notification
number or 4)
Center is 1_800-332-234 .
I grant the City of Springfield permission to enter my property to complete
documentation prior to the requested demolition of tje s,!ructl!-re located at:
Address: 283'3. 6-Aw\c~""", rJ: z. ' ("'""'ow.... A s 'Z-8~3. ~~r~
Property Owner Signature: ~../.h@ - - P-
JobNumber:COWfZ.OO~-O I z..?b Date: 9/.SA~,.r