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Home My WebLink AboutPermit Demolition 2006-4-4 (2) -. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 12261/2 FAIRVIEW DR . ASSESSOR'S PARCEL NO.: 1703273100900 . CITY OF SPRIl'itJJ<lELD Building/Combination Permit PERMIT NO: COM2006-00396 ISSUED: 04/0412006 APPLIED: 04/0412006 EXPIRES: 10/04/2006 VALUE: Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Demolition PROJECT DESCRIPTION: Demolition and septic fill for house and manufactured home - Owner: BUI TUAN . Address: 85903 BAILEY HILL RD EUGENE OR 97405 - Contractor Type General Plumhing Contractor OWNER OWNER # of Units: , Primary Occupancy Group: R-3 Secondary Occupancy Group: Primary Construction Type VN Secondary Construction Type: # of Bedrooms: - Frontyard Sethack: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: ~ Residential Phone Number: 541-485-8130 t I CONTRACTOR INFORMATION I \0 s'Io\l ,,,\llle \)""1\'-1 O~ 1'i\~UicenSe00 Expiration Date 9 I' U\U'::;) \'l.I\~" . \' 0,0 'I \i\e e se \:)\:'~uO?\e~~ose 1\l:~~~\'19S~~~0\~~ BUll,DING iNFORMATioN,:; 0\ \fle ';;l'e "~~ n 9~"'V' '0\3.11' - . '\I'\eW1e? 3.\\00 ,,,1\" ~3.'1 0 l\-4o\e. \-4o\\\\C \0 # of S~9ries: 0\e\.' \)\\11\'1 Lot Size: 01I;m~.t.~f.~fr\i~I:\'l:!':e900,'3'3?,?'341\)' Sq Ft 1st Floor: Type ofcHeilt:\0 IS ~ ,BOO Sq Ft 2nd Floor: Wai'&'hi!e:0\el Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Otber: Sprinkled Building: n/a Occupant Load: Phone 616-455-2223 I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: 'l'lCl~v-. X I\\t. 01 ("0.\ \ /1: \~ ~ I PUBLISfM~l}OV~~.s-.\~\~ ?\:.~~6 xOI'-- \'V 0\..\""" '\"'V\.." ,~\DCl I\\\~ I a~\lt.'i) v;~ \~ ~'O'Sidewalk Type: ~\S'i\'l \'!It.~c,t.'i) '?t.~\O'i), Downspoutsmrains: c,Cl\l\ '\ 'Q\) \)~'l ~~'l Pal!e I of3 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line . . CITY OF ~rKll~GFIELD Building/Combination Permit PERMIT NO: COM2006-00396 ISSUED: 04/04/2006 APPLIED: 04/04/2006 EXPIRES: 10/04/2006 VALUE: I Valuatinn Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Description Tvpe of Construction Fee Description + 10% Administrative Fee + 8% State Surcharge Demolition Sanitary or Storm Sewer Cap Total Amount Paid .., Value Date Calculated Total Value of Project l..l?Pp< PIiILI Amount Paid Date Paid Receipt Numher $9.00 4/4/06 1200600000000000401 $7.20 4/4/06 1200600000000000401 $45.00 4/4/06 1200600000000000401 $45.00 4/4/06 1200600000000000401 , $106.20 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. UeolliredJn~neetion'" 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. Septic Tank Pumped: After septic tank has heen pumped and filled. Please provide the inspector with receipt and verification from company performing pump and fill. " Pa!!e 2 of3 . . CITY OF SPRINGFIELU' Building/Combination Permit PERMIT NO: COM2006-00396 ISSUED: 04/04/2006 APPLIED: 04/04/2006 EXPIRES: 10/04/2006 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line By signature, 1 state and agree, that 1 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 ermi rd is located at the front of the property, and the approved set of plans will remain on the site at all , "~""," · · ill.. ___ * k Owner or Contractors Signature Dafe ;' . r Paee 3 of3 e. . . , , . . . . , .' ". .' . . . Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Pennit #: C 0 vV\ 2-. G. _ 00 :> 9" b Address: IZZ-b Yi f..-Alr.r.I.=--vI' /;;:) ([ Date: If); Io~ 'I / 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 be issued. This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B: ar-l. ~ 2. I own, reside in, or will reside in the completed structure. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. D 3A. My general contractor is (Name) (CCB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. OR k 3B. I will be my own general contractor. If! hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If! 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. - 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 of this form. ~-=lkmt)- ~5 (White copy to issuing agency permit file, pink copy to applicant.) Property_owner.doc 06-01-04 A.dnnn~ &1l~ -IUllll" Ownn <G~nn~rr&1lll CC!nnrrrr&1l~rr([!lrr? INFORMATION NOTICE TO PROPERTY OWNERS ABOUT CONSTRUCTION RESPONSIBiliTIES :~ NOTE: This Information Notice to Properly Owners about Construction Responsibilities was developed by the 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 following responsibilities and concerns. " JEmjplloyer Re!ljpoIll1!lij()illinie!l 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 Construction Contractors Board to do labor in constructing or to assist in the construction or improvement of a residential structure. As the employer, you must comply with tbe following: Oregon's Witbbolding 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 if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503-378-4988. Unemployment insurance 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, call 503-945-8091 or www.dor.state.or.uslformsoav.htmll. for the appropriate folTIlS. Workers' Compensation insurance: As an employer, you are subject to the Oregon Workers' Cv...t'....sation Law, and must obtain workers' compensation insurance for your employees. If you fail to obtain workcrs' 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 www.irS,l!Ov. Otllnen- Resj])orrnsJilbiJillJiHes 2lrrnllll All'eas OJ[ Corrneell'rrns Code Compliance: As the permit 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 Damage 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 employees. Expertise: Make sure you have the skills to act as your own general 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 06-0 t-04 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . 8.PR~'JN'L,"!!!-D __ __ ,;" ~>' "~._",--, t ~'- ,~~ ~ty of Springfield Official Receipt .velopment Services Department Public Works Department RECEIPT #: 1200600000000000401 Date: 04/04/2006 1I:4\:57AM Job/Journal Number COM2006-00396 COM2006,00396 , COM2006,00396 COM2006,00396 Description + 8% State Surcharge + 10% Administrative Fee Demolition Sanitary or Storm Sewer Cap Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 7.20 9,00 45,00 45.00 $\ 06.20 Amount Paid Check BUI DEVELOPMENT CORP djb 1023 In Person Payment Total: $106.20 $106.20 "2' ", ;f :~. - '.; . ') ':2 ;! " ,0 ..., '~ , :~ , ,i' " "', " 4/4/2006 Pa~e 1 ofl , CITY OF SP-RINGFIELD, OREGON SPRINGFIELD. :'\ ~, I - ~-- ..,,-'.,. 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 DEMOLmON 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 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;,~(j'mplic~t1:d the documentation process may take up to a w,~jrii.~~;9f'4~9!ki#~~iiys. Documentation will consist of phot.ognlph~ngithebyildiv.g,~taKing. m,easurements and making scaled drawings. The !iO'dgIRent~ijQ!U~~t~~,1in4~r:taKelbRY the City at no cost to you. Documentation is being~aone,ori'all structures?dated\f>nor\,to, 1940 that may have historic importance to the,GitYJ~:deV~!~pm~rif,~~\e', ~~:; ~O\I\llP 1(\ 0" '-{ou ({\ (\\el, (\ 1j\1 ~AA'). ~o(\. ~.......P. ce r\{P.oP ,...f).?~?:. . THIS DOCUMENTATION WIUliNO:mMPEDE THE-DEMOLmON PROCFSS. c-o." \\,)\ ~ 'S '\~"" .-<'\'Oe\ \e\ 1 "u,p ee(\ 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~ each elevation, a floor plan with measurements, and 2) a set of elev~\\ltlfd~ngs with measurements. 't.'f..?\?S;. \\\-11\' \s ~ O,,\C~:. :i S\\t>.\.\. ,\\\S?t: x.\) rCl'i\ Thank you for your patience. ~ \\\S ?x.\\\-II~\) \j~\)x.\\ t>-'Ot>.~\)G~ , \\G\\\1: G\\ \S t>-\j' \-II't.~c,'t.\) ?'t.\\\G\)' c,G~ \)\J \)t>.'l t>-~'l'\ , 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: /J...2A. ~rt//ev 5>jr'7Ieii~ 77177 Property Owner Signature: ~ ~~ __ . JobNumber:LOwIZOob- C::sO";'b Date: ~~ " " CITY OF S. ,~INGFIELD, OREGON . SPRINGFIELD , A , 225 FIFTH STREET 0 SPRINGFIELD, OR 97477 0 PH:(54I)726.3753 0 FAX: (541)726-3689 '" A!", ,-~ .~ DEMOLITION PERMIT APPUCATION ( 2-2.-(, -r=.... ( (View '5f "~I fJe4/)1 c; 1777 Address: \ q, / J Structure to be Demolished: ~ / ,n16/" Ce' ~ , 'I Job Number: COU/lZOOh- DO J 5.6 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 coniplet'e for City review. This would include correction of sUDstariaai'lconaitiOIisla;;~B'ciated with the present development. Examples of such' cOITectioh~tmay;inclua~')n~ 1 modification of inadequate drainage f~<:jl!!tes;'coliiJ>li~P'S~~~ili\]jiifIdN~set- backs from property lines; correction of..suQstaiidardrsiqew~ks'andf'street improvements, including driveway widtliand,p'lilcerligRt;1mdother:C&rections ",,,,,\ "f'lU ...."'] 1,'n1P' lll..... '~-,' . t"'\ which may be necessary to comply with existingrdevelop'ment'staiidafdS. C2.1,\I[\\,j ,''v ~- Or8g0[\ 0\1"') ..- F rth 'f .. . d,~h~l" Inlirtdh8 . li'''('\,~:12,2344). d . t th u ermore, I an eXisting use IS" erno ~"~,,Jor~ot elWlse remove prIOr 0 e development of the proposed use, then tlie 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. rAft Signature 1\-1'C. 'NO\\1' .,.\"c. Date c~I'II'\'C. Ir -r I" ~01 "0' l:~' 1 S\-I~LL '- I''C.I'\MI \ v 1\-11S I''C.I'\M~O \l~0'C.1'\ \\-II~OO~'C.O rOI'\ ~\l1\-101'\II 01'\ IS ~B~ COMM'C.~~~ I''C.I'\IOO. ~~'i ,\8()