HomeMy WebLinkAboutPermit Demolition 2011-6-7
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01320
IVR Number: 811108121011
www.ci.springfield.or.us
r
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
06/07/2011
06/07/2011
Issued
06/07/2011
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:
12/03/2011
$0,00
SITE ADDRESS: 1458 F ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703362206900
SCOPE: Site Work Only
WORK INVOLVED: Demolition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Demolition and sewer cap
Phone Number:
OWNER:
ADDRESS:
G STREET UROLOGY CENTER LLC
2400 HARTMAN LN
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION ~
Contractor Type
Plumbing Contractor
General Contractor
Contractor Name
STATON COMPANIES
STATON COMPANIES
Lic Type
CCB
CCB
BUILDING INFORMATION I
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Units:
o
. Lie No
3371
3371
Lie Exp
03/21f2012
03/21/2012
Phone
541-726-9422
541-726-9422
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy load:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal! Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Site Information I
laW requires you.\~
AiTENTION: orego; by the Oregon Utlh~"
folloW r~les ad~~:e Those rules are sei~o\.
Nog~~~~~2~r-0010 \hroUi~~ ~tt~e9~ules by
In090 You may obtain ~fe' the telephone
o I'\'ng the center. ~ U't'll1ty No\\\\catlOn
ca I h oregon
Ilumberfor \ e, \.800-332-2344).
center IS
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area: ._,'
=~;;;.a~~~~'ir~~\.\. t1PIRE If ~{ ~~~~
1\-11S PE~~i~ ~NDER 1\-11~~;~ED fOR
"Ul\-10 CED 01'1 IS i\B{\
COMMEND"'! PERIOD.
"N'!130
Springfield Building Permit
6/7/2011 12.:10'.Q3PM
Page 1 of3
SPRI..N~.ELD
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...."..'". OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01320
IVR Number: 811108121011
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@ci.springfield.or.U5
PROJECT STATUS:
STATUS DATE:
Issued
06/07/2011
ISSUED:
APPLIED:
06/07/2011
06/07/2011
EXPIRES:
VALUE:
12/03/2011
$0.00
SITE ADDRESS: 1458 F ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703362206900
SCOPE: Site Work Only
WORK INVOLVED: Demolition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Demolition and sewer cap
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
,
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
I
Descriotion
Tvoe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
FEES PAID
I
Descriotion
9.~~f a Buj~d;ng or Structure
~at~~ Oregon Surcha!ge (~2"10 of app"c."b~e~es) ____ ____ .
~~min fee (10% of applicable fees)
Sewer cap/septic tank demolit!.?n
Technology fee (5% of permit I~~al)
Total Amount Paid
Amount Paid Date Paid Reciot #
$58.00 06/07/2011 2011001466
$6.96 06/07/2011 2011001466
.-- -- -- -- .---- . ---- ------
$5.80 06/07/2011 2011001466
-------------
$58.00 06/07/2011 2011001466
$5.80 06/0712011------- 2011001466
-------- .--
$134.56
Springfield Building Permit
6/7/2011 12:10:03PM
Page 2 of 3
SP~IN...G... F.IEL~.D
~.,.-
, ,~
,-7-- OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: .811-SPR2011-01320
IVR Number: 811108121011
www.cLspringfield.or.us
225 Fifth SI
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
06/07/2011
ISSUED:
APPLIED:
06/07/2011
06/07/2011
EXPIRES:
VALUE:
12/03/2011
$0.00
SITE ADDRESS: 1458 F ST, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703362206900
SCOPE: Site Work Only
WORK INVOLVED: Demolition
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Demolition and sewer cap
Plan Review
~
Department
Application Acceptance
Received Due Date Comoleted Result
06/07/2011 06/07/2011 I 06/07/2011 Over the Counter
I--'--~-'--'-^"----.---'-~
rnilialReview . .," . .... 06/07/2011
.' c~~~'~en~':/~.^6v~r~,!he co~~ter p~rm-it ':::=;i'.
Permit Issuance 06/07/2011
Reviewer
David Bowlsby
06/07/2011 :.
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- ,Ovefthe C(;Qnter-';. ~{',-oavidBowisby:-:-~.
.;.... - - ...., .~..,' , . ;.:~.., . . " -_....J
. .
". . ~ --... . ..
-~--,~-,-,----~,-,-,--,,_..,
.06/07/2011
,iff'.: ~,,:i.'
06/07/2011
06/07/2011
Issued
Pu_blicWprks Re,view. ,.... 06/07(20~1 .'\ 06~O!J~01].,'~
'C6mm~r-ts: <'qver thec6u~ter permit -~, ..",,."~' :4;1:;..' .
Structural Review 06/07/2011 06/07/2011
Comments: Over the counter permit
IP!anri-jhgRe~iew' ,~;~? 06/b7/20~'1
Comments: Over the counter.permit'..
L _ _. .
06/~!lJ011.
";:,',00"
. ;:~ot R~quir~~:. .
,. '."
06/07/2011
Not Required
.,
06/0712011'. 06/07/2011.
N.ot Requjre~"
---.- -. -----_.~----~._.__..
--.---:--1"T<---r-- ,:--
~
J ';,A;';.
,,, 'i~
David Bowlsby
David, ~owlsby
r _] ;~";"'\- ..
David Bowlsby
David Bo)Visby ," ,
INSPECTIONS REQUIRED .' ~
Inspections
1820 Demolition
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
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
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.
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Owner or Contractor Signature
Date
Springfield Building Permit
6/7/2011 12:10:03PM
Page 3 of 3
CITY OF SPRINGFIELD,OREGON
225 FIFfH 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 ptirpo,s~s O,n,!Y} and, \yiltnot 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 WILL 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 permission to enter my property to complete
documentation prior to the requested demolition of the strp.cture located at:
'-. l
Address: .~~:T ~T---- -'
Property~er Signature: - V ~7 ,.' G~t:'.. b..YL ~~ f(~~~\0
Job Number: stf- 0/'52-0 Date: aof<Ol/u
.. . I
-
CITY OF SPRlNGFIELD, OREGON
. ,
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
DEMOLITION PERMIT APPLICATION
Address:
~~5S
~
~FD
$f 1-0(32-0
-=f
Structure to be Demolished:
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 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.
\/ ~.V
~!(97' ~L \
'Date
1-,'0
\2o..l \2.,,,1+-6'( 'fil/l. ~
oM",,,,,,~q'l :w."\I~Te.
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Signature
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!
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. :\ '- I' I ,<-~.
, -
;';';"[jEPARTMENT US{ON~y'~;~t
Plumbing Permit Application SPRiNG.'ELD
~.,
225 Fifth Street. Springfield, OR 97477 . PH(541)726-3753 . FAX(541)726-3689
l-o(~zO
b ~7 -I
Permit no.:
Date:
This permit is issued under OAR 918-780-0060, Permits are issued only to the person or contractor doing the work. Permits
expire if work is not started within 180 days of issuance or if work is suspended for 180 days,
"':~!f,l;%<' :~t!OCAL;GOVERNMENt. );p.I?ROVAI!i~"1j'~'I':'!iiii".'
Zoning approval verified? DYes D No
Sanitation approval verified? DYes D No
CATEGORY OF CONSTRUCTION .
Residential
\:S:'!(:~\JOB'.$ITE
o Government 0 Commercial
INFORMAtION;!AND';E()tATION~,:jV.:,.' ',!
S
City: ~
Reference: Taxlo!.:
'/;:"i!'j'.':;j- ~1!';::' ,'DESCRII?TION'OF.':WORK :;,:fl,t~;:,,\\I\':P~ili:':
. PROPERTY.: OWNER""t:!. !:;,.i:':k\,tW,:(;:ii~(
. Name:
Address:
City:
Phone:
E-mail:
This installation is being made on residential or farm property.
owned by me or a member of my immediate family, and is
exempt from licensing requirements under OAR 918-695-0020.
Signature:
. CONTRACTOR INSTALLATION.
Business name: c::,;~CO
Address: .'/1 0 6 () 'I-- )~ I:
City: B GtJb ZIP: q 1'IP(
Phone:9!-l -720- "t't u...
E-mail: ~4.-ww.. CO ,COWl
CCB license no.:. O~., BCD license no.:
Plumbing license no.:
Print name: ~ 12-
Signature: ::-12-..:-
440-2500-J (11/08/COM)
~~:;!;7:.' . ;r~~~':'-~;f.i.i,{:-~ft;;1:~G-S:fEEf!S_bA EOLJ l::E~n~/(: :~l!?r~:~~1N:;i.0f::~~~V~j
(iR~~~{d~~(~~~~~'~~~~~~~~:!;~7~~::;;f;;~~;~~~i~:~~:;f~1: 2~~', i:~;~~~~.~:t;;~ ,,~}~~~"~~~,~t~,
New residential
I bathroom/I kitchen (includes: first
J 00 feet of water/sewer lines, hose $238.00 $
bibs, ice maker, under floor low-point
drains and rain-drain packages)
2 bathroomsll kitchen $374.00 $
3 bathroomsll kitchen $439.00 $
Each additional bathroom (over 3) $95.00 $
Each additional kitchen (over I) $95.00 $
Residential fire sprinklers (includes plan review)
o to 2,000 square feet $58.00 $
2,001 to 3,600 square feet $116.00 $
3,60 I to 7,200 square feet $174.00 $
7,201 square feet and greater $232.00 $
Manufactured"dwelling or pre-fab (circle one)
Connections to building sewer and $58.00 $
water supply Commercial, industrial, and dwellings other than one- or
two-family
Minimum fee I I $58.00 I $
Each fixture I $19.00 $
Miscellaneous fees
100' storm, sewer, water line $76.00 $
Each fixture, appurtenance, and piping $19.00 $
Storm water retention/detention facility $19.00 $
Irrigation systems $19.00 $
Piping or private storm drainage $19.00 $
svstems exceedine. the first 100 feet
Specialty fixtures $19.00 $
Reinspection (no. of hrs. x fee per hr.) $58.00 $
Special requested inspections (no. of $58.00 $
hrs. x fee per hr.)
Each additional inspection: (1) $58.00 $
,~'ij,~'~ii~ii~gi'(pfpi~;;g~trt~ii~X?i_;P~;~~~~r};1 Mjnimum fee $
Enter value of installation and equipment $
Enter fee based on installation and equipment value. I $
/i""~(ii,~"'P;P.P.(}ICii.NJ~USE~~~
"~" L" '.._ ,'._ ,'I!~._______..,._ _.."n. ." _, "_"
(A) Enter subtotal of above fees $
(Minimum Permit Fee $58.00)
(B) Investigative fee (equal to [A]) $
(C) Enter 12% surcharge (.12 x [A+B]) $
(D) Technology Fee (5% of[A]) $
TOTAL fees and surcharr.es (A through D): $ J --:>11
I
-b
C~f f1>~O
. .
Suite 100
Dawn M. Bodell, DO
Douglas G. Hoff, MD
Chnstopher C. Kyle, MD, MPH
Robert B. Litin, MD
Roger M. McKimmy, MD
Bryan A. Mehlhaff, MD
Jeffrey B. Woolsey, MD
Angela E. Watson, PA MS
Chad A. Jorgensen, PA-C
Suite 200
Mark R. Carson, MD, PhD
Connie S. DiMarco, MD
David S. DiMarco, MD
David Esrig, MD
Thomas A. Kollmorgen, MD
Olaf E. Sohlberg, MD
Brady R. Walker, MD'
Dana Rubin, PA-C
2400 Hartman Lane
Springfield, Oregon 97477
Phone 541.334.3350
Toll Free 1.800.246,9925
oregonurology.com
5/(- O/32~
June 7, 2011
City of Springfield
Springfield, OR
Sirs,
This letter is to inform you that the Oregon Urology Institute and G Street
Urology Center, LLC are authorizing the Staton companies to obtain a demolition
permit and is under contract with these entities to demolish the structure
located at 1458 F Street in Springfield. An asbestos survey has been performed
and all asbestos has been removed from the premises.
Sincerely
~J?:)
sp. :~N.:...=-IE ~~
~. . .
-'.. --
'1:, '~.J
.~::\~ OREGON
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth 5t
Springfield,OR 97477
541-726-3753
www.ci.springfield.or.us
811-5PR2011-01320
1458 F 5T
permitcenter@ci.springfield.or.us
RECORD NO: 811-SPR2011-01320 DATE: 06/07/2011
_~"-"'L -;so;:;:,- "4C.f.i\C<>Q@teODE( -. ":~;." . :;AMd@J~b_UE.:..:::~......:.:J
224-00000-426605 5.80
224-00000-425602 58.00
---~..__._...-
224-00000-425603 58.00
821-00000-215004 6.96
100-00000-425605 5.80
------
TOTAL DUE: 134.56
bF:'~XMENLrXIi.E<';iSF1~iQ~;;';:,g]"~~I~_~~Q.>iO.VV:~~~Y-=-7;:::;2e.ol1l1rviEtffs;;:;~ '2 . :";;::::Z~':':'~1'II19UNI PAID. .; :,,' ยท i .21
Check STATON COMPANIES 134.56
3113
RECEIPT NO:
2011001466
[DE5-CRII~.TION- :,.- ;.:.:.:'~...:: .J...., ..-''', .~
Admin fee (10% of applicable fees)
Demolition of a Building o~ Struc~ure
Sewer cap/septic tan~ demolition
State of Oregon Surcharge (12~~~ applicable fees)
TechnologJ~~e (5% of permit total) ~"'._.~_.,_~_
TOTAL PAID:
134.56