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Home My WebLink AboutPermit Demolition 2003-08-26Status Issued 225Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2003-00826ISSUED: 0812612003APPLIED; 08/26/2003 EXPIRESz 0212612004 VALUE: SITE ADDRESS: 1436 WALNUT RI) ASSESSOR'SPARCELNO.: 1703342302300 PROJECTDESCRIPTION: Demolition Owner: TERRy JOHNSON Address: 1436 WALNUT ST SPRINGFIELD OR 97477 Springfield TYPE OF WORK: Garage TYPE OF USE: Demolition License Expiration Date Phone .1o Size: Ft lst Floor: 2nd Floor: tt \$e Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: Residential Contractor Type General Contractor OWNER # 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: Notes: # of Stories: Height Dist: # Street Trees Rqd: Paved Drive Rqd: %i of Lot Coverage: VN f. $ Per Sq Ft or multiplier Square Footage or Bid Amount REQUIRED PARKING Total: Handicapped: Compact: Total Value of Project Pase I of2 tNF'O, Description Type of Construction Value Date Calculated q rll L\rl.r I r(AL r Lr_F( Ll\ I (rnUVlA I l(r1\ o\\\)@ 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: COM2003-00826ISSUED: 0812612003APPLIEDz 0812612003 EXPIREST 0212612004 VALUE: Fees Paid Fee Description + l0Yo Administrative Fee + 7%o State Surcharge Demolition Total Amount Paid Amount Paid $4.s0 $3.15 $45.00 $s2.65 Date Paid 8t26t03 8t26t03 8t26t03 Receipt Number r200200000000002023 r200200000000002023 1200200000000002023 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Demolition: After demolition is complete, sewer is capped or septic is pumped and iilled and inspection is requested and approved, and all debris is removed from the site. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPAI\ICY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. LE c Owner or Date Pase2 of2 Kequlreo lnsDecuons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Date:6t2003 1: coM2003-00826 coM2003-00826 coM2003-00826 + 7o/o State Surcharge + l0o/o Administrative Fee Demolition Item Total: 3.15 4.50 45.00 -$s2"6-f Type ofPayment Paid By Received By Batch Number Authorization Number How Received Amount Paid Check TERRY JOHNSON djb In Person Payment Total: $s2.65 $s2.65 Construction Contractors Board Permit #: C\ntuc 'oOK26 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 WebAddress:www.ccfu!4le.or.ug Address: lq9 b 6J4-ru'*f >f Issued by:16 Date: ?-ZG -{3 _-EI Statement: lnformation Notice to Property Owners About Gonstruction Responsibilities 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, exempt from 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 andZ, and either box 3A or 3B: \ t ,. I own, reside in, or will reside in the completed structure. 2. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. 3A. My general contractor is (Name)(ccB #) I will instuct my ge,neral contractor that all subcontractors who work on the stnrcture must be licensed with the Constnrction Contractors 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 name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Owners on the reverse side this Lb 3 of t applicant) (White copy to issuing agency permitfile, pink copy to applicant.) Property_owner.doc 03/l I /03 -V Acting as t6ur Own General Contractor? INFORMATION NOTICT TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES NOfE: This lnfarmation Natice ta Property Owners abaut Canstruction Responsrbilifies vyas develaped by the Construction Cantractars Baard in accordance with QRS 7U.A55(5J, passed by the 19Bg Arega* Legislature. If you are acting as your own contrattor to construct a new home or make a substantial improvement to an existing structute, you can prevent many problems by being alr'are of the following responsibilities and concerns. Employer Responsibilities You will, in most instances, be ruled to be an "employer" and the contractors you conkact with will be "employees" if you use contractors not licensed w"rth the Conslruction Contractors Board to do labor in constructing or to assist in the conskuction or improvement of a residential structure. As the employer, you must comply with the following: Oregon's Withholding Tax Law: As an employer, ycu must withhold income taxes &om employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For a State Business ID number, call the Business Information Center at 503-986-2200. Unemployment fnsurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the tvages of all employees. For more infbrmation, call the Oregon Employment Department at 503-94?-1488. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on thejob" For more information, call the Workers' Compensation Division at the l)epartment of Consumer and Business Services at 503-947-78 I 5. U.S. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. You will be liable for the tax payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at 866-816-2065 or fax them at 801-620-7115. Other Responsibitities and Areas of Concerns Code Conpliance: As the permit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and Property Damage fnsurance: Contact your insurance agent to see if you have adequate insurance coverage for accidents and omissions such as falling tools, paint over spray, water damage &om pipe prmctures, fir.e or work that must be redone. Time: Make sure you have zufficient time to supervise your employees, Expertise: Make sure you have the skills to act as your own general conhactor, to coordinate the work of rough-in and finish trades, and to notifli building oflicials as the appropriate times so they can perform fhe required inspections. If you har'-e additional questions call the Construction Confractors Board (503-3784621) or write the agency at pO Box 14140. Salem, OR 97309-5052. Properf.v_orvner.doc 03/ I 1 103 .CTTY OF OEEGOIU SPFlINGFIELD DEVELO P M ENT SERVI C ES O E PARTMENT 225 FIFTH STBEET SPRINGFIELD, OR 97477 (s41) 726-3753 FAX (541) 726-3689 Address:bt,rvu* gt !-)0 Oaa Structure to be Demolished:l,r4-,^4,r- Job Number:Caruznoj - oo YLQ +@l sh e_o The applicant is hereby notified that any redevelopment of the subject site must comply with all of the applicable laws, codes, ordinances, policies and plans in effect at the time the redevelopment proposal is accepted as complete for City review. This would include correction of subskndard conditions associated withthe present developmenl Examples of such corrections may include modification of inadequate drainage facilities; compliance with building set-backs from property lines; correction of substandard sidewalls and street improvements, including driveway width and placement; and other corrections which may be necessary 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 the previou!ly existing use shall expire two years after the date of permit or other 3.416(1)). removal of the previously existing use. My signature below indicates that I have above conditions relating to the demolition of the above \$0 Lb 0 Page I of I I:\WORDF ILE\PERMITS\Demosdc. doc \\\S1' 9,5 L.bt Your demo'lition 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 r6rliew tlie history of fhe structure to determine if it needs to be documented before demo'tition. -This documentation is for archival purposes only and will not affect the granting of the demolition permit. If the structure is-very large or complicatedihe doiumentation procesl mal take u.p-to a.maximq1.qf 4 working days. Documentation will consist of photographing. the p_u_il.dinE,. taking meisurements and making scaled drawings. The documentation wi'l'l be undertaken Ui tte City at no cosfto you. Documentation is being {one^.on a'll structures a-atea prioi to 1940 that may have historic importance to the City's deve'lopment. ., THIS D0CUHENIATI0N IIILL NOT II,IPEDE THE DEI'IOLITIoN PRoCESS. SPRTNGFIELEl DA/ELOPMENT SERY'CES PUBUC titOFr(S M ETR O PO IJTAN WASTEVIIAT ER M A N AG E M ENT I gra nt the City of Spring field pe rmission.to enter mY ProP erty to documentati on ior to the reque sted i ion of the structurepr 5 to'j Property Oate: rsi ture: L<)firZoO-3-o O<Zb DEMOLITION PERMIT APPLICATIONS An age cut-off of 1940 was chosen because this is the date that the National parki Service and the Springfield Development Code use to determine potential hi storical significance. If you riou'ld pre fer City with the fo 'l'l drawings withelevation, a floor measurements. Thank you for your 225 FIFTH STREEI SPR/NGF/ELD, OR 97477 $@)n687s3 compl ete ocated atI CDqZ-oc:j--O <> ZZG ide thes of each