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Home My WebLink AboutPermit Demolition 2009-5-29 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00753 ISSUED: OS/29/2009 APPLIED: OS/29/2009 EXPIRES: 11/29/2009 VALUE: . 225 Fifth Slreel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 205 S 50TH PL ASSESSOR'S PARCEL NO.: 1702333205000 Springfield TYPE OF WORK: Single Family Residence , TYPE OF USE: Demolilion Residential PROJECT DESCRIPTION: Demolition ofhonse and garage , OWller: Address: MULLINS RHONDA J PO BOX 2281 REDMOND OR 97756 ,_ ,,;'00 \IOU to ATTENTION', ure\ju,', '~.: '; ~ro'1(\n UtilitY I \loW ru\I?€ON:r-AACT.obNFQRM~11ION , o " rr7\~" "I' NotHication V"".vh 'ihrough OAR 9::><:;-VU - ContractllfOAR 952-001 -O~t1 ~n copies of the Mi!e~ OWNER 0090, You may 0 a Note: the telephone OWNER calling the center. ( Utility NotificatIOn , ,__ .ho n(eaon , ' ,\ l,u"'~-'Cffili!lLBI~2JNFliRMA;'ioN , Expiration Date Phone Contractor Type General Plnmbing # of Unils: Primary Occupancy Group: Secondary Occupancy Group: Primary Conslruction Type Secondary Conslroclion Type: # of Bedrooms: R-3 U VB # of Stories: Heighl of Struclure Type of Heal: Waler Type: Range Type: Energy Palh: Sprinkled Building: Lot Size: Sq Fllst Floor: Sq Fl 2nd Floor: Sq Ft Basemenl: Sq Fl Garage/Carport Sq Fl Olher: Occupant Load: II/a Frontyard Selback: Side I Setback: Side 2 Selback: Rearyard Selback: Solar Selbacks: I DEVELOPMENT INFORMATION I N011L;E: ' , THIS PERM!Tv&f1IM}~ifXPIRE IF THE WORK AUTHORIZEID~a~9'.1ltRMIT IS NOT COMMENCE!tJ't1~?s1l'J 'P.NED FOR ANY 180 DAY ~EB1bb~ e . REQUIRED PARKING Tolal: Handicapped: Compacl: I PUBLIC IMPROVEMENTS' Slreet Improvements: Slorm Sewer Available: SpeciallnSlruction: Sidewalk Type: Downspouls/Drains: Noles: Page I of 3 Status Issued 225 Fifth Slreel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeclion Line I Valuation Description I Description $ Per Sq Ft or multiplier Square Foolage or Bid Amouul Tvpe of Conslruction Tolal Value of Projecl Fer' P.irl I Fee Description + 12% Stale Surcharge + 5% Technology Fee Demolilion Sanilary or Storm Sewer Cap Amounl Paid Dale Paid $6.96 $5.80 $58.00 $58.00 5/29/09 5/29109 5/29109 5129/09 Total Amount Paid $128.76 I PIau Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00753 ISSUED: OS/29/2009 APPLIED: OS/29/2009 EXPIRES: 11129/2009 VALUE: Value Dale Calculaled Receipl Number 2200900000000000580 2200900000000000580 2200900000000000580 2200900000000000580 To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the sam~ working day, inspections requested after 7:00 a.m. will be made the following work day. ~e(]lIirerllr~,nppt,I~OW 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. Sanilary Sewer Cap: Capped wilhin five (5) feel of lhe properly line and capped wilh an approved malerial as required by lhe code. Paee 2 01'3 . _~~~~.~9~1~~~.~ii . -Ii ~. Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2009-00753 ISSUED: OS/29/2009 APPLIED: OS/29/2009 EXPIRES: 11/29/2009 VALUE: 225 Fifth Slreet, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 IlIspeclion Une By signature, I slale and agree, lhat I have carefully examined the compleled applicalion and do hereby certify lhal all informalion, hereon is true and correcl, and I further cerlify lhal any and all work performed shall be done in acco~dance with the Ordinances of the,City of Springfield and lhe Laws of lhe Stale of Oregon perlaining 10 lhe work described herein, and that NO OCCUPANCY will be made of any structure wilhoul permission of lhe Community Services Division, Building Safety. I further certify thaI only contractors and employees who are in compliance wilh ORS 701.005 will be used olllhis project. I further agree to ensure lhal all required inspeclions are requesled at lhe proper time, thaI each address is readable from lhe slreel, thaI the permil card is localed allhe front of lhe properly, and the approved set of plans will remain 011 the site al all limes dUluZ t ;; f j1A! Y tJ? owrr C~nlractors Signature Dale Pa2e 3 of 3 >, ,.; . "'- (~ SPRINGFIE1..D 225 FIFTH STREET'. SPRINGFIELD, OR 97477 . PH:(S41)726-37S3 . FAX: (541)726-3689 " ,^ DEMOLITION PERMITAPPLICATlON Address: ' J-tJ S- j jOTll I). {'SL , ;Ie;, J~ j (; ,r Struc~ure to be Demolished: /'1 P'-I PI , """.11..- V-/1i , 205 5" 5'0+1... IL Job Number: .' 'CO~C'2'C:S01~""'3 ~&g:) 7'>.5 '..>'1 lopted by the Oregon Utility , . (I" r;enter. Those rules are set forth The applicant is hereby'~~tified'tlfa~1.'rtyhfed€-(ielopmem6f,the subject site must comply with all of'tH~'ilJ:diil~a'Bievl~Ws;rcode~,eordiitanceSl,p'oJices and plans in effect at the time th~r~de~Jllfp\fi'~mrpr\\'P.Jsaltis"'aEdepiealas complete for City . Th' uld",UI'I'u~d' ru. me ,.II~orf' I W"'" ~d'otia'co'l.n.l' . ,. d . h , reVIew., IS wo mc u ,~;~Rr~f<;~I~~~~u~,Y~J~:~443;~ couU1tJ?nS associate Wlt the present development. Examples of sueD correctIOns may mclude ' modification of inadequate drainage facilities; complialice.with building s'et- backS from property lines; correction of substandard sidewalkS and street improvements, including driveway width and placement; and other corrections which may be necessary to comply with existing development standards.', Furthermore, if an existing use is demolished or otherwise removed priorio the development of the proposed use, then the system development charge credit for the previ()usly existing use shall expire two years after the date of issuance of the demolition permit or other removal of the previously existing use. (Springfield MunicipalCode 3.416(1)). .. /f I ~, Signature /, '..' My signature below iqdM~~\il:Jat I have rea.d;mq~~~_ above conditions relating to 11ii1e~p~,~<tr€Mlthk !l;'bV&'~j~R'I,A?p~ fAActure. ?...' .~,,/ ' '.or. 29 ~ '8'7 ~, 0/, Date I'. <, '. . ,-~ ,SPRINGFlELD .-";",'.,' , ,", , .... 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(S41)726-3753 . FAX: (541)726-3689 '~:'::;"'} ~JI!'<"'.\\' DEMOLITION PERMIT APPLICATIONS Your demolition permitis currently being processed. There may be a slight delay, 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 maximumof4 working days. ' Documentation will consist of photographing the building, taking measurements and making scaled drawings. The documentation will be undertaken by t~e City'at no cost to you. 'Documentation is being done on all structures gated prior to 1940 that may have historic importance to the City's development. . ' " THIS DOCUMENTATION WILL NOT IMPEDE THE DEMOLITION:'PROCESS. An age cut-off of 1940 was ch6sen:becatise thi~JisJ!heAqbe that the National Parks S.en?ce and The Springfi~~I~rPcfel~prrlentl(i;ode,\!Se~t91g~Jtermine potential historic slgmficance. , in OAR 952'0011:~~0"1 OT1t1hDse rules are set forth , ' " ,,' rough OAR 952-001- ,0090:, You may nl:lam coole. n!t'.p "dM h..' , :,.' If. you would prefer tOlcoIppl~t~J$.!~, q9'<;}1!.fi~\1H''p~,w~~urself you must proVIde the CIty with the follo-Mtig1inform:ation, :,c1-)rblacK ana-"wl1it~~hotographs of each . ' " -,....t.> , ......"Ili ''lV' !lCallOI ' , elevation, a floor plan witn-measureihents;:,:mq,~) a set f elevation drawings with measurements. ' , ",' , ' Thank you foryour patience. I, ,'I grant the City of Springfield' permission to enter iny property t~ com'plete documentation prior to the requested demolition of the structure 10cateCi at: , '~CE:' , , ; A n J ' , ' ,A pddrertySS: 'Own' d-,' ~I \;iR~E~~;:':6 ~~~ {IID~t~~~~)~~~' _ ,rope er ~gn . (". "k. n'S:... - --- - , . UIVI~lt~' :11,,,0' -_..l VI ~_. II " . Job Number: cA"-~~ SDate: OS"_~7~07 " .. ~ '. .. -' . , , . , , '. .' - Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 'We'" Address: www.ccb.state.or.us , , Pemrit #: COm cOO' 7'-. ,0 P 7.s.3 , '"70 r' ("' _ ;, rot-,- Address: v.) .) - , ~ Issued by: -z:;>t:!: Date: If- (e-Y07 , Ii Statement: Information 'Notice to Property, Owners , . About Construction Responsibilities . I' Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who _are not lic;ensed with the Construction Contractors Board to sign the following statement before a building "permit'can be issued. This statement is requiredfor residentiar~uilding, electrical, mechanicarand'" plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701..010(7), need not submit this statement. This sta!ement will befiled:~ith the permit. , Fill in the appropriate blanks and Initial boxes I and 2, and either box 3A or 3B: krl. ~2. I own, reside in, or will reside in the completed structure. , ,. Ii ;: i' , ' o I' I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before, or on completion. I' ') I, 3A. My general contractor is (Name) (CCB #) , ~: If I hire subcOlitractors, I will hire only subcontractors licensed with the Construction Contractors Board. Ifl change my mind and hire a general contractor, I will contract with a contractor who is , . , licensed with the CCB and will immediately notify the office issuing this building permit of the name of the contractor. , , t f I hereby certify that the above information is correct and than have read and do understand the Information . . X N'.'fk:c:,n S::"'tro~" R~,~;blli.6 ,.lli, _~:fC;;~~ I (Signature of permit applicant) (Date) / ,,'" ; (White copy to issuing agency permit file, pink copy to applica!lt.J 1 I" Property_owneLdoc 06-01-04 ., Ncting -aS~Yo'iIl.' Own GeHlleral Contractor? ,,- ---:::.\ .' \, ~ INFO~MATl6N~N"OtICETOIPROPERTY oWNERS :.;,'; '. -<, '\ ,-'{"\ "'.~~ ABOUT,CONSTRUCTIONRESPONSIBILlTIES, ',' I .:' --,.- _"-- ---,.. 'r ~ .. .... ~ .;. . A ' '. \ .. p.... . -, _ '.~' ..'~. _ ij-C- "_ . ".' 'j' NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. , . f 'f. . "''rOO;..,' '. ,', ",'. ....f' ,.;..: '~. '... :'. 'I';'.:,,io..:~, ~ ".\.'" . If you are acting as your own contractor to construct Ii new home or make a substantial improvement to an existing structure, you can prevent many problems',by being aware of the following responsibili~ies aiid concerns. ~. .' . .. _. . -' You will,,in mostinstances, be ruled to be an "employer," and the, contractorsyoucontract with wilfbe ")lmployees" if you l!se c~~tractors not Iicens~d w:ith'~h~.Con~tructi~n C~ntr~!ltors B?ard t~ dql.abormcq~~fuctingor.tq !ls~;s~ m th( construction, or improxetn~nt ofaresjdential struct)lre, As the employer, you must comply wi~h the f~I10W\Dg: . ' - .. ,. . " -.1. " ' ,_, ." , . ' . '. .l:. ".. " .. r ~, ... ,.,. "', -.". ". . r _.' .,,~. . Oregou's Withholdi~gTax Law: AS 'an 'empI6yer, you musfwithhold 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 yow employees. For more information, call tlie'D"ejJini'lIlent ci{Revenue' at 503-378-4988. ", - " '-" ,," , _~_ I Unemployment Insurance Tax: As an employer;Jy6u:ani required t~pay a tax for unemplo~erit insurance purposes ----. on the wages ofall employees. For more information, call the Oregon Employment Department at 503-947-1488. ,.}, ,.." . J~' ,_ > .: ')~;:; .~-; - ~ , ":.0;. 1.... \,.r . f. Employer Responsibilities, . , ; .., The Oregon Business, Identification Number (BIN) is a combined, nl!mber, fOLbi;Jth -Oregon W,iqIDolding and Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or \vww.doLstate.or,uslformsnav:htmll for the appropriate forms. ::-., \ ... ,~\ ':i;.., , or_, . .... " Workers' Compensation Insurance: As an employer; you are subject to the Oregon Workers' Compensation Law, and must obtain wo~kers' compensation insurance for your employees. If you fail to obtain workers' compensation insurani:it;you c~ul~fbe subject to-penalties;m(j be liable for all claim costs if one OfYOlir employees i~ ITiju\-ed on the job,. For more infonnation, call the Workers' Cvwp~usation Division at the Bepartriient of Gonsumer and Business Services at 503-947-7815. ' " U.S. Internal Revenue Service: As an employer; you mustwithhold,fedenil, income'tax frome'mploy'ees' 'wage~: ""'- You will be liable for the tax payment even if you didn't actually withhold the tax, For a, Federal EIN number, call the IRS-at 1~800'8i9-4933 or visit their. web site at www.irs.!!OV, . ,- . ' ~,~,'!f""-\"\., ._";. .;- -:1 ';.' .~...,"': .....~,I. ;-.'r' '." ..; Other Respo_lJsibilitiesa~ui ~r~as of,Concerns , Code Compliance: As the permit holder for this project, you are responsible for re;olving-al1y'fai1"ure to meet code requirements that ~y be brought to your attention through inspections. _ . "'~-'_ . '., ~.' ... ... "'.' ~.'~ "f'!._'... Liability and Property Damage'IilSlirance: Contact youdj,sura~ce agent to see if'you nave :adequate insuran~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, -- , . . " .~ / - ----. - Time: Make sure you have sufficient time to supervise your employees. ; "; .... t'.I".j!,' J...' - ,.: -,,_\ ',:~tr"''' ".. _' _.....\. -'.. - . -...' -~ Expertise: Make sure you have the skills:io act as your own general contractor, to: coorainate 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 have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. ,;' I.:, Property _ owner.doc 06-01-04 ' 225 Fifth Street Spi-iiigrieid, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00753 COM2009-00753 COM2009-00753 COM2009-00753 Payments: Type of Payment CreditCard cRcceintl RECEIPT #: Description Demolition Sanitary or Storm Sewer Cap + 5% Technology Fee + 12% State Surcharge Paid By JON SAARI City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000580 Date: OS/29/2009 (tern Total: Check Number Authorization Received By Batch Number Number How Received djb 029I6a In Person Payment TolaI: Page I of I 2:S9:16PM Amount Due 58,00 58,00 5,80 6,96 $128.76 Amount Paid $128,76 $128.76 5/29/2009