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Home My WebLink AboutPermit Demolition 2006-06-20Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00511ISSUED: 0612012006 APPLIEDz 0510212006EXPIRES: 1212012006 VALUE: SITE ADDRESS: 1122 5TH ST Springfield TYPE OF WORK: Fire Damage ASSESSOR'S PARCEL NO.: 1703263402900 TYPE OF USE: Repair PROJECT DESCRIPTION: Fire Damage - Demolition and Sanitary Sewer (per Dave P.) Residential Owner: Address: Contractor Type General GEORGE DANIEL LEE TE 1122 N sTH ST SPRINGFIELD OR 97477 fo!low rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OrL.f; 952-001 -0010 through OAR 952-001' numDer or ter. (Note: the telePhone Oregon Utility Notification Contractor OWNER License Expiration Date Phone BUILDING # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 VN nla Paved Drive Rqd: oh ofLot Coverage:SHALL EXP, ,S PERMIT IHORIZED UNDER TH IICE: Square Footage or Bid Amount REQUIRED PARKING Total: d .' Handicapped: Compact: rsP 00AY PERIOD. Sidewalk Type: Downspouts/Drains: THE WO RKRE IF FOR $ Per Sq Ft or multiplier PUBLIC IMPROVEIITUil{tr$ Valuation Description Description Type of Construction Page I of2 Value Date Calculated G Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00511ISSUED: 0612012006 APPLIEDz 0510212006 EXPIRES: 1212012006 VALUE: Total Value of Project Date Paid Receipt Number Fee Description Total Amount Paid Amount Paid $0.00 Paid Plan Reviews To Request an inspection call the 24 hour recording at 726-3769, All inspection requested before 7:00 a.m. witl be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Demolition: After demolition is complete, sewer is capped or septic is pumped and filled and inspection is requested and approved, and all debris is removed from the site. Sanitary Sewer Cap: Capped within five (5) feet of the properfy line and capped with an approved material as required by the code. Reouired By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times construction. 2C, or Contractors Signature Pase2 of2 Date 3^l e Construction Contractors Board 700 Summer St It{E Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 Web Address : !E!g"g$!!!@q Permit *,bwz&@ ^ ooEt I Address: \\az 5+t" st' Issued by:Date:b-?a -oL Statement: lnformation Notice to Property Owners About Gonstruction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensedwith the Construction Contractors Board to sign thefollowing statement before a butlding 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 1 and 2, and either box 3A or 38 h 1. I own, reside in, or will reside in the completed structure. K 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. n 3A. My general conkactor is (Name)(ccB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction 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 Property Owners about Construction Responsibilities on the reverse side of this form. (Signature permit app licant)(Date) (White copy to issuing agency permit Property_owner.doc 06-0 I -04 file, pink copy to applicant.) /ZC c{ 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cit-'.of Springfield Official Receipt D. ;lopment Services Department Public Works Department RECEIPT #: 1200600000000000944 Date: 0612312006 10:56:l5AM Job/Journal Number coM2006-0051I coM2006-0051I coM2006-0051I coM2006-0051I Description Demolition Sanitary or Storm Sewer Cap + 8% State Surcharge + 10Yo Administrative Fee Amount Due 45.00 45.00 7.20 9.00 Item Total:$106.20 Payments: Type ofPayment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid INT CHGS 100-63300-660020 I 122 sTH lth INT CHGS In Person $106.20 Payment Totat: -SiMo- cReceintl Page I of I 612312006 SPFTgh,GF{ELN 225 FIFTH STREET . SPRINGFIELD, OR 97477 o PH:(541)726-3 753 r FAX: (541)726-3689 DEMOLITTON PERMIT APPLICATIONS Address: Property Owner Signature: your demolition permit is currently being processed. There may !e a slight delay, of up to z working days for small stnrctures, due to the time require_d to^review the history of the #r.1r." to determine if it needs to be documented before demoiition. This documentation is for archival purposes only and will not affect the granting of the demolition permit. If the structureis very large or complicated the documentation process may take up to a maximum of 4 rvorking days' Documentation^will consisi of phot'ographing the building, taldng- measurements and -ut i"g scaled drawings. The Socumeniation u,ill be undertaken by the Citl' 31no cost to you.- Documentatio"n is being done on all structures dated prior to 1940 that may have historic importance to the City's development. THIS DOCI.IMENTATION WILL NOT IMPEDE THE DEMOLITION PROCESS' An age cut-off of 1940 was chosen because this is the date that the National Parks Servit and The Springfield Development Code use to determine potential historic significance. If you would prefer to complete this documentation yourself you must provide the -CiiV *itft the ?olowing information: r) black a-nd white photographs- of each eleiration, a floor plan-with measurements, and z) a set of elevation drawings with measurements. Thank you for your patience. I grant the City of Springfield permission to enter my property to complete a3""**tation prior toifre reiuested demolition of the structure located at: (Ll ,bt^,W, Job Number:Date: li3..Ft g r+{;r):ieL t:i 225 FIFTH STREET . SPRINGFIELD, oR 97477 o PH:(541)726-3753 e FAX: (541)726-3689 DEMOLITION PERMIT APPLICATION Address:(/^,7_IU,tfl, Structure to be Demolished:O c., Job Number:I The applicant is hereby notified that any redeveloprnent of the subject site must ."*piv *itf, a11 of the applicable laws, codes, ordinances, polices and pJans.in ef"ct at the time the redlvelopment proposal is accepted a.s complete f9r CltV . . ."rri"*. This would include coirection of substandard conditions associated with it " pr"..rrt development. Examples of such corrections may include modincution of inadequate drainage facilities; complian-ce with building set- backs from properfy lines; correction ofsubstandard sidewalks and street i.pro""*"its,^inciuding drivervay wi{th and pla-cemenq and other corrections *[i.t may be necessary"to comply with existing development standards' Furthermore, if an existing use is demolished or otherwise removed prior to.the a.""fop."", of the prop"I"a use, then the system development charge credit for th;;;;;;sly existiniise shall expire two years after the date of issuance of the demolition permit o.'ott ". ,"-o'rul of th" previously existing use' (Springfield Municipal Code g.+16(r))' My signature below indicates that I have read and understand the above "orrai[io"r relating to the demolition of the above mentioned structure. 7o 06 Signature Date po - oa;/J 6 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Cil-' qf Springfield Official Receipt De. -lopment Services Department Public Works Department RECEIPT #: r200600000000000944 Date: 0612312006 10:56:l5AM Job/Journal Number coM2006-0051 I coM2006-0051 l coM2006-0051 I coM2006-0051 l Description Demolition Sanitary or Storm Sewer Cap + 8% State Surcharge + liYo Administrative Fee Amount Due 45.00 45.00 7.20 9.00 Item Total:$106.20 Payments: Type of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid INT CHGS 100-63300-660020 I t22 sTH ilh INT CHGS In Person Payment Total: $ 106.20 -$ro-6io-'' cReceint I Page I of I 6t2312006 arttaaar*D