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HomeMy WebLinkAboutPermit Demolition 2003-06-27Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 54l-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line SITE ADDRESS: 1235 llTH ST ASSESSOR'S PARCEL NO.: 1703264409300 PROJECT DESCRIPTION: Demolition of existing residential structure Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Demolition Residential License Expiration Date Phone Owner: Address: CALVARY TEMPLE OF SPFLD 1116 CENTENNIAL BLYD SPRINGFIELD OR 97477 Contractor Type General Owner Contractor OWNER CALVARY TEMPLE OF SPFLD CONTRACTOR INFORMATION BUILDIN( # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 VN REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Notes: Page I of2 ffifi1pg*;qtrdrtr'wBr ffi.1 PERMIT NO: COM2003-00558ISSUED: 0612712003APPLIEDz 0612712003 EXPIRESz 1212712003 VALUE: gbz-utr (ou ma ng the ( rerfort er. (Nc .traatnn Building/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: COM2003-00558ISSUED: 0612712003APPLIEDz 0612712003 EXPIRESz 1212712003 VALUE: Description Tvpe of Construction Fee Description + l0oh Administrative Fee + 77o State Surcharge Building Permit Sanitary or Storm Sewer Cap Total Amount Paid Total Value of Project Date Paid 6t27t03 6t27t03 6t27t03 6127t03 Value Date Calculated Receipt Number 120020000000000166r 1200200000000001661 1200200000000001661 1200200000000001661 $ Per Sq Ft or multiplier Square Footage or Bid Amount Amount Paid $9.00 $6.30 $4s.00 $45.00 $105.30 PIan Reviews 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. 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 Sanitary Sewer Cap: Capped within five (5) feet of the property line and capped with an approved material as required by the code. Reouirec By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that ail 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. or Contractors Signature Paee 2 of 2 Date )ct.t (2r -o3 Valuation Description I 225 Fifth Street Springfield, Oregon 97 477 541-72G3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Receipt #: 1200200000000001661 Date: 0612712003 2:47zl4PM coM2003-00558 coM2003-00558 coM2003-00558 coM2003-00558 Building Permit Sanitary or Storm Sewer Cap + 7%o State Surcharge + lUYo Administrative Fee 45.00 45.00 6.30 9.00 Item Total:$105.30 Type of Payment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check CALVARY OPEN BIBLE dlm 10348 In Person Payment Total: $105.30 $10s.30(