HomeMy WebLinkAboutPermit Demolition 2005-12-09FIELD
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-01707ISSUED: 1210912005APPLIEDz 1210912005
EXPIRESz 0610912006
VALUE:
SITEADDRESS: 30536THST
ASSESSOR'S PARCEL NO.: 1702314203600
PROJECT DESCRIPTION: Demolition of shop/garage
Springfield TYPE OF WORJ(: Site Work Only
TYPE OF USE: Demolition
PhoneNumber: 541-741-6615
License Expiration Date Phone
Residential
- Owner:
Address:
TAMI EGLI
305 N 36TH ST
SPRINGFIELD OR 97478
Contractor Type
General
Contractor
ownER
CONTRACTOR INFORMATION
BUILDIN(
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
# Street Trees Rqd:
Paved Drive Rqd:
Yo ofLot Coverage:
sEl
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
U
VN rTl
numDe
n/a
OU
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
N01l
$\s
AuI
REQUIRED PARIflNG
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Description Tvpe of Construction
Pase 1 of2
Value Date Calculated
the O
reql rires You to
rules a
.ossn Utllit!
re set Io h
1
OAR
tol\ow
OA.F
32'2344\
Sidewalk Type:
t0R
F PRIN
Building/Combination Permit
Status Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676Fax
541-72637 69 Inspection Line
PERMIT NO: COM2005-01707ISSUED: 1210912005APPLIEDz 1210912005
EXPIRES: 06/0912006
VALUE:
' Fee Description
+ l$oh Administrative Fee
+ 77o State Surcharge
Demolition
Total Amount Paid
Amount Paid
$4.50
$3.1s
$45.00
$s2.6s
Total Value of Project
Date Paid
r2t9t05
t2t9l0s
t2t9t05
Receipt Number
3200500000000000688
3200500000000000688
3200s00000000000688
Fees Paid
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.
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.
red Insoections
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that atl
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.
,/e.;?nl /2 j-ql
"JSi
;Owner or Contractors
Paee2 oI2
Date
Construction Contractors Board
700 Summer St ltE Suite 300
PO Box 14140
Salem OR 97309-5052
Phone: 503-378-4621
Web Address: www.ccb.state.or.us
Perrnit *,COt't4Zoo\- "' O(701
Address:sof 36{-L SF
Issued by:
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, 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:
& l. I own, reside in, or will reside in the completed structure.
€| Z. I understand that I must become licensed as a construction contractor if the stnrcture is sold or- offered for sale before or on completion.
3A. My general contractor is
(Name)(ccB #)
q'
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 fnformation
Notice to Property Owners about Construction Responsibilities on the reverse side of this form.
--/,/2---,DL
Date:o
I will instruct my general contractor that all subcontractors who work on the stnrcture must be
licensed with the Construction Contractors Board.
OR
38. I will be my own general contractor.
A )
@ate)
(White copy to issuing agency pennitfile, pink copy to applicant.)
Property_owner. doc 06-0 I -04
Acting *s Your Own General Contractor?
INFORMATION NOTICE TO FROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
construet a nerv home or make a substantial improvement to an existing
strueti:r:e, you can prevent rrmly problenrb by being aware of the following'responsibilities and concerns.
E mployer Responsibilities
You wdl, in most instances, be ruled to be an "employer" and the contraclors you conkact withu.ill be "employees" if
you use conftacbrs no! license-d with the Conskuction Conkactors Board to do labor in conskucting 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 withhold income taxes from employee wages at the fime
employees are paicl. You wili be liable for the tax payments even if you don't acfually withhold the tax from your
employees. For more information, call the Department of Revenue at 503-3784988. ' i; ',
Unemployment Insurance Taxl As an employer, you are required to pay a tax for rmenrployment insurance purpos€A\
on the wages of all employees. Fcr more information, call the Oregon Employment Departmentat 503-947-1488.
The Oregon Business ldenti{ication Number $nD is a combined npnrber for both Oregon Withholding and
Unemployment lnsurance Tax. To file for a BIN, call 503-945-8091 or wwrv.dor.state.or.us/formspay.htmll for the
appropriate forms.
Workers' Compersation Insurance: As an employer, you are subject to the Oregon'Workers' Compensation Law,
and must obtain workers' compensation insurance for your ernployees. If you fail to obtain workers'compensation
insurance, you could be subject to penalties and be liable for all claim costs if one of yorr employees is injured on the
job. For more information, call the Workers' Compensation Division at the Department of Consuma and Business
Services at 503-947-78 I 5.
U,S. Internal Reyenue Seryice: As an employer, you must withhold {Meral income tax from employees' wage$i-E
You will be liable for the tax payment even if you didn't actually withhoid the tax. For a Federal EIN number, call the
Othor,ResBon$ibilities and Areas of Concerns
Code Compliance: As the permit holder for this project, you are responsible for resolving any failure to'meet code
requirementsthatmaybebroughtt9Yourattentionthroughinspections;i:
Liability and FropertyiDamagc'fnsurance: Contact yoir insurance agent to see if you have adequate insrirancer
coverage for accidents and omissions such as faiiing toois, paint over spray, water damage from pipe punctures, fire or
work that must be redone.
Time: Make sure you have sufficient time to supervise your employees.
Expertise: Make sure you have the skills to act as your own geniiral ccntractor, 1o coordinate the work of rough-in
and finish trades, and to notify building officials as the appropriate times so they can perform the required inspections.
If you havc additional questions call the Conskuction Contrastors Board {5A34784621) or write the agency at PO
Box 14140, Salem,OR 97309-5052. . i
Property_owner. doc 06-0 I -04
NOIE: This lnfarmation Notice to Property Ourners abaul Canstruction Responsibilitiea wa$ devetoped by the
Constructian Contractors Eoard in accordance with ORS 701.055(5J, passed by the 1989 Oregon Legislature.
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
^ity of Springfield Official Receipt
-- evelopment Services Department
Public Works Department
RECEIPT #: 3200500000000000688 Date: 1210912005 9:30:05AM
Job/Journal Number
coM2005-01707
coM2005-01707
coM2005-01707
Description
+ 7o/o State Surcharge
+ l0% Administrative Fee
Demolition
Amount Due
3. l5
4.50
45.00
Item Total:$52.65
Payments:
Tvpe of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check TAMI EGLI djb 3585 In Person S52.65
Payment Total:
-Sffi
It
'l
1',
rl
t2/912005 Page I of I
rstua0xS.o
City of Springfield
225 Fifth Street, Springfield, OR91477
541-726-3759 Phone
541-726-3676Fax
May 04,2006
EGLI TAMI
305 N 36TH ST
SPRINGFIELD oR 97478
Job Number:
Location:
coM2005-0r707
305 36TH ST
Project:Demolition of shop/garage
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 305 36TH ST which is set to expire on
61912006. 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 541-726-3769. If you do
not request an inipection prior 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.
S incerely,
Lisa Hopper
Building Safety Supervisor
5PrlI'\.CFIELT}
SPRINGFIELD,OR 97 477 o PII:(541)726-3 753 r FAX: (541)726-3689 q&,
225 FIFTH STREET o
DEMOLITION PERMIT APPIJCATIONS
Your demolition permit is currently being processed' There maybe a slight delay' of
up to 2 working days for small structures] due to the time required to review the
history of the rt*"il;;;;;;;;if ii"u"at to be documented before demolition'
This documentation is for archiv"t p"tpot"s olly and will not affect the granting of
the demolition permit. If the structure is very large or comp]icated the
documentation proce$ *uv take up to a maiimum of 4 working days'
Documentation will consist of photog;;ili;tthg building, taking measuements and
making scaled dr";;;;.-tnu to.rr-I"ntatioi will be undertaken by the City at no cost
to you. Document"ii"" irl"ing d.oqe on all structures dated prior to 1940 that may
have historic importance to the City's development'
THIS DOCIIMENTATION WILL NOT IMPEDE THE DEMOLITION PROCESS'
An age cut-off of r94o was chosen because this is the date that the National Parks
Service and The srirlrsfi.ia o..r"topt*t t Code use to determine potential historic
significance.
If you would prefer to complete this documentation yourself you must provide the
Citywith the following information: ri black a-nd.wliite photographs of each
elevation, a floor plan"with *"uru."rrr-urrt., "ttd
Z) a set of ele'ition drawings with
measurements.
Thank you for Your Patience.
I grant the City of Springfield permission to enter
dScumentation prioi to the requested demolition
my propertY to comPlete
of the structure located at:
$l ORK
Address:A
Property Owner Signature:
.PE R 1H\S t0R
Job Number:@Uzoo9 c>t D M
srantFlcFlELg
225 FIFTH STREET . SPRINGFIELD, OR 97477 o PH:(541)726-3753 o FAX: (541 )726-3689
DE]VIOLITION PERMIT APPLICATION
Address:?oS 3 6/'<a*
Structure to be Demolished:
Job Number: Cour^2-OO r-t7a -7
The applicant is hereby notified that any redevelopment of the subject site must
;;fiili;th all of the'app1i.uUt" la*s, codes, ordinances, polices and p-lans.in
effect at the time the rehlvelopment proposal is accepled as complete f9r Cltf . .
review. This would i;;l"d. ;;;ction of substandard conditions associated with
ifr" pr".*t development. Examples of such corrections may include
modification of inadequate drainage facilities; complian-ce with building set-
backs from property lines; correcti-on of substandard sidewalks and street
i-p-""-".rt.,'irr"i,r&rr! driveway wiqth and placement; and other corrections
*nicf, may be ,"."..u[io comply with existing development standards.
of the
use. (Springfield
My signature below indicates that I have read and understand the above
.oiaillo* relating to the demolition of the above mentioned structure'
/2t'-(2-t
Signature Date
ffiffi*W,ntr"il*
Furthermore, if an existing use is
Municipal Code g.+16(r)).Center is 1 -800-332'2344)'