HomeMy WebLinkAboutPermit Demolition 2008-7-9
-iii~
Status
Issued
225 Fifth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
CITY OF ~rK11~vdELD
Building/Combination Permit
PERMIT NO: COM2008-01029
ISSUED 07/09/2008
APPLIED. 07/0912008
EXPIRES: 01/09/2009
VALUE
SITE ADDRESS 6853 MAIN ST
ASSESSOR'S PARCEL NO 1702353306204
SprIngfield TVPE OF WORK Site Work Only
PROJECT DESCRIPTION DemolItIon and sewer cap
TVPE OF USE' DemolItIon PublIc
Owner CITV OF SPRINGFIELD
Address 4TH & NORTH A
SPRINGFIELD OR 97477
Contractor Type
General
Plumbmg
I CONTRACTOR INFORMATION I
Contractor
OWNER
OWNER
# ofUmts
PrImary Occupancy Group
Secondary Occupancy Group
PrImary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
Frontyard Setback
SIde I Setback
Side 2 Setback
Rearyard Setback
Soldr Setbacks
Street Improvements
Storm Sewer Available
Special InstructIOn
Notes
LIcense
BUILDING INFORMATION I
# of StorIes
Height of Structure
Type of Heat
ATTEHTlON' 0 Water Type
follow rules ~dornR ellI\Wequfres you to
Notltlcatlon Cente '#.lfhOregon Ull/ily
In OAR 952-001-0 /,q,!jMlI1aU<Jmgset forth nla
Man \1__ hrnl,nhf"\An"c_
CaJf,"g-~~Jl'Il~
numberfort eO .- \!fHJ~p'ilone
Center IS =~~~g NOlltlcallon
441.
# Street Trees Rqd
Paved DrIve Rqd
% of Lot Coverage
I PUBLIC IMPROVEMENTS I
Expiration Date Phone
Lot Size
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
REQUIRED PARKING
Total
Handicapped
Compact
Sidewalk Type
DownspoutslDrams
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Page I 013
-~~
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-01029
ISSUED. 07/09/2008
APPLIED. 07/09/2008
EXPIRES. 01/09/2009
VALUE
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspeclton Lme
I V a~uatlOn DescriptIOn I
DescrIPlton
Tvpe of ConstructIOn
$ Per Sq Ft
or multiplIer
Square Footage
or Bid Amount
Value
Ddte Calculated
Total Value of ProJect
F~f"~
Fee DescrIptIOn
+ 10% -\dmmlstraltve Fee
+ 12% State Surcharge
+ 5% Technology Fee
DemolIlton
Samtary or Storm Sewer Cap
Amount Paid
Date Paid
ReceIpt Number
$1000
$600
$500
$50 00
$50 00
7/9/08
7/9/08
7/9/08
7/9/08
7/9/08
2200800000000001055
2200800000000001055
2200800000000001055
2200800000000001055
2200800000000001055
Total Amount Paid
$121 00
I Plan Reviews I
To Request an mspectlon call the 24 hour recordmg at 726-3769. Allmspectwns requested before 7.00
a.m. WIll be made the same workmg day, mspectlOns requested after 7'00 a m. will be made the followmg
work day
I R~(lilr~rl Tn~nectJons I
DemolItIOn After demolItIOn IS complete, sewer IS capped or sepltc IS pumped and filled and mspectlOn IS
requested and approved, and dll debrIS IS removed from the site
Samtary Sewer Cap Capped wlthm five (5) feet of the property lIne and capped with an approved materIal as
reqUired by the code
Page 2 of 3
-iik~
Status
Issued
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIon Lme
CITY OF ~l'Klj~tj1<lELD
Building/Combination Permit
PERMIT NO: COM2008-01029
ISSUED. 07/09/2008
APPLIED. 07/09/2008
EXPIRES. 01/09/2009
VALUE:
By signature, I state and agree, that I have carefully exammed the completed applIcatIOn and do herehy certify that all
mformatlOn hereon IS true and correct, and I furthCl certIfy that any dnd all work performed shall be done m accordance with
the Ordmances of the City of Sprmgfield and the Laws of the State of Oregon pertammg to the work descrIbed herem, and
that NO OCCUP ANCV Will be made of any structure without permIssIOn of the CommuUlty Services DIVIsIOn, BUlldmg Safety
I further certIfy that only contractors and employees who are m compltance with ORS 701 005 Will be used on thiS proJect
I further agree to ensure that aU reqUired mspectlOns 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 remam on the site at aU
times dUring constructIOn
Ctt' -1M f/kA/Y! //f/[/{/J/f7 ~
Owner or contrrrs SIgnature
Page 3 of3
IJq/Oq /Df)
Date / /
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 I 029
COM2008-0 I 029
COM2008-0 I 029
COM2008-0 I 029
COM2008-0 1 029
Payments
Type of Payment
INT CHGS
cRecesntl
RECEIPT #:
Description
DemolitIOn
SanItary or Storm Sewer Cap
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlslrallve Fee
PaId By
420-62224-810046-P20534
~
f3~'
~~
CIty of SprmgfieId OfficIal ReceIpt
Development Services Department
PublIc Works Department
2200800000000001055
Date: 07/09/2008
Item Total
t:heck Number Authorization
Received By Batch Number Number How Received
dJb
INTFIRE
In Person
Payment Total
Page I of I
I 30 42PM
Amount Due
5000
5000
500
600
1000
$121 00
Amount Paid
$12100
$12100
7/9/2008
:2,. .~ . ~;f'b~.,@I;r~ @F!SP"R'T~@FdE'LD u~@e, ;;:'l"",,,.-:;;;,;;i,.;
__~ 't&.,'~~ ;)cj;,,~-"'#~~'~''''''''<'' ~~<":,. ~~ ~"~jf~~~,t~.W"";:4~~____:,,4.,.:<t
SPAjNCltlELD
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689
DEMOLITION PERMIT APPLICATION
Address:
bf~3.
#1AIN S I
Structure to be Demolished: Fi (l..t S,A II of.....1
Job Number: C () vV\ Zc:>O 8 ~ C> l 0 2- I
The apphcant IS hereby nohfied that any redevelopment of the subject site must
comply WIth all of the apphcable laws, codes, ordmances, pohces and plans m
effect at the hme the redevelopment proposal IS accepted as complete for City
reView ThiS would melude correchon of substandard condihons associated WIth
the present development Examples of such correctIOns may melude
modificatIOn of madequate dramage facillhes, comphance WIth bmlding set-
backs from property hnes, correctIOn 'Of substandar,p Sidewalks and street
Improvements, meluduig di:iveway'%i:lthtand- ~1'i~~Jb'l}'ilnd other correchons
whICh may be necessary !c>,EP'rripw. williCeXlsb.I!g g~~1q~'!lI~nt standards
0090 You r:~; ~vh~~ 0 through OAR 952-~o;l
Furthermore, If an exlsh~ngl\!S~~Wti:l~W)dh~lie~ otijjml(!~5fi removed prIor to the
development of the prbPo~d~<e,~heWtli\l sy=tl!ok i~~i'oB\'nent charge credit for
-, ,,, vron()~ , " , ''qite
the preViously eXlstmg u~:Et~l!-v 1/&'W!!l;hTWo;y _ !l!il~n date of Issuance of the
demohhon permit or other removal of'thl;l~~€ijbsly eXlstmg use (SprIngfield
MuniCipal Code 3 416(1))
My signature below mdicates that I have read and understand the above
conditIOns relahng to the demohhon of the above mentIOned structure
Ctutv(4M1/)//n1dJfu~
Signature a
kssl P v0 rAflrit(
THIS )!ERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD
01-1 (YllrJP)
/ . /
Date
-
{
.
~ :~ ," ~'l'::. eljfYGE%SRR.lIN@'ij]E~ l,iG)RlE 'QN~Jr,>- ,',w:4i!&!i;1&
t~~ __~" ~~j:l1'~~1\i~~; ~'-~ ~~'\_"~~ ~*':~~!"n ,~~~":tl!~~ ~ &qo!'L':4LJt%~~~~~
SPRINGFIELD ~~--l
!1 hh - j
I' )\,1\_-/ '"
~~_~ ',c'
l ".'J
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH (541)726-3753 . FAX (541)726-3689
DEMOLITION PERMIT APPLICATIONS
Your demohhon permIt IS currently bemg processed There may be a shght delay, of
up to 2 workmg days for small structures, due to the hme reqUIred to reVIew the
hIstOry of the structure to determme If It needs to be documented before demohhon
ThIS documentahon IS for archIval purposes only and Will not affect the grantmg of
the demohhon permIt If the structure IS very large or comphcated the
documentatIOn process may take up to a maXImum of 4 workmg days
DocumentatIOn Will conSIst ofphotographmg the bUlldmg, takmg measurements and
makmg scaled draWings The documentahon Will be undertaken by the CIty at no cost
to you DocumentatIOn IS bemg done on all structures dated pnor to 1940 that may
have hIstonc Importance to the CIty'S development
THIS DOCUMENTATION WILL NOT IMPEDE THE DEMOLITION PROCESS.
An age cut-off of 1940 was chosen because thIS IS the date that~t!i\~l'\itli!q1)al Parks
SerVIce and The Spnngfield Development'(i;8aelu$'eFf<Pd~ffrri'ii.n~'nfiltW1tiill,l hIstone
I adOpleo oy [lTe-cr"!lJ'
sIgmficance follow ru es t Those rules are set forth
Notllicatlon Cen oeor 1 0 through OAR 952-001-
, nAR 952-0(\1- "v.r.1 th, ~ShV
If you would prefer to complete thIS a{I,lSY~~BW.tW8tY9Uvself'Juu m~!if rl~de the
CIty With the follOWing mformahon 1):DlaCktflndEWlute(PllOt.~ll ,each
vCl.lllll:;j ~ - It. 0 11~ ,~IVII
elevahon, a floor plan With measureml1D:ts;@.ndr2~'aiSet<Of'~I!ili_" ~lt). raWIngs With
measurements Center IS 1-800 3:.1
Thank you for your pahence
I grant the CIty of Spnngfield permISSIon to enter my property to complete
documentatIOn prIor to the requested demohtIOn of the structure located at
Address: b8S3 W7A 11...( N01<t!;j:
Property Owner Signature: a
Job Number: C g - () 10 Z 7
I:> t~1 r SHALL EXPIRE IF H-JE WORIf) .
. RPE~flIR-tfnS'PEB~irr:1t' t;V I /i{:( y
tJMMcNCED OR IS_A~ANDqNEDFOR ~ U
NY 1 fDat"e! PEP1J6tJ1 () q / ()8
I /