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Home My WebLink AboutPermit Demolition 2011-9-8 .. , www.ci.springfield.or.us I CITY OF SPRINGFIELD Building I Commercial Permit ! PERMIT NO: 811-SPR2011-02084 IVR Number: 811182484867 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541'726-3676 S::~~:EL;ij ~~\(f;/i ."..T ,>;, '- OREGON pe rmitcenler@ci.springfield,or.us PROJECT STATUS: STATUS DATE: Issued 09/08/2011 ISSUED: I APPLIED: 09108/2011 09/08/2011 EXPIRES: VALUE: 03/05/2012 $0,00 SITE ADDRESS: 565 HARLOW RD, APT#, Springfield, OR 974771 ASSESOR'S PARCEL NO: 1703271200800 . I I I SCOPE: Swimming Pool WORK INVOLVED: Demolition TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Demolition of Swimming Pool OWNER: ADDRESS: COUNTRYSIDE PARTNERS SPRINGFIELD LLC 426 BROADWAY STE 308 CHICO CA 95928 Phone Number: Contractor Type CONTRACTOR INFORMATION ~ Contractor Name I Lie Type Lie No EMPIRE CONCRETE CUTTING INC ! cee 51754 BUILDING INFORMA TION ~ Lie Exp 10/16/2011 Phone 541~746-881B # of Units: o # of Stories: I . I Height of Structure: I Type of Heat: Water Type: Range Type: Hazmat: lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy Load: o Construction Type Occupancy Type Occupancy Comments Type VB R-2 Demo. Swimming Pool # of Bedrooms: Sprinkled Building: Fire Alanns: Energy Path: Electrical Specially Code Edition: Springfield Fire Code Edition: I Mechanical Specialty Code Edition: Municipal I Develbpment Code: Plumbing Specialty Code Edition: Residential speci~lty Code Edition: Structural Specialty Code Edition: , 2010 Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: ATTENTION: Oregon law requires :YOU to follow 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 of the!rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344).: I ;WTlCE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. :)". Springfield Building Permit 9/8/2011 ,10:07:02AM I I , Page 1 of 4 ;. www.cl.springfield.or.us I CITY OF SPRINGFIELD Building I Comm~rcial Permit I PERMIT NO: 811-SPR2011-02084 I IVR Number: 8111182484867 Issued ISSUED: I 09/08/2011 09/08/2011 APPLIED; 09/08/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 SPRIN,..G,FIE,L ~ .~' .'" ~ .).);\.... OREGON permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: EXPIRES: VALUE: 03/05/2012 $0.00 SITE ADDRESS: 565 HARLOW RD, APT#, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703271200800 SCOPE: Swimming Pool WORK INVOLVED: Demolition TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Demolition of Swimming Pool DEVELOPMENT INFORMATION I Overlay Dist: ! # Street Trees Reqd: Paved Drive Reqd:1 % of Lot Coverage: Highest point on structurel to north property line: I PUBLIC IMPROVEMENTS REQUIRED PARKING Total: Handicapped: Compa.ct: I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuatio~ Description I Descriotion TVDe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Description Demolition of a Building or Structure Te~h~ologX_,f"e (5%of permit total) .____.._ Admin fee (10% of applicable fees) Total Amount Paid I Amount Paid $5800 $2,90 ---.-~I $5,80 $66.70 Date Paid 09/08/2011 09/08/2011 09/08/2011 Reciot # 2011002409 2011002409 -._--.-~1io02409 Springfield Building Permit 9f8/2011 r07.02AM I Page 2 of4 . www.CF.springfield.or.us I CITY OF SPRINGFIELD Building I Commercial Permit I PERMIT NO: 811-SPR2011-02084 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 S..P~~H~.LD.., , ~,., .,~ j-,i .;,. ;:;.IJ } 'H,r ".. OREGON IVR Number: 811,182484867 I I ISSUED: ' APPLIED: . I SITE ADDRESS: 565 HARLOW RD, APT#, Springfield, OR 97477, ASSES OR'S PARCEL NO: 1703271200800 permitce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 09/08/2011 09/08/2011 EXPIRES: VALUE: 03/05/2012 $0.00 09/08/2011 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Swimming Pool Demolition Commercial PROJECT DESCRIPTION: Demolition of Swimming Pool Plan Review ~ Deoartment Application Acceptance Received Due Date 09/08/2011 09/08/2011 Comoleted 09/08/2011 , iResult lover the Counter Reviewer Kip Kaufman I pOilialReView' _ : .~~ ~ii9iii8l20if09/081201i--'o9IOBi2011"'" -r6V~!.hecounie;~---kIP K"ufrriarl'"-:'~,---;""::-'-~'-- i Comments: Over the counter perml!- ~ .;",:, . ','''' _". : ~. ~ Electrical Review 09/08/2011 09/08/2011 09/08/2011 I Not Required Kip Kaufman Comments: Over the counter permit IMe1:l1anicai Review " ." 09/08/2011 :,99/08/2011" 09/08(2011 '.. ' Not Required. . ' r. Commen~:. 6v~r th~ c~~nterpermii t "~' "'-. ~ 1 Plumbing Review 09/08/2011 09/08/2011 09/08/2011 '1' NO~ Required Comments: Over the counter permit ;~c~t<ip Ka~f~?n' " ~ ' , I Kip Kaufman Permit Issuance . 09/08/2011 09/08/2011 , '~ ... ..1.,"," . 09/08/2011 09/08/2011 09/08/2011 ;)SSUed ," ,. . - .K~." Kaufman .' ","', ':',04, . '.,' . 09iO~/;~1-1-"' "I NO~ R~~~d\r., ~- . "~iP KaUf~~~-' I Fire Review Comments: Over the counter permit lPUbliC Works. R~View-'-:'~ 09/08/2~1.~.: I Comments: Over the counter perinh." . Energy Code Review 09/08/2011 09/08/2011 Comments: Over the counter permit Traffic Review.. __. '...::..... 09/08/201.1 . ,09/08/20) 1, Comme~ts:" O~er. the cOunte~ permit- - v 09/08)'2o'i"1 . 09108i20~----:-NofRequired.' ,"<1.~'!.',' ,'.f'" "',(~,'4;~,w~," ::,/: '~'.; "pPKa~f~~n- - -~. '. I , 1 " 09/08/2011 ~ Not Required I _~ :' ,!:'J6t;Req~i~e~~rx , . Kip Kaufman Structural Review 09/08/2011 09/08/2011 09/08/2011 i Not Required L~ , Not Required' " 'l' . ..... ,'" Kip Kaufman ',09/0.8/2011 .: .~,..:,?,Kip-!<aufma.n, 'oj. Comments: Over the counter permit IPlanning Review, 09/08/29.1 1- I. Comments: .Over ~he counter permit, 09/08/?01.1 }~ip Kaufman" .. . >I 09/0812011 , "'.-.... 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 't I Sl e. I I , I ~ I' I 9/8/2011 10:07:02AM Page 3 of 4 Springfield Building Permit . www.cLspringfield.or.us I CITY OF SPRiNGFIELD Building I Commercial Permit I PERMIT NO: 811-SPR2011-02084 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 SPR',IN GFIEL~ .- ,': I-~ ... . ,\ OREGON PROJECT STATUS: STATUS DATE: Issued IVR Number: 811,182484867 , ISSUED: I APPLIED,: permitcenler@cLspringfield.or.us 09/08/2011 09/08/2011 09/08/2011 EXPIRES: VALUE: 03/05/2012 $0.00 SITE ADDRESS: 565 HARLOW RD, APT#, Springfield, OR 974771 ASSESOR'S PARCEL NO: 1703271200800 I SCOPE: Swimming Pool WORK INVOLVED: Demolition TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Demolition of Swimming Pool 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 constr tion. - I' ~"'''''''~'''M'''' ~ j,Wrl i Springfield Building Permit 9/8/2011 ,1O:07:02AM i Page 4 of 4 , .' ~' Structural Permit Application DEPARTMENT USE ONLY 9JJitn?~~OA- 225 Fifth Streett Springfield, OR 97477. PH(541}726-3753. FAX(54 1)726-3689: ~O,. Tbis permit is issued under OAR 918-460-0030. Permits eXPiJifwork is not started withiu 18~::~~fiss:nce :r~fwork is I suspended for 180 days. . LOCAL GOVERNMENT APPROVAL This project has final land-use Dpproval. Signature: Date: This pmject hns DEQ approval. Signature: Date: Zoning approval verified: 0 Yes 0 No Property is within flood plain: 0 Yes 0 No CATEGORY OF CONSTRUCTION o Residential o Government Reference: Name: Address: City: Phone: - State: Fax: E-mail: This installation is being made on residential or farm property owned by me or a member of my i diate family, and is exempt from licensing requirements O~ .01 City: Phone: E-mail: CCB license no.: S1::J-S Print name; ZI Fax: Signature: SUB-CONTRACTOR INFORMATION Nnmc cen License Number Phone Number Electriclll Plumbing Medumical FEE SCHEDULE 1. Valuation information (a) Job description: Occupancy Construction type: Square feet: Cost per square foot: Other information: Type of Heat: Energy Puth: o new teratioil (b) Foundation-only permit? Total....aluation: 2. Building fees (a) Permit fee (use valuation table): (b) Investigative fee (equal to [28]): (c) Reinspection ($ r): (number of ee per hour) (d) Enter 12% surcharge (.12 x [2a+2b+2c]): o addition DYes DNa $ (c) 3. Plan review fees (a) Plan review (65% x permit fee [20.]): $ (b) Fire and life safety (40% x pemit fee [2a1): $ (c) Subtotal of fees above (3u and 3b): $ 4. Miscellaneous fees (a) Seismic fee, 1%(.0] x permit fee [2a]): $ TOTAL fees llntl surcharges (2e+3c+4a): LA51t .J () ~ ~ ~ - L \'l' :t: l.n .~ II) f ~ ,...j t\ I b:~ , t 1\ I,: \\ r i- '\ I 'I I -. \ . \ \ \. \ ~ " \1 " \\ I I I 1\' l' I ! I , I , I l~ I " ~l \3[ Vj r : , I 1 , , t t '. f" ) i ,i i l; t :ii " i\ " 1\ ',\ \ ~\ '\ \ \ \. \ , " ", I \ \'. \', \'\ ~\ ) \j ! \J 1- ~, :j-- :i \ \ ! '" "' --- d ~ Ii: '_______ ~ I TRANSACTIO~ RECEIPT 811-SPR2011:.o2084 565 HARLOW 'RD. APT I SP.~~N~~L~ L~(~ ~OREGOH www.ci.springfield.or.U5 CITY OF SPRINGFIELD 225 Fifth SI Springfield,OR 97477 541-726-3753 permitcenter@cLspringfieJd , or. us RECEIPT NO: 2011002409 tDESCRIP..TIOW' '1' . ",.' . Admin fee (10% of applicable fees) Demc:>lition of a Building or Structure Technol09Y fee (5% of permit total) RECORD NO:,811-SPR2011-02084 c. .~>. ~;:i" ~~::~:~~~~::~~E'" 1 00.00000-425605 --I TOTAL DUE: Lp~.x.fYIEt:lT 11':I:E_" PAYOR" CASHIER: KKAUFMAN :. Cash Owner Representative . COMMEN'n;,;c.' DATE: 09/08/2011 ''::::AMOUNif~DUE 5.80 58.00 2.90 66.70 AMOUNT PAID 66.70 TOTAL PAID: 66.70