HomeMy WebLinkAboutPermit Demolition 2006-5-23
,
275 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
*'
.CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-00615
ISSUED: OS/23/2006
APPLIED: OS/23/2006
EXPIRES: 11/23/2006
VALUE:
Status
Issued
"
SITE ADDRESS: 931 KELLY BLVD
ASSESSOR'S PARCEL NO.: 1703341104800
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Demolition
PROJECT DESCRIPTION: Demolish fire damaged home and sanitary sewer cap
Residential
Contractor Type
General
Plumbing
Contractor
OWNER
OWNER
Phone Numlier:\ 541-726-7327
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I CONTRACTOR INI'ORMATION Ion Utility Notllica\\On
ntlll1bor 10f """.~'-~ 0/'-32-2344).
CeLicens~-80 Expiration Date Phone
Owner: ROBBEN LYONS
Address: PO BOX 70486
EUGENE OR 97401
BUILDING INFORMA nON I
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
n/a
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
, DEVELOPMENT INFORMATION I \'.~I'IRt II' \\-I~.~~1~1
''IV' . - eD\oJ\\\ ':itit'c.'- LlI" I'\'.R\oJ\REQUlRED PARKING
"\-lIS 1'"" . I"O\'.R \ n " co. rOR
Overlay Dist: IT\-IORI1.\'.D u" i>.\3 i>.\IlOO\ll "'rotaI:
# Street Tre~~'Rqil't.\IlC.\'.O OR IS D Handicapped:
Paved Drive(R?l&l'J\on Di>.'{l'tRIO . Compact:
f C..,v \ OU
% 0 Lot o~erage:
I PUBLIC tMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
Page I of3
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.CITY OF SPRI~t.I!lt,LD '
Building/Combination Permit
PERMIT NO: COM2006-00615
ISSUED: OS/23/2006
APPLIED: OS/23/2006
EXPIRES: 11/23/2006
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I Valuation Deserintion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Rppli". ~
Fee Description
+ 10% Administrative Fee
+ 8% State Surcharge
Demolition
Sanitary or Storm Sewer Cap
Amount Paid
Date Paid
Receipt Number
$9.00
$7.20
$45.00
$45.00
5/23/06
5/23/06
5/23/06
5123/06
1200600000000000696
1200600000000000696
1200600000000000696
1200600000000000696
Total Amount Paid
$106.20
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.
Il?p~
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.
Paee 2 of 3
Issued
225 Fifth Street, Springfield, OR
54t-726-3753 Phone
54 t -726-3676 Fax
541-726-3769 Inspection Line
.
.CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2006-00615
ISSUED: OS/23/2006
APPLIED: OS/23/2006
EXPIRES: 11/23/2006
VALUE:
By signature, 1 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 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.
1 further agree to ensure that all required inspections are requested at the proper time, that each address is rendabIe from the
street, that the permit card is located at the front of the property, and the npproved set of plans will remain on the site at all
times during construction.
~;;a/11 ^~4/
1-(' - -. .d-
Owner or Contractor~ignature
Paee 3 of 3
05 -,2 .1- t1t.
Date