HomeMy WebLinkAboutPermit Demolition 2008-3-31
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00428
ISSUED: 03/31/2008
APPLIED: 03/31/2008
EXPIRES: 09/30/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1866 18TH ST
ASSESSOR'S PARCEL NO.: 1703252404800
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE: Demolition
Residential
PROJECT DESCRIPTION: Demolish house and abandon septic
Owner: QUALITY FIN PLAN PENSION PLAN & TRU
Address: 1101 16TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Tvpe
General
Plumbing
Contractor
STANTON GREGORY PAYNE
STANTON GREGORY PAYNE
License
27323
27323
Expiration Date
05/09/2008
05/09/2008
Phone
541-688- 7038
541-688- 7038
BUILDING INFORMATION r --:., 'n I
:,J, ClW
- O"_,~,,"a' 'reqUire
, :111' C' ~! ,C by tk S Yau t
# of Stories:' "):\1 i .j.:. ;' O' Gnl :::r Thas L~C8iz!lbn Ut,. a
Height of st~uCtur~~~l 01-001 0 thra~ 'S~El!>t~ NJ?9~!ty
Type of Hea~:'3.J/mg the ~y abtam capl$it <F.(l.'~!WJh
Water TYlIe!Jmber far th enter. (Nate' ~#fj-Ital'8mSqf:.
Range Type: Cente ~ Oregan Ut~1 ~/Gj3~~e.\hport
Energy Path: r IS 1-800-332: ~~ttuwon
Sprinkled Building. nla c~~ant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
VB
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPd~~E~
T.llo,) t"tH IT SHA d Y. e'
AUTHORIZED UND~ ~~E ,~ tHE WORK
COMMENC 4!rovvlQ#DOjIlt?IfMf!iS
ANY 180 DX$ pOE~:~tBANDONED FOR NOT
Notes:
Pal!:e 1 of3
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00428
ISSUED: 03/31/2008
APPLIED: 03/31/2008
EXPIRES: 09/30/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Fee Description
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Demolition
Sanitary or Storm Sewer Cap
Amount Paid Date Paid Receipt Number
$10,00 3/31/08 1200800000000000286
$12,00 3/31/08 1200800000000000286
$5.00 3/31/08 1200800000000000286
$50,00 3/31/08 1200800000000000286
$50,00 3/31/08 1200800000000000286
Total Amount Paid
$127,00
I Plan Reviews'
To Request an inspection call the 24 hour recording at 726-3769. All inspections 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.
~eouiredJnsDections I
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,
Septic Tank Pumped: After septic tank has been pumped and filled, Please provide the inspector with receipt and
verification from company performing pump and fill.
Sanitary Sewer Cap: Capped within five (5) feet of the property line and capped with an approved material as
required by the code,
Pal?:e 2 of3
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2008-00428
ISSUED: 03/31/2008
APPLIED: 03/31/2008
EXPIRES: 09/30/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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,
~, S ~~~ ('\\ S-,L
Owner or Contractors Signature
3-o\-c:E
Date
Pa2e 3 of 3
225 Fifth Street
Springfiel~, Oregon 97477
541-.126-3759 Phone
Job/Journal Number
COM2008-00428
COM2008-00428
COM2008-00428
COM2008-00428
COM2008-00428
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
Description
DemolItIOn
SanItary or Storm Sewer Cap
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInistrative Fee
Paid By
SCOTT MCKEE
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000000286
Date: 03/31/2008
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
dJb 522922 In Person
Payment Total:
Page 1 of 1
12:03:59PM
Amount Due
5000
5000
500
1200
10.00
$127,00
Amount Paid
$127 00
$127,00
3/31/2008
"
,
$Pli'ltN('aFI iZLD
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
-
DEMOLITION PERMIT APPLICATION
Address: \ ~ \0 \:, \ ?> 1('-- 0\ r c-c- \- 1:S P" ,....~ \,... cS ~
Structure to be Demolished: \.\\.J'::>~-<-
Job Number: L..o~ 't:-oc:>~- 0 0 LI2-K'
A cn'\ '1-1-
'- '-J re ~O~,....."
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 yeaFs afte;rlthe qate trl' issuance of the
demolition permit or other removal of the previously;e.&!aiingirls:" (Springfield
Municipal Code 3416(1)), ' , : 11,-,..,C 'tJ,es B,e set forth
- -",' Ie LIVOi Igil GAH 932-001-
My signature below indicates that r ,have"'fea'(lcanalandE!fstMiijJt~above
conditions relating to the demolition-aNne aBti~e:nientili%oo.Qftfucture,
Ild,II:J\..1 C)', I-,G Cregon utility NoiiflcaUon
~~lILel IS 1-800-332-2344).
'b . S~~ f'('\S- \~
Signature
~ - o\-a~
Date
NOTICE:
THIS PERMIT SHA'
AUTHORIZED Ll EXPIRE IF THE WORK
COMMENCED ~~~~R THIS PERMIT IS NOT
ANY 180 DAY PERJOtBANDONED FOR
t
SPRINGFIELD
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
~
DEMOLITION 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 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 maximu-m'!Qf <PwQ'tkilirgt\<h~ires you to
Documentation will consist of photographing tl{,~ 'ifuird-lnJgt~M.htgJ<nGreumce~llYS and
making scaled drawinb<Ts, The documentation )iiltB~fWl~r.\r'..J~~€en m~~€Mt atrilJP cost
"I ..J,...., . ~O<::-UUl j.! t~t lreu ~R. "'7
to you, Documentation is being done on gtllJ~~rVGtl.\Ws.'O~ e ,~riQfJ "4gpfu~r~1nay
h h. ., h C' , d 1 lay a voples 0 t e rules by
ave Istonc Importance to t e Ity seve QIDWl@lt\te center. (Note: the telephone '
number for the Oregon Utjll!YJ~otlfl(:mti
THIS DOCUMENTATION WILL NOT IMPED}{;FHlE DBM~m~tJ}}ioc~S.
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, NOTICE:
THIS PERMIT SHA
Thank you for your patience. AUTHORIZED UND~~ ~PIRE IF THE WORK
COMMENCED OR IS ABA'S PERMIT IS NOT
ANY 180 DAY PERIOD. NDONED FOR
I grant the City of Springfield permission to enter my property to complete
documentation prior to the requested demolition of the structure located at:
Address: \"6 \.0 \0 \ <t\-\"" ~ r-<-c-~ . :s~'<'" ~~).,,'"'I\C- h\ \ \JQ <:\.1 '\- +- t
- ~-
Property Owner Signature: ~\. ~ C ~\\- ("<\ ~ ~
U
Job Number: {O&4AzooF- 00 l{Zg- Date: 0 --'6 \ -aSs
03-31-2008 08 11
~ A,I?1/?008 15 54
'!
PAGEl
')419951015
A TE.=" H~(
...........\ It tJ"
.'
@.t?)
CO~V::SO 8'- 00 C/zg
A "I.fIt.V'CE DISARLl'D vIfTFA."H 0"""11;0 tl1)8 ZONI(O S....AI.I. 8lJSllltl(SIlI
E"vl~onmental RemediatIon A~bestos/Lead/"old/Drug LlJb5--
A C:ClMMITIlIIENT TO F)(CEI_LENCE CCO .64090
2352$ Hwy. 99 E. Har-rlsbu,.-g, OR ~7446
PH ~41-995-6008 FX 541-995-1015
J:malll atez@atezinc.corh
~ERTIfJ.U'TE Of COMPLETIO~
....VACANT RESIDENCE 1866 18TH ST. SPRINGFIELD OR.....-
,
ATEl,lnc has successfully completed the removal of approximately 2,528 square feet of
asbestos containing wall texture, ceding texture, and 24 square feet of asbestos contal('lIng
CAB from the vacant residence located at 1866 181h St Spnngfleld, OR (SeE> auached LRAPA
notification)
The vvork was completed on March 18,2008
ATEZ, Inc has properly removed all asbestos containing matenals we contracted to remove
If additIonal hIdden asbestos contaIning materials are uncovered dUring the demolitIon process
you must cedse work and contact an asbestos abatement contractor to properly remove and
dispose or the additional matenals per DfQ, LRAPA and EPA regulations
All work was completed by a certIfied asbestos abatement ,:>upenllSor and certified asbestos
abatement workers.
The work was completed without inCident
All waste IS being stored at 23535 Hwy 99 E Harrisburg, OR unt.llt IS transported undpr COlier
to Coffm Butte Landf.II (or correct landfill) for disposal At that time you will receive dn ASN4
form shOWing the waste was disposed of properly
So Certified
~~ ; - /
- '/', I ( .~ / /~
,,~) j{~ vc-~~///r'")
~rt~o~/"'~-/ I'
(
!l:.
t"'D
'213- 31-2'21'218 '218 11
el3/?1I2~08 IE> 5a
PAGE2
~
5a1'l'351015 _ Alt~ IN",
:> B t 5 T 0 5 - "c. 1", V "t ..J R t N (A P 5 ~ L A - :-
~ IN LANE COUNTY OREGON -
,...... 0-.\\ lC. tl.)
":J 1_""
15 -111 736
L i1"E" Re-~lon~1 Air" PrOfr('f '0" A~e",,,
1010 M.t,., Sl,...('"r -
Spnnwfl~ld OR 974n
10~6 1'(1)< (541) 726
- 1 ~OS, lor,! (rcoe (8 7l) 185
f ProJ~ct Cltrlo')' and RfQUI~tD F ""('
I
I
{ O.,vt,. "Z.. 0 0 8" i ",0' '0_ t..( Z Y
''C''I.'" ....
'YPE' of A.bdrelT't>nl
lln
~ r')t-t ....
'---
~
Jr>"'t'lltln('
-j Em(>,'!el1cy w~'vf"( (Add 50~ I
ON 0 'eQIJI(f'd 'f'f'
011 rrlabff' '5 DdY NO(lce\
o Reslde',ltlal p'oJeu (Qec pi J R
o "0 u er e~ dPn("('" ,",at I c' '"\p
IlnlBO sq I( (S"'elll Sca:e Sh 'D -
t, 90 n " 0 ( V'1l1 '(11'
'-J , 4", IJn~,,'/80 Hlvd'e r",<.:( < ~I'>r.
5164 0 ';('60(',",~"'1'60sq'l < . I,ne-d'/ 60 ,U ,I,' ',,--
S ... 5 7 tJ ' - ' J 00 II" (- at I BOO S q (t
> 1,300fl"el:\f//lOO 't .,
<; 790 > 1 bOO II ~q ~ < 600 l'''E'~r / I 6()(: ~Cf'
<. nf'iJr/l bOO sq't
S91~ >5COOllnp!l,/)'500\ I :~,000IJnedr/]S~)G\('"
5 1 od6CJ rJ ) 10000 l . 00 Q' .: 10 noo I "'~d'/6 )on, '
52'4)4 ::::: > 26'OOOI:I1f.'4r/O O~qft :'/6,Or:rllnedr/lbl\Ir,'_,
" l'041 '''onoo "'e~'llb,(JOO ~~(t .': 26;:; O:JCJ 'j"f'Il" ",r 111"')
,r Y(\ B" I' G ~ {v I '''t'arl 1 bOOOO ~af(
'i- -. VYIiO~1~...L.l/ /L~ Ill. J .
ABATO~ENT PROJECT INFORM.A,~'O""
Sit (' N" I ne ,I. ( \ I. (
< --+-,.1, r I c ~ U..L ,{- j 1 (' '--
I r, A(1r1,C'\\ _ I ~; ( r ( r ('"I ~") ( - Pl'1o"e
loc )l,nn 01 t>,~b(>HO\ /lllh~ ~'te---1' C- LL i\ '''; (.( ./(~ (,cy ...l.t-~ 14...J.-,
)ut' Cillt'qory "~I school l&.rt"~'dt'f)(e 0 cOlle~ 8Indu,r"lll ::::J-CQmmp(C'>1 --~
)",'1 D~IP' I] i C I 0 1 I ( , u ,= ('\! ,,~,
, , \. \ omp etlor, ate J ,(. 1 ~our:. on Slt# il)11 )
E fTl ('l r Q -"'-'-- .... .. .....L2.l Oll YO' ('l , ' I' (
l:'ll(V P'OJfCl nOCI('Cllllon reQueH~d 0 No (' Ye~ Ol>(u~~ed w,~" 'C)ote
Qtoll\O"'(\\
S 42
S 42
5 42
t nC,l,1su,aIIO"
!<pncwll' 0"
'v\ill"lP"~"'C' /Rel'J~"
:J I ~f"
~
Ha\ d ~u'''ey bt'l:'n
C OJY] pi et~d'
Yr>' '~
NO L1
I, th.. a r"vuto" to . pftov1o~notlf\CIt'on)
'res
I
n Pf OF AS8t STOr, MATERIAL
lypr u p"'(f"'l n' A~~I!'Sto~ .-J ")t-' (, \ \ v~ ' . ( -(
~ V'E~I ,..,,,lC
Q""rill(v (1f (j~heslol 'n D'O)f"CC ~ ~L' ).:: 7< c c 'n~8( 5r I"J""'E' L.. C .JD'c Ippc
DID.' "'<I"I"t'Ol1 Ll tilDe t9. cemf"ntat10UI(t"9' cranl/reo) =: floor tilt' r:: 'oO""~ '=.) '~Ir k ,C'u,\...'
",.Iv,. .~, k"-: ,l ""'"st'( 0 ~"e-t"t vInYl n O("~( ~ -'..:._
WORK PRACTI([5 AND REMOVAL PROCEOURfS
~)! '^t': '''t'II'<l:.1 ,) c'y methods w,t~, clll (Ilterlng U ~tOUl'b8~
~ ~(p" V(j( I" I! , I' vacuum trvck wl{h HEPA (1ltpr ~J other
Ambll"nt air monttor"1n'3 to be' perlorme-d ~ yes [l no
DISPO~AL PROCEDURES
-I (tltlte to dropbox G hand load dropbo)(
I I w,,~rp qored nn site In secured contiltn€'(
~ W,})tc lemo"e-d ddlly n other
5( co "{Ill /)o-n erl{
r(' "e~a( vf? ""
'f;rwetled (lnd double bll~ged 0 other
~...,aste)€'(uredof(~lleIH2Ic,7,) f.jwy
9'1
f ~.:...J..?,),lr'J'
DI')POSAl SITE
l._ 'I ~h("r( MOU,",-'Ii tIl Collin But(e Oothe(
ABATEMENT CO~T~ACTOR
CO", ~(to r-.,vr't' A TEZ. I nC -
Miillll)~ Addrf>'>S 2352 5 HWL~~
(11y H",,.-r, c:h"_r'" Stote OR liP 974~6 Phone
PR~:~~n;:~;~:~r;~n.~'~~ {f~\ ;tete No -~;~~~
N,~m(' :~ \ II '....J........~ ~ u ~ I 1\( \ ~\ -,{)
M~II'nvAd(1r~\~ Ilc'l ,e: ~l ,/->~ (,""1..
.' : ,\ State('~' ZIP.-l.n 72.. Phone 1(1
,Y--\.J_ 1 ),.
~... I' I \~' I
~ \ < \.1'" j~'j\Orll'al1lzlltlon_ 1//\. '_-
Nt1 ne :Plt'(l\r' ..."rt; \. " \ --.J-.).lo-,- -- ") I
, , PMre~~
1 S,~nA( 1'1:" __ ~___
L--_ __
-_..-- ------
~-' ~.
llcen~e' No
t:'sc S3~
,
S4'-99S-6Cl...J
_ (ell IPdge- ~() .:...
- \ - ...c..
?:5 to ..~J c.)
(:, r,
Oil (~
-1--
'l.l' "'" '