HomeMy WebLinkAboutPermit Demolition 2011-3-14
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CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-00409
IVR Number: 811160168385
www.cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
03/14/2011
03/14/2011
Issued
03/14/2011
ISSUED:
APPLIED:
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield,or,us
EXPIRES:
VALUE:
09/10/2011
$0.00
SITE ADDRESS: 205 S 54TH ST, SPACE# 1, Springfield, OR 97478-6262
ASSESOR'S PARCEL NO: 1702330001200
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
PROJECT DESCRIPTION:
Demo trailer and cap sewer space 86
Phone Number:
OWNER:
ADDRESS:
CHALET VILLAGE MHC LLC
450 NEWPORT CENTER DR STE 595
NEWPORT BEACH CA 92660
Site Work Only
Demolition
Residential
CONTRACTOR INFORMATION I
Contractor Type
Plumbing Contractor
General Contractor
Contractor Name
STANTON GREGORY PAYNE
STANTON GREGORY PAYNE
Lie Type
CCB
CCB
Lic No
27323
27323
Lic Exp
05/09/2012
05/09/2012
Phone
541-688-7038
541-688-7038
# of Units:
BUILDING INFORMATION I
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
o
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Lot Size:
Sq Ft 1st Floor:
Sq ~t 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy Load:
Site Information
I
Engineered ~iII,:
Fill Volume: ,
Flood Hazard Area:
Land Hazard Area: ATTENTION: Oregon law requires Yl;lY Ig
RetaIning Wall: follow rules adopted by the Oregon V!IIilV
Soils Report Requ~ification Center. Those rules are set 'f(lf!h
in OAR 952-001-0010 through OIIR 952-0G;~
0090. You may obtain copies of the rules by
calling the center. (Note: the tel"pilC';'j<' .
number for the Oregon Utility Noti"c!1!,,,,'}1
Center is 1-800.332-23~ V.
NOTICE: -"";"",''' .
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT .
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Springfield Building Permit
3/14/2011 1:39:46PM
Page 1 of 3
www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Residential Perin it
PERMIT NO: 811-SPR2011-00409
IVR Number: 811160168385
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax 541-726-3676
permitcenler@ci.springfield,or,us
PROJECT STATUS:
STATUS DATE:
Issued
03/14/2011
ISSUED:
APPLIED:
03/14/2011
03/14/2011
EXPIRES:
VALUE:
09/10/2011
$0.00
SITE ADDRESS: 205 S 54TH ST, SPACE# 1, Springfield, OR 97478-6262
ASSES OR'S PARCEL NO: 1702330001200
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
Site Work Only
Demolition
Residential
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Demo trailer and cap sewer space 86
DEVELOPMENT INFORMATION I
Overlay Dist:
# Street Trees Reqd:
Paved Drive Reqd:
% of lot Coverage:
Highest point on structure
to north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
I
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
I
Valuation Description
I
OescriDtion
Tvee of Construction
Unit Amount Unit TVDe
Unit Cost
Value
FEES PAID
I
Description Amount Paid Date Paid
Sewer cae/septic tank demolition _ $58.00 03/14/2011
State of Oregon Surcharge (12% of applicable fees) $6.96 03/14/2011
Tect;;;~fee (5% of permit total) . ----.-.~-$5:80.--._-----03/14/2011
Demolition of a Building or Str:,cture $58.00 03/14/2011
Admin fee (10% of applicable fees) $5.80 03/14/2011
Total Amount Paid $134.56
Recipt #
2011000473
2011000473
2011000473
2011000473
2011000473
Springfield Building Permit
3/14/2011 1:39:46PM
Page 2 of3
.......
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541~726-3769
Fax: 541-726-3676
CITY OF SPRINGFIELD
www.ci.springfield.or.us
Building I Residential Permit
PERMIT NO: 811-SPR2011-00409
IVR Number: 811160168385
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
03/14/2011
ISSUED:
APPLIED:
03/14/2011
03/14/2011
EXPIRES:
VALUE:
09/10/2011
$0.00
SITE ADDRESS: 205 S 54TH ST, SPACE# 1, Springfield, OR 97478-6262
ASSESOR'S PARCEL NO: 1702330001200
SCOPE:
WORK INVOLVED:
TYPE OF STRUCTURE:
Site Work Only
Demolition
Residential
PROJECT DESCRIPTION:
Demo trailer and cap sewer space 86
Plan Review
~
Department
Application Acceptance
Received Due Date
03/14/2011 03/14/2011
Completed
03/14/2011
Result
Over the Counter
Reviewer
David Bowlsby
Permit )ssLJance
03/14/2011 03/14/2011
03/14/2011
'Issued
David Bowlsby
03/14/2011 03/14/2011
03/14/2011
Not Required
David Bowlsby
Structural Review
Comments: Over the counter permit
INSPECTIONS REQUIRED
Inspections
1820 Demolition
Demolition: After demolition is complete, sewer is capped or septic is pU!}lped and
filled and inspection is requested and approved, and all debris is removed from the
site.
7160 Sewer/Septic Cap
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 workperiormed shall be done in accordance with the
Ordinances of the City of Springfield and the Laws of the State or 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 ?01.005 will be used on this project. I further agree
to ensure that all required in'spections 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 times during
construction
- r~6'P{ 3,ftl-(J.DII
Owner or Contractor Signature Date
Springfield Building Permit
3/14/2011 1:39:46PM
Page3of3
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www.ci.sprlngfield.or.us
TRANSACTION RECEIPT
811-SPR2011-00409
205 S 54TH ST. SPACE 1
CITY OF SPRINGFIELD
225 Fifth St
Springfleld,OR 97477
541-726-3753
permitcenler@ci.springfiefd.or.us
RECEIPT NO: 2011000473 RECORD NO: 811-SPR2011-00409 DATE: 03/14/2011
'OESCRIPTION c_': _~:2' ;';.1l'~. :>y,.. '~;z:';.j. ~g~!~l;l:.~}:!A.ccoi.JNt%COOE;. ~:... "<.; Ani16uNtOUE"",..",._;.
~~~ (10~ 01 applicable fees) 224-00000-426605 ______ 5.60 ___ ..
Demolitio':'. of a Building, or Structure 224-00000-425602 ______ 56.00_._____
Sewer cap/septic tank demolition 224-00000-425603 56.00
State 01 Oregon Surcharge (12% 01 applicable le~s) 621-00000-215004 6.96
Technology lee (5% 01 perm,it total) .___~.o..o.-00000-425605 5.80
TOTAL DUE: 134.56
Liek.yM~~';[TY=p(~~~~~AY:Qj3^~;'2~As'HIER=:~~DBOWL~jy,~~t'^~;t~~Lt;:QM,M,~.Nl~?~.~?;;4~;;~';!~'$r~;r~71c;dD,;;~'iAMOUNT P.AID' .:'. ~.;>:;-~'t.~~
Check CHALET VILLAGE MHC LLC 134.56
3990
TOTAL PAID:
134.56