HomeMy WebLinkAboutPermit Demolition 2004-03-03Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2004-00290ISSUED: 0313012004APPLIED: 0311612004EXPIRES: 09/3012004
VALUE:v
SITE ADDRESS: 2009 2ND ST
ASSESSOR'S PARCEL NO.: 1703262400600
TYPE OF USE: Demolition
PROJECT DESCRIPTION: Demolition of Fire Damage - Fire Report lists Heather Shulmine as Owner
WILLIAM ANDERSON
92980 PASCHELKE RD MARCOLA OR 97454
Springfield TYPE OF WORI(: Fire Damage
PhoneNumber: 541-933-2171Owner:
Address:
Contractor Type
General
Contractor
CALVIN W SHAFER
Expiration Date
03t09t200s
Residential
Phone
541-345-8632
License
134018
CONTRACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
VN Water
\att'l
$ Per Sq Ft
or multiplier
# of Stories:
Height of Structure
Type of Heat:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
set
Rqd:
Rqd:
oh ofLot Coverage:
IHIS PERMIT SHA
AUIHORIZED UND
COMMENCED OR
ANY 180 DAY PERIOD.
LL EXPlRSdeffiEcsnaK
E R T H I s ff Esa{Illfu$9"I",,
IS ABANDONED IOR
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
the
Square Footage
or Bid Amount
Total Value of Project
Page I of2
Valuation Descriotion
Description Tvpe of Construction Value Date Calculated
1Ll
l, U r l-Lrl1\ (J r l\ -rt (-rKrvr,q!_!lLl'r_l
Frontyard
ic{
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2004-00290ISSUED: 0313012004APPLIED: 03/1612004EXPIRES: 09/3012004
VALUE:
F'ees Pai
Fee Description
+ l0%o Administrative Fee
+ 7%o State Surcharge
Demolition
Sanitary or Storm Sewer Cap
Total Amount Paid
Amount Paid Date Paid
3t30t04
3t30t04
3t30t04
3t30t04
$9.00
$6.30
$4s.00
$45.00
Receipt Number
1200400000000000403
1200400000000000403
1200400000000000403
1200400000000000403
$10s.30
Plan Reviews
To Request an inspection call the24 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 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 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
times during construction.
s/sd
Owner or Contractors Signature
Pase2 of2
Date
Kequlreo rnspecuons I
SPRINGFIELD
D EV ELO PM E NT SERVI C E S D EPARTMENT 225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-375s
FAX (ill) 726-3689
Address
Structure to be Demolished:
Job Number:zo()-oO z>o
The applicant is hereby notified that any redevelopment of the subject site must compiy
with all of the applicable laws, codes, ordinances, policies aod 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 developmenl f,lamples
of such conections may include modification of inadequate drainage facilities;
compliance with building set-backs from property lines; correctioa of substandard
sidewalks and steet improvements, inciuding driveway width and placement; and other
corrections which may be oecessary to comply with existing development standards.
Furthermore,if an existing use is demolished or otherwise removed prior to the
development of the proposed use, then the system develoPment charge credit for the to
previou!ly existing use shall expire t\ilo years after the date of issuance of
permit or other removal of the previously existing use.
or bY3.416(1)).
h
My signature below indicates that I have read
tnerelating to the demolition of the above
*tL',
Signature Date
&o
,'j$ls![-}')t}t\\hii*ffiS:lsr-Bhts'*
Page I of I
I :\WORDFILE\PERMITS\Demosdc' doc
,aao
cauzAoq-oo z7c
SPFIH(!FI€LO
DAnELOPMENT SEFY'CES
PUEUC t4oRr(S
M ETR O PO LTTA N WAST AilAT E R M A N AG E M E N T
DEI4OLITION PERHIT APPLICATIONS
An age cut-off of 1940 was chosen because this is the date that the Nationa'l
Parki Service and the Springfield Development Code use to determine potential
historical significance
Property .owner signature:
Date:
225 FIFTH STREET
SP8'NGF/ELD, OR97477
(sas)726-37s3
your demolition permit is currently bging .processed. There..may. te a slight
a.iay, -of up to 2 working days for-small structures, due to.the time required
iJ i.iiew tlie history of fhe itructure to determine if it needs to be documented
before demolition. -This documentation is for archival purposes on'ly and-wi1'l
not affect the granting of the demolition permit. If the structure is-very large
or complicatedihe doclmentation proces! mal take u.p to a.maximq1.qf 4 working
days. 'Documentation wil'l consist of photographing. the !_u_il.dinE'. taking
meisurements and making scaled drawings. The documentation will be undertaken
Ui ttr. City at no cos{ to you. Oocumentation is being .9on.^.on all structures
a-ateJ prioi to 1940 that may have historic importance to the City's development.
., T,HIS DOCUMEI{TATION }IILL NOT IHPEDE THE DEI,IOLITIOH PROCESS.
NN
If you rtou'ld prefer to is documentation yours de the
ci ty with the fo]'lowi i on: 1)bl ack and each
wi thelevation, a floor plan with measurements,
measurements.
Thank you for your patience.
You
I grant the City of eld to complete
I ocated at 'r0n or to of
complete th
ng informat
Construction Contractors Board Permit *: COU,t@o-t -Oro Z 7 O
700 Summer St NE Suite 300
PO Box 14140
Salem OR 97309-5052
Phone: 503-378-4621
Web Address: ryfut4t@
Address; zO 01 Z",J Sl
Issued by:]K Date: O o
Statement: Information Notice to Property Owners
About Construction Responsibi I ities
Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not
licensed with the Construction Contractors Board to sign thefollowing statement before a building
permit can be issued. This statement is requiredfor residential building, electrical, mechanical and
plumbing permits. Licensed architect and engineer applicants, exemptfrom licensing under
ORS 701.010(7), need not submit this statement. This statement will befiled with the permit.
Fill in the appropriate blanks and initial boxes I and2, and either box 3A or 38:
4-,
>EI. 2.
I own, reside in, or will reside in the completed strucfure.
I turderstand that I must become licensed as a construction contractor if the structure is sold or
offered for sale before or on completion.
K:,q,. My general contractor is C*gg, ^t sil*€€-ct t3L{ O t8
(Name)(ccB #)
I will instuct my general contractor that all subcontractors who work on the structure must be
licensed with the Constnrction Contactors Board.
OR
38. I will be my own general contractor.
If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors
Board. If I change my mind and hire a general contractor, I will contract with a contractor who is
licensed with the CCB and will immediately notiff the office issuing this building permit of the
nirme of the contractor.
I hereby certify that the above information is correct and that I
Notice to Property Owners about Construction Responsibilities
l,/Ua.U
have read and do understand the Information
on the reverse side of this form.
4so/04'
@{te)
(White copy to issuing agency pennitfile, pink copy to applicant.)
Property_owner.doc 03/ I I /03
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City ci Springfield Official Receipt
Development Services Department
Public Works Department
ate:9:49:57AM
coM2004-00290
coM2004-00290
coM2004-00290
coM2004-00290
Demolition
Sanitary or Storm Sewer Cap
+ 7%o State Surcharge
+ llYo Administrative Fee
45.00
45.00
6.30
9.00
Item Total:$10s.30
P
Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid
Cash
Change
WILLIAM ANDERSON
WILLIAM ANDERSON
djb
djb
In Person
In Person
Payment Total:
$ 106.00
($0.70)
$r05.30
coM2004-00290
coM2004-00290
coM2004-00290
coM2004-00290
Demolition
Sanitary or Storm Sewer Cap
+ 7%o State Surcharge
+ l0%o Administrative Fee
45.00
45.00
6.30
9.00
Item Total:$10s.30
Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid
Cash
Change
WILLIAM ANDERSON
WILLIAM ANDERSON
djb
djb
In Person
In Person
Payment Total:
$ 106.00
($0.70)
$105.30
(
FD-O16
FIRE DAMAGE REPORT
OR
ELECTRICAL IIAZARD r*
TO:
FROM:
SUBJECT:
Building Department
Springfield Fire Department
Structural Damage to Building
Date: 03-14-04
Address or location of building 2009 2nd st.
Name of Owner Heather Shulmine
Type of Building Dwelling
Estimated value of building
@welling, Store, Warehouse, etc.)
$ 100,000.00
Estimated loss to building $ under investigation
Date of fire 03-14-04
Location of damage to building Entire building
(Roof, Wall, Exterior, Interior, etc.)
Structural weakness as a result of the fire
(Burned rafters, Beams, Joists, etc.)
Additional pertinent information
ElectricalHazard Wiring
V:\FORMS_FDs Fire Depr\FD{16 FIRE DAMAGE REpORT.doc
etc.)(Wiring, Ou
Signed
CC: