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Home My WebLink AboutPermit Demolition 2005-12-14 '\. .' CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2005-01731 ISSUED: 12/14/2005 APPLIED: 12/14/2005 EXPIRES: 06/14/2006 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2979 YOLANDA AVE ASSESSOR'S PARCEL NO.: 1702193300800 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Demolition Residential PROJECT DESCRIPTION: Demolition of single family residence and capping and decomissioning of septic system. Owner: Address: DUKES DAVID E & LAURIE S 2955 YOLANDA AVE SPRINGFIELD OR 97477 .ff I CONTRACTOR INFORMATION I Contractor Type General Contractor OWNER License Expiration Date Phone B G INFORMATION : # of Units: ~'\~ ~ ~~Stories: . Primary Occupancy Group: ~~~~<(,,~~ ~ ~lght of Structure Secondary Occupancy Group: ':!v" ~ ~S f;:)~Y) Type of Heat: Primary Construction lype S~~ -&,<{... -<\ &~~\j Water Type: Secondary ConstlJ\~ ~e:\\~~ '{::> ~ Range Type: . # ofBedroom~~'"' ~'Y..,~ 1.'Y..,<V <;)<{... ~~<V. Energy Path: . .' ~~S ,\\'j~...\\.J'Y..,<V ~'Y..,~ Sprinkled Building: ogi~~,\ . . ,""", ;<;\..... 'l'~ - ~ .>~\r ~~<J~~~~~.\). I DEVELOPMENT INFORMinQN"io'\'~~~v ~~: . \'().~ . '0 \)' V-'<J C!J~~ <:>'0'\ . . 0" ~"\ ~e<:> S0 .j.e Front yard Setback: Overlay ~~f:. 0.'0'\ se -<.\): ~ O~ .;;s-e \ ~o"~ f0 Side 1 Setback: # Str;eet.Tree'itRqd~ 0:..).C0 c. 0' r>\,e\!. r,pO \\" :'\V' 'K:'-\ . e..... ,\'v .~\V Side 2 Setback: P,l!'Yetl Qiive~qd:\) ~ oR" ,\",'0 ~\o~ -<<'-\ "3' -\\ (\ '\ G . \, \~ Rearyard Setback: ~ \O~~ofJI;~(6o\etag~$-" ~o,\e. 0.~'\ t>.~' Solar Setbacks: ~o~o. #0 1:\)\) ~\ 0'0 \. ~ ~ 0 r>...t"J.;7,;C'fJ \. ...~\G n.<:::i ~?>.'1 ~\.e _C\.o r>...J I PUB~i<rjijpRO~E'MJi~T~:lro\)\J . \)\)-J c.,if\\ \-:;'0\ \V~",\e\ . Sidewalk Type: <$''0 (;'v ~-s Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: , Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of 2 _li.PR.I.'N. ...O.I\l'.EI..P...ji.... ......, ...:..:.... WtL..~ .; . "tIl.... I I..... i . . ". L' ~ . f . _h ....,~,._'...,.,~~,..,,,.._'_....~.~...... . Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2005-01731 ISSUED: 12/14/2005 APPLIED: 12/14/2005 EXPIRES: 06/14/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone . 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Demolition Sanitary or Storm Sewer Cap Amount Paid Date Paid Receipt Number $9.00 $6.30 $45.00 $45.00 12/14/05 12/14/05 12/14/05 12/14/05 2200500000000001704 2200500000000001704 2200500000000001704 2200500000000001704 Total Amount Paid $105.30 I Plan Reviews I To Request an inspection call the 24 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. I Reouired Insoections I 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. Sanitary Sewer Cap: Capped within five (5) feet of the property line and capped with an approved material as required by the code. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all . 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 tim':/7~ Q~~ontractors Signature /2-- /<7- oS:- Date Pal!e 2 of 2 ,~ .t- SPRINGFIEl.D '\ ."" " 'I 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 - DEMOLITION PERMIT APPLICATIONS, Your demolition permit is 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 docUIp,ented 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 DEMOLITION PROCESS. An age cut-off of 1940 was chosen because this is the date that the National Parks Service and The Springfield Development Code use to determine potential historic significance. If you would prefer to complete this documentation yourself you must provide the City with the following information: 1) black and white photographs of each elevation, a floor plan 'with measurements, and 2) a set of elevation drawings 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: ::2. CJ"1 r YCJ(44..//}4 .~/C .: J Property Owner Signature: MdlJ. p L4o.R~ d/f ~<; Job Number: c.oN\.Z-c::oSv\'"l. ~ ,~ Date: \'2...- \ ~ - <5:;- , I 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689 I DEMOLITION PERMIT APPLICATION Address: ;l. q IJ 9 .J't'J~/?- Ifpe.. Structure to be Demolished: S~N'/e b#.lv !h,??(.. , J I Job Number: c..o~ '2...1005- Ol...l~ \ SPRINGFIIZt.D The applicant is hereby notified that any redevelopment of the 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 include correction of substandard conditions associated with the present development. Examples of such corrections may include modification of inadequate drainage facilities; compliance with building set- 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 prior to the development of the proposed use, then the system development charge credit for the previously existing use shall expire two years after the date of issuance of the demolition permit or other removal of the previously existing use. (Springfield Municipal Code 3-416(1)). My signature below indicates that I have read and understand the above conditions relating to the demolition of the above mentioned structure. ~~ ~. ,-' ' Signature /2-- It(-o~ Date ~, Construction Contractors Board ' 700 Summer s( NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web' Address: www.ccb.state.or.us Pennit #: c.o~~s-O~-Z?~ z.. ~ 'l '1 ,'(O~~ 'A..:~ ~ , -1 t{'\~ Date: \."2..- \ ~ ~O S ,; ,Address: ' Issued by: Statement: 'Information Notice to Property Owners About Construction Responsibilities 'Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can beissued. This statement is requiredfor residentialbuilding, electrical, mechanical and plumbing permits. Licensed architect and engineer ,appliccmts, exempt from licensing under (J,RS 701.010(7), need notsubmit this statement. This statement will be filed with the permit. , ,Fill in the appropriate blanks and initial baxes I and 2, and either bax 3A ar 3B: ? 1. .1 own, reside in, or~ will reside in the completed structure. . . . )8f 2.' I understand that I must became licensed as acanstructian cantractar if the structure is saId ar , affered far sale befare ar an campletian.' ' o . 3A. My general cantractar is (Name) (CCB #) . .. . , , 1 will, instruct my general cantractor that all subcantractars who. wark an the structure must be , licensed with the CanstrUctian Cantractars Board. OR }3I.. ,3B. I will,be my awnegeneral cantractar. If I hire subcantractars, I will hire anly subcantractars licensed with the Canstructian Cantractars Baard. If I change my mind and hire a general cantractar, I will cantract with a cantractar who. is licensed with the CCB and will immediately natify theaffice issuing this building permit af the name afthe cantractar: I hereby certify that the above information is correct and that I have read ,and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side ofthis form., " ~~ '''-c (SignatUre af pe-iinit applicant) /Z~/~~05 . (Date) (Whitecopy to issuing agency permitfile, pink copy to ,applicant.) PropertLowner.doc 06-01-04 Acting as Your Own GeneraIContra~tor? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBILITIES J NO TE: This Infonnation Notice to P;'p~~y Owners abou/ Construction Responsibllffies was developed bY"t",~~1 Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the follmving responsibilities and concerns. Employer Responsibilities You will, in most instances, be ruled to be an "employer" and the contractors you contract with will be "employees" if you use contractors not licensed with the Cons!mct~on Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential struc~e. As the employer, you must comply yvith the following: Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even you ~on't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503-378-4988. Unemployment Iusurance Tax: As an employer, you are required to pay a tax for unemployment insurance purposes- . on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. The Oregon Business Identification Number (BIN) is a combined, number for both Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, can 503-945-8091 or www.dor.state.or.us/fonnspav.htmll for the appropriate forms. Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' CVlHpensation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you could be subject to penalties and be liable for all claim costs if one of your employees is injured on the job. For more information, call the Workers' Compensation Division at the Department of Consumer and Business Services at 503-947-7815. U.s. Internal Revenue Service: As an employer, you must withhold federal income tax from employees' wages. 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 1-800-829-4933 or visit their web site at wwwoirs.l!ov. - ,Other Responsibilities and Areas of Concerns Code Compliauce: As the pennit holder for this project, you are responsible for resolving any failure to meet code requirements that may be brought to your attention through inspections. Liability and Property Damag'e Insurance: Contact your insurance agent to see if you have adequate insurance 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 elUployees. , ' Expertise: Make sure y~u have the'skills to act as your own'gen~r'al contractor, to 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 have additional questions call the Construction Contractors Board (503-378-4621) or write the agency at PO Box 14140, Salem, OR 97309-5052. Property _ owner.doc 06-01-04 , 225 Fifth Street Springfield, Oregon 97477 i 541-726-3759 Phone Job/Journal Number COM2005-0 1731 COM2005-0 1731 COM2005-01731 COM2005-0 1731 Payments: Type of Payment C-editCard -j) ,'i 12/14/2005 RECEIPT #: Description Demolition Sanitary or Storm Sewer Cap + 7% State Surcharge + 10% Administrative Fee Paid By DAVID DUKES ~y of Springfield Official Receipt Wvelopment Services Department Public Works Department 2200500000000001704 Date: 12/14/2005 Item Total: Check Number Authorization Received By Batch Number Number How Received Jmp 037910 In Person Payment Total: Page 1 of 1 2:39:23PM Amount Due 45.00 45.00 6.30 9.00 $105.30 Amount Paid $105.30 $105.30