HomeMy WebLinkAboutPermit Correspondence 1985-03-25SPRINGFIELD
CIIY OF SPRINGFIELD
Department of Public Works 1885- 1 98S Spilnglield Centennial veat
lhrch 25, 1985
CRTIFIED
!8. Elaine L. MarEin
Dlr. ilohn E. Charles
5690 l4ain SLreet
Springfield, Oregon 97474
!t. Blaine L. l4artin
6910 43rd Avenue S.E.
Iacelfr l^Iashington, 98503
SUBJEf,T: Idotice and Order to Corply Wittr ttre Springfield Building Safety Codes at
l*tt. Vernon Ilcad between 43rd & 44ttr Streets, Springfield, Oregon.
Dear kotr=rty O*ners:
Tkre sLrucLr:res located at tlre above referenced address nore lnrticularly described as
Iane @urty Assessor's lhp 18 02 05 2I, Ibx Lot 08800 are, for reasons specified
belor, attractive nuisances and sl:bstandard buildings as described in the Springfield
Ilcusing Code (applicable code excerpts are attached).
Section 4Ol (b) of tlle Springfield tbusing Code describes structures and 1ro1=rties
vtdch are classified as attracLive nuisances -- buildings which are structurally
unsound and prol=rties taving used rnaterials, trash, or debris in p:blic view uihich
may prc /e hazardous to inguisitive children. Section 1001 of tJ:e Ibusing Oode
specifies crcnditions constituting a strbstandard building. Ttre folloring iterns
inclule but are not limited to crcrditions existirg at ttre structr:res in question,
classifiring thern as attractive nuisnaces and substandard buildings:
1. Bottr structures are partially denrolished vdth trnrtions of suplnrtirg menibers
missing
2. Both structures are oIEn and accessible.
3. Ebrth structures have not been rnaintaine,il ard have deteriorated to tlre point where
exlDsure tns caused drlr rct arrl deterioration of vood srpports and streathing.
Section 2O2 of ttre Hcusing Code requires tlrat structures classified as sr:bstandard as
described above are pdclic nuisances and must either be relnired or dsnolished.
Ileerefore, tJ.is is 1or:r notice tlnt 1ou rm:st secure tr>errnits to either rebuild the
structures (Section 104 of tJre Springfield Building Safety Oodes Adninist-rative 6de
requires tlnt they be rebuilt to ccnrply with all prcnzisions of tJ:e Springfield
Structural Specialty Code and Fire and Life Safety Code. ) or to dernclish thern. If
tl-e buildings are to be rebuilt, plans must be sukrnitted try April 25, 1985. Perrnits
must be purchased and rork must ccmmence b1r l4ay I0, 1995. If the buildings are to be
225 North Sth Street o Sprinsfield, Oreson97477 o 503/726-3753
!iti. Blaine L. Martin
Mr. John E'. Charles
Ilctice and Order
Mt. Vernon Road Betrdeen 43rd & 44tf- streetslfarch 25, L985
Page 2.
derplished, dsrplition raprk mr:st qrmence by April 25, 1985 ard mr:st be ccnpleted tryrltlay 25, 1985. 9gnpletion Pns that the strustures and prolErty must be ilspectedand apprcnzed Uy Ee appropriate representatives of the Suiiaiig Sifety Oivision'. ftreseter must be capped at tl:e prcperty line or ttre septic tarft *usi be pnped andqiUed B- _" person ho_Idilg a se\^,age dislnsal ser:zice license as prcnzidled - for inchaPter 340, Division 7 of the oregon A&ninistrative Rrles.
If-yo" do not take corrective action \.dthin the tine frames outlined above, t].e CitywiII seek crcnrpu-ance wittr tl1e Building Safety Codes b1z rternlishing both structures,rancxring the debris ard charging ttre costs thereof against tJle property or its
O\^lne.rs.
Any trrerson having any record tj-tle or legal irrterest in ttre prol=rLy may atrpeal frcnrtltis notice and order to the Building Board of Appeals, prcnrided that the-ippeal is
made in rrriting and filed wit]. t]:e Building Officiaf within thirty (30) aa14s
-iqn t].e
date of senzice of ttris noLice ard order. Failure to ap;=a1 will crcnstitute a waiverof all right to an adninistrative hearing and detennination of ttre rnatter.
Your anticipated courtesy and cooperation is appreciated. P1ease direct all
inquriries to t]:e springfield Buirding safety Division aL 726-3753.
Sincerely,
David ,I. R:ent
Acting Sr:perintendent of Brilding
cc: bn l"lcore,
Buildjng Inspector
Sally Johnson,
Ervironmental Inspector
Mike ltu&nan,
Fire llarshal
Joe Leatty,
Assistant City Attorney
attactrnents
SI:DP/lh
SPR FIELE'
D EV ELO P M E NT SERVI C ES D E PARTM ENT
MEMORANDUM
Zft,225 FIFTH STREET
SPRINGFIELD, OR 97477
(541 ) 726-375s
FAX (541) 726-3689
vvvvw. c i. s p r i n gf i e I d. o r. u s
City of Springfield
To
From:
Date:
Subject:
Myrna Buss
Seven Gables Real Estate
820 S. 43'd Street, Springfield , ORg7478
Linda Pauly, Springfield Planning
July 11, 2001
Residence at 185 N. 33'd Street
The property at 185 N. 33'd Street is zoned Community Commercial and is in the Mid
Springfield Refinement Plan area. This lot has permitted status for a single family
dwelling. Amendments to Springfield Development Code Article 18.020 (8) Commercial
Districts grants lawful, permitted status to single family homes on commercial property.
SPRtrIIGFIEI.D
CITT OF SPRINGFIELD
Deparhnent of hrblie Works
AF FIDAVIT OF SERIVCE
STATE OF OREGON,
County of Lane,
L de Cantv ,b eing first dulY
sworn, do hereby depose and say that I am a competent person over the
age of 1-8 years, a resident of the State of Oregon, and not a party
to or an attorney in the hereinafter mentioned matter.
I do further state that I mailed the original of the attached
letter dated Mereh 2(, 1eR( , addressed to Blaine L. Martin
Mr- .Tohn F- Charles, 5690 Main Street, Sfringfield, OR 97478
from David J.t Department of Public Works by Certified
)
)
)
SS
I
Irlail, return receipt requested on the 25th -day
of
198_5.
SUBSCRIBED AND SWORN to me this yof ht*J-
NOTARY PUBLIC FOR OREGON
lvly Conmission Expires :8/t [olfib
Irlarch
*8j1
T_-1
225 North 5th Street I Springtield, Oregon97477 o 5o8/72[3-3753
F
\
CITT OF SPRINGFMI,D
Depa,rtment of htblic Works
STATE OF OREGON,
County of Lane,
I Linda Canty being first duly
sworn, do hereby depose and say that I am a competent person over the
age of 18 years, a resident of the State of Oregon, and not a party
to or an attorney in the hereinafter mentioned matter.
I do further state that I rnailed the original of the attached
letter dated March 25. 1985 addressed to Mr- Blaine L-
Martin, 6910 43rd Ave, S.E., Lacey l{ashington 98503
from David J, puent , Department of Public Works by Certified
l'{ail, return receipt requested on the 25th day of March
1985.
.L-rrb dayof ?71 &'L c"
)
)
)
SS
pcu
":) .
BED AND SWORN to me this
198
NOTARY PUBLIC FOR OREGON
Ivly Conmission Expires :s/rv lsb-1
225 North 5th Street . Springfield, Oregon 97477 . 503/726-3753
SPRI]{GFIEI.o
AFFIDAVIT OF SERIVCE
L
SPRINGFIELD
CITY OF SPRINGFIELD
Department of Public Works 1 885- 1985 Springrlield Centennial year
Ftarch 25, 1985
CERTIFIED IErIER
!8. Blaine L. Martin
FIr. John F. Charles
5690 l,lain Street
Spri::gfield, Oregon 97478
!8. B1aine L. t'hrtin
6910 43rd Avenue S.E.
Lacry, I^Iashington, 98503
SUBIffiT: Idotice and O:rder to Oorply Wittr the Springfield Btrilding Safety Codes at
1,1t. Vernon bad betlreen 43rd & 44ttr Streets, Springfield, Oregon.
Dear Protrnrty Orners:
The strustures located at tJl.e above referenced address rrDre lErticularly described as
Lane 6wrty Assessor's }hp 18 02 05 2L, Tax Lot 08800 ELr€r for reasons specified
belovr, attractive nuisances and sr-rbstandard buildings as described in the Springfield
Llrusing Code (applicable code excerpts are att-ached).
Section 401 (b) of the Springfield Ibusing Code descrilces str'uctures and properties
\*Lich are classified as attractive nuisances -- buildings thich are structr.rral.ly
unsourd and properLies tnving used rnaterials, trash, or debris in p:blic view which
rrEry prove hazardous to inquisitive children. Section 100I of tl e Ibusing Oode
specifies crcnditions constituti.ng a substandard building. ftre follo,rring itenrs
include but are not limited to crorditions existing at t]:e structures in question,
classifying tltem as attractive nuisnaces and sr:lcstandard buildilgs:
I. Both structures EIre trnrtially denplished \dth lnrLions of suplnrLirrg menrbers
rnissing
2. Both structures are open and accessible.
3. Bottr strustures have not been rnaint-ained arr1 have deteriorated to the lnint rattere
exlDsure llas caused dry rot arui deterioration of r,rrcd supports and streathing.
Section 2O2 of ttre [tcusing Oode requires ttrat strustures classified as substandard as
described above are p-rblic nuisances and must eittrer be retrnired or demolished.
l*rerefore, this is lour notice tl.at you nn:st secure pernits to either rebuild the
structr.:.res (Section 1O4 of tJ:e Springfield Building Safety 6des A&ninistrative 6derequires that tlrey be rebuilt to crcrnply \^rith aII prcnrisions of the SpringfieldStructural Specialty Code and Fire and Life Safety Code.) or to dsnclish thern. If
the buildings are to be rebuilt, plans must be suhnitted ty eprit 25, 1985. Permits
must be p.rrchased and taprk must ccnrnence Lryr l4ay I0, 1985. If the buildings are to be
225 North Sth Street o Sprinsfield, Oregong7477 o 5O3/726-3753
-
lrtr. Blaine L. llarLin
!4r. John F. Ctnrles
tibtice and Order
Mt. Vernon Road Betbreen 43rd & 44th Streets
lhrch 25, L985
Page 2.
dqnclished, denolition r+crk must qrmence by April 25, I9g5 and mrst be ccnpteted tlz
May 25, 1985. CcnPletion meclns that tlee strusLr:res and property must be i:rspectedarrl approved by C-appropriate representatives of ttre nrifaing Safety Division-. Ttre
seuer must be calped at the prol=rty line or ttre septic tank nn:st be p-unped andfilfed b1z a person holding a se\,€ge dislnsal senrice license as protrided for i:r
Chapter 340, Division 7 of the Ocegon A&n-inistrative R:Ies.
If 1ou do not take correetive action within ttre tine frames outlined above, the Cityw"ill seek crcnrpliance w"ith the Buildi.reg Safety Codes b1z <lenrclishing bottr structures,
rencnzing tlre debris ard charrging ttre costs ttrereof against ttre property or its
OI/rnefS.
Any tr=rson having any recrord title or lega1 ilterest in the prol=rLy rnEry atr4)eal frcm
ttr-is notic.e ard order to tl.e Building Boaral of Appea1s, prcnrided tl.at ttre appeal is
rnade in r,rriting and filed with the Building Official within t].irty (30) days from the
date of senrice of tl.is noLice ard order. Failure to appeal will constitute a rraiverof all right to an afrnjnistrative hearing and determilation of tl:e rnatter.
Your anticipated courtesy and cooperation is appreciated. Please direct all
inqr:i.ries to the springfierd Building safety Division aL 726-3753.
Sincerely,
hvid J. Puent
Acting Superintendent of Brilding
cc3 bn l'lcore,
Buildilg Inspector
Salty Jotutson,
Ervironmerrtal Inspector
ltike Hu&ran,
Fire ltarshal
Joe I-eahy,
Assistant City Attorney
attacturents
SJ:DP/Ih
O.--o$-.*.l-
t\
l. D. No.840-r,c
LITIGATION GUARANTEE
ISSUED FROM THE OFFICE OF
EVERGREEN LAND TITLE CO.
1317 North l8th Street
Springfield, Oregon 97427
l.I9 0005 12
Policy issuing Agent for
SAFECO TITLE INSURANCE COMPANY OF OREGON
SUBJECT TO THE EXCLUSIONS FROM COVERAGE, THE LIMITS OF LIABILITY ANDoTHER PRovlsloNS oF THE coNDtloNS aruo sripuLATIoNS HERETo ANNEXEDAND MADE A PART OF THE GUARANTEE, SAFECO TITLE INSURANCE COMPANYOF OREGON, an Oregon Corporation, herein called the Company, for the fee paid for thisGuarantee, the amount and effective date of which are shown heiein, hereby buaranteesthe parties herein called the Assured, against actual loss not exceeding the liability amountstated herein which the Assured shall sustain by reason of any iicorrectness in theassurance which the_Company hereby gives that, according to the public records, on theeffective date stated herein,
1 The title to the herein described estate or interest was vested in the vesteenamed, subject to the matters shown as Exceptions herein, which Exceptionsare not necessarily shown in the order of their priority.
,
t a#x,r4a
Secretary President
zda/.;f*.//
Authorized Signaturo
LITIGATION GUARANTEE
SAFECO Stock No. ORp-0024 (t -84)6f;AEHRP
-190
Guarantee ts issueo tor the oenelll r^\ase the indebtedness
Compa ny shall have the oPtion to Pu
bv said mortgage ' .S uch-PU rcl pay ment or tender ol
Of a tlol0gl 9i cr rrlui 19eYvr ir"TOTAL FEE
ANO FOR T
FOR TITLE 5EAHUi-t Arru
GUARANTEE.
- -- eecured
EXHIBIT I
512
Guarantee No.
LiabilitY $ 24 ,86?. )?
Effective Date: JUNE ?9, 1984
Fee $ 190.00
i A. Assured:i . CITY CF SPRII{GFIELD
B. The estate or interest in the land hereinafter described or referred to covered by this Guarantee is:
A FEE
C. Title to said estate or interest at the date hereol is vested in:
BLAIIIE L. liARTIll and J0HN F. Cl:ARLES
D. The land referred to in thrs Guarantee is situated in the County of
State of Oregon, and is described as follows:
ATTAC IiED PROPERTY il
E. The title to said estate or interest is subject to the following Exceptions
ATTACHED ,
Litigalion Guaranlee
SAFECO Stock No. ORP-0024A (1-84)
ASAFECO!=./ rrrue INSURANCE
PACI 2
E. The tit'le to said estate or intprest is suhject t.o the fol lovring
Exceptions:
l. Taxes, (See Exh jb-it A), l,aap l{o. )e 02 05 21 08800.
2. City Assessments, (See Exhibit B).
3. Easenent granted to the C'ity of Springfield, recorded June 5, 1980,
Reception llo. 8028150, Lane County 0regon Records.
4. Easenent granted Enpire Financial Services, Inc., to the City of
Springfield, recorded July 5, 1983, Reception llo. 8322993, Lane County 0regon
Records.
5. Right, title and interest if any of Ernpire Financial Services, Inc.
. 6. llortgage, including the terrns and provisions thereof, executed byvBla'ine llartin, to First Interstate Eank of Cregon, f'1.4.., dated llovember 25,
l983, recorded liovenber 28, 1983, Reel )273, Reception llo. 83441J3, Official
Records of Lane Countyr Oregon, given to secure paynent of a liote for
$16,905. 12. (Address: 665 l'iain Street, P. 0. Rox 9, Springfield, 0R)
7. Deed of Trust, including the terms and provisions thereof, executed by
Gregory "1. lrarsch, Crantor, to l'lillarnette Val1ey Title Company, Trustee, for
the henefit of Emerald tf-p'ire 0anking Corrpany, Beneficiary, dated 0ctoher 28,
1983, recorCed llovenher 29, 1983, Reel )273, Reception llo. 8.34441C, Off icial
Records of Lane County,Oregon, eiven to secure payrent of a Note for
$700,CCO.00. (Covers other property also) (Address: % Citizens Val'ley Bank,
5690 l':ain Street, Springfield, 0R)
8. Pight, title and jnterest if any of Gregory J. ljarsch.
9. Federal Tax Lien against "rohn F. Charles and Angel'ika l.i. Charles, recorded
Septerl,.er 8, 1962, Reception No.8226819, in the anount of $17,619.08, plusinterest. (Address: lrYQS, Eugene, 0R)
J0. Judgnent against John F. Charles, in favor of First Interstate Bank of
Oregon, filed April 2), 1983, Lane County Circuit Court Case No. 16 8? 014-05,
.ludgnrent Card lio. ?822 83, in tly: arount of $59,988.87, plus interest.
(Address: FIB, P. C. Box 3)ffi-Port1and,0R, Attn: Foreclosure Dept.)
I l. .!uCgnent agai nst .rohn Clrarl es, in favor of llend Interstae Associates,
f i'led Cctober 20, 1982, Lane County Circuit Court Case [,lo. l6 82 08740,
Judgr::ent Card llo. 7267 82, in the an:ount of 53),895.77, pius Attorney Fees in
the anount of S2,0C0.00, plus interest, plus Court Costs in the ar,ount of
$ 138.00. (Transcri bed fron, Desc hutes County, no addrel(avai 1abl e)
a
a
I
r:' y',PACE 3
.,PROPERTY''
Beginning at a point in the center of a certain l{orth and South road whjch
point is South 89o l0' East, 437.)Z feet frorr a point on the l.rest line of the
? David l,rthur Donation Land C'laim No. 47, Torvnship l7 South, Range 2l.lest of
' the l,ti I I anette lleridian 1627 .I feet South 0o 03' l.lest from the llorthvrest
corner thereof; run thence South 89" l0'East 145.0 feet to the true point of
the fol'lorring described tract; from said beginning point run South 89" l0'
East, 3AA.24 feet; thence llorth 0" 03' East 100 feet; thence llorth 89" l0'
l.lest 30e.24 feet; thence South 0" 03' l'lest, lOC feet to the place of
beginning, in Lane County, Cregon. EXCEPTII{G the liorth 5.0 feet thereof
conveyed to the City of Springfield by Deed recorded January 17,1980,
Reception llo. 8003095, Lane County Cregon Records.
,
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IT,ISPECTION TINE
t283769
CIIY OF SPFINGTIETO
COA{EINAIION APPTICATION/ PERMII
INFORMAIION TINE
72t3757
ENERGY SOURCES:
Heot
Wo tEt H"olea
e-
Vqlue of Worl:
(lics. no.)(expirer)(oddrerr)
.A
Owncr
Phone--Add.err\J
"5Phonc
(nome)
I
\scCO
.13
Fomi Re:ide n<e
Dercribe Work (i.e.,Euild Singla
Sq. Frg. Accerr.
Job Addrc::
Dercri
Suilding Permit
Addrcr
DESIGN TIAM
Primo
Sq. Frg, A{oin
Sq. F?9. Orhct
-New-Add -Alter-RcP.-. -Fencc-Dcmo-Chongc1 Use
-Other
Structurol
Electricol
de no.ddrers)s
MECHANICALPTUMBING
CHARGE NO.Fea
EIECTRICAT
FCHARGE
Electricol
Mechonicol
furnoce/burnar fo
-BTU'S
Residence oi
fr.Eoch ringle {ixrurc
Appiionce vcnt
5eporo te
New <ircuilc, ollerolionr
or exiensionr
Relocqtad building
(new Iix. oddirionol)
Stotionory cvop.
coolerSERVICES
S.F. Reridencc
(l both)
Vent fon with
ringie ductTemporory ConrlruclionDuoler (l borh) aoch
Vent system oport from
heoting or A.C.Ampr.Aciditionol borh
Mechonicol exhou!t
hood ond ductWoter rervice
Wood stove/ heoterScwcr
I
I
Heol PumpFEEDERSStor.m Scwcr
Ampr.I crA,t
Air hondler to
Air hondler over
10,000 cFM
tSstlANcE oFfPERAIIT
WHERE SIAIE tAW REOUTRES rhot thc Electrisql work bc donc by the Elcrtricol Conlroctor, the clectricol portiorr of thir pe;mit rhall not bc valid unril o
I HAVE CAREtULty EXAT INED rhc completcd opplicotion for permii, ond do hereby cerrify thol. oll informotion hereon ir ,ruc ond correcl, ond I further
cGrtify thot ony ond oll work p.rfor-"j sholl bc donc in qcordoncc with lh. Ordinoncer of rho City of Springfield ond the Lows of the slote of Oregon
p.rroini.g ro tia work dcrcribcd hcrin, ond rhot NO OCCUPANCY will bc mcde of ony ttruclur. withoul ihe pcrmi$ion of rha Building Divirion. I further
ccaify rhlr my .Ggirnorion with rhc suilde/s Boord i: in full force ond effcct os rcquireci by oRS 70I.055, thot if exempt lhr boris for exemption ir nohd
h:ron, ond thot Jnly lubcontroclorl ond cmploye.r who ore in complioncc wirh ORS 70I.055 will bc uscd on this proicct.
DATESIGNATURE
lobrl hor bon rigned bY on Elactricol Conlroclor ond ot oched to lhc clcstricol ponel'
Borir for Buildcr'r Boord excmption;
NAA{E (pleorc prinl)
TOTAT CHARGES TOTAT CHARGES
Zonr
-fypc/Conrr.-Unils
-..-Sq. Ftg. ltoin
fire Zono-Bedroomr occy Lood Sq: Ftg' Acce:r
Ftood Ploin
--_----5toriar-Occy
Group
-
Sq. Frg. Other
-
FOR OFTICE U5E ONI'
TOTAL VAI.UAIION
x
---Yoluc
r Voluc
a
-Volue
Syrtemr Developmcnt
Chorqe ( I .59'o)
BUII,DING PERMIT
Chorger ond
S u rchorg e:
Plon Ck. Comm/lnd
t Fec
ec 6
30"6/ 8r
Plon Ck. Rer
Tolol Comb. Permit
PI,UMBING PERMII
Chorgcr ond
Surchorgcr
Fence
Demo
AI
c
SidewolkChorger ond
Surchorger
TOTAI 16.bcATECHAN ICAI PERAAIT
Chorgcr ond
Surthorgcr
Curb Cut
Prumbino (YLDfl
CHARGEFEENO,Not
TOTAT CHARGES
70
4
PERMIT VALIDATTONCOMBINATION APPLICATION,PERMII ICAP)
l. Applicoru to furnish
A. Job Address
B. Legol Description
l. exomole-tox lot 100, Lone County Mop Reference I7 03 43
2. er"-pE-Lot l. Block 3, 2nd Addition to Springfield Estotes
C. Nome, etc. of owner ond construction lender
D. Energy Sources
l. exomole-heotrelectricol ceiling/or forced oir gos
2. exofr iG - * o t e r Te o-i6?l?lEZTiiIo I i o iJol " r--
E. Squore footoge 6r voluotion, elc.
l. exomoie-l 250 sq. foot house, 500 sq. foot goroge
2. e-EmiG-iT;ew proieo, checki-ew-ii oddition, ciheck
odd, etc.
F. Buildinq permit informotion:
I. exomole-(onstruct single fomily house with on ottoched
goroge
2. exomoie-remodel exis?ing goroge into fomily room
3. exompG-convert single fomiiy residence inlo
restouront (chonge of use)
G. Volue of work os defined in Seciion 303 (o) of the
Structurol Specio lty Code
H. DESIGNI TEAM AND CONIRACTERS
To ovoid design or construction cieloys, Building Division
Stoff mus, be oble to contoct oppropriote persons regording
design informction or iob site correclions. etc,
ll. Ablirievioted Flumbing, Mechonicol & Electricol Schedules
' A. Except where blcnk spoces occur in the description portion
of the Mechonicol oncj Electricol Scheiules, the opplicont
need {ill-in only the No. Boxes odiccent to the oppropriote
. item(s) to be insrolled
B. f ull Plumbing, Mechonicol, ond Electricol Schedules
ore'ovoilo.ble ot ?he Building Division
l. To conserve spoce on the permit form the schedules .:
hove been obbrevioted
2. lf the ilem(s) to be instolled ore noi covered on the obbrevi-. oled schecjules 7ou should consull rhe full schedules
C. BUILDING DIVISION STAFF WILL FILL OUT ALL FEES,AND
CHARGES ON THE SCHEDULES
lll. Applicont to sign onci dote
Whenever possible, the iniriol opplicotion will be used os o
worksheet only. Where possible, Building Division Stoff will
prepore o typewritten copy ond return it ,o the opplicont ot
the time rhe octuol permit is issued for his signoture.
lV. Feec ond Chorges
Plon check fees ore due ond eoyoble ot the lime of the opplicolion,
ond no plons will be processed until these fees ore poid. All
olher'fees ond chorges ore cjue ond poyoble when the permit
is isrued.
V. FOR OFFICE USE ONLY
PROJECT CCNDITIONS TO 8E . SATISFIED BEFORE OCCUPANCY:
Additiono.l Prcriect lnformotion:
PLANS REVIEWED BY
signo lure dotenome
Permit Clerk
INsPECTION TINE
776-3769
CITY OF SPRING'IEtD
COA{EINAIICN APPTICATION / PERMII
INTORAIAIION TINE
72th7757
CO
Euildinq Permil lnfor
Phone
(licr. no.)(oddre::)
wirh
5
'5Phonc
Ro
.,a
If\.\
S-o
Dercriba Work (i.e ., Suild 5ingle
Volue of Work:
Legol Dcrtription
Job Addre:r
Addrqrr
DESIGN TEAM
-New -Add -Altcr -RaP'-,-Fenca-Demo-Chonge/ Ure
-Other
ENERGY SOURCES:
Heol
Wotcr H?ore. _--.-
Sq. ttg. Accerr.
(nome)
ETECTRICAL
Me<honicol
PTUMBING ,ttECHANICAL
I CHARGENO. I I reeF:E CHARGECHARGArEl
Ed <n fixrurc
furnoce/ burner io
-BTU':
.Qeridence oi
fr.
Applionce vent
Jeporo te
New circvil:. slterolionr
or extenrionlRelocored building
(new {ix. odditionoi)
Sloiionory evop.
co o lerSERVtCES
S.F. Reridenge
(l both)Vent fon with
single ductTemporory ConrlrvciionDuolex (l borh) coch
oport from
,.c.
Venl lystem
heotinq or AAmpr.borhAd
Mechonicol exhqurl
hood ond duct\Molor r"rvi<e
Wood :tove/ heoterI
I 5cwcr
.Heot PumpFEED ER5s Air hondler to
t0.000 cFr*Ampr.
Air hqndler over
10,000 cFM
rSsuANcE oFfPeRMlT
TOTAL CHARGESTOTAT CHA8GESTOTAT CHARGES
I HAVE CAREFULIY EXAAAINED lhc compleied opplicotion for permit' ond do h
certify lhor ony ond oll work pcrformed rholl be donc in ocrcrdgnce wilh lh
p..roining to rilc wort dercriixd herin, ond thot NO OCCUPANCY will be mo
ertify lh-ot my regirtrotion with lhc Evilde;': Boord ir in full force ond effect o
he.o., o.d rttot Jntv rubonlrocloru ond cmployecr who ore in complionca w
ereby certify thot oll informotion hereon ir ttuc snd correcl, ond I fvrther
e Oicjinonces of the City of Springfield ond lhe Lows of the Stoie of Oregon
de of any sfuclure without the permirion of thc Euilding Divirion- I further
r rcqvireci by ORS 701.055, thdl if exemPt the boris for exemption is noted'
irh oRs 70I.055 will be ured on lhis p'oi.Gt
Unii; 5q' Ftg' Atoin
Fire Zons-Ecdroomr occy
qthiccf:holl unrilbcv(llidnolConlrEclactricolthaE!artricol alo?,porlion parmilthcworkEhGtricsldonabelhorREOUIRESthcbySIwllEtEtAwAIE
fho ahstricol,oondConlroclor ponel.ottochedElarrricolonhorlobclbonbyrigncd
Barir for Builde/r Boord cxcmption:
N&\{E (plcorc print)
tlood Ploin
-------_5
FOR OFFICE USE ONI
.TURE
Lood Sq. Ftg. Accerl
Zone
-TyPc/Conrt.
x -------Vqlue
x Voluc
Group . Sq- Fts. olhcr-;"r^,
,^,'*1,"J;
Syrrcm3 DevcloPment
Choroe (1.59'.)Plon Ck. Comm/lnd
6594/Bldo Per Fee
Plon Ck. Rer
3096/ Sldq Per Fec
BUII,DING PERMIT
Chorger ond
Surchorgcr
Fencc
Totol Comb. PermitDemo
PIUAABING PERMIT
Chorger ond
Surchorger
5idewolk
A/C Povinq I
Curb Cur bboTOIAT
MECHANICAI. PERMIT
Chorocr ond
Svrcho rger
..-!r. 1! : 'f,H\', ..qir- -
NO.
z()
4
ELECIRICAI PERMII
Chorger ond
5urchorgar
Additionol Pr<;iect lnformo?ion:
PLANS REVIEWED BY:
signoture dolenome
coMErNATlON AppLrcATtoN, pERMtr (cAp)
l. Applicont to furnish
A. Job Adciress
B. Legol Description
l. exomole-rox _lot .l00, _Lone.Couqty Mop Reference I72. eE-EE-Lot l. Block 3, 2nd Addiiion ro Sprinqfi,
C. Nome, etc. of owner ond conslruction lender !-
D. Energy Sources
CITY OF SPRINGFIELD
Ciry Holl
Springfield, Oregon
Deporlment of Public Works
OFFICIAL RECE!PT
,r3l
Jtlo. B 56876
PERMIT VALIDATION
03 ,t3
I. exomole-heotz electricol ceilinq/or forced oir oo:l. cxomote-woter neoter. electrtcol/ or solor
E. Squore footoge or volusyi.., .ta.l. exomoie-l3lg ,q. foor house, 500 sg. foot gorog2. elGfriE-i?Ew p ro i eo, check iEi-i i od d i t io n, .'iodd, erc.
F. Building permit informotion:
l. exomole-<onstruct single fomily house with on ol
goroge
2. exornoie-remodel existing gioroge into fomily roc3. ;En1oi-e-converr :ingle fomiiy residence into
rcsrouront (chonge of use)
G- Volue oi work os Ccfined in Seciion 303 (o) of rhe
Strucrurol Speciolty Code
H. DESIGN TEAM AND CONTRACTERS
To ovoid Cesign or construction cleloys, Building DiviStcff must be oble to contsct oppropriote persons re
design informction or iob site correcticns, etc.
It. Abliievioted Plumbing, Mechonicol & Electricol Schedulr
A. Exceot where blcnk spoces occur in the description p
of rhe Mechonicol onci Electricol Scheiules, the oppii
need fill-in only rhe No. Boxes cdiocent to fhe oppro
item(s) ro be insrolled
B. Full Plumbing, Mechonicol, ond Electricol Schedules
ore'ovoilo.ble ot the Building Division
l. To cons€rve spoce on the permii form the schedul,
. hove been obbrevioted
2. lf the irem(s) to be instolled ore not covered on th,. oted schecjules you should consul, the fuil schedul
C. BUILDING DIVISION STAFF WILL FIIL OUT ALL FEES A
CHARGES ON THE SCHEDULES
lll. Applicont to sign oncj dote
Whenever possible, the iniriol opplicorion will be used or
worksheet only. Where possible, Building Division Sroff \
prepore o typewritten copy ond return it to the oppliconr
the time the oouol permit is issued for his signoture.
Dole
F
Addres
Received For:
('
Amount Received
(
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t-I AUTHORIZEO SIGNATURE
EUGENE OR 9"OI
lV. Feer ond Chorget (' Plon check fees ore due ond coyoble ot the time of the o \-
ond no plons will be processed until these fees ore poid. {-
other'fees ond chorges ore <iue ond poyoble when the permit
is issued.
V. FOR OFFICE UsE ONLY Permit Clerk
(
PROJECT CCNDITTONS TO 8E . SATISFIED BEFORE OCCUPANCY:
(
/
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\
180'S'STREET
SPRINGFIELD, OR 97477
PH0t{E 747-1187
A LICENSED PEST CONTROL OPERATOR IS
AN EXPERT IN HIS FIELD. ANY OUES.
TIONS RELATIVE TO THIS REPORT
SHOULD BE REFERRED TO HIM.
ABC Pest Control
MITE YR(IT REPO
FIRM LICENSE NUI{BER
344
Springfleld, 0regon
CITYSTRTET
South h3rd. Street
8LDG. No.
803
ADDRESS OF
PROP ER TY
I NSPECIEOorri olxy3[flEI
,Sarne ahnrmReport Senl to (Name and Address)
Bruce i'Itrite ( uuyer )0wnei's Name and Address
License No.
tL?l4 e LL77
lnspected By
Roberb & tiel Sruith
Are there inaccessible areas?
THIS lS: .v,frnRlGlNAL REP0RT tr SUPPLEMENTAL REP0RT
\r. X x'F.
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9
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NOYES
B. CONDITIONS FAVORING WOOD
DESTROYING ORGANISMS
I
INOYES
A. WOOD DESTROYING ORGANISMS
xCD (1) Cellulose Debris't
IF. (1) Fungi (Rot)
EWC I 2 Earth-Wood ContactI
xI.ll Excessive MoistureEM (3)
xX (4) lnsuflicient Ventilation
DT (2) Dampwoo-d
ST (3) Subterranean Termites
CA (4) Carpenter Ants
Termites
xFG (5) Faulty GradeWB (5) Wood-boring Beetles
xx
x
Dirt
x
(6) 0tfqrTF (7) Treatable Fungus
xIPF (8) lnadequate Porch Flashing
x(9) 0ther
xxls lurther inspection recommended?
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B I
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:
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tnspectionorderedby(NamcandAddr.rr, IaVorufe Adanfs of AdanS ?galty
lC (7) lnadequate Clearance
I
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