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Home My WebLink AboutPermit Demolition 2002-5-16 . I Job# 02-00580-01 I . Page 1 of 2 TRANS#:Ol-0009105 DATE:MAY 16 2002 AMT RECD:2 $ 103.50 CHANGE: CASHIER: 061 CITY OF SPRINGFIELD, OREGON RESIDENTIAL PERMIT City Of Springfield Community Services Division Building Safety Job Number: 02-00580-01 225 Fifth Street Springfield: OR 97477 Office: 726-3759 Inspection Line: 726-3769 Location Of Proposed Site: 5287 Forsythia St Spr Assessors Map#: 18020421 Lot: Block: Addition: Tax Lot #: 04800 Subdivision: Owner: Eunice Rodden Phone Number: Address: 5287 Forsythia Street Scope Of Work: Single Family Residence City/State/Zip: Springfield, OR 97478 Demolish a\> \.~~ Value: $0 .p'\ \j'*" ~~ v" 0<:- :0.....0 t\- v.x '0<:$ ",'0 Rl\) " ,,"' n~ _(0 1'_'J: _ "0-, .,' ~'" e"'-~"" J-"'- Contractor' 0:0'\ ~lR~~ist~ati6~,#)<:-~ExPiration Date , :0..10 0"" \>YJ" 0' ,- 'O'V" ~V' Jim Rodden .' ,~,o~\:<--~ ;s.\0 ','0'" ~....~ -J",v'll' " ,v.!>, ,'" 0'V ..;s-" ~o 5279 Forsythia St. Springfi~,Jd;OR:9Z.4:78,\\ c; :0..0' "~'\. .11,'\' . .,,~ \ .'\ V ,,"-# _",?; .N>.O _ ,,-,'\ _nPt"' ~\V ~.., ....,- u.... "... ^ - n"v "': _9> Office'Use '?'" .",- ~~" _'o~., 0" ."., v",,"O\fi!J"'Rl\)' Q d A..' -il"iU ."" ,10 '0 Rl # Of B 'Id' ua rea: Lan se:" \.\' ,~ . ~ V UI mgs: ~:\' o.\>" .(\~ :( '\; \? # Of Units: Zoriing"Coile:\O ~(\....e\ Occupancy Group: . ,r IOV 0<U" Constr. Type: Bedroo!'!s: Heat Source: Water Heater: Range: Sq, Footage: ~- To request an inspection call the 24 hour recording at 726-3769. All inSpeCtiO~~~U~1ed before 7:00 a,m, will be made the same working day, inspections requested after 7:00 a,~il~a'made the following working day. ~ ~ # ~\:)Q.:. R I d I . .~~ ....<<~(~ equ re nspect'~',h -.f.>' ~....' I Buildin!l'J:'"''' :<.;.~-fl:-"S -After demolition is complete.and.~ikli'eb{js is'~oved from the site, -c~'.~ ,~(' '\,) ~. I . _<4,'PJ{unbih'~ 'I.)'~~ -Capped within five fe~i'of~tlle.pjb~~1?and capped with an approved material as required b~ "\'<' ~"\'(' ~~"" <;) ~ (J~ ,<t>1.) \\~- Demolition of MH Contractor Type General Contr Phone 541-746-5620 Demolition Sanitary Sewer Cap Construction Types: Occupancy Groups: # Of Buildings: # Of Bedrooms: Handicap Access? 0 iArea (Sq, Fee( I Main: Accessory: # Of Stories: Current Units: Census Code: Does not apply Height (feet): Proposed Units: Total: . ,I Fee Job# 02-00580-01 Paid On Receipt# Building 05/16/2002 9105 05/16/2002 9105 05/16/2002 9105 . Page 2 of 2 Value/Quantity Fee Amount Demolition State Surcharge For Building Permit 8% Building Administrative Fee Total Building 1 $45,00 $3,15 $3,60 $51.75 Minimum Plumbing Permit Fee State Surcharge - Plumbing Sanitary or Storm Sewer Cap 8% Administrative Fee - Plumbing Total Plumbing Grand Total PlumbinlJ 05/16/2002 9105 05/16/2002 9105 05/16/2002 9105 05/16/2002 9105 1 $,00 $3.15 $45,00 $3,60 $51,75 $103,50 By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information herein 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. I also agree to call for the required inspections as noted above (726-3769) at the appropriate times, I also state that I was provided with Lane Regional Air Pollutions phone number and asbestos removal information. I further agree that the project address will be readable from the street, and the permit card is located at the front of the property during the demolition process. ,&..........P/................-: ~ ~,.../~ Signatute' "" "--(b- 0<- Date " . . , DEVELOPMENT SERVICES DEPARTMENT 225 FIFTH STREET ' SPRINGFIELD,OR 97477 (541) 726.3753 FAX(541) 726-3689 Address: ,i".2 3 7, ' fa,.--s <./ fh I~ 0 r { Structure to be Demolished:).fl)b~f e (-/ (')tJ1 e Job Number: 62,00 S' g--o -OJ I', . . . .' , ' , ,The applicant is hereby notified that any redevelopment of the subject site must comply with all of the applicable laws, codes, ordinances, policies 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;x-'t-' ' compliance with building set-backs from property lines; correction of su~dmd' , sidewalks and street improvements, including driveway width and,p'l8&rit~nt?~d other corrections which may be necessary to comply with exis1ing de#ffip.rtl~~~tabckds, " , ' , ,',' ~'r-"",\~",:> ~~\J":' ' , Furth 'f .. 'd li h d ";'0::': ~ c..; ,,<,,<:(:.. ~:i'''' , th ermore, 1 an eXlsting use is emo s e ~ '\8ll~Se~ovcu'pnor to e ,; development of the proposed use, then the ~~!ll\d~~<lP.mejit~e credit for the J \.:>~~'i--';~?- previously existing use shall expire two YearS~1r(fh~ date\hf,[s~ce of the demolition)'" ",13'-"'~~'\:,"': ;\ Pmt or other removal of the previously existirl~~~~'<(Sp"rfugfield Municipal Code(Jo<,V)~~O;~'1:~13"''Q I,Jv' \~' " '" !<> ". ,,' 13 3.416(1)), , ....,;,.'\ " ",,;s' ~.s.130'?'~13~~0"',,0~ r' ,-' ',',)~ 13 :<:- ~~ !Q~ '1>~ , ' "....13\'('OCj ;.OJ~13c;,O 13'-~ J'c:, My signature below indicates that I have read and understand the abo:-:e cgiia~!:io~':;' c:,0~~0~'~~0.J>"'\' relating to the demolition of the above mentioned structure. ~v\~o" cl' ~'\:,'\:, ~}'" ~OVl \)~~'l.."J" , , ,,_, .'" . 01:- ,'~, 0'Q ~~. 0'" "Pi . ~O' ~ oN i:\ ~" f?) ",~ , "iY .~,c:,'l> O;<,jV (':-'1> c:,13~ 0~13 <;O~" ...o~ ....<<- '0" ,&-13 ,&-13.rY , 0'-..... ,,~ ;.~ ;."" ,,-- ',<'0 "o\:;' .o'~"'''' ,...0 ~13 ;) ,- / '--':.\'(JJc~0 00 Date' 0;:.",. [~~~.~ Signature ~~ J90 : (J3 t HSI;!::J :39NI;!H::J ' OS'~OJ $ G:O::J3~ lWI;! GOOG 9t mW:311;!O SO~6000~JO:#SNI;!~1 Page 1 of 1 1:\ WORDFILElPERMITSlDemosdc.doc , . . . . SPRINCFIELD DEVELOPMENT SERVICES , PUBUC WORKS METROPOLITAN WASTEWATER MANAGEMENT , 225 FIFTH STREET , SPRINGFIELD, OR 97477 (503) 726-3753 DEMOLITION PERMIT APPLICATIONS , Your demol ition permit is currently being ,processed. There may be a slight delay, of tip 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 demol it ion. This documentation I s for archi val purposes only and will not affect the granting of thedemol ition 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 w~(!,~l)e undertaken , by the City at no cost to you. Documentat.ion is bein'g d9'\~(W!t '~lll structures' , " dated prior to' 1940 that may have historic importance t~<tlie ~~tity'.~ developmen~. '., TJlIS DOCUMENTATION WIt-L NOT IMPEDE niED~OlITIO'1--\.P-~~~~;~~~~ ~\) , ' ,"', .. ,.' " , " , G'. :\ '0" ;.-.,<f:. o.~"i" , ' , , AI.'.'- .~. ,,~,\'i \<..\> ,An age' cut-off of 1940 was ch~sen ~~sau~~G~t~~f~i~: ~h: date that the National , Parks Service and the Springfleld Devel;opmelJtv~ecr~01\$e> to determine potential histori;al significance;,' \~\';\y.~~~" ~ ~ ' ',,' .', ' If you w~uld prefer to complete this docG~~~at~~n'YOUrSelf'YO~ must~~~r~vide'ihe: City with the following .information: 1)I'6lack and white I!h~~~gr~~Ii~'~Qf each elevation, a floor plan wlth measurements, and a set ofelev.j-tiog,{dr;~wing,s, with measurements. '. ._~,,~I,),\\'('i \v\0"'o",,((-.'!) \-:;.\0'" 0 ' , . o'>l,e ,<;\0",0 ,v'V,'C> ~ \(\0 "",o'f:'. 0'Co Thank you for your patience. ,,' e,'/).~ e/' '$'\0 '~e"'o \'O\'O~\c,'/).\~ , . . v \Vw- 0'O~" i::J(J\(J c,o~. '$''0 \:;.o\,~ , )~o-:-... '/).~o'" .(J(J'" 0'<;1\'0-'''' ~0\00~\\\~"'~'\' 'i..~'c oS'/; '1>'\ ~0\' o~ n"" . '. ,\0 lit>.((-.~~.,~' rta'" Q\'Og~('.", ' , I grant the City of Sprlngfi eld permisslon" tg.,),en~e.r.3,T'y~ .~\operty to compl ete documentation prior to the requesteddemol ij:,iol!~"'of\,\tlie".,structure located at' ,.::z K 7;::0,. c, Li -fJ" 0.- D,... c ,~'<;I~ c-.c<:'. , . ," , \,- Property ,owner signature: t ~~~ ~ R Cl-d.~ -- ' Date: S -/~-CJz.. , , T90:1J3IHS\:!:J ,''18NUH:J Og'~OI $ Z:O:J31J lW~ 200Z 91'}'\:!W:31\:!O 9016000-10:ttSNV1Jl