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Home My WebLink AboutPermit Demolition 2003-8-1 . *: . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-00693 ISSUED: 08/01/2003 APPLIED: 08/01/2003 EXPIRES: 02/01/2004 VALUE: $ 500.00 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541.726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2191 LAURA ST ASSESSOR'S PARCEL NO.: 1703271001400 Springfield TYPE OF WORK: Site Work Only TYPE OF USE: Demolition PROJECT DESCRIPTION: Demolition of shed and house Owner: JACOBSON RONALD E Address: 762 SCOTTS GLEN DR SPRINGFIELD OR 97477 Contractor Type General Plumhing Contractor OWNER OWNER I CONTRACTOR INFORMATION I License Expiration Date Phone BUILDING INFORMATION I # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bcdrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: ~~ergy Path: ~~ <- ~- , .<;~DEV~OPMENTlNFORMATlON I 0 AY'{;$"!]} o"'~'~?:- REQUIRED PARKING R~' q: ~ ~ ~ 0 . qj ~ S:J(:) Overlay Dist: ~0C, ~ q;. ~ pO T,.otal: .;::;- ~ -#' # Street Trees Rqd: 6t sf 0 <0 ~tI; g,qJandicapped: ,;if ~ {j Paved Drive Rqd: ...'li O...'li r>lg;.q, ...~ &:~~act: , Co:) ~ ~ S:J' ~ 0 ~0 ~ ~0 :$;' ~ Rearyard Setback: &. ,0$;:- ~ ~ iJ % of Lot Coverage: i::''li ~-s' ...>$ ~O ~~ ~0~,s:>(J'li Solar Sethacks: !:.) ~. ~ ~ q,~ sf '<) ~0,:,Ci p, 0 ,0 i!f> .~-.: "'~ _::9 _<<:. :\ 1'li Do~ .,^-O ,0 ,,0 >"''? ~ i::\' ~:...;p ~'$~ (;;)~ I PUBLIC IMPROVE~~ni\0"" '"O'~ (J0d-0~$:'~ ~ ~ ~ ".!O ,..' ~ ~ ~ ~ ~<1; Street Improvements: ~ (is ~ /~ :!!' u0" '$ld~waU9'I&e: ~ AV ...>$ ~ ';:10 ~o ~0 ~.s:s Storm Sewer Available: ~ ~. o~ ~o ~tI; ~'li Ob'~p.\!1itslDrains: Special Instruction: ....~.S:>(J~Q;-q, ,:, ~0 ~0 .,e> i!f> ~ 4.0 ~....& ~rl;- ~,~O PolO' #' ~ u0<::- '" OfS (J'Ii ~ ~>$ VN Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS Front yard Setback: Side 1 Setback: Side 2 Setback: Notes: Paee 1 of3 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00693 ISSUED: 08/0112003 APPLIED: 08/0112003 EXPIRES: 02/0112004 VALUE: $ 500.00 Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation DescriDtion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square'Footage or Bid Amount Value Date Calculated Total Value of Project )?PPO, tIWU Fee Description + 10% Administrative Fee + 7% State Surcharge Demolition Sanitary or Storm Sewer Cap Amount Paid Date Paid Receipt Number $9.00 $6.30 $45.00 $45.00 8/1/03 8/1/03 8/1/03 8/1/03 1200200000000001877 1200200000000001877 1200200000000001877 1200200000000001877 Total Amount Paid $105.30 I PI aD 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 RPtI~ 1 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. 2 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. 3 Sanitary Sewer Cap: Capped within five (5) feet ofthe property line and capped with an approved material as required by the code. Paee 2 of3 . . \..-11 l' OF SrK1j'\jljt<l~LD Building/Combination Permit PERMIT NO: COM2003-00693 ISSUED: 08/01/2003 APPLIED: 08/01/2003 EXPIRES: 02/01/2004 VALUE: $ 500.00 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 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 witb 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 times during construction. Zn (L/f" ~ f - Owner or Contractors Signature cf-j,.03 Date Pa2e 3 of3 . I~.'. . DEVELOPMENT SERVICES DEPARTMENT . SPRINGFIELD ~~- 225 FIFTH STREET' SPRINGFIELD,OR 97477 (541) 726-3753 FAX (541) 726-3689 Address: 2. I q I "-A ui2-A S L Structure to be Demolished: JS (HLIJ / 5 ~ E D - !-IoO> 6 Job Number: C.OW\ 'Z-003 ~ 0 u' by ] , ' , ,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; compliance with building set-backs from property lines; correction of substandard ' sidewa1ks and street improvements, including driveway width and placement; and other corrections which may be necessary to comply with existing development standards, , ' , ' , , F1,1rthermore, if an existing use is demolished or ~therwise removed prior to the development of the proposed use, then the system development charge credit for the previ!lusly existing use shall expire two years after the date of issuance of the demolition perririt or other removal of the previously existing use. (Springfield Municipal Code 3.416(1)), , I , , Signature ( , " My signature below indicates that I have read and understand the above conditions ' relatirig to the demolition of the above mentioned structure. 'o~ \~ ' , ~0'" 'I \)\~\\'l..., , ' o.~\ 0(\ \0", \~-tl to~ W'..~J:)O "'0~0~~~'O'l~",~\)\0~,,,~: ~~\Q'" \. ,\,J' 60\" ~"o-L)ati'\ o,\,;e 'i-~(\ A<(:.~ ~0"''3' ~0~' 0\"('<' ~0'" \0\0~.\C~\\0 1'-' ' >oil ~\,} G0 'QO\, co~, ~0 ~o\\' , ,0\~C\c~\\0~"l?u\' o'O\~\(\ ~o\~\~\\'l ~", ~o\\~ ~~rj ~~'l (\'10~' ....0(\ ~'l;.?:. , 0'" -{o~ 0 c0 0~0'" ",O,'?i \(\ 1:). \"('< ",,0 ,~\J 009J 'li-\\(\Qj \O~ ~ ~\'" \ C 'I00~ 0(\\0. ' (\~"" G "/~()~L' Page 1 of I ~ [:\ WORDFILEIPERMITSIDemosdc,doc I, . ,. DEVELOPMENT SERVICES PUBUC WORKS METROPOUTAN WASTEWATER MANAGEMENT ", 225 FIFTH STREET , SPRINGFIELD, OR 97477 (503) 726.3753 DEMOLITION PERMIT APPLICATIONS COIMZ-003- 00 b 9 :S, ~ .> ! , Your demol itiori permit is currently being .processed. There may be a slight delay, of tip to 2 working days for small structures, due to the time required to review the' history of the structure to 'determine if it needs to be documented , before demol it ion. Thi s documentation I s for archi val purposes only and will not affect the granting of the demolition permit. If the structure is very large' or complicated the documentation' process, may take up to a maximum of 4 working days. Documentation will consist of photographing the building, taking measurements and maki ng scaled drawi ngs. The documentati on will be undertaken by the City at no cost to you. Documentation is being done on all structures dated prior to 1940 that may have historic importance to the City's development.., ' . THIS DOCUMENTATION WILL NOT IMPEDE THE DEMOLITION PROCESS. ~ ~ .. . An age' cut-off of 1940 was chosen because this'is the date'that the National Parks Service and the Springfield Development Code use to determine potential histori~al significance: " ,.. If you would prefer to complete this documentation'yourselfyou'must,pr~vid~'the: ,Cltywith the following information: 1) black and white photographs of each , elevation" a floor plan with measurements, and a set of elevation drawings with, measurements. ' Thank you,for your patience. " ' ~ " " " ~-'" I grant the City of Springfield permission, to ~'nf~l\'0~y,oproperty to complete document at i onpri or to the requested demo l.ilt;i'lfu\~6,~ 0 tile Mtructure located at ? I Cj I L A-lJ !LA; <::;~. ,I. ,f ~e0~1~.n~.1c<f _ o.~'l; ...," , T'fOCJM\'O~o'q'l:~IO~" \\),V 0 ' A~~" p~\~^'(,q'?> ~0\)~Y:> 0\ \'(\~0~'(\0~\\0~ , "4.~'iS' _,,\0"', n\0 ..,(\C7). , l" >II', v~ ,ov ,:(\"-'0''-': ~v' , " \O~~,C','l;\~ a:r~J:::;\ 0'O\0-~ ~o'l '0\\\\\'1 '!,,,,"'1' ' .'" _\0'" ~~~ \\\0-'1 :(\\0\: ~o~ n.'!,7:?:- \~ 01>' -{O-" 0 C0 0\0 'R}c:J';> \~ ~c:J" ~'iS' \'(\"', \'~ , oC:S ~\~ ~ \0\ ~0\ ,,,, , ~\)~'O0 V0~, , Property ,owner signature: .,~S.rlrg,~ Date: 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Num~er COM2003.00693 COM2003.00693 COM2003-00693 COM2003-00693 Payments: Type of Payment Check Jf-=n~. ~" ,=,..,.,.,~~.~".A-,. ! I,' J , .,-.- l J. .0 .. .._..... ...~..'J - .~.l Receipt #: 1200200000000001877 Description Demolition Sanitary or Storm Sewer Cap + 7% State Surcharge + 10% Administrative Fee Paid By RONALD JACOBSON Received By djb Check Number Batch Number Authorization Number City of Springfield Official Receipt Development Services Department: Public Works Department, Date: 08/01/2003 2:59:55PM Amount Paid Item Total: 45,00 45,00 6,30 9,00 $1 U5.3U How Received In Person Payment Total: Amount Paid $105.30 $1U5.3U . .