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HomeMy WebLinkAboutPermit Building 2011-5-16 . ~ CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00818 IVR Number: 811176934881 www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 05/16/2011 ISSUED: APPLIED: 05/16/2011 05/16/2011 225 Fifth Sf Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE: 11/11/2011 $0.00 SITE ADDRESS: 3985 MARCOlA RD, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1702300000200 SCOPE: Site Work Only WORK INVOLVED: Demolition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Demolition of house and sanitary cap. septic pump and fill Phone Number: OWNER: ADDRESS: MENTAL HEALTH FOR CHilDREN 3995 MARCOLA RD SPRINGFIELD OR 97478 Contractor Type Plumbing Contractor General Contractor Contractor Name GREENSUNSINC GREENSUNSINC CONTRACTOR INFORMATION ~ Lie Type CCB CCB BUilDING INFORMA TION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat; # of Units: o . # of Bedrooms: 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: Sprinkled Building: Fire Alarms: Energy Path: Lic No 31366 31366 Lic Exp 12/19/2012 12/19/2012 Phone 541-933-1020 541-933-1020 Lot Size: Sq Fl1s1 Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq FtGarage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: t land Hazard Area: '0 gon laW requires YO~T~ Retaining,warf:NTION, d~e ted by the Oregon ~; I rih Soils Rep;oiiiRiiq'U,i#'d"ca t~r Those rules are se2 go;- Notification en. ough OAR 95 - in OP,R 952-00;-OO;~ th;oPies of the rules by 0090, You may obtain Note: the telephone c'lIing the center. ( Utility Notification n~l1ber for the, or;e~g~_332_2344). Center IS - "'-'.,' " W l\iE \NO""\<. NOIICE: :t S\iI\LL f;Zp,""E H\W\\1 \S NO! 1\-\\S PER~iD \JNDER 1\1\~\60NED 1'0"" ' l\\Jl\10R\ OR \S 1\\3f\I' , COMMENCDEI\~ pERIOD. AN'! '\ 80 Springfield Building Permit 5/16/2011 9:32:55AM Page 1 of3 . , s~~. IN. ..G...F.IE.L ~ .iT "-. ~L' ~~ .,""r_ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00818 IVR Number: 811176934881 www.cLspringfield.or.us 225 Fifth Sf Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: 05/16/2011 05/16/2011 Issued 05/16/2011 ISSUED: APPLIED: EXPIRES: VALUE: 11/11/2011 $0.00 SITE ADDRESS: 3985 MARCOLA RD, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1702300000200 SCOPE: Site Work Only WORK INVOLVED: Demolition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Demolition of house and sanitary cap - septic pump and fill DEVELOPMENT INFORMA TION ~ Overlay Oist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: . Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Valuation Description Descriotion Tyoe of Construction Unit Amount Unit Tyoe Sidewalk Type: Downspout/Drains: ~ Unit Cost Value FEES PAID I Descriotion Sewer cap/septic tank demolition State.~fOregon Surcharge (1_2% of applicable fees) Permit Fee Adjustment. Administrative Fee Admin fee (10% of applicable fees) Demolition of a Building or S~ructure Technology fee (5% of permit total) Total Amount Paid Amount Paid $58.00 $6.96 $1.16 $5.80 $58.00 $5.80 $135.72 Date Paid 05/16/2011 05/16/2011 05/16/2011 05/16/2011 05/16/2011 05/16/2011 Springfield Building Permit 5/16/2011 9:32:55AM Reciot # 2011000947 2011000947 2011000947 2011000947 2011000947 2011000947 Page 2 of 3 o CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00818 IVR Number: 811176934881 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 05/16/2011 05/16/2011 Issued 05;16/2011 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcen1er@ci.springfield.or,us EXPIRES: VALUE: 11/11/2011 $0.00 SITE ADDRESS: 3985 MARCOlA RD, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1702300000200 SCOPE: Site Work Only WORK INVOLVED: Demolition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Demolition of house and sanitary cap.. septic pump and fill Plan Review Deoartment Application Acceptance Comoleted 05/16/2011 Result Over the Counter Received 05/16/2011 Due Date 05/16/2011 ~ Reviewer David Bowlsby Permit Issuance Structural Review 05/16/2011 05/16/2011 05/16/2011 Not Required Comments: Over the counter permit Planning,Revii:t'"" ~0?'g.2,,""-':f' . (Comm'e-rits: .:::~f~-'" ,- INSPECTIONS REQUIRED' Inspections 1820 Demolition David Bowlsby '-.'" _.-~~':"=-"V'7~',,,,::':,:'"'-:""~- ~,'~_ -~+pavid;BowlsI5Yi"0N y %~ ,," AC &bX%Y~_;'. ~: .~~ ~l ;~i::"~~': ;;~' ,:~,,",~ .0' '] "';'. . ' .~.'. <. 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. 7160 Sewer/Septic Cap 7170 Septic Tank Abandonment 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 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 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 ~~"' '''~"' .OJ;;]O' .~,.~ ~.;~~':;;"' 00 0......, "~. """". Date Springfield Building Permit 5/16/2011 9:32:55AM Page 3 of 3 "'DEP ARTMEth.uSEON~Y' Sl/~ao 818" Pennit no.: Structural Permit Application - 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 Date: This permit is issued uuder OAR 918-460-0030, Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days, .~.,}:i{i;,t!QC<A!1'.iqC:!Y~@M~N'fiAP.ifRQ@~I]~;Jj~i~ii)~i~r~~j This project has final land-use approval. Signature: Date: This project has DEQ approvaL Signature: Date: Zoning approval verified: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No ~""'i~Jl'i~~:%;ticATEGbRY>>'0F,;:lcoNs;t;RUctI0'N';;iW:i';<i~'i:"'S~,~~:':: S9..,"*g;,.,.._.,.it."~'.,,,~~,Afi\..,_,.., _'__~_'"'._'. ."._.if-._._,...i:il;j., _'..,._ __.~"""'. .. ~"""'_" '._ ,~.._".,..;.....,i'0?:.;.,J~:,~_,.,,^,E_,:r'lf'.; Residential D Government D Commercial :.~.:,':'k.. ""~.': ',;'" .', q, ..".,~,..,.. ".. ," <;'.. ""'''''''''''''_'_'_'''.'',-'"C'- .. .. 'C. .",.-"~"._.,~-~v""..",",,,,,,,,,,,< .' "' "'-"',". ",'f.'.-~:t~;:Vg':\:'-' ;ii('f1il,?H\,~';J.()B';.Sljrgl Nf,9RM"'TI()N.~ANR;~L:()CATJ.9Nf;lli~)~d!.)i:i')) Job site address:J9.,;' S- 6-Ie.,;(_?I. City: 1',... State: (1) ZIP: , 7'f7 Sign here: e,'\ ".<-' Business name: E-mail:wt..l CCB license no.: Print name: 4,.e...~Y1 Signature: k~:W~~-;~{~~iY~~~~iS'tlE!;.G:0NlJi~AG5t:Q~f(N~.9,~,rv'I:'-- Name CCB License Number Electrical Plumbing Mechanical 10"'rf:-"'<~"""-" '. N ...".}."foJt.... -~,?-.'~~'"'.th ',- _~._, ~"_,:'<!il"'" ~-~"" ~!! Phone Number ":w'~-;,.~ '; !F:,,~,,~r ~\:'::~~j;;;;;!;;~j.F~E:;.S..G H~.~iJC!=r~i,:~,J,;~ 1;~'- 117~~Y;t~~jlon,;I!ifo:an~#(~~~:~}~it~~IJL~~(~:~~~~~p]~t?1j:M~i~~:1~;~~~~.f::-s.: (a) Job description: Occupancy Construction type: Square feet: Cost per: square foot: Other information: Type of Heat: Energy Path: o new 0 alte-ration (b) Foundation-only permit? Total valuation: o addition DYes DNa $ ;'~~J;:ti#U,~iiig':~f~~slJ';~~~i1s~~t~i&li~;:j~~ii:;X':1! '::t~:,;'{~~;;;~;~~1il'{jf::;1::,f!~,;~' (a) Permit fee (use val~ation table): (b) Investigative fee (equal to [2a]): (c) Reinspection ($ per hour): (number of hours x fee per hour) $ $ $ (d) Enter ]2% surcharge (.12 x [2a+2b+2c]): $ (e) Subtotal of fees above (2a tbrough 2d): $ '3"'\1p""I'i'.'~"1fi,'0""';"';*.;;;:F;':';"'!~~lt:i~~'Mf''''~~~~'t;;.;;:\'Ki@f.:;~\~"-~';:{~\.k1t4~Ji',0i>W't.,~" \r __~; ,,\,!:I:~lreYI.~W}I,=,~sY;?m:C~{i:i,.~~;.:,~:q~~ff~Pi*~1j~',{}~\'\:C;'~(;rrl~~l;l~)p;rA.1;~g~!b $ $ TOTAL fees and surcharges (2e+3c+4a): $ . '~O~~ I'-t W 'n-\t ~01 i i\Ct:. "\ SI-IfI,\.'\. t11'~ 1'\:1'-1'-1111 IS ,,,IS 1'\:\\I~io \JI~I)E\\ \~~~I)O~tl) 1'0\\ 'JI\-10\\ - "I) 0\\ IS fl,u OW\IIJIEI'lCtfl,'i I't\\IOI), \\'.\'i "\ BCl I) , CITY[OF SPRINGFIELrD, OREGON , ' , ' 225 FIFTH STREET' SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 DEMOLITION PERMIT APPLICATION Address: J77r~ ,d-rccJL Z~S;rl'yljf)elJ<. Structure to be Demolished: d o-c..c. ~ .J2 . Job Number: SNL20{(,-OD e/ g 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. '. ,\ ".4~q(df:L . Signature ' '"" " . \ " ..r.:--...... ----",.::. . "~ -zS:-//-// . ....- . .'J. . .. . ..... i Date ..,J :'.'..... 'i ATTENTION: pregon law requires you ~o " follow rules adepted by:the Oregon Ulility , Notification Center. Those rules are set forth ': in OAR 952-001-0010 through OAR952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the tel~phone number for the Oregon Utility Notification Center is 1-800-332-2344). '1 \ ':;-: ......) ,., \ \ ,'. '" {K ';;> , . , ' .:, <..- NotiCE:"">' k_ THE WORK THIS PERMIT SHALLRET~~~~~MIT\S NOT AUTHORIZED UNDE OR COMMENCED OR IS ABANDONED F ANY 180 DAY PERIOD. rs~ n. . CITy,OF SPRINGFIELI)>, OREGON I 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 DEMOLmON PERMIT APPLICATIONS ") " . " ,......... \ . ..,. . i. -....~' \ ", \ . _ ~ . ~ :... :", \. \ /" \. ... . ." - \.. ~~ ',)', / ',',.t.t.).i,',.' \..~.__. '......~." ....::i\-,'\-'):"'.1 l'~ _ ,t ",,'__' , ", Your demolitiQn-perrilit is currently being processed>Tliere may be a slight delay, of up to 2 working da~s fo~ sm.al~ ~~qures, 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 arcNv~rJ1UrP9S~~ oilJy:~g ~IA!J.t 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. TIllS DOCUMENTATION WILL NOT IMPEDE TIlE 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 be,nter my property to complete documenta~on prior to the requested de~olition,of the structtire)ocattd at: Address:' .' . Jf 5- ~ )re.' \~.~ . .' ~"a~ . d/ Property Owner Signature: Jelf. . .. 'D' ~/)-/; TEaNtel'\:O'" .M~~ lOIN ecruires you to AT ... , . -~,. th' Oregon Ilty follow rules adopted bY, e es are set forth Notification center,..ThhoSe rUhl OAR' 952-001- . 952001-0010t roug' In OAR 'btain copies of the rules by 0090.. You may 0 (Note: the telephone call1Og the cen~r. gon Utility Notification number6~~;;:iS ~~800-332-2344). Job Number: S.f'a..WlI- Oe::.'i?/J NOTICE: . IRE IFTl-lE WORK THIS PERMIT S\-\JI,~~ ~~S PERM\1IS N01 Jl,UTHORIZED U\'lD1c, Jl,BJI,NDONED FOR , COMMENCED OR v Jl,NY 180 DJI,Y PERIOD. TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 www.cLspringfield.or.us 811-SPR2011-00818 3985 MARCOlA RD permitcenter@cLspringfield.or.us RECEIPT NO: 20.110.0.0.947 RECORD NO: 811-SPR2011-00818 DATE: 0.5/16/20.11 lOESCRIIiTIONi''':'' -""-~.i;;;;:iz ';.:::':-'''f'' cc ;d~5.:3f;,i\j7""Z} 'f"; 'AC.COl1NT"C.oOE-",<'. ,;.::'2' :01;'Z5-+:;'P..MOUNT;buE -h-"" "',; Admin tee (10% of applicable fees) 224-0.0.0.0.0.-42660.5 5.80. Demolition of a Building or Structure 224-0.0.0.0.0.-42560.2 58.0.0. Permit Fee Adjustment - Administrative Fee 224-0.0.0.0.0.-42660.5 1.16 Sewer cap/septic tank demolition 224.0.0.0.0.0.-42560.3 58.0.0. State of Oregon Surcharge (12% of applicable fees) 821-0.0.0.0.0.-2150.0.4 6.96 Technology fee (5% of permit total) __ 1o.o.-o.o.o.o.O-4256o.~ 5.80. TOTAL DUE: 135.72 t~P....XME:NL1),:IiE~5\J:;;RhQFfdcASHiER'hBOWLS8y,:~i;rk:;-_,;; 'CQMMEl';,ljTS;;,;,':~~t&f "r' . ,;AMOUNT PAIO"I;. 'r '"..C_J Check the child center 135.72 29998 TOTAL PAID: 135.72