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Home My WebLink AboutPermit Backflow Test 2007-7-30 - . . . . ..' --'~Sl:;~~;. i'I...... -~ . 11liIU' . . " . . .~_._.,_.__.~'..-._..-.-... CITY OF SPRINGFIELD' Building/Combination Permit 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SCANNED PERMIT NO: COM2007-01l24 ISSUED: 07/30/2007 APPLIED: '07/30/2007 EXPIRES: 01/30/2008 VALUE: Status: Issued SITE ADDRESS: 281 DEADMOND FERRY RD ASSESSOR'S PARCEL NO.: 1703220000200 Springfield . TYPE OF WORK: Single Family Residence TYPE OF USE: Demolition PROJECT DESCRIPTION: Demolish single family residence and mise accessory structures Residential Owner: PEACEHEALTH Address: PO BOX 1479 EUGENE OR 97440 I CONTRACTOR INFORMATION i . Contractor Type General Contractor STANTON GREGORY PAYNE License 27323 Expiration Date 05/0912008 Phone 541-688-7038 BUILDING INFORMATION. # of Units: Primary Occupancy Group: Secoudary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla DEVELOPMENT INFORMATION I Front yard Setback: Side] Setback: Side 2 Setback: Rearyard Setback: Sola r Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: IPUBUCIMPROVEMENTSi Street Improvements: Sidewalk Type: Storm Sewer Av_tC~: DownspoutslDrains: __ you to SpeciallnstructiyPlIS PERM ATTENTION: Oregon law ''''l....~- Ut'lIty IT SHAll EXPIRE IF THE WORK follow rules adopted by the Oregon t ~ rttl Notes: AUTHORIZED UNDER THIS PERMIT IS NOT Notiflcation Center. Those ru~e~,f; :2~1. COMMENCED OR IS ABANDONED I;OR In OAR 952-001-0.0.1_~:h!~~~. nftlje rules bV 1\1" IOU UI\Y t'cHIUD. I .UIIV.. 'uu '"'''' v-'-"(Noie: the telephone Valuation Description I calling the f:n~;~gon Utility Notification number for :is 1_800-332-2344). $ Per Sq Ft Square Footage Cente Description Tvpe of Construction or multiplier or Bid Amount Value Date Calculated Page 1 of2 . . . . . Lll }' VI' ~rtur\jlJI'l~L1J Status Issued Building/Combination Permit PERMIT NO: COM2007-0I 124 ISSUED: 07/30/2007 APPLIED: 07/30/2007 EXPIRES: 01/30/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54] -726-3676 Fax 541-726-3769 Inspection Line Total Value of Project L.F"". P"irl J Fee Description + 100/0 Administrative Fee + 5% Technology Fee + 8% State Surcharge Demolition Sanitary ?r Storm Sewer Cap Amount Paid Date Paid $10.00 $5.00 $8.00 $50.00 $50.00 7/30/07 7/30/07 7/30/07 7/30/07 7/30/07 Receipt Number 220070000000000]207 2200700000000001207 2200700000000001207 2200700000000001207 2200700000000001207 Total Amount Paid $123.00 I Plan Reviews I 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. LJeouireq w~me~tiow 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. Septic Tank Pumped: After septic tank has been pumped and filled. Please provide the inspector with receipt and verification from company performing pump and fill. 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 1 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 eontraetors 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 eard is located at the front of the property, and the approved set of plans will remain on the site at all times dur~~g~st~J r N (fuML 0 n 1) f)3)b'7 Owner or Contractors Signature J ~~~te Paee 2 of2 225 FiWltStreet . Springfield, Oregon 97477 541-726-3759 Phone . Job/Journal Number COM2007-0 1124 COM2007-0 1124 COM2007-0 1124 COM2007-0 1124 COM2007-01124 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Demolition Sanitary or Storm Sewer Cap + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By BRENDA PAYNE ~~.--~..... ~ _ of Springfield Official Receipt _elopment Services Department Public Works Department 2200700000000001207 Date: 07/30/2007 Item Total: <.:'heck Number Authorization Received By Batch Number Number How Received IIh 41032a Phone Payment Total: Page I of I 12:43:17PM Amount Due 50.00 50.00 5.00 8.00 10.00 $123.00 Amount Paid $123.00 $123.00 7/30/2007 JUL '30,2007 10:18A . 5416896861 . page 1 . , . - '. ~~, ~ I . '"'' ^, ( , "! .':' .', ":CITY:OF SPR <.l ' , , " ", \ > . . :: l . - ' .., , . 1'1GFIELD,OREGON' '.',.',', SPRINGj:'JC'-D 225 F1FTII STREET. SPIl.lNGFlELD, OR 97477 . PH:(541)726-3753 'FAX: (5-41)726-3689 ~ DEMOLITION PERM]T APPLICATIONS Your demolition permit is currently being processed. There may be a slight delay, of up to 2 working days fol' small structures, due to the time required to review the history ofthe structure to determine if it needs to be documented before demolition. This documentation is f,)r archival purposes only and will not affect the granting of the demolition permit. If the structure is very large or complicated the documentation process may take up to a maximum of 4 working days. Documentation will consist of photographing the building, taking measurements and making scaled drawing~. The documentation will be undertaken by the City at no cost to you. Documentation is being done on all structures dated prior to 1940 that may have historic importance to the City's development. THIS DOCUMENfATlDN WILL NOT IMPEDE THE DEMOLITION PROCl':s8. An age cut-off Of1940 Vias chosen because this is the date that the National Parks Service and The SpringJ'ield Development Code use to determine potential historic significance. If you would prefer to c.)mplete this documentation yourself you must provide the City with the following ',nformation: 1) black and white photographs of each elevation, a floor plan with measurements. and 2) a set of elevation drawings with measurements. Thank you for your pati.ence. I grant the City of Sprirtgfield permission to enter my property to complete documentation prior to the requested demolition of the structUre located at: . / Address: :J X' I '[JpacllrJ~7Jt/5 !:a'f If{;: Property Owner Signature: a;, ~//~ ;/$f.t?/ed#lqtl4j4C- ~;7 Job Number: C r;' - 0/ /!J. <./ Date: 7-.1,'}--,., '7 F'ost.it'FaxNote 7671 IDBlo/-~ ~I'ol ~7 j 'Y!;{' ~ .,om3.,O LPllII"'~ ~'nm':;~:::;JL lea' :JI~4?,/ . 1'00,,' ~. f (""",-~Ii;r~ J '. '1j5 ,7,~/'7 IPoon.'~7, ~6" '''', (.oR/ }~.c,t'>. IF... ~R70~1 I l'I#,,/2~... ~.~, A...~/ .":"_..'1.....' I...... . ~ JUL.3B,200710:18A . , . 5416896861 . page 2 .'~\';: >:;"CITY-OF'SP' : ;1. '. f ~ ",'~.. . ",- NGElELD, OREGON. . . . . , I ' s....R'Ne.rU:I..p m Ji1FTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ~/ DEMOJLITION PERMIT APPLICATION Address: /J~ I DmdMo-nd<; hf(/?'1 i?J Structure to be Demolished: 5, ......j/~- Fc..-dl :I~I rI w; /// n 1 ,1--t'Jl.d /.; UJs . Job Number: C '/- 0/18 L/ The applicant is hereh) 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 lilies: 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 exil,ting 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 ether removal of the previously existing use. (Springfield Municipal Code 3.416(1)). My signature helow indicates that I have read and understand the above conditions relating to 1he demolition of the above mentioned structure. ~k~ 4~/!rt( Signature 7~/o1 I ' Dale