HomeMy WebLinkAboutPermit Demolition 2005-1-20
.
Status
Issued
. CITY OF SPRINGFIELD. '
Building/Combination Permit
PERMIT NO: cOM200S-00079
ISSUED: 01l20/200S
APPLIED: 01l20/200S
EXPIRES: 07/20/200S
VALUE: $ SOO.OO
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 660 MAIN ST
ASSESSOR'S PARCEL NO.: 1703353109000
Springfield TYPE OF WORK: Store
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Demo non-struetural walls.
Owner:
Address:
HARRIS AND BERKMAN
91167 MARCOLA ROAD
SPRINGFIELD OR 97478
Phone Number: 541-726-0327
Contractor Type
General
Contractor
OWNER
I CONTRACTOR INFORMATION'
License
Expiration Date Phone
BUlLDI"", lluUKl>IATION I
# of Stories: Lot Size:
Heigh'! of Strueture Sq Ft 1st Floor:
'\,J "
&.Type~ofHeat: Sq Ft 2nd Floor:
VB ~ ,,",XI- ",~ate'" Type: Sq Ft Basement:
~ ~ ~Raii~Type: Sq Ft Garage/Carport
~~ ~\.~~$n~rgy Path: 0 Sq Ft Other:
,\" ~ ,\-f::-S _0'5 Sprinkled Building: n/ao.) 'I!$.~Oecupant Load:
\.~v ^ t-..,....... .~ ...",:..;: ;s.
~~. # ~~"",~vf::> 'l'-DEVELOPMENT IMUKl>'IATIOrl' ~?" -",e"~5:l~~,,\
~'\'\ o\.~ ...\.~ ~<<:- o..'\~' ~' U' ?}e o,,":J\,e'" REQUIRED PARKING
~S'W~~' ~~#~~~
Frontyard Setbaek:,\~ y:--'5 :";;'\J ~ Overlay Dist: 0.0" '0"\" e \V ~ 0 -S-e R"'O ~o'Total:
Side 1 Setbaek: 'r"::,"\ ~~x;'?;,<:::, ~ # Street Tree~lId;,i> ",00; 0,,<:$ '" 0-. ,~e ~v'l> Handleapped:
Side 2 Sethaek: ,,<0 A" Paved Dr~~~~ /' r;;;, ~ o~\'l>, -S-e ~O i;\' Compact:
Rearyard Setback: 'r~ % of ~~e~!\!lef' \:)r;;;,'\ '~" ~~o,e:V~~:~:I"nj<t>.
Solar Setbaeks: ~ ~ \~ ~ CJ "r;;;,''\' <!f"'I> \, ~ 0" ~'l.:
~.f' ..,0 ^~'J \ ..(). t"I: _~
I PUBLIC I~~RQ:v.El\U:NiS;i~e O'-.,?,\)-
. v . ..." ~ ~ .:4.. ,C:>
',,, o;::,o"r;;;" $.\"Ci> \\0 <,,'l> Sidewalk Type:
<;:j v~ -s>'l> CJ'l>
,;,~ DownspoutslDrains:
('
# of Units:
Primary Oecupaney Group:
Secondary Oeeupaney Group:
Primary Construetion Type
Secondary Construetion Type:
# of Bedrooms:
B
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Deseriptlon
Type Of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
.
. CITY OF SPRll'\i\.J.l'mLD
Building/Combination Permit
PERMIT NO: cOM200S-00079
ISSUED: 01l20/200S
APPLIED: 01/20/200S
EXPIRES: 07/20/200S
VALUE: $ SOO.OO
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$1.00
500.00
$500.00
$500.00
01/20/2005
Total Value of Project
F,.,.s I:iWU
Fee Deseription '
+ 10% Administrative Fee
+ 7% State Sureharge
Demolition
Plan Review Comm/IndlPublie
Amount Paid
Date Paid
Reeeipt Number
$4.50
$3.15
$45.00
$29.25
1/20/05
1/20/05
1120/05
1/20/05
2200500000000000075
2200500000000000075
2200500000000000075
2200500000000000075
Total Amount Paid
$81.90
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.
~"dion~1
Demolition: After demolition is complete, sewer is capped or septic is pumped and filled and inspeetlon Is
requested and approved, and all debris is removed from the site.
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 eorrect, and I further certify that any and all work performed shall be done In aceordance 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 Serviees Division, Building Safety.
I further certify that only contractors and employees w'ho are in eomplianee with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspeetions are requested at the proper time, that eaeh address Is readable from the
street, that the permit eard is loeated at the front of the property, and the approved set of plans will remain on the site at all
:J);:~:j];:~ ~~ 2,) cJoO.'~
Owner or co::V:~s ~ignature Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Joh/Journai Numher
COM2005-00079
COM2005-00079
COM2005-00079
COM2005-00079
Payments:
Type of Payment
Check
1/20/2005
.
RECEIPT #:
if~
2200500000000000075
Description
Plan Review CommllndlPublic
Demolition
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
DARLA J, HARRIS
Received By
Jmp
Check Numher
Batch Numher
Page 1 of 1
Jiiij,y of Springfield Official Receipt
Wvelopment Services Department
Public Works Department
Dale: 01120/2005
Item Totai:
Authorization
Number
How Reccived
3203
in Person
Payment Total:
10:07:21AM
Amount Due
29,25
45,00
3,15
4,50
$81.90
Amount Paid
$81.90
$81.90
.
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