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Home My WebLink AboutPermit Demolition 2005-5-17 (2) . .. CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00580 ISSUED: 05/17/2005 APPLIED: 05/17/2005 EXPIRES: 1111712005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3360 GAME FARM RD ASSESSOR'S PARCEL NO.: 1703221202000 A'It:NIIUN:OrenonfAwr..,,'tIr"ol'''...... . Springfi.,.tolftWm w(lm~~~If'~anlilli!iiye Wotification Center. Those rules are set forth In Offifit5~P10tll!"lltl<<ft09AR 952~~dent1al PROJECT DESCRIPTION: Demolition of structure @ 3360 Game ~l(pu may obtaIn copies of the rul8S !)y calling the center. (~I,..t8: tI-r'c'. r' '1,19 nUrllU(?r -.- I" r..J ' JU:Hll...~tlon l _' h_' ,~ , OUJ-3",,-<e:.>44). N W DIST OF LUTHERAN CHURCH 1700 NE KNOTT ST PORTLAND OR 97212 Owner: Address: Contractor Type Contractor I CONTRACTOR INFORMATION I NOTlt~:ense Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Constrnction Type Secondary Construction Type: # of Bedrooms: '.".,.. "''0'111 \JIIMLL L^rlnc Ir IMt VVUHK BUILDING INFORMATION I~D UNDER THIS PERMIT IS NOT # of Stories: COMMENCED OR IS .I!.li~sireIJNED FOR Height ofStructflP~Y 180 DAY PERIOfSq Ft Is; Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: nla Occupant Load: I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Descrintion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 . . CITY OF ~rK.ll'\j\.d'lELD Building/Combination Permit PERMIT NO: COM2005-00580 ISSUED: 05/17/2005 APPLIED: 05/17/2005 EXPIRES: 1111712005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Pllid J Fee Description + 10% Administrative Fee + 7% State Surcharge Demolition Sanitary or Storm Sewer Cap Amount Paid Date Paid $9.00 $6.30 $45.00 $45.00 5/17/05 5/17/05 5/17/05 5/17/05 Receipt Number 1200500000000000631 1200500000000000631 1200500000000000631 1200500000000000631 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 ~rr~osne~tioo~ I Demolition: After demolition is complete, sewer is capped or septic is pumped and fiUed 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 aU 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 times during construction. Owner or Contractors Signature Date Pal!e 2 of2 22!"f.'fth Street ,Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00580 COM2005-00580 COM2005-00580 COM2005-00580 Payments: Type or Payment Cash 5/17/2005 . RECEIPT #: Description Sanitary or Stonn Sewer Cap Demolition + 7% State Surcharge + 10% Administrative Fee Paid By BREANNE COMMONS Wi:...,"..~,""",.",.~,,'~,.,.,~.~,._-- -." ,," L .. ) -',.,.'." ; , . c . '____.' ...../1< .:' ~ of Springfield Official Receipt .elopment Services Department Public Works Department 1200500000000000631 Date: 05/17/2005 Item Total: Check Number Authorization Received By Batch Number Number How Received njm In Person Payment Total: Page I oft 11:39:37AM Amount Due 45.00 45.00 6.30 9.00 $105.30 Amount Paid $105.30 $ I 05.30 - " CITY OF SPRINGF'-I.D City Hall '- Sprlngftold, Orogon Development Services OFFICIAL RECEIPT o o o 22245 r:J Dale ,1/i7 _~ ?_/h7!:;;- '. o Rec'dFrom ~6tjf!/J/2 ~#7/.?7dH2(, 0 , O' Address 4~20 :51'f/('5?:Itf:?LL('~"f'_'~ 0 ' ,r7..,p.,t....,.....-/ - ,,;\ -"''-7/ = '?'n~ \_ v v"r~.. U s;...... ", _ ~:cJ= Received For: ,/J~/~,~ '0 ]'Jhru/I/7t{~) /1;12 ~~J>.UrC;~A' o ~-?,.;:;/? 7A-n~,~. ,0 o ~!.J,Z;t'J/1)/f~,/- ~S.,.:> .0 "S71t7e ,3/r O' /fj)/J//A) .y., Ju ---5..~C .~ -o/(~ 4)' IH> o STAll! ,J If ~$M:J -j-ro o ~ Amount Received ,.>d--;tJ S~ 30 - 10 ~O y-f\ ~~ (',- o \....J - {' ~THOAlZE""'GNATURE \...J 0 I o ,,,", 05/13/2005 14:00 IFAX t1a~ 13 05 01:24p \ Home_te Developement 360 ~ FAX TO ElLUL 1aI002l003 57.2286 ~ ~; 0c)~ I CITY OF SPRI)\GFIELD. OREGO?\! .......NGPUILD 225 FIFTH STREET . SPRINGFIELD, OR 97477 . P8:(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 d"~"u.Jne 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 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 WIU. 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 pennission to enter my property to complete documentation prior to the requested demolition of the structure located at: Address: 3360 G"""" "'''m 1'10"(\ .~Drin!'"fj-"l ti l,.U.L-Llh,~;.::.... es'tr- ct O~ Property Owner Signature: \J\^ ~Y.h(\. r 1,)(\ \...", j- ~ha Conboy,Busine~s Job Number: Date: ~Ee ~u~neran ~nurch- Missouri Synod Manager 05/13/2005 14:00 1FAX Ha~. ~3 05 01:24p .. FAX TO EMAIL 574 2286 . Ham.e nevelapement 360 eIT'!" OF SPRINGFIELD. OREGON .-........... 225 FIFTIf STREET . SPRINGFIELD, OR 97477 . P8:(541)726-3753 . FAX: (541)7:Z6-3689 DEMOLffiON PERMIT APPUCATION Breanne Commons Address: 33RO Game Farm Roa~ R~~~~fielrl. OR Structure to be Demolished,: Small House Job Number: 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 a_w..~wj 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 "idth 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 sball 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. ){1.."tho ' r ~/'''d lnA Signature N w ~~ - L..U'1 S Date Ii!I 003/003 p.3 1&