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Home My WebLink AboutPermit Demolition 2009-12-8 i, CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01749 ISSUED: 12/08/2009 APPLIED: 12/08/2009 EXPIRES: 06/08/2010 VALUE: . Status Issued 225 Fifth Slreet, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspeclion Line SITE ABDRESS: 3661 OLYMPIC ST ASSESSOR'S PARCEL NO,: 1702300002103 Springlield TYPE OF WORK: Commercial Miscellaneons TYPE OF USE: Demolilion Commercial I'RO./ECT BESCRIPTlON: Demo 300 sf wood-framed omce area in sleel building- cap 3 plnmbing lixlnl'es. Owncr: ONE WORLD ORGANICS LLC Address: 423 A ST ' SPRINGFIELB OR 97477 ATTENTION: Oregon law requires you.t,o J 1- _I ""'"1 +....... r\",..,n"n IltJh~ " IVII.V.W I ~I~y--=-.... ':'!:'--i,,:: f'..~~~;r9 sr.! fprth Notlfl""<CO~JlI\.c.10KfNffll~- ~O~~'YoL; may obt~in ~oPies of the ru es Y Contractor Type Contractor calling the center. (Note: the 1la~hll~e Expiration Date General OWNER "..mkPr, fnr )he OreQon Utility Notification I Bl1l'VmNtt~n)tiMA:rlON'- , \ ' I Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bcdrooms: # of Stories: Lol Size: Height ~f Slructnre." ,-:' Sq Ftlst Floor: Type of Heat:' Sq Ft 2nd Floor: Waler Type: Sq Ft Basement: Rangc Type: Sq Ft Garage/Carporl Energy Palh: ,Sq Ft Olher: NOTICESprinkled Bnildin2: TH..n/'lJORK Occupanl Load: _"I~ ---;.IIT ""A" cVD1RI'IF t VI ,;,', DE,VtEi-o~\f~'N1fP'1nr~M'Ari@~.~ NU I ' COMMENCED OR IS ABANUUI~cJ luR REQUlREB PARKING ANY 18GQ},o,l;l~lRtD. # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: Total: Handicappcd: , Compact: Front yard Sctback: Side I Setback: Side 2 Sctback: Rear-yard Setback: Solar Set hacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Spcciallnslruction: Sidewalk Type: Downspoutsfl)rains: " Notes: I Valuation Descriotion , Description Type of Construction $ Per Sq Ft or multiplier Sqnllre Foolage or Bid Amount Value Dale Calculaled Pa2e I 01'2 _~~~~,~aFu:t~Q" I-,I~I,! 1.,~IIjI'JU .-,1' . . ....~: Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fa, 541-726-3769 Inspection Line Total Valne of Project Fees Paid I Fcc Description + 120/0 Slate Surchilrge + 5% Technology Fcc Demolition Sanitary or Storm Sewer Cap Amonnt Paid $6.96 $2,90 $58,00 $58,00 Total Amonnt Paid $125,86 I Plan Reviews I Date Paid 12/8/09 12/8/09 1218/09 12/8/09 CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2009-01749 ISSUED: 12/08/2009 APPLIED: 12/0812009 EXPIRES: 06/08/2010 VALUE: Receipt Nnmber 1200900000000001316 1200900000000001316 1200900000000001316 1200900000000001316 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. will be made the following work day. ' I R.eouired I,~snecrinns I Demolition: After demolition is complete, sewer is capped or septic is pumped and filled and inspection is reqnested and approved, and all debris is removed from the site, Sanitary Sewer Cap: Capped within live (5) feet of the property line and capped with an approved material as rC(luired by the code. By signatnre, I state and agree, that I have ~cflflIyeXamined the ompleted application and do hereby certify that all information hereon is true and correct,...an(J I further certify that' lY and all work performed shall be done in accordance with the Ordinances of the City of' Spr'ngt1eld and the Laws of the ate of Oregon rtaining to the work described herein, mul that NO OCCUPANCY will b made of any structur " out permission the Community Services Division, Building Sufety, I further certify that only ntracto oyees who arc in compl' nee with ORS 701.005 will be used on this project. I further ag~ ov ';'.."u at all required inspections are requested t the proper time, that each address is readable from the street, that the pern' card is located at the front o~the property. IJId the approved set of plans will remain on the site at all times dnring con 'uctio~~ .// "'/ /2-- '6 ~ J / / / / , / / i _/ Contractors Signatnre Page 201'2 Date Structural Permit Application I" DEP~RTMENTUsI 9N~ y 225 Fifth Street. Springfield. OR 97477. PH(541)726-3753. FAX(541)726.3689 ~~. ?t~::~~ Permit noQ {'7- I f] 'i "1 I Date: 17-/"F/ DC; This permit is issued under OAR 918-460-0030, Permits expire if work is not started within 180 days of isJuanbe or if work is suspended for 180 days. Is:-_~"::., '4,~ ~~~,;~~j\:'~~qP:A~~.:' ~>QY~~~N:r~f~~~f~~~B~F!~Qy~U~1lW;~~~l~~~~~~ I ~~~~;~O;e~ct has final land-use approval. Date: I~":c/:\-'.~ jr~~~:b"~~;,":;~:~~{I;~~.FE~-;~'S9H~~Qr~!:~~', -."." ~~;~.~:t;':.:,):-:~>:~,~;", I I ~~~~~~e~CI has DEQ approvaL Date 1;~~;~:~n!::~::~t~~~1f~g~l~~:i~~~;rf:;::~ I Zoning approval verified: 0 Yes 0 No Occupancy I 1~;i;~~;~nA:o:~~~~id~~~NSf~;;r~~~~~1i~)';,~~};A,ij ~:~::u;:~:n type ] 11"~~~,;~,.ide~,.,~i~,~," ,J~..G,""~'~'~,m, '.,~".,.,:~\,v'_-"", .J. ".!,.~. ~~,,,~.,,~.:,~,c,~a.~,,_.~. ~ECl" I Cost per square foot: [ :;f; .~:~#;:~,?~U9E3Ji~Jlf.~JJN.~p~MArIO~.~A~QK~J~~AT'.9~f;~h~lJ~'rr~~f:~;:1 I Other infonnation: I I Jobsiteaddress:.-5C,G.l OL1"~,~ .51: 1 1 u r Type of Heat: . I City: .<" L -0 State6tL I ZIP:9 7'7712:,1 Energy Path: ~. 1 I ~~~::;~:~ ..1 Taxlotl.Lot no" . i . I: (~;::dali~~~:;~:I? D~d~:i:n D No : i::::ss~;;' l :,,~::~W~Ei7t~' .. :~;,:;~U~j~~:;;~.S1~Mt);~t,'~Jffl~;t;~~&~hH;~;>\~;~{:::;i;~'~,!t,~".,: ! City:~ --1.6.-''; ~ ~ 1 Stale: 6) n.... I ZIP: 'l7 'i 0,' I (a) Permit fee (use valuation table): $ 'C70V I Phone:d'W / _ 7lf'f ~ '1/2/1 Fax: I (b) Investigativefee (equal to [2a]): $ I I (c) Reinspection ($ per hour): E-mail: (number of hours x fee per hour) $ This installation is being made on residential or farm property owned by 1 (d) Enter 12% surcharge (j2 x [2a+2b+2c]): $ me or a member of my immediate family, and is exempt from licensing requiremenls under ORS 70L010, I (e) Subtotal of fees above (2a through 2d): 5 I 1~3~~Rfan'rre~ie~wTfe~sl:~~}~'Jl;~?~I~"~~~~lfu~\o'1~.;~i1f(;~~t~!.1 I ' ("a) ;.;~~ ~r~~i~'~:'(i~~ :~':;~~t~;;;'''[;:]-';~'~ Hl~<(~~'~€h'~:~~'~R~i'-."1 I (b) Fire and life safety (40% x permit fee [2a]): I $ \ / I I (cJ Subtotal of fees above (3a and 3b): I $ \,1 I 1~:4j~Mf~~eifa!1_~~~i!#rf~~~$'~~~!r~ti~~;'pj:tX~~~_;~,fri:v~;j~~,~.,#f.~.,,\(;F~~; ~H;~:.~<~:.::';'...I (a) Seismidee, j% (01 x permit fee 12a]): $ / 'J I I TOTAL fees and surcharges (2e+3c+4a): $ )-c;~j_. Sign here: , CONTRAC1;ORI~StAL:LA'f1i:>N~,:" Ow IV-L-'7--- ..1 I I I I I I I I <, ;, Business name: f Address:. I City: I Phone: I E-mail: I CCB license no.: I Print name: I Signature: I State: I Fax: I ZIP: r:~~\j~1f:"';'~ffilSUEl'(;ONJRAC:TOR.,I.N.FOR.MAfIQN~zi\\'~:i~~;1 I Name I CCB License Number Phone Number I I Electrical I I Plumbing I I I Mechanical I I {)t::.-~c lib..] '--1 Sl<'<:tJ I T ~t__-,( 50-'c..-,L.. C--A-? :; fix T'1.A~v /Tc:.-I~ ~;i=/ 5% S/l'r1T 51A ,r!L.I+ /). 'Yo 5:' 'i C) ..!l- <:0 )..'- , 01, r-if- '-C;-;7-~- ",") J <:;l ,,-. ~---- '~, I 2 <;" -"- 22S Fift~ Street Springfield, Oregon 97477 S41-726j37S9 Phone '. .....f!JN~Q...~.ELO. -'IeJ' ,....1.: . '. ' , I tIIi: . .. ... ...w_ '.. ',' -. .. City of Springfield Official Receipt Development Services Department Public Works Depllrtment RECEIPT #: 1200900000000001316 Date: 12/08/2009 11 :39:57AM Paid By OREGON ONLY ORGANICS Item Total: Check Number Authorization Received By Blitch Number Number How Received Amount Due 58,00 2,90 6,96 58,00 $125,86 Job/Journal Number COM2009-0 1749 COM2009-0 1749 COM2009-0 1749 COM2009-0 I 749 Description Sanitary or Storm Sewer Cap + 5% Technology Fee + 12% State Surcharge Demolition Payments: Type of Payment Check Amount Paid cjc 1090 In Person Payment Total: $125.86 $125,86 cRcccintl Page I of I 12/8/2009