HomeMy WebLinkAboutPermit Building 2011-5-16
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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
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.,""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
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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
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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~~
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i i\Ct:. "\ SI-IfI,\.'\. t11'~ 1'\:1'-1'-1111 IS
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, 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