HomeMy WebLinkAboutPermit Demolition 2008-3-31
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00429
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: 1868 18TH ST
ASSESSOR'S PARCEL NO.: 1703252404700
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: 1l0116TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
General
Plumbing
Contractor
STANTON GREGORY PAYNE
STANTON GREGORY PAYNE
License
27323
27323
Expiration Date
05/09/2008
05/0912008
Phone
541-688- 7038
541-688-7038
VB
BUILDING INFORMATION I
YJ ','jH. 1.J1t>YUII law requires you to
# of Stofies:he:; adopted by the Oreg<lrbiJ$.~i\y,
Heigh't:ofS~j1liclffi'rreter. Those rules arWffqrlflFloor:
Ty'p'eI6f~D s.1?-001-001 ~ through OAR ~~*p~(J Floor:
wQPe~(l'rl): ~U may obtain copies of thE:S~ 1l1?tsIP.Mement:
Ran~J1T.1 ~!he center. (Note:. t,he tel; 'F1P@;arage/Carport
E 11U..A;Y,e.~(tor the Oregon Utility Not l.I.latiGnh .
ne.rgy' 'P'a ~ tar is 1-800-33 -2344 lJ 'fl'Ul er.
Sprinkled umlmg. nfa )Dccupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
,J>> 'Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
THIS PERMIT SHAl!o~m~tlfDl~X\'ORK
AUTHORIZED UNDER THIS~PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
Pa!!:e 1 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00429
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
Tvpe 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
$12.00
$5.00
$50.00
$50.00
3/31/08
3/31/08
3/31/08
3/31/08
3/31/08
1200800000000000287
1200800000000000287
1200800000000000287
1200800000000000287
1200800000000000287
Total Amount Paid
$127.00
I Plan Reviews I
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.
UeouireCUnsnections 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.
Pa!!:e 2 of3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00429
ISSUED: 03/31/2008
APPLIED: 03/31/2008
EXPIRES: 09/3012008
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.
(j'~~~~ ~~\~
Owner or Contractors Signature
'6- ~ \-C)~
Date
Pa!!:e 3 of3
225 Fifth Street
Springfield, Oregon 97477
541-726-~759 Phone
Job/Journal Number
COM2008-00429
COM2008-00429
COM2008-00429
COM2008-00429
COM2008-00429
Payments:
Type of Payment
CredltCard
cRecelOt I
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
1200800000000000287
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 I
12:04:41PM
Amount Due
5000
5000
500
1200
10 00
$127.00
Amount Paid
$12700
$127.00
3/31/2008
SPlRiNGFIS:i...O'
,
~ ''> >
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
1iJ' "",j
DEMOLITION PERMIT APPLICATION
Address: \~\,~ \<6"\'c-.. ~\r~L.\-
\
Structure to be Demolished: ~.;:) ::) ~ -<-
~,\,,~\,~\ ~
v
l~re..~I:.)"" C\ 1 '\: 1- 1
Job Number: (0"""" Z. 0 (:) S' - C> 0 Cot L 7
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 'SysterriJdevel~P,lIl~ltt'~JHi~ credit for
the previously existing use shall exphi~ nrdjrears ~fterithejdJlj~/9JT~~Nt}ad'~Y~%e
dem~l~tion permit or other removal ~f ~h~ F't~\jously exis1JingE!l,SSi'a~:W~I~mb~
MunICIpal Code 3.416(1)). r l' 'n y,ti Je C01-001 0 through OAR 952 0001
v 'eli, ou may obt '. -.
. . . oallina th ~o "am ~op'es of the rules by
My SIgnature below mdIcates that I h~N"e reaQ a:l1dJuntd'ers11'antttb:WOOe"phone
conditions relating to the demolition ofjtR~EfI~ic%JIH1~~ti0rnrdlstilil!ri1llUitlfication
' emer Is 1-800-332-2344).
~ .S~~\\ \'(\L\~
's/gnature
~ ~6\-\)~
Date
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
SPRINGF!ELD
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 · FAX: (541)726-3689
~r
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 compli<;ated the
documentation process may take uplto-:alftl'3XJirfitrIt1f1q)fI41\WcffKi~~dfcRlk~.Ot
D . '11 . f h h'~" ~ '1Lr-,,~o"':lh\! tt+e olft.l~ont')till!y__ d
oc~mentatIOn WI .consIst 0 p ~togr~,~', _~~P.'-t~1~~l:JU1 u~nl1'u :gfal(&~~~~ments an
makmg scaled draWIngs. The documentation WtllrbIlJ.R~8el1~tl ~tOO1CIty at no cost
. . . r nc>q,r,"'-no1-uDluln ) U.'d I .
to you. DocumentatIOn IS bemg d~)l}e O1fa~l struocflliir,sc a~cWIfJWrtA>at<P1P that may
h h. .. h C')( "lod YOl~maV Ol tJ h'
ave Istonc Importance to t e 1ft, s, ey.qe cme>I' n,t. (Note' the telep one
~Jcallln 1I l:J '" ,re,. . . . - n
n'lJmuer for the Oregon U'Lllity N?~lflcatlo
THIS DOCUMENTATION WILL NOT I~iItt:aEs1'ifl'E~jI~rr.ION 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 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. O"f\Cee HE WOR\(
N,. {:l.ll EXP\RE \f I
Thank you for your patience. 1H\S PERM" SH ER 1H\S PERM\! \5 NOT
{:l.U1HORIZEO UNRO \S {:l.BANOONEO FOR
COMMENCEO 0
ANY 180 DAY PER\OD.
Address:
I grant the City of Springfield permission to enter my property to complete
documentation prior to the requested demolition of the ~tructure located at:
\ ~ \.o~ \9;"'" ~, ~~ " ~~j 1" \ ~ : ()Q q t '\: 1-"1-
'Srl'~ \(\'=L_
~- ~\ -C)%
Property Owner Signature:
(),
c::>o4ZCJ
Date:
Job Number: {o~ 'Z..ootf'-
03-31-2008 08-11
. " ~D'/' 112ElflA 1 b '5<1
5131'3'3'511315
c.TU INC
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A ...tR\I'CE PI~".Ll:n VfTfRA" o......lfn HU8 .l0,..(0 l>NAll lHJSlll4ESS
Env.ronmentall{emedlatlon ASbestoS/Lead/Hold/DnJ9 Labs
A COIlt1Mf'TME'NT "-0 f:WCEI.LENCE
CCB ~090
2::JS2S HWy. 99 E. Hanizs;burg, OR 97446
PH S41-99S-6008 FX S41-995~JDI5
Ernclll ate::z:flalexinc.com
CERtJFICATtU)F COMPLETION
."'.*VACANT RESIDENCE 1868 18TH ST SPRINGfiELD, OR....
ATEZ, rnc has successfully completed the removal of approxlmdtely 207 sQu,c,re feet of
asbestos containing 207 floor tIle from 1868 18111 St Sprlngf.eld, OR (See attached UU\PA
notification)
The work wa~ completed on March 20, 2008
ATEZ, Inc has properly removed all asbestos containing matenals we contracted to remOVf>
If addItional hidden asbestos containing materials are uncovered during the demolition process
you must cease work and contact an asbestos abatement contractor to properly remove and
dIspose of the additIonal materials per OEQ, LRAPA and EPA regulations.
All work was completed by a certified asbestos abatemenf supervisor and certified asbesros
abatement workers
The work was completed Without InCident
All waste IS bemg stored at 23535 Hwy 99 E Hamsburg, OR until It IS transported under cover
to Coffin Butte Landfill (or correct landfIll) for dlspo<>al At that time yOu will receive an ASN4
form shOWing the waste was disposed of properly
So c~rtmed
d' ~i4~
/ ,--;-;J, ','
:-;' r - // fr"
. LJ: 1, ',' )
~rt R. Klnyo.., P7c/
ENO
03-31-2008 08 11
~ 03/2t/2888 lb ~4
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, .
PAGE4
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:5<11) 7J~ 1056, Fax (541) 7H.120~, toll frl':Cl (877) 28~
If Yf'~ ~~C1m) ,/\-( 2 -< ,~fu 1
ABATEMENT PROJECT INFOR~'ION
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loc"t un or A>be)lO~ at t"t> ~ltt>-L-1 ". ,.1
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[merql:"n,y DroJect nOt1flC/:!tl0n (eQueHed n No (\ YP~ DISC\J~~t'd wltt1 ___~ ()/\t€' ----- - -
Typt" of Abalemen(
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5 364
5 457
5 790
5 912
5 1,460
S 2, oil 34
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~(mt'f~enCY Wdlver [Add 50'\ to reQul't"<' t('l:": S_
Non friable (') Day Notlcel
ResidentIal PrOject (OccupIed Re~ldence not tor D~""cl" (1
o ~ dO Iln/80 sq tt (Smdll Scale, Shore DVr/Hionj
J\/ 40 II"'ecH 180 sQUllre teel. .::. 260 lln(,d' 1 160 ~IJU,l'e lp(>
If( > 260 Ilnt"c'lr/160 SQft :<: 1 JOO linea, 1600 ~q't
o ",10011'1ellrI800sQ(t ~ 2,6001In('a'/l 60(hott
> 2,60011nt'arl' 600~qft, < '5,OOOlln('o)r/) SOOSCl'
::::J 5,OOOlfn('lIrl) SOO~qf: :: lO,OOr,llnearlc :lOO\\)'I
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~ '26.clOOI,,)e(vl'o.OOO~qft . ?6ClOOO Ine3,llt>OC'),,"I
:J ) 2t)(lOOO'lnear/160000s~ll
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, TYP' 0' AI6ESTOS MATERIAL ~ /
/0 I ' ('" t (
T YDE: Ex Perl..f'nt ot A~besto~ " l.. .
Quan(lcy ot ~~bes(Os 11'1 prOject ~() L_
O · t OUlo(BO tronsltf!)
j Dlpe 'r'suli't'on L1 tape ce-merhd , ~
, I v"lv\' oa(k'n~ C mastic 0 sl1e-el vjr>yl 0 other
C EH't"'1IlI<'> k' l <'~
r) L1nelll }(SQuare l CubiC tr...,
ft(floor till:" 0 (oollng 'J I~,l C \Dr~v,)n
WORK PR;>.CTIUS AND RfMOVAL PROCEDURES
,X, wt", mt'tl1od II Jry methods Witt- dlf fHterlng
'~H(PA liilCUU'f1 I) vacuum truck w1th HEPA fIlter other
Af'1'\b'~M all' morlltonns to be performed ~yes C no
CJ ~Iollcbc)g Ji'(cont3lflmflnt W"eqdtlv(' d1r
DISPO'SAL PROC[DURlS
lJ chut.... to dropbox 0 hand load dropbox
J wi'l~te \tored on SIte In secured contCllnt'r
<<1 wi3)t~ removE'd dc)lIv ~ other
DISPOSAl. SITE
1:1 Short Mout'1l~'" gCo1f~ ButtE:'_ :J oth~r ~
ABATfMENfCONTRACTOR
(o,.,t'~((or N~mt" ATEZ. I nc
l,J',(llllnnAddrpss -nS2S_HI.JY 99~ OR ZIP
~ State _
( "'" I rh,,"""
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I Competeflt Pt'r~on~~~
PROPERlY OWNER r I' C
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l(1 \NOste secur~d off Site et 2 wy
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