Loading...
HomeMy WebLinkAboutPermit Demolition 2003-4-10 .,. . CITY OF :srlOl~GFIELD Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: COM2003-00258 ISSUED: APPLIED: 04/10/2003 EXPIRES: VALUE: SITE ADDRESS: 1631 ROLAND WAY ASSESSOR'S PARCEL NO.: 1703363105700 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: PROJECT DESCRIPTION: Demolish residence and attached garage (Fire Dept Burn) Demolition Residential Owner: ACKERMAN WALLY F TE Address: 935 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Owner: Address: ACKERMAN ROSE A TE ATTENTION:Oregon law requires you to 'M~~l\.~EN BRIDGE RD SPRINGFIELD OR 9741O\Iow rules adopted by the Oregon Utility TWA~.f,F'li RosElAF~ei8fRMANE WORK ~otification Center. Those rules are set fortb ~~lH\XP~JB.mggtj: MS ~~W.\,,!~F,lEl)QlOR 9lf.l.QAR 952-001-001~thro~gh OAR 952-001. COMMFNr.m OB I~ ARANnONED FOR 0090. :ou may obtain caples of the rules by .~v.Q:(;;w.,C~:r,;~G'TRUST calling the center. (Note: the telephone 935 HAWEN'BRlDCWRD SPRINGFIELD OR 974~!lR1ber for the Oregon Utility Notification :'::-:~::-:.: ~ ::: ESe 2:: :). Owner: Address: Owner: Address: I CONTRACTOR INFORMATION I Contractor Type General Owner Contractor WALLY ACKERMAN ACKERMAN WALLY F TE I BUILDING INFORMATION' License Expiration Date Phone 541-747-9251 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Pa~e 1 of3 . lir.. . . Lll f OF :srKll~GFIELD Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: COM2003-00258 ISSUED: APPLIED: 04/10/2003 EXPIRES: VALUE: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DownspoutslDrains: Notes: I Valuation Oescriotion I Description Tvpe of Construction 5 Per Sq Ft Square Footaee Value Date Calculated Total Value of Project I ]?pp<. PiIilLI Fee Description Amount Paid Date Pai Receipt Number + 10% Administrative Fee 59.00 4/1 0/03 2200200000000000731 + 7% State Surcharge 56.30 4/1 0/03 2200200000000000731 Demolition $45.00 4/1 0/03 2200200000000000731 Sanitary or Storm Sewer Cap 545.00 4/1 0/03 2200200000000000731 Total Amount Paid 5105.30 I Plan Reyiews 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. IRp~ Paee 2 00 / . . CITY 01< ~rKlr'H.JnJ'.LD Status Pending 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: COM2003-00258 ISSUED: APPLIED: 04/10/2003 EXPIRES: VALUE: 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 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. /JJoJ2f1, ]. ~C- Owner oJCont~actors Signature t./- /0 ~ 03 Date Paee30f3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line I terns: Job/Journal Number COM2003-00258 COM2003-00258 COM2003-00258 COM2003-00258 Payments: Type of Payment Check Paid By Description Demolition Receipt #: 2200200000000000731 Date: 04/10/2003 Sanitary or Storm Sewer Cap + 7% State Surcharge + 10% Administrative Fee ROSE A. ACKERMAN Received By Check Number Confirm No njm 984 Page 1 of I 4/1 0/2003 3:03:19PM City of Springfield Development Services Department Public Works Department Official Receipt . Amount Paid 45.00 45.00 6.30 9.00 Line Item Total: S105.30 How Received Amount Paid In Person . Payment Total: 105.30 S I 05.30 cReceipt.rpt 225 FIFTB STREET. SPRINGFIELD, OR 97477 . PB:(541)726-3753 . FAX: (541)726-3689 City Job Number ~ ~1 ~ ~2.5'ib Date 4//D.~7 D I & 2 Family Dwelling or Accessory D New Constructi~/ ' 7 ~. D Demolition D Multi-Family D Addition/AlterationlReplacement D Other D Commercial/Ind~ . D Tenant Improvement Job Address -1.Ia3..1' tI.oJr.V1d (AJrAAA BldgNo. Suite No. Lot Block . SubdIvision Tax Maprrax Lot Project Name Description of Work/location on premiseslspecial conditions D Property Owner Name ~J ....l'y l..k~Q..r.l1 Q..... Mailing Address r35 ;..f4:.-tclf/, Cily '<)P("";j At' \/ State Dr Phone ~ e{'Z-~1 Fax Owner Representative 1 & 2 Family Dwelling SQFt x $/SQ Ft Value 6r\c~;'f~ Zip /1/~,,) C. New Dwelling Area Garage/Carport Area Other Structure Area Total Value Commercial/lndustrial/Multi-Family SQ Ft X $/SQ Ft J1.e,T)(} I, 'f., 0 '" Phone Fax Value D Applicant Name Mailing Address Cily Phone Existing Building Area New Building Area State Zip Fax Total Value D Architect/Designer/Engineer Name Existing New Address Cily Contact Person Phone State Zip Occupancy Group(s) Const. Type(s) Number of Stories Fax D Contractor(s) Contractor's Name CCB# Expiration Date Phone # General Plumbing Mechanical Electrical D ResidentiClI Projects Beat Source: Primary Water Beater Range Do you require any of the following for this project? Over-width or Second Driveway DYes D No Temporary Power DYes D No Notice: All contractors & subcontractors are required to be licensed with the Construction Contractors Board of the State of Oregon under provisions ofORS 701 and may be required to be licensed in the jurisdiction where work is being performed. I For Office Use Only I PLAN CBECK FEE I D CommerciClI/lnclustrial Projects Has site review application been submitted? DYes D No D NIA Ifso, Name of Planner Journal Number Secondary Energy Path BUILDING I PERMIT I DATE I BY I I RCPT# I APPLICATION Shared Dnve(T:)/Building Fomls./Building Permit Application IO-02.doc . . ~ ?-c02..S-e . . .~. J~.' SPRINCFIELD DEVELOPMENT SERVICES DEPARTMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 Address: i to 3 \ K 0 \Q(\d Wtt<..( tJ'O\A..!Oe. ... ~ ofVo4 Ii t: " 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, policies 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 EXlIIilples . of such corrections may include modification of inadequate drainage facilities; . compliance with building set-backs from property lines; c~,,"w;';on 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 pemlit 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. (f JI) Rin ~. Ik~.~ . . si~turel 4/- 9- 2-003 Date. Page 1 of I [:\ WORDFILEIPERMITSIDemosdc.doc . . . . . .. DEVELOPMENT SERVICES PUBUC WORKS METROPOUTAN WASTEWATER MANAGEMENT . 225 FIFTH STREET SPRINGFIELD. OR 97477 (503) 726-3753 DEMOLITION PERMIT APPLICATIONS Your demol itiori 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 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.. .' T~IS DOCUMENTATION WI~L 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 histori~al significance: ,': If you would prefer to complete this documentation yourself you mustprovide.the. City with the following information: 1) black and white photographs of each elevation,. a floor plan with measurements; and a set of elevation drawings with. measurements. . Thank you for your patience. I grant the City of Springfield permission. to enter my documentation prior to th~ requesJ;ed . demol ition of the .;63/ r2o/IJ.N'c.. Wh property to complete structure located at. , Property .owner signature: Date: t/- ~- ')..a23 ()J~ 1- a;.~~ /