HomeMy WebLinkAboutPermit Demolition 2005-6-24
__- CITY uJ< ~rKli~l.-J<IELD-
Building/Combination Permit
PERl\fiT NO: COM2005-00801
ISSUED: 06/24/2005
APPLIED: 06/24/2005
EXPIRES: 12/24/2005
VALUE:
.
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 26 HAYDEN BRIDGE WAY
ASSESSOR'S PARCEL NO.: 1703224404601
Springfield TYPE OF
TYPE OF USE:
PROJECT DESCRIPTION: Demolition of bouse and sanitary sewer cap
Owner:
Address:
CITY OF SPRINGFIELD
225 5TH ST PUBLIC WORKSIENGINEERlNG
SPRlNGFlELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type Contractor ~ requl199 ~..:v License
General _tj\f~~m@l)K!\~lfllegon Uu,.._.... 158442
;'il~w 1~les a~~~I~"1;~4EmJIfjriti1GdArn~ nONI
. NotilicatlOn ~t -Oot 0 thIOUg~~:"~b" f\lles oy
# ofUmts: . 01'-1'1952-0 tain cOple>fNII'l>"lllJ;\~ne
PrImary OccupancY1b~.PloU f(la'lJ\l~ {Note: \Hi!I1!1lt:.Iif'~1ion
Secondary OccupanW \Iing the centel. on Uti~'ilYW:at:
P"rimary Construction ftRlbel 101 t\wPl~~00_33~lFype:
Secondary Constructioll centellS t Range Type:
# of Bedrooms: Energy Path:
Sprinkled
nla
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay D1st:
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
IPUBLlC IMPROVEMENTS'
Street N01\CE: L E.XPIRE. IF lHE. WORK
Storm Sewer Available: lHIS pE.RMll SHfl.L 11. lH\S PE.RMll IS NOl
Special Instruction: fI.\J1HORI2E.O UNOE. 8f1.NOONE.O FOR
E.NCt.O OR \S fI.
Notes: COMMBO Ofl.'{ PE.RlOO.
fl.N'{ \
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Site Work Only
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Residential
Expiration Date
01127/2006
Phone
541-912-0528
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Otber:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains
Description
I Valuation DescriotionJ
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Tvpe of Construction
1 of 2
Value
Date Calculated
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00801
ISSUED: 06/24/2005
APPLIED: 06/24/2005
EXPIRES: 12/24/2005
VALUE:
Status: Issued
225 Flfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Ff'r" P.llid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Demolition
Sanitary or Storm Sewer Cap
Amount Paid
Date Paid
$9.00
$6.30
$45.00
$45.00
6/24/05
6/24/05
6/24/05
6/24/05
Receipt Number
1200500000000000904
1200500000000000904
1200500000000000904
1200500000000000904
Total Amount
$105.30
I Plan Reviews 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.
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.
Sanitary Sewer Cap: Capped within five (5) feet of the property line and capped with an approved material as
required by the code.
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 wiD 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 tbis 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 wiD remain on the site
at", tiones during cons ct IL h / d <.{ 10"-
~~acto Date
2 of 2
"
225 Fifth Street
Springfiteld, Oregon 97477
541-726-3759 Phone
,
.
i5ii
Wit ,.
.Ji,!ty of Springfield Official Receipt
wvelopment Services Department
Public Works Department
RECEIPT #:
1200500000000000904
. Date: 06/24/2005
3:13:41PM
Job/Journal Number
COM2005-0080 I
COM2005-0080 I
COM2005-0080 I
COM2005-0080 I
Descriptieu
Demolition
Sanitary or Stann Sewer Cap
+ 7% State Surcharge
+ 10% Administrative Fee
Payments:
Type of Payment
Check
Paid By
J AND L ENDEAVORS lNC
Received By
djb
Item Total:
(;beck Number Authorization
Batch Number Number Hew Received
2489 In Person
Payment Total:
Amoont Due
45.00
45.00
6.30
9.00
S 1 05.30
Ameunt Paid
$105.30
S105.30
".\
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,
6/24/2005
1 of 1
SPRINGFIELD ',''',,<-:. ::'<::
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225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
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DEMOLITION PERMIT APPLICATION
Address: ~ C-, ~ A l{ '"' e V'\ ~ ("" ~ 0 O. E'. Qo. fO\.(i
StructuretobeDemolished:~lv,'lle t=""A{'"'\; 1 (: Oc....le I Ij~
Job Number: CO,""" zOO ~- - ,-=>0 8'0 f
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 years after the date of issuance of the
demolition permit 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.
~~b~btt
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Date
.
.
SPRINGFIELD .
225 fir lit 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 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. .
THIS DOCUMENTATION WILL 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 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.
Thank you for your patience.
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: ~(-'Y\ (3r\'c\C\p 'Pri
Property Owner Signature: ~~~ h<1{'
JobNumber:c.ojN\z..oo~-c>o frOf . Date: ~O"S
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"it's ollr b1/Siness
to know YOllr
enW011111Bnt
I 670W. 11TH AVE - SUITE A
EUGENE, OR 97402 - USA
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PHONE: 541/689-8620
CELL: 541/9 I 2-7083
FAX: 54 I 1689-8649
EMAIL: mark@ido.net
..
FEI: 93 - 1 I 181 13
CC8: 93 - 837
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MAGNUM ENVIRONMENTAL, INC.
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Bulk Summary Sheet - Asbestos
Client 1 Lane County
Attention I Frank Simas
Project Name I Demo Project
Project Address 126 Hayden - Springfield, OR 97477
Job Number! 05.0240
Sample Date I 6/21/2005
Sample # Location Material Friable Threshold % Asbestos
I Lower Bathroom Wall Texture Yes 1 % Asbestos 0%
N/A Roof Roofing-3 Tab No 1 % Asbestos
2 Apt. - Bathroom Vinyl-Tan Yes 1 % Asbestos 0%
3 Apt. - Kitchen Vinyl-Beige Yas 1 % Asbestos 0%
4 Apt- Entry Vinyl.. Whita Yas 1 % Asbestos 0%
5 Apt walls & Cailing/Sheetroek Sheetrock Yes 1 % Asbestos 0%
6 Kitchen Vinyl.. White/Blua Yes 1 % Asbestos 0%
7 Stairwail Hall & Adjacent Room (Top) Tile - Tan No 1 % Asbestos 8%
8 Mastic-Black No 1 % Asbestos 5%
9 " -Bottom Tile - Rad No 1 % Asbestos 10%
10 Mastic-Black . No. 1 % Asbestos 5%
11 Upstairs Close Vinyl-Mulit Yes 1 % Asbestos 0%
12 Some Interior Walls Plaster Yes 1 % Asbestos 0%
13 Window Glazing No 1 % Asbestos 0%
Quantity Sample~s Name Turn Around
I 13 of 13 Mark A. Losco Regular
I
I Relinquished 8y
Company Magnum Environmental, Inc. (Field) Company
Sig natu re Mark A. Lasco Signature
Date/Time 6/21/2005 (pm) Date/Time
Comments Asbestos Containing Materials Removed ByeRS.
Results To Frank Simas 1 Analyst
Analysis Requested
PLM.Bulk Analysis
Received By
Magnu)f~ironmental, Inc (Lab) 1
./ /l....'7 ',a<lwLL.osco]
06/22/2005 (am)
MAL
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