HomeMy WebLinkAboutPermit Demolition 2003-4-10
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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
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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
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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
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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.
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. 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
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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.
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Property .owner signature:
Date: t/- ~- ')..a23
()J~ 1- a;.~~
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