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Home My WebLink AboutPermit Demolition 2003-05-30- Building/Combination Permit Status Issued 225 Fifth Street, Springl: ' '. I 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspectiorr I :',,' PERMIT NO: COM2003-00428ISSUED: 05/30/2003APPLIED: 05/3012003EXPIRES: 11/3012003VALUE: $ 500.00 SITE ADDRESS: ASSESSOR'S PARCEI, Owner: MIGLIOR' Address: 415 S 42ND : - :.\ l) sTl: 1123301400 .,_,:/.,\BETH ,.iGFIELD OR 97478 PROJECT DESCRIPTI : l "rrrolition and sanitary sewer cap Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Demolition Residential License Expiration Date Phone E Heat: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Type: Contractor Type General Owner Plumbing SETBACKS Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street ImproYements: Storm Sewer Available: Special Instruction: . ,'.,)r (-)lt g1 Range Type: Energy Path: Surface Area: PARIilNG Handicapped: Compact: Sidewalk Type: Downspouts/Drains: PUBLIC IMPROVEMENTS Notes: Page 1 of2 # of Buildings: Primary Occupancy st{r ,oo P.' Secondary Occupancy (: \\.@Primary Construction l Secondary Constructio rr n$\# of Bedrooms: -{ \s \S t0s Building/Combination Permit Status Issued 225 Fifth Street, Springli, ' :. "'1 541-726-3753 Phone 541-726-3676Fax 541-726-3769 InsPectiort I i'rc Description Tvpe r,' " "'"'rre tion $ Per Sq Ft Fee Description + l0o Administrativt' f' + loh State Surcharge Demolition Sanitary or Storm Serv,' t Total Amorrtrt " I PERMIT NO: COM2003-00428ISSUED: 05/30/2003APPLIED: 05/3012003EXPIRES: 11/3012003VALUE: $ 500.00 Amount Paid Total Value of Project Date Paid s/30/03 5/30/03 5/30/03 s/30/03 $9.00 $6.30 $4s.00 $4s.00 Square Footage Value Date Calculated Receipt Number 1200200000000001380 1200200000000001380 r200200000000001380 1200200000000001380 $105.30 Plan Reviews To Request an insg; will be made the sa;: day. 1 Demolition: Aft,'r' requested and aJ ' 2 Sanitary Sewer ( required by tht' ' By signature, I state al information hereon is trr the Ordinances of the (' that NO OCCUPANC', I further certify that orr' I further agree to ensrr street, that the permit , times during construct Owner or Contractors : Pase? of? Date S-3o-D3 ,; rlre 24 hour recording at726-3769. All inspection requested before 7:00 a.m. iing day, inspections requested after 7:00 a.m. will be made the following work ':,i,rn is complete, servcr is capped or septic is pumped and filled and inspection is rrl irll tlebris is removed from the site. ',r',1 rvithin five (5) feet of the property line and capped with an approved material as I lrlve carelully examined the completed application and do hereby certify that all r-r e ct, and I further certify that any and all work performed shall be done in accordance with , ir,,,l'icld and the Laws of the State of Oregon pertaining to the work described herein, and ' ' .' o1'any structure without permission of the Community Services Division, Building Safety. ' 'r urrd emplol,ees who are in compliance with ORS 701.005 will be used on this project. ' ' 't'il inspections are requested at the proper time, that each address is readable from the . I r lle front of the property, and the approved set of plans will remain on the site at all Reouired Insnect Valuation Description I r ees raro I {) sp,ftlT{{sF$Et-s 225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 o FAX: (541)726-3689 DEMOLITION PERMIT APPLICATIONS Your demolition permit is currently being processed. There may be a slight delay, of up to z working days for small structures, due to the time required to review the history of the structure to determine if it needs to be documented before demolition. This documentation is for archival purposes only and will not affect the granting of the demolition permit. If the documentation process Documentation will and making scaled tion will be undertaken by the City at no cost to you.Is structures dated prior to 1940 that may have t. BK must provide theIf you would prefer to complete this documen City with the following ofeach tion drawings with I grant the City of Springfield permission to enter my property to complete documentation prior to the requested demolition of the structure located at: Address:*.1 )') trffi' Property Owner Signature:) Job Numbev LO*'t znc > 'oa VZ Y Date:t- )o -o3 is very large or complicated the IMPEDE THE DEMOLITION PROCESS. because this is the date that the National Parks Development Code use to determine potential historic elevation, a floor plan measurements. Thank you for your rB0 225 FIFTH STREET . SPRINGFIELD, OR97477 o PH:(541)726-3753 o FAX: (541\726'3689 DEMOLITION PERMIT APPLICATION Address /t s ::' 1:i Structure to be Demolished: Job Number: cct t'r't zQc)3 l'1u,.. ,.1w \1.: - OOqZK The applicant is hereby notified that any redevelopment of the subject site must complywith all of the applicable laws, codes, ordinances, polices and plans in effect at the time the redevelopment proposal is accepted as complete for City review. This would include correction of substandard conditions associated with the present Examples of such corrections may include modification of drainage facilities; compliance with building set- backs from of substandard sidewalks and street lm width and placement; and other corrections w with existing development standards is demolished or otherwise removed prior to the use, then the system development charge credit for of 3.4 r6(r)). below indicates that I relating to the /, $$" 5' 3o -o3 Signature Date m5rc18 TIETD, OREGON tr,vo years after the date of of the \t Construction Contractors Board 700 Summer St ItlE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: !g4{"gstgtg4 Permit #: cotrytza-: <)o t/ zK Issued by:]6,Date: S -tr& Statement: lnformation Notice to Property Owners About Construction 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, 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 and2, and either box 3A or 3B: 1. 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. n 3A. My general contractor is (Name)(ccB #) ) I will instruct my general contractor that all subcontractors who work on the stnrcture must be licensed with the Constnrction Contractors Board. OR 38. I will be myown general confractor. (Signature permit applicant)(Date) (White copy to issuing agency perunitfile, pink copy to applicant.) 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 notifo 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 Responsibilities on the reverse side of this form. 5-sa-os Property_owner.doc 03/ I I /03 6 Acting as Your Own General Contractor? INFORMATION NOTICE TO PROPERry OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES NOIE: Tttis lnfarmaffon No#ce ta Properly Owners abaut Canstrucfrbn Respo nsibilities was developed by the Constructian Contractors Board in accardance with ARS 701.A55(5), passed by the 1g89 Oregon Legislature. lf you are acting as your own contractor to coflstruct a new home or make a substantial improvement to an existing structure, you can prevent many problems by be ing aware of the follorving responsibilities and concerns. Employer Responsibilities You will, in most instances, be ruled to be an 'temployer" and the oontractors you contract with will be "employees" if you use contractors not licensed with the Construction Contractors tsoard to do labor in constructing or to assist in the construction or improvement of a residential structure. As the employer, you must comply with the following: Oregon's Withholding Tax Law: As an employer, you must wrthhold income taxes from 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 Insurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Departmen t at 503-947-1488. Workers' Compensation Insurance: As an employer, you are sub;ect 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 the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 503-947-781 5. U.S. Internal Revenue Service: As an ernployer, you must withhold federal income tax from employees' wage$. You will be liable for the tax payment even if you didn't actually withhold the tax. For a Fede,ral EIN number, call the IRS at 866-816-2065 or fax them at 801-620-7115. r Other Responsibilities and Area$ of Concerns Code Compliance: As the permit holder for this project, you are responsible for resolving any failtne 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 from pipe punctures, fire or work that must be redone. Time: Make sure you have sufficient time to supervise your employees Expertise: Make sure you have the skills to act as your own general contractor, to coordinate the work of rough-in and finish trades, and to notifu building officials as the appropriate times so they can perform the required inspections. If you have additional questions call the Construction Contractors Board (503-37S4621) or write the agency at P0 Box 14140, Salem, OR 97309-5052. Properfy_owner.doc 0311 I 103 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Development Services Department Public Works Department Official Receipt Receipt #: 1200200000000001380 Dater 0s/30/2003 COM2003-00428 Demolition 45.00 COM:2003-00428 Sa tary or Storm SewEr Cap 45.00 COM2003-00428 + 7% Strte Sorcharge 6.30 COM200I-00428 + l0% Administative Fee 9.00 Ittrn'l'otal:$r05.30 Payments: \I)co .\ lllf ilt :lt )'trlll o\t'Am0unt Check ELTZABETH MTGLTORETTO djb In Pcrson Payment Total: 10s.30 $10s.30 513012003 ll:21:23ANl Page I of I cReceipt.rpt