HomeMy WebLinkAboutPermit Demolition 2008-4-25
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00590
ISSUED: 04/25/2008
APPLIED: 04/25/2008
EXPIRES: 10/25/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4396 MAIN ST
ASSESSOR'S PARCEL NO.: 1702323100100
Springfield TYPE OF WORK: Site Work Only
TYPE OF USE: Demolition
Commercial
PROJECT DESCRIPTION: Demolition and sanitary sewer cap
Owner: TTT RANCH LLC
Address: PO BOX 2121
JASPER OR 97438
Contractor Type
General
I CONTRACTOR INFORMATION 'equt,es yoU to
ATTENT\ON: oragu" ''''the Oregon Utility
Contractor \Qt\~~~'.' adOIl~lUleillPl~'SI\.ImPb. .. . ate Phone
NORTHWEST CONSTRUCT~~I!{!fl~" nuahOAR _ 503-780-1400
-~g~' _"p\-a fesOllhv,,,,\&-'
I BUILDIMHN'F~ coP. he telephone
uvo"', \n the cen e. (Notet\~\ NotiticaUoR
# of StoAm\ b~r tor the Oregon U 2~aI\4).size:
Height ~ruCOtAter \s 1-800-33 Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building n/a Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Ot\lfJlifYil: EXP\RE \f THE WORK,tal:
# ~~t tI!~~&HAll1'H\S PERM\T \S NOTandicapped:
Pax, ~~",~:UNDER DONED fOR Compact:
%ta ~eWe{)R \S ABAN
~?IV 180 DAY PER\OD.
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal.!e 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00590
ISSUED: 04/25/2008
APPLIED: 04/25/2008
EXPIRES: 10/25/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Demolition
Sanitary or Storm Sewer Cap
Amount Paid
Date Paid
Receipt Number
$10.00
$12.00
$5.00
$50.00
$50.00
4/25/08
4/25/08
4/25/08
4/25/08
4/25/08
1200800000000000402
1200800000000000402
1200800000000000402
1200800000000000402
1200800000000000402
Total Amount Paid
$127.00
I Plan Reviews I
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 Reauired Insoections ,
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, 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 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
timesdlfUdiono I{)~,oy
Owne/o;~ontractors Signature Date
Pa2e 2 of2
225 ~ifth SJreet
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-00590
COM2008-00590
COM2008-00590
COM2008-00590
COM2008-00590
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
DescriptIOn
DemolItIOn
SanItary or Storm Sewer Cap
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstrative Fee
Paid By
NW CONSTRUCTION
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000000402
Date: 04/25/2008
Item Total:
Check Number AuthorIzatIOn
Received By Batch Number Number How Received
dJb 017402 In Person
Payment Total:
Page 1 of 1
2:47:18PM
Amount Due
5000
5000
500
1200
10 00
$127.00
Amount Paid
$127 00
$127.00
4/25/2008
o .~,::. ,<~.:';'.i;~::;~J;lJi t~~(0:i;.' ~"P.r)YN (- I 11':"'1). Ol~ I'.'CON' ;. '.
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8PlaNOPlIlLD
225 I'll' ~JOl STREET . SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)716-3689
.,
DEMOLt.lJ.ON PED.!... ~'l' .....ICATIONS,
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 strocture 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 take up to a maximum of 4 working days.
Documentation will consist of photographing the building, taking measurements and
making scaled drawings. The documentation wlll be undertaken by the City at no cost
to you. Documentation is being done on all stroctures dated prior to 1940 that may
have historic importance to the City's development.
THIS DOCUMENTATION WILL Nor IMPEDE THE DEMOLmON 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 you must provide the
City with the following information: 1) black and white photographs of each
elevation, a floor plan with measurements, and 2) a set of elevation drawings with
measurements.
Thank you for your patience.
I grant the City of Springfield pennission to enter my property to complete
documentation prior to the requested demolition of the structure located at:
Addres.: ~/:NI y~- ~;/!;-::tk_SAIY'. rJL:J
, · tJ 4'-
. ~ .~!
P .......erty Owner Sqpllature: -
JobNumber: cg- 005""70 (/ Date: /JL/-2.5 -off
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