HomeMy WebLinkAboutPermit Demolition 2009-5-5
Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Liue
SITE ADDRESS: 327 S 52ND PL
ASSESSOR'S PARCEL NO.: 1702333400207,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00611
ISSUED: 05/05/2009
APPLIED: 05/05/2009
EXPIRES: 11/05/2009
VALUE: .
Springfield TYPE OF WORK: Site Work Only
TYPE OF USE: Demolition
Residential
PROJECT DESCRIPTION: Demolish manufactured home
Owner: DUNLAP RODNEY L
Address: 5120 MAIN ST
SPRINGFIELD OR 97478
Contractor Type
General
Contractor
OWNER
# of Units:
Primary Occupancy Group: R-3 '
, Secondary Occupancy Group:
Primary Construction Type VB
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Type of Construction
I CONTRACTOR, INFORMATION I
ATTENTiON: Oregon law kiS~I,I~~ you lbxpiration Date Phone
follnw rlJle~ Rrlnn!erl hv !hp OrPnnn I ltili!1I
'1;'B'UWDING'INFORMATlO'NJI' are set forth
,,,~,,,, _!_',C, .~_,. .,,,__~" ..\R952-001-
0090'jj:frof"Smt a!1 obtain copies of the rules bv t S'
o ones: . -LO lZe:
calhilu.t'i\l crpter. (Note: Ihe telephone S F I FI
numu'Jllg"urVJ~ g'.5?~!fu,~ Utility Notification SqFt 2std FOlor:
IYf!,'e?'l I ~~t:I-800-332-2344). q t n oor:
Water ype: ' Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0, of Lot Coverage:
Total:
Handicapped:
Compact:
NnTl~~.: , _. -;n:r.:lf "TUt: ,~jnR$
I PUBLltl~tMJtR=@Vl&lE~HIS PERMIT IS NOT
AU I nur",.~," ~'" . ,n:n,t:!lR
COMMENCED OR IS ABANSIal'WMk' rype:
ANY 180 DAY PERIOD. Downspouts/Dniins:
) I Valuation DescriDtion I
$Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pace 1 01'2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone '
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid.
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Demolition
Sanitary or Storm Sewer Cap
. Amount Paid
, Date Paid
$6.96
$5.80
$58.00
$58.00
Total Amount Paid
$128.76
I Plan Reviews I
5/5/09
5/5109
5/5/09
5/5/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00611
ISSUED: 05/05/2009
APPLIED: 05/05/2009
EXPIRES: 11/05/2009
VALUE: .
Receipt Number
3200900000000000310
3200900000000000310
3200900000000000310
3200900000000000310
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after.7:00 a.m. wilrbe made the following
work day.
IReruir~d Ins~e.cti.ons I
Demolition: After demolition is complete, sewer is capped or septic is pumped and filled and inspection is
requested and approved, and all dehris is removed from the site.
Sanitary Sewer Cap: Capped within five (5) feet of the property Iiue and capped with an approved material as
required by the code.
By signature, 1 state and agree, that 1 have carefully examjnedthe completed applicatiou and do hereby certify that all
information hereon is true and c~rrect, 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-3re requ,ested 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. .'
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Owner or Contractors Signature
Paee 2 of 2
57q61
.
Date
SPRINGFIEL..P
-
_ 225 FIFTH STREET. SPRINGFIELD, OR 97477 ~ PH:(541)726-3753 . FAX:'(541)726-3689
DEMOLITION PERMIT APPLICATION'
. - '
Address: . -:1;2'7 5, S;;;r-f 12JvL, ~91L{-d
Structure t~ be Demolished: M 11 1911/.1 ~~ -. -. . ,. .
JobNumber:COvVI 2-0-09- 0 06 (/
"
The appliCant is hereby ncitifiedthat any redevelopinerit ofthe subject site must
comply with 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 includecorrectiono~~u,!>standard conditio~s associated with
the present development. Examples ofl1\1-!!:hfcbrrections may inClude ' --- .
modification of inadequate drainage fasilities;'sCi~pli<\l!ce with building set-
backs from property lines; correction'o,f;'S'tibsta,I;1(furdlsid~wallqv~ndstreet
improvements, including driveway ilidtli''a'nd,pl.i'&meni';'iahd,oth''e-tcorrections
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which may be necessary to comply with,i,ipciStiqg}ieveI9pment ;:fimiiagssYOli to' ,
, f)limb IS! the G Y Obt"/~ (i)rOlig'hles "re 2 Utllitv '
Furthermore, if an existing use is demoli~.4iia Qr:6~erm~~reJ!1~f~~iR.Ij~f;,to,tj1e
develoPI?ent of t?e proposed use, ~en th~fSy*,~-a:Ys!?piil~J reargS/~~edit for
the prevIOusly eXlstmg use shall expire two years at'tefl~e,aate oflssuan'ceCgf the .
demoliti~n permit or other removal of the previously exlifiUgJg€.t/~S~llli'gfield '
Municipal Code 3.416(1)). 'I). of)
My signature below indicates that I have read and understand the above
conditions relating to the demolition of the above me~tioned structure.
... .' .' NOrlC .
J.-______ ' .'"). 1/iIS P Co'
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Signature AilIy '/lIJfillC cq UilIO LL f..\'~ate
1800 cO On eR II' ~Rf If:"' ,
'/Iy '1 IS filS P l/if
PfRIOO /jB/jIVOO~RIvtII IS WORI( ,
. CO FO ilIOr
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SPRll:'lGFlELO', '-';~":
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 .,FAX: (541)726-,3689
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DEMOLITION PERMIT APPLICATIONS,
L
Your demolition permit is currently being processed. There may be a slight dehiy, of
up to 2 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 structure is very large or compliCated the
, documentation process may take up to a maximum of 4 working days.
Documentation will consist of photographing the building, taking measurements and
making scaled drawings. The documentation will 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. -
THIS DOCUMENTATION WILL NOT IMPEDE THE DEMOLmON PROCESS.
An 't ff f h ,ATTEbNTION: tlinr~Q"o."''''d 'th th N; I p' ks
, a~e cu -0 0 19~0 ,was c ~~~.m egt~S~r'u?~e~n~:~h a~e, a~'c:}'lo atio.na . ar .
S.erv;'ce and The Spnngfield :OevelopmeI!sG.~~ef1-1~~~gedetel'nnneil'l9tential hlstonc
slgmficance. , In OAR 952-001-0010 thro ~es are set.forth '
" ' 0090, You may obta' ug OAR 952.001~' ,
, , calli~Qd'ho ^^^',- In,cOples ofth^f""OS h,' .
If,You ~ould prefer ~o c?mple'~~lmfgr rRPF~~~~~0~J~9!lJPJJL~9,~ Jiilist proVide the
CIty With the follOWing mformationd~l~l'CKra!1<!,~hitE1PR.g,~i2~rlmhs of each
elevation, a floor plan with measurement;,1t~a'21-a?Setcof'l1!eva~lOh dra'wings with
measurements. '
Thank you for your patience.
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: 3~0' /5. 6c2~_P~/ ,<]/fJtJl-t)fl.Jlif..nrf
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Property Owner Slgnat6F... )( T-t'fr.<;_~U, E,{PlnE Ir TI![ \'!3Rl(
, .',' AUTHOBIZED UNbERTHIS P,wWTJ8lNOT
. Job Number: ('0/'11 ZOO 9-' ~t1Vif\~lftn np 1!>~~N~Y.l
" , ANY 180 DAY PERIOD. -
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Permit #: _,C.OWlZDO 7'" -:0 ol;:>(,/
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ConstructionContractors:Board
. '. . . "
_700 Summer St NE Suite 300 ,"
'PO Box 1'4140 , "
'Salem OR 97309"5052 .
Phone: 503-378-4621 ,
. Web'Address: www.ccb.state.or.us
Address:,
Issued by:'
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Statement: Information Notice to 'property Owners
, ' , A~out:CcmstructionR'espoi1s'ibill'th;s ,_
.'. -
Note: Oregon Law, ORS 701.055(4) requires residential constructionpermit applicants whoare not
licensed with' the Construction Contractors Board to sig1ithe following statement before a building
.- permi(can be,issued. This statement ls-requiredfor residential building, .eleCtrical, mechanical and
plumbing permits, 'Licen~ed architect' and engine~r applicaius, exempt from licensing under
ORS 701.01 0(7[need not submit this statement. This statement will be filed with the permit.
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Fill in the al'l'~vl',;atebianks and iiriti~l boxesl and 2, and either box 3A or 3B:
, ~ 1., I own; ~eside in,~O;'Will-reside in ~e-comPleted struc~e., '-
"~2.
. ,
'I uhderstandthat) must become licensed as a construction contractor if the structure is sold or
offered for sale before or ~m completion. < ' '
. . 1 '. .":
,0 3A. My general contrac:tor is
(Name)
(CCB #)
Iwill instruct ~y general con~actor that' all subconn:actor~ who w.orkon the structure must be
licerisd with the Coristructibl). Contractors B.oard: '
OR
~3B. 'I will be my own general ,co~tr~ctor. . -
'.If! hire subcontractors, I will hire only subcontr~ctors licensed with. the Construction Contractors,
Board, If I change my mind and,hirea general contractor, I will contract with a contractor who is ,',
licensed with the CCB and will immediately J?-otify the office issuing this.bUIlding permit of the
name of the contractor. " ,
, I'hereby certify thatthe above information is correct IlDd that I have read. and do understand the Information
Notice-to.Property Owners about Construction Responsibilities on the reverSe side of this form.
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5~ 5- () 7'
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(Slgllature of permit applicant) . . (Date)
(White copy to issuing agency permit file, pink copy tg applicarzt.)
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-
Property_owner, doc 06-01-04
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.ActIng as Your Own'Genera,I~(3ontractor:?;,~, ,
~>', - "'',':';-'~ IN?ORMA~,6~i~OTICE ToIPROPERTYtl'wNERs -: ~:.~:,;.. ':,
'. ' ~(\\\\?, ,_._~~~~iE~O~sTRu.CI!O!'llRESPONsIBILlTIEs ~ ,-.\ ,I '::'; ,',~-:":
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NOTE: This Information Notice to p'roperty Owners,about Construction' Responsibilities was developed by the
Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature,
. .' ~. <.' " r~","""'. ",: '::' ... "\,.\>. :~',"~ ," . ," 1'-' .;~ '.--::...... ~,.. {fl-:; -\ ,- ,:~..... ,.-:. '
If you are acting as your own cOl}tractQ,r to construct,a<pew home or make it subst,aptial improvemei1t'fO':ni existing
structure, you can prevenfmatiY'prooiems by biingawa'i-eof'lhefolloWing,respbnsibilities and 'concerns,
Employer Responsibilities
,,1.1,,'" ',f."., ~ ';';'\\~1', .. \!. ". ~...\.','\. " 1.....' ,.......
You,will,.in mostjnstances, be mled,to,be an ",employer" and the.contractors,you contract withlwill be "employees" il
,You u~e c9n9'~;;~r~ n?t, Ij~~~s,ed: wi3~,uie, C9ri.s~c~~0)1 Contr/~~?~~ B?~~4:~ ~o IabpE}n COt;strUp!ing or, t?' ,~ssi~t in the
construction,or improvement of a residential structure. ,As the employer, you must comply with the following:
\'\"'-'. " ','!' ...r"...... " ".',:";S:'~'~-:'" ,.' ".-' ~ "'._~ .-...,:.<..-." -. ~J:". '",,:,~"':..
"r..' '~". .~ '~J.'~"~\:'."'" ",\~,-,_.,,,_.. \; ..-: .' :"'.-.\ ',"'_;'" \.:', ' ........'. _,. _-:'!'~
Oregon's WithholdingTai Law': As an employer, you must withnold,incorile 'taxes from 'employebvageS'atthe time
employees ar,e paid, You will be. liable f<\r the. tax paxments even if you dOl1't actually withhold the lax from your
cmployees, For more information; cali' the Departffiertt-bfReve~ue it 5Sl3"378"4988: ..., h':, ',,;}' 'iN ,';"""c, '_ '0, . ;
UnemplllymenHnsurance Tax: As anemployer;you'are reqU'iied'to'-payJa tax.for unempioyrm\nt iiIsurancepurPo~-:"
on the wag~s of all employees. For more information, call the Oregon Employment Depactrnept at 503-947-1488. . ,/
,....-: ~;,i' ;,\'~.i.'~_.')i '!f._.l,i~'''~'~''''t'''''+-'''':,:.~i ';.'-: ':'. (o:..j:-.~ "\~'<)_~t~;J',;,...;'C.tl";(..~"',:;'..: I'IT-': ~.-)~
The Oregon Business Identification .Number, (1'\lN) ,is a combined',l)mnb~rJ for:,!>.~thQr~gon: Vb~qh(!lding and
Unemployment Insurance Tax, To file for a BIN, call 503-945-8091 or .www.doLstate.or.us/foTInsnav.htn11l for the
appropriate forms. .. _ _"_.. " _ _ _'_ .", . _'. _ ' _~. _ _~. __ :.: . _'j: ~.-~J1'" .. ,.~'t");'~-"-'" ;',
,,' ,..'. , ~.l"". . . . .
Workers' Compensation Insurance: As an employer; you are subject to the Oregon Workers' Compensation Law, '
and must obtain workers' cV"'l-'~usation insurance for your employees. If you fail to obtain workers' compensation
insuran~~,y~li could be 's'lihject' to p~h~1ti~i~fici 'oe'iiablefofali'c1allll clhis if'one ofyouremploy€eSis iiljured on the
job. For more irifohnatiori,call the Workers' COlnperisation Divisioil'attlle'Depiihnient o(Con'sumef'ima Busines>
Services at 503-947.78 1 5,
U.S. Internal Revenue Service: As,an employer; you must withhold feoeral"income ,tax' from 'emplbyecis' .'Wa~ t.
You will be liable for the tax payment even if you didn't actually withhold the'tax. For a Federal EIN number; callth'e
IRS'atJjc800'829-4933,oi"visit'lhcit.web site'at'www.irs,gov. ,_,' c';:. ',' I " ."'1,;~" .;;" _' "~" F .
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,",' r t'.r,;:' :n;Other,Responsibilities,andArceas of,ConC~Jn!! ;i:;,' ','';:'': ,~
Code Compliance: As the permit holder for'this projbct, you are responsible for resoi~hg any fart;'ire tg:;beet code
requirelJlents that may be br01,lght io your attention thrqugh inspections,
, _ '.', ~t: .c:-: '.' 't- -'_ ," f"J.~.j :.o~. _" .:'." .....~::
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Liability and Prop~rty' D~m'ilg~:IrtsiIi-Kilce:";C()tit~t' yotif'ins'urance'ageilfto 'see 'it you have'adeqii~fe' ;nsumn~e ' ,
coverage for accidents and omissions such as falling tools, paint over spray, water damage from pipe punctures, fire or
work that must be redone._.(" _..., "-./
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Time: Make sure you,liave sufficienttime'to supervise your employees;,..-' ,,' 11:F, .--"',::,:': .' ',~ ,t,' '::a~
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ExpertIse: Make sure you have the SKtlls 'to act as your own general contractor, to coordmate the work of rough~m
. and finish trades, and to notify building officials as the appropriate times so they can perform, the required inspections,
If you have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO.'
Box 14140, Salem, OR 97309-5052,
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Propcrty_owner,doc 06.01-04
225 Fifth ,Street
Springfield; Oregon 97477
541-726-3759 Phone
~
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City of Springfield Official Receipt
Development Services Department
Public Works Department
,
~mCEIPT #:
3200900000000000310
Date: 05/05/2009
2:21 :46PM
Job/Journal Number
COM2009-00611
COM2009-006 11
COM2009-006l I
COM2009-006ll
Desc~iption
Demolition
Sa~itary or Storm Sewer Cap
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
TASHARRA WARTENBEE
Item Total:
Check Number Authorization
Received By Batch Number Number How"Received
Amount Due
58.00
58,00
5,80
6,96
$128.76
Payments:
Type of Pnyment
CreditCard
Amount Paid
djb 02500c In Person
Payment-Total:
$128,76
$128.76
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cRecein11
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5/5/2009