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Home My WebLink AboutPermit Demolition 2011-6-30 - . " Structural permit Application I @UW@Y~(OJt~j:iil9J~ 225 Fifth Street. Springfield, OR 97477 .. PH(54 I }726-3753 . FAX(54 1)726-3689 DEPARTMENT USE ONLY I~ Date: This permit is issued under OAR 918-460-0030. Permits expire if work is not started within 180 days 0 suspended for 180 days. LOCAL GOVERNMENT APPROVAL This project has final land-use approval. Signature: Date: This project has DEQ approval. Signature: Date: Zoning approval ver,lfied: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No CATEGORY OF CONSTRUCTION o Residential 0 Government [J,C~mefcial Reference: I Name: Address: City: ZIP: '7'1/;/ > Phone: Fa.'\:: [-mail: This installation is being made on residential or farm property owned by me or a member afmy immediate family, and is exempt from licensing requirements under 'ORS 701.0 I O. Sign bel'"e: CONTRACTOR INSTALLATION Business name: Address: City: Phone: E-mail: CCB license no.: Print name: State: Fax: ZIP: Signature: SUB.CONTRACTOR INFORMATION Name Electrical Plumbing Mechanical ceo License Number Phone Number FEE SCHEDULE I. Valuation information (a) Job description: T'= AAOL-:::c-r.P;'JU Occupancy A--- ~ .~ Construction type: Square feet: Cost per square foot: Other in formation: Type or Heat: Energy Path: ~ o new o alteration o addition J)(;.Jf1 Ot..Pz:.v (b) Foundation-only pcmit? DYes DNo Tolal valuation: S 2. Building rees (a) Permit fee (use valuation table): S (b) Investigative fee (equal to [2a)): S (c) Rcinspection ($ per hour): S (number of hours x fee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): S (e) Subtotal oreces above (2a tbrough 2d): S 3. Plan review fees (a) Plan review (65% x permit fee [2a]): $ (b) Fire and life safety (40% x pennil fee [2a)): S (e) Subtolal oUees llbo'Vc (3a and 3b): S 4. Miscellaneous fees (a) Seismic fee, 1% (.01 x pennil fee [2a]): S TOTAL rces and surcharges (2e+3c+4a): sec, ~ Wo - 'IJrN#r.fJt;. .3XnA~ ~~Ir :soNes !IL P~8~e ~ ~~".; /f:Ic1 fl. wz;J,S*OII . . . '\ CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01643 IVR Number: 811111221501 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: 06/30/2011 06/30/2011 Issued 06/30/2011 ISSUED: APPLIED: 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: 12/26/2011 $0.00 SITE ADDRESS: 1780 CENTENNIAL BLVD, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703253403900 SCOPE: Interior WORK INVOLVED: Demolition TYPE OF STRUCTURE: Commercial . PROJECT DESCRIPTION: Demolition Phone Number: OWNER: ADDRESS: MERCURY DIME, LLC PO BOll 26125 EUGENE OR 97402 Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lie Type Lie No Lie Exp Phone # of Units: BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: o Occupancy Type Construction Type A-3 Type VB # of Bedrooms: Sprinkled Building: No 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 1 sl Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy load: 2011 2010 2010 2011 2010 Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: NOTICE: <','.-.T Soils Report RequirT?,:3 PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR MY 180 DAY PERIOD. Springfield Building Permit 6/30/2011 12:05:36PM ATTENTION: Oregon law requires you to foilow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001.0010 through OAR 952-001- 0090, You may obtain copies oflhe rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Page 1 of3 . .. www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01643 IVR Number: 811111221501 225 Fifth 5t 5pringfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 06/30/2011 ISSUED: APPLIED: 06/30/2011 06/30/2011 EXPIRES: VALUE: 12/26/2011 $0,00 SITE ADDRESS: 1780 CENTENNIAL BLYD, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703253403900 SCOPE: Interior WORK INVOLVED: Demolition TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Demolition Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 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: Valuation Description ~ Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID I DescriDtion Technology fee (5% of permit total) ,De~~~~~uilding,'or Struc.~~e_^. Admin fee (10% of applicable fees) Total Amount Paid Amount Paid $2.90 $58.00 $5.80 $66.70 Date Paid 06/30/2011 0613012011 06/30/2011 Reciot # 2011001844 2011001844 2011001844 Springfield Building Permit 6/30/2011 12:D5:36PM Page 2 of 3 .. ~ CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2011-01643 IVR Number: 811111221501 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 06/30/2011 06/30/2011 06/30/2011 SITE ADDRESS: 1780 CENTENNIAL BLVD, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703253403900 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitcenter@ci.springfield , or. us EXPIRES: VALUE: 12/26/2011 $0.00 SCOPE: Interior WORK INVOLVED: Demolition TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Demolition Plan Review ~ DeDartment Initial Review Received Due Date ComDleted 06/30/2011 06/30/2011 06/30/2011 Result Approved Energy Code Review 06/30/2011 06/30/2011 06/30/2011 Not Required IPermii:lssQa~se '. ., 'f':;:,l,'" ;06i30i2!l?1;_::0~13?i?2,.t4 " 06/3Q/2,911 L~'V, c' '_",:;"~~~~~,-.'~ ;j,;.-:.:~<.';~;,~:.",<'t:"L"::~',!.:;,,~, .," .'~ Application Acceptance 06/30/2011 06/30/2011 06/30/2011 Reviewer Kip Kaufman Kip Kaufman < . Issued J:}'t" %,TJ.-;i<" ..... ~~Kip:'J:<a,,~fm.a-ri<',~'~~i;:'~_L>; i ~'O:: '^:":f'".' ,~f!.:..,~:.:._' -.',,' .,." '::;9:.'.",-., j.~ . Of', '"". 'w';' ..';,~ '''m:c.. ., ""'7 Application Accepted Public Works Review 06/3012011 06/30/2011 06/30/2011 Not Required PfanlJi.ng '-z. 06/30120,1006/30/2011; . Not Required'..:"~' '-'.' ) i{.~-~:_~~~~'~~~;;~~\,_""; '-,'J.~~ci$;;;~;~~~~f:-~-'~'. INSPECTIONS REQUIRED r Inspections 1820 Demolition ; ,.. :\:,] ,.,.,',''1 ...~ Kip Kaufman Kip Kaufman Ki~ !ia.';'finan:.~:;' ~;;~ ;c; :". . ~ ':s:,;: ii:> .~ ;h',~>:<_:~;,~2'~/'.; :"~'.' ;:~ :1 Demolition: After demolition is complete, sewer is capped or septic is pumped and fiffed and inspection is requested and approved, and all debris is removed from the site. By signature, I state and agree, that 1 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. J 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. 1 /-") () A "'/ j k'(/;';'Ly)/-:y,); O/l1/JAA.-/ Owner or Contractor Signature ( 3 I), Ii , { Date Springfield Building Permit 6/30/2011 12:05:36PM Page 3 of 3 , SYSTEMS DEVELOPMENT CHARGES The City requires Systems Development Charges (SDCs) on new development and redevelopment to accumulate funds to construct new streets, wastewater facilities and storm drainage facilities to accommodate the needs of development. Because SDCs are based on the intensity 6fthe impact on City systems that a use of the property will have, these charges are sometimes large for commercial developments and can apply even if little or no change is required to the physical structure of a property. We are always concerned that someone starting a business in Springfield not be surprised in needing to pay a significant charge. For that reason, we ask everyone who applies for a commerciill building permit, or inquires about using a vacant or occupied property for commercial or residential purposes (other than one and two family dwelling units), to give us some basic information so that we can discuss the potential impact of SDCs. While we can't provide a precise estimate until we have much more detail, we can point out approximate costs you may wish to consider. Please provide the information below, and we can have someone from the City's Public Works Department contact you to discuss how your development proposal could include the need to pay SDCs. Describe the business activities you are proposing at that location and how much area they will use. /3 }., I,d J -fl v CIt1b Will the general public use or come to your location for the proposed business activi '? Do you anticipate needing additional plumbing fIXtures and/or needing water or wastewater facilities? I Do you ariticipate adding or removing any impervious surfaces or buildings? I ~O. What's the best way and time to contact you? , )110; )- Email: Phone Numbers: .. Name Date TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-01643 1780 CENTENNIAL BLVD permilcenter@ci.springfield.or.us RECEIPT NO: 201100,1844 [OESCRI P..TION'-. ;-r:;~:,'- "'Co I~;";-:,',,:: Admin fee (10% of applicable fees) Demolition of a Building or Structure Technology fee.(5% of permit total) RECORD NO: 811-SPR2011-01643 DATE: 06/30/2011 . '1- 5 );:&;5;;-~::" ;,. .o;gCCOUN:f~CODE,*'-'*";;::':,f, :',AMOUNj'j:>J.JEY";; 224-00000-426605 5.80 224-00000-425602 58.00 100-00000-425605 2.90 TOTAL DUE: 66.70 ):.CO'MMENTSft4';;:" . . ;';AM0UNTP_~ID", $66.70 .;1 I,. PAVMENli'TYPE :T'PAYOif"" :':~CASHIER:,KKAUFMAN ._"--~"-'-"--"-'-'-~~~~'-' ,",,".. ...._~ ,-- '"-=-, Credit Card Emerald Bridge Club 020005 TOTAL PAID: $66.70