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Home My WebLink AboutPermit Demolition 2008-3-11 Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00336 ISSUED: 03/11/2008 APPLIED: 03/11/2008 EXPIRES: 09/11/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 4363 E 20TH AVE ASSESSOR'S PARCEL NO.: 1803031102900 Eugene TYPE OF WORK: Single Family Residence TYPE OF USE: ,Demolition Residential PROJECT DESCRIPTION: Demolition ofsingle family residence. Existing septic system installed in 1995 and will remain. Must cap septic tank . Owner: I KEVIN BIERSDORFF Address: 60 W 22ND AVENUE EUGENE OR 97405 Phone Number: 541-341-8513 1 CONTRACTOR INFORMATION' Contractor Type. Contractor License Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: . Occupant Load: . n/a I. DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: #. Street Trees Rqd: Handicapped: Paved Drive Rqd: AI I t:NTlON: Oregon '~~tres you to' % of Lot Coverage: follow rules adopted by the Oregon Utility . Notification Center. Those rules are set forth . ~\R e:f,~~,l 881: L1..",..J..J)a9 t;:::;r. ~: I, I PUBLIC IMPROVEMENTq>90.. You may,obtain copies of the rules by Street Imp'rovemeM6T1CE" . Call1l~IiV.tU~,,~qt.~.r:.e:(Note:. ~he tel~~ho~e " numt)er for1fie.OYegon Utility Notification Storm Sewer Avaij!;~I$. PERMIT SHALL EXPIRE IF THE WORK . D.q~~~J~~/J}6lViM332-2344). Special InstructiorAUTHORIZED UNDER THIS PERMIT IS NOT' , '. COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Notes: I Valuation Description I Description . Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!:e 10f2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Demolition Sanitary or Storm Sewer Cap Total Amount Paid Amount Paid $10.00 $12.00 $5.00 $50.00 $50.00 $127.00 Total Valoe of Project Fees ,Paid I Date Paid 3/11/08 3/11/08 3/11/08 3/11/08 3/11/08 I Plan Reviews I CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00336 ISSUED: 03/11/2008 APPLIED: 03/11/2008 EXPIRES: 09/11/2008 VALUE: Receipt Number 1200800000000000223 1200800000000000223 1200800000000000223 1200800000000000223 1200800000000000223 To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 Reouired Insoections I 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. 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, Istate 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. 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 of the property, and the' approved set of plans will remain on the site at all Urnes dud.g CO~'t'"Chh '. ~ j -.'" . A A /I .)JJ lfW LVlVV V I I Owner or Cortiractors Signature Pal!e 2 of 2 Date 1;/ ',/ .~~ \ Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140. Salem OR 97309-5052; Phone: 503-378-4621 Web Address: www.ccb.state.or.us Permit #: t!..6 -~.3 ~ Address:~'\.o~ ..sL 2fJ~ Ave Issued by: Us A Date: -0 \ l ct?) Statement:. Information Notice to Property Owners About Construction Responsibilities " . . , ' Note: Oregon Law, ORS 701;055(4) requires residential construction permit applicants whoare not licensed. with the Construction Contractors Board to sign the following statement before a building . permit can be issued. This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed a'rchite.ct and engineer applicants, exempt from licensing under OR8.. 701.010(7), need not submit this statement. This state"!ent will be filed with the permit. . Fill in the appropriate blanks and initial boxes 1 and 2, andejtherbox 3A or 3B:. . ~ 1 Q, residein,or will reside in the completedstnicture. ... . o . .2. lunderstand that! must become licensed as a constiilction contractor if the structure is sold or . '. offered for sale before or on completion. o 3A. My general contractor-is (Name) (CCB #) I will instruct rily general contractor that ali subco~tractois "\vho ~ork onthe structure must be licensed with theConstiuction Contractors Board. ' OR ' o 3B. twill be my oWJl general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. IfI.ch~ge my mind and hire a general contI:aCtor; I will contract with a contractor who is . li~ensed with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. . . . I hereby certify that the above information is correct and that I have .read and do understand tbe Information . ' Notice to Property Owners,about Construction Responsibilities on the reverse side ofthis fC?rm. . .... UvviV?1f~ . l' ,( '-00 V (Signature of permit applicant) . (Date) . (White copy to issuing agency permit file, pink copy to applicant.) Property _ owner. doc 06-01-04 ; \ j __~-'o_f../" \ . .. e ."'-"-, ; .. t;. . . . . _ .. ~..\,\ f~""t _ . '" . _ " - Act!ng -as-'Youcr:~Qwn;Gene:ral Contractor? , " . , ... - , . l' . ,. , \ -'~ -'- 'INFORMATioN NQTICE PROPERTY OWNERS . \ - :'-'" ABour~CONSTRUCT'ON :RESPONSIBllITIES . '~,"':' ....... _J ,_,,<-_ " ~, , . , J! t ,." '.~; . - , NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. If you are actingas your own contractor to construct a ~e~v . or make a substantial improvement t6~n existing structure, you can prevent many problems' by being aware oHhe fonowing responsibilities and concerns. Employer , , , You wU1; instances,,!?cc ruled to bean "employer" youpsec9T:l1!actors not)ir~nsed with the C<!n.~truc!ion construction or, of a resIdential structure. . '\ . ,- , :. :- '.~ -'~' ~ . " . . '. conp-actors you contract W)thwiJl be ~'empioyees" if Board to do 13;bor in constructing or to assist in the you must comply the following: Oregon's employees are employees. Tax I-,;~': Asa:herrip16ye~,'Y6~ income taxes from empl~yee wages -at the time You will be liable for the tax payment? even if you don't actually withhold the tax from your . . _' _". _ . -: - _ _' __ "'_ -"." i' "_ . _ . -' . _ . t. ~ '. . , . ... . . ,- . - ~. _ ..... ~-. information, call'1heDepartmerit ofReverm'e at 503:.378-4988. .' > ~ .' >, .' '. <': Tax: As an etnployer;cyou are' For more inlormation, can < . . ~. . to pay a tax' for unemployment insurance pUrposes,' Employment Department at 503-947..:1488. \ on the ... :.;; ~~. .... '. .....:' :.~~_ _--.~ ~._ '.}~">-: ,,-.,t';. '- . -~;:.L ,Identification Number (BIN) a number fOf'bQ$Qregon' Withholding and Tax. To file for a caU 503-945-8091 or V\l\v\v.dor.state.or.us/fonTIspav.htmll for the The Unemployment ~ f '.'. " ....., Insurance: As an employer, you subject to the Oregon Workers' Co~pensation Law, compensation insurance for youremploy;ees. If you fail to obtain workers' compensation insuranc'e, be subjett:tb> peri~lti~s\uidbe71{~bl~' fof,~Jl . cost~df one 'ofyoyretnployees is'injllred ~n the job. .. call the: Workers;' Compensation at the Departiherft :of Consumer and Business Services at 503-947-7815. _> ., u.s. Reve'!uxe' Service: As an employer, y6u You will be. liable tax payment even if you didn'1 IRS atT-800-829f493lor their web site.at,\v\-;,.~v "federal income tax employees' 'wages. withhold the tax. For a Federal EIN number, call the . . . . . ...._.-. l QfC~nc.ern-~i:. ': Code As permit holder Tot project, requir~ments that ll!ay be brought to your attention through --~ ' . ". ':::I"'~r;. ~, . . " . . -, '.:-'1: ' 1.: r~solvirig -any failure to meet code .~..... - -.N' " - " ~.. ',,' to see if ybunave 'adequate:insurance ' damage from p,pe punctures, fire or '" " t \. ; ,I ;- ~ J I \. ',' r.~ ; ~ j '-;) .10 \ \ : 1 \ 'I: 'j \.1 .I , . , ,". Liabiiityand Damage 'Insurance: Contact coverage for accidents and omissions such as falling tools, ,,":ork that must ~~ief~n1.,i '\ (," ___...'" ... .' J._. '--.. sure have. sufficient time to supervise your .I Make sure you have the skills to act as and finish trades, and to notify building officials as contractor, to coordinate the work of rough-in so they can perform inspections. call the Construction 97309-5052. (503-3784621) or write the agency at PO 225 .Fil~.h Stfe~t 'Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00336 COM2008-00336 COM2008-00336 COM2008-00336 COM2008-00336 Payments: Type of Payment CreditCard cReceintl ,RECEIPT #: Description Demolition Sanitary or Storm Sewer Cap + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By KEVIN BIERSDORFF City of Springfield Official Receipt Development Services Department Public Works Department 1200800000000000223 Date: 03/11/2008 Item Total: Check Number Authorization Received By Batch Number Number How Received 'lIh 389198 389198 In Person Payment Total: Page 1 of 1 1:08:21PM Amount Due 50.00 50.00 5.00 12.00 10.00 $127.00 . Amount Paid $127.00 $127.00 3/1 \12008 Sp.A'~NG;FICLD 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 e DEMOLITION PERMIT APPLICATION Address: .4'B6~ t.G ~ ~ ~<f'" (.~'WIA)OD'fp) Structure to be Demolished: e;7\A. ~ -8-<DV~e- J~: il~ .--O~ -O'B' tl - t?;~€)O t:PV U/'"f' t qA--tR -rAY- ~u>YV\7~ ,--;.. ,C7 be; ~ ~ e 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 previpusly existing use shall expire two years after the. date of issuance of the demolition permit or other removal of the previously t;xisting use. . (Springfield Municipal Code 3-416(1)). My signature below indicates that I have read and understand the above conditions relating to the demolition of the above mentioned structure. , l~tWvv1 .J Signature ~/lO ' of; Date ~~{ r~0{~ e