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HomeMy WebLinkAboutPermit Demolition 2005-08-18Building/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: COM2005-01125ISSUED: 08/18/2005APPLIED: 08/1812005 EXPIRESz 0211812006 VALUE: SITE ADDRESS: 30910TH ST ASSESSOR'S PARCEL NO.: 1703351415400 PROJECTDESCRIPTION: Demolitionof o TERESA nter. Those rules are set forth 309 10TH SPRINGFIBUDAoPgofrl -0010through OAR the rules calling the center'one number for the O contra&BPter is r-goo-ggz-eaa+) Springfield TYPE OF WORI(: Single Family Residence TYPE OF USE: Demolition Residential PhoneNumber: 541-747-1790Owner: Address: Contractor Type General 952-001- License Expiration Date Phone OWNER BUILDI] # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 U VN n/a Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: ri prntutr ls NU I iiruoneo ron Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION Description Type of Construction Page I of2 Value Date Calculated K LL EI IS DAY Ptiituu' Valuation Description I Status 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: COM2005-01125ISSUED: 08/18/2005APPLIED: 08/1812005 EXPIRESz 0211812006 VALUE: Fee Description + l0o/o Administrative Fee + lVo State Surcharge Demolition Total Amount Paid Amount Paid $4.s0 $3.15 $45.00 $s2.6s Total Value of Project Date Paid 8/18/05 8/r8/0s 8/r8/05 Receipt Number 3200500000000000505 3200s00000000000s0s 3200s00000000000s0s Plan 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. Demolition: After demolition is complete, sewer is capped or septic is pumped and lilled and inspection is requested and approved, and all debris is removed from the site. Reouired Insnections 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. Owner or Contractors Signature Paee2 oI2 Date _: 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone 4ity of Springlield Official Receipt rvelopment Services Department Public Works Department RECEIPT #: 3200500000000000505 Date:08/18/2005 3:20:54PM Job/Journal Number coM2005-01125 coM2005-01125 coM2005-01125 Description Demolition + 7o/o State Surcharge + l0% Administrative Fee Amount Due 45.00 3.15 4.50 Item Total:$52.6s Payments: Type of Payment Paid By Received By Check Number Batch Number Authorization Number How Received Amount Pald Check rl TERESA SMITH djb In Person Payment Total: $52.65 -5s2.o-t 2776 8/18/2005 Page I of I altraafD rl Sl}}llT hIciFXE:LO S. ,&t-€ks, 225 FIFTH STREET o SPRINGFIELD, OR 97477 c PH:(541)726-3753 r FAX: (541 \726-368e DEMOLITION PERNTIT APPLICATION Address: Structure 3C-? t Job Number:C Oytn,2-OOS--OIIZS ATTENTI ON: Orego n taw requi res You to the Orego n UtilitY The applicant is hereby subject site must complywith all ofthe a effect at the time the withreview. This would include the present development.set-modification ofinadequate 'Tw',1 to be Demolished: backs from proPerlY lines improvements, including comection street driveway width and placement;and other corrections which may be necessary to with existing develoPment standards.comply n r$ Signature Date Furthermore, if an existing use is demolished or otherwise removed prior tothe a;"ffi;;"t of the pr"-p";Jq.", tt u" the system $evelopygnt charge credit for th;;;&;;iy"*irtirrg i*" rhuti "*pit" 1wo years after the date of issuance of the demolition permit otitU"t t"*oval of the previously existing use' (Springfield Municipal Code g.+16(r)). My signature below ind.icates that I have read and understand the above ."irAii""r relating to the demolition of the above mentioned structure' 05 l'E l SPF'IIJGF*ELB 225 FIFTH STREET .'SPRINGFIELD, OR 97477 o PH:(541)726-3753 o FAX: (541)726-3689 %, es you to go n Utility rth 1 in OAR 9 0090. You may obtain copies of the rules bY center.ote: the There may be a slight delaY, ofYour demoli' to the time required to review theupto2 if it needs to be documented before demolition'history of the This documentation is for archival PurPoses onlY and will not affect the granting of the demolition Permit.If the structure isverylarge or complicated the documentation Process may take up to a maxrmum of 4 working daYs- Documentation will consist of photographing documentation the building,taking measurements and making scaled drawings. The witl be undertaken by the City at no cost to you.Documentation is being done on all structures dated prior to 1940 that may have historic importance to the City's development' tetePhone THIS DOCUMENTATION WILL NOT IMPEDE THE DEMOLITION PROCESS' An age cut-off of tg4owas chosen because this is the date that the National Parks Service and The Spri"SfiJa Development Code use to determine potential historic significance. If you would prefer to complete this documentation yourself you must provide the City with the following i"ior*rtion: r) black a_nd wliite photographs of each }iJi"t}",T!"f,r"prr""*i.h measure-uttt, and z) a set of elevation drawings with measurements. Thankyou for Your Patience. I grant the City of SPringfield documen tation prior to Address: PropertY Owner L EXPIRE IF THE WORK R THIS PERMIT IS NOT } ABANDONED FOR 00. my proPertY to complete of the structure Y] Job Number:Covu<ZO os- Dr I zr Date to enter CitY of SPringfield 225 Fifth Street, Springfield, OR97477 541-726-3759 Phone 541-726-3676 Fax January 25,2006 SMITH 309 1OTH ST SPRINGFIELD Job Number: Location: TERESA oR 97477 coM2005-01125 309 iOTH ST Project:Demolition of garage and partial roof section Dear Permit Holder: The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain valid, the work which has been authorized by the permit must begin within 180 days of the date of issuance, and an inspection must be requested at least every 180 days' According to our records, you obtained a permit for a project at 309 1OTH ST which is set to expire on 2llg12006. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notify you that your permit(s) will be expiring shortly. If you are ready to request an inspection for your project, please phone the inspection line at 541-776'3769. If you do not request an inipectiol p.io, to the expiration date, your permit(s) will expire and additional permit fees will be required in order to complete your project. If you have any questions, please feel free to phone me at 541-726-3790 or David Bowlsby at 541-736-1029 after February 1,2006. Sincerely, Lisa Hopper Building Safety Supervisor Construction Contractors Board 700 Summer St I\tE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 Web Address: !trryg!,S!g!g.4g Permit #:j -OttA{ Address:JOq /0& 3-r<,2-T Issued by:Date: 8-tg -os- 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 building permit can be tssued. 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 and 2, and either box 3A or 38 ,K f . I own, reside in, or will reside in the completed structurffib) P 'x 2. I understand that I must become licensed as a confiactor if the stucture is sold or offered for sale before or on tr 3A. My general contractor is (Name)(ccB #) I will instruct my general confiactor that all subconfiactors who work on the structure must be licensed with the Constnrction Conffactors 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 Notice to Property Owners about Construction Responsibilities on the reverse side of this form. (Signature of applicant) (White copy to issuing agency permitfile, pink copy to applicant.) Information Property_owner.doc 06-0 I -04 ) Acting as Your Own General Cvntractor? TNFoRMATToN NoxcE To pRopERry owxdns ABOUT CONSTRUCTION RESPONSIBILITIES * lf you are acting as your own confiactor to construct a new home or make a substantial improvement to an existing. structure, you can prevent many problems by being aware of tlm following responsibilities and concerns" Employer Responsibilities You will, in most instances, be ruled to be an "employer" and the contractors you contraot with will be "employees" if {o}Il9 g"gpg_ry"tors not li.censed with the Construction Contractors Board to do iabor in constructing or to assist in the ionitnrction or'improvement ofa=?€fiffiitf&tuctrre" As-the tirnptoyer, llou mxst-eomplpryithJhe folloxilgl- - - Oregon's lilithholdiug Tax Law: As an employer, you must withhold income taxes from employee wages al the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax &om your employees. For more information, call the f)epartment of Revenue at 503-3784988. Unemployment Insurance Tax: As an l*ploy"r, you are required to pay a tax for unempioymant iasurance po.poru( on &e wages of ail employees. For more informatinn, call the Oregon Employment Departmen t at 5*3-947- 1488. \ The Clregon Business Identification Nurnber (BnD is a'oonfiined number for,bd&+Orego4 Withhlding and Unenrployment Insurance Tax. To file for a BIN, cail 503-945-8091 or u,ww.dor.state.or.us/formspay.htmll for the Workers' Compensation Insurancel As an employer, you are subject to the Oregon Workers' Cornpensation Law, and must obtain workers' compensation iasurance 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 the job. For more information, caltr the Workers' Compensation Division at the Departnrnt of Consurner and Business Services at 503-947 -7 815 . U.S. InternrlRevenue Serviee; As an employer, you rnust,r'itirhold fbderalincometak fram'ernployees''wage$)''-,. You will be iiable for the tax pa)rment even if you didn't actually withhold the tax. F'or a Federai EIN number, call the IRS at l-t$0-829-4933 or visit their web site at.uaxw.$s.gQ!'. Code Compliance: As the permit hokler for this project, you are responsible for resolving any'faiftire to meet code requirements that may be brought to your attenti$n tlxough i:':spections Liatrility and Property T)amage'Insurancej Contact your insurancdagerrt to see if you'have adequate insirttnce coverage far acciderlts and ornissions sueh *s falling tools, paint over spray, water damage "{iom pipe punctures, fire or work that must be redone. Time: Makesureyouhbtesufficienttime tosuperviseyouremployeesi'r '," i.-.. e r,: ,..: : Expertise: Make sure you have the skills to act as your or* g**.at contractor,'to cooraiiiaie the work of rough-in and finish trades, and to notify buiiding officials as the appropriate times so they can perfonn the required inspections. If ycu have additional questions call the Consrnrction Contractors Board {5A3-3784621) or write the agency at PO Box 14140, Salem, OR 97309-5052. . -if1..,r. I .: .: : Properfy*owxer.doc 06-* 1 -04 NOTE: This lnformation Notice to Proparty Owners about Construction Responsibildies was developed by the Construction Contractars Board in accordance wittt ARS 701.055{5), passed by the 1989 Oregon Legislatura.