HomeMy WebLinkAboutPermit Demolition 2005-06-08Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2005-00696ISSUED: 06/08/2005APPLIED: 06/08/2005
EXPIRESz 1210812005
VALUE:
SITE ADDRESS: 130 MILL ST
ASSESSOR'S PARCELNO.: 1703353203500
Springfield TYPE OF WORK: Store
TYPE OF USE: Demolition
PROJECT DESCRIPTION: Demolition and sanitary sewer cap of store
Expiration Date
05t0912006
0st09t2006
Commercial
Phone
541-688-7038
541-688-7038
Owner:
Address:
Contractor Type
General
Plumbing
CAROLYN S CHAMBERS TRUST
8OO WILLAMETTE SPACE 5TH FLOOR
EUGENE OR 97401
Contractor
STANTON GREGORY PAYNE
STANTON GREGORY PAYNE
License
27323
27323
CONTRACTOR INFORMATION
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
vt[
nla
REQUIRED PARIilNG
Total:
Handicapped:
Compact:
Sidewalk Type:
Downspouts/Drains:ATTENTION: Oregon law requires you to
lollow 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 Notilication
Center is 1 -800-332-2344)'
(
IS AtsANDONED FOR
DAY PERIOD
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Notes:
Pase I of3
m,i
-lrUlLI-rlI\ (r ll\ f (rlt lvl4\ I l(rl\ |
NOTICE:
ir+rs prRu'uT sHALL ExPtRE lF THE w0
AUTHORIZED UNDER THIS PERMIT IS
F
Building/C ombination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54l-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2005-00696ISSUED: 06/08/2005APPLIED: 06/08/2005
EXPIRESz 1210812005
VALUE:
Valuation Descrintion
Description Tvpe of Construction
Fee Description
+ l0Yo Administrative Fee
+ 77o State Surcharge
Demolition
Sanitary or Storm Sewer Cap
Total Amount Paid
Total Value of Project
Date Paid
6t8t0s
6t8t0s
6/8/0s
6t8t0s
Value Date Calculated
Receipt Number
2200s00000000000734
2200s00000000000734
2200500000000000734
2200500000000000734
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Amount Paid
$9.00
$6.30
$45.00
$45.00
$10s.30
Fees Paid
Plan Reviews
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 lilled 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.
Pase 2 of3
Keoutred lnsnectrons I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541.-726-3676Fax
541-7 26-37 69 Inspection Line
FIELD
Building/Combination Permit
PERMIT NO: COM2005-00696ISSUED: 06/08/2005APPLIED: 06/0812005EXPIRES: 1210812005
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.
Owner or Date
Pase 3 of 3
6- 6- r{
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield Official Receipt
:velopment Services Department
Public Works Department
RECEIPT #: 2200s00000000000734 Date:06/08/2005 2:51:23PM
Job/Journal Number
coM2005-00696
coM200s-00696
coM200s-00696
coM200s-00696
Description
Demolition
Sanitary or Storm Sewer Cap
+ 7Yo State Surcharge
+ l0% Administrative Fee
Amount Due
45.00
45.00
6.30
9.00
Item Total:$105.30
Payments:
Type ofPayment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check GREG PAYNE TRUCKING djb 45114 In Person
Payment Total:
$10s.30
-Sio-t3d'
I
618/200s Page I of I
tFtnilnn
SPr}IhJGFIgL,{}
225 FIFTH STREET . SPRINGFIELD, OR 97477 t PH:(541\72G3753 r FAX: (54t)726-3689
DEMOLITION PERMIT APPLICATIONS
Your demolition permit is currently being processed. There may be a slight delay, of
up to z working days for small structures, due to the time required to review the
history of the structure to determine if it needs to be documented before demolition.
This documentation is for archival purposes only and will not affect the granting of
the demolition permit. If the structure is very large or complicated the
documentation process may take up to a maximum of 4 working days.
Documentation will consist of photographing the building, taking measurements and
making scaled drawings. The documentation will be undertaken by the City at no cost
to you. Documentation is being done on all structures dated prior to r94o that may
have historic importance to the City's development.
THIS DOCUMENTATION WILL NOT IMPEDE THE DEMOLITION PROCESS.
An age cut-offof 1940 was chosen because this is the date that the National Parks
Service and The Springfield Development Code use to determine potential historic
significance.
If you would prefer to complete this documentation yourself you must provide the
City with the following information: r) black and white photographs of each
elevation, a floor plan with measurements, and z) a set of elevation drawings withmeasurements.
ATTENTIoN: oregon law ieouires you to
rhankyou roryour patience. -t;;;t[;;f6li$:ffJryt3l'"*q,ii1
in oAR # fii:d1g *llTgl oAR e52-oo1-
'*ilffilIf#I grant the City of Springfield permission to enter -9SB
documentation prior to the requested demolition of the st
,w
Address;
Property Ovr,ner Signature :\-, {or. taral 5. Chambers ,Tru6f
Job Numb er: CIM@OS-OO 6? 6 Date: 6/tla{
,'/l
t,l0TtcE:
i*i-PTNI',TIT SHALL EXPIRE IF THE WORK
NUTHONi/TD UNDER THIS PERMIT IS NOT
covirtrrnrcED oB ls ABANDoNED FoR
AI{Y 1BO DAY PERIOD.
OF ORECON
$I'F{trlr6|f rELt}
225 FIFTH STREET . SPRINGFIELD, OR 97477 o PH:(541\726-3753 o FAX: (541\72G3689
DEMOLITION PERMIT APPLICATION
Address: l3o {rn; ll 5+ .
Structure to be Demolished: ST7d{L€
Job Number: Cora.r 7<>o{- C> o (= 2 6
eF'
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 g.+t6(r)).
My signature below indicates that I have read and understand the above
conditions relating to the demolition of the above mentioned structure.
K,*/(r*ru r"" Lnro NS u l<f or
Signature a-nn
NCITICE:
THIS PE
AUTi-i0l
ANY 1BO DAY PERIOD
L EXPIRE IF THE WORK
D UNDER THIS PERMIT IS NOT
:D 0R lS ABANDONED FOR
Date
ATTENTION: Oregon law requlres yg1..P
ioiro* irrt adopted bv the Oregon Ullity
r'rJtiri."iii"b;;il. inoit rules are se!forth
il ciilffi-ool oot o through oAR e52-001'
iiltr.V;;-*rv obtain copies of tle rules bv
-
""fiing
the ienter' {Note: the telephone
;;;tl"; int ot"ion Utititv Nolilication
"-"'- -
Crnter is t -ti'oo -932-23441,'
CITY OT SPruNOFIHLN. ORECON
A6/A3/2A85 15:33 1541995L815 ATEZ II{C PAGE AL
ccB #64090ATEZ, lnc.
Environmental Remediation Aebestos I Lead I Mold / Drug Labs
z?l5zllltrry, fr. rrarri"urrg, oR 97446
Pt{ 541-!195-6008 Fx *t+95-10r5
Email atc:Gatezinc.com
CERTTFTCATE gF COit PLETI.QII
Commercial Buildlng 130 Mill St., Springfietd
ATEZ,Inc. has successfully completed the asbestos removal of approximately 210 square feetof roof patch, 240 square feet of nicolette paper, and g20 sguare feet of g"xi' Roor tile fromthe commercial buildlng located at 130 Mill st., springrfield, oR. (see attached LRApA Notices)
The work was completed on June 3, 2005.
All work was completed by a certified asbestos abatement supervisor and certified asbestos
abatement workers.
The work was completed without incident.
All waste is. beil9$t1|d securely off sate at 23525 Hwy 99 E, Harrisburg, oregon until it istransported to Coffiin Br.rtte Lardfill for disposal. At that tlme you wi1 receive in ASN4 formshowing the waste was disposed of property.
So Certified
Robeft R. Kinyon,
JUN 03,2005 O3:22P 15 419 9 51015 page 1
66/83/2445 16:33 154199s141s
TBI.DAY AIID }ION.FRIAEIE NONNCANON OF I}ITEMT TO
ATEZ INC FAGE 83
(,--
,TEASEESTOS lN LANE CduNTY, OREGON
Lana Regilrrnrl Air Polirrtion Au$ority
lOlO fitaln $treet
furlffieH, ffi, gT4lT
(541) 736-ro56, Fs* {$4tlT?;6-12OE, toll free (8
X
tr
tr
tr
tr
tr
+
lf Yer
Type of Ahatement
0emolitlon
Removal
Encaputation
Renovatlon
itdntfiiance/Ropalr
Other
Has a survey bean
completrrd?Yerd Notr
fl IIEPA vacuum, E vacuum trtrck witlr
E waste stored on site in secured contalnerfipasteremoved dalty, E other
DISPO$AL SITE
Contractor
771 285-T272
Proract Catdgory and REeU|RED Fea
Emergency Waiver IAdd 50fr to required
Non-Friab(e (5.Day Notlce)
Resictentiat ProJect (Occupted Resldence, Eg for Demotition)
Short Duration)r 40l,in/80 sq ft (Smatt Scate,
> 40 linear ./80 square feet;1 260 tioear/160 square feet> 260 tlnear/160 sqft;( 1,300 tlrrear/E00 sgft) 1,300 linear/800 sqft; 12,600 Hnear/t ,6ffi sqft> 2,600 Unear/1 ,600 $gft; < 5,m0 linear/3,5(D sqft> 5,000'linear/I ,50O sqft; < 10,0OO ltnear/6,frro Bqft' 10,000 tinear /6,0ff1sgft;< 26,000linear/f 6,000 sqft> 26,000 linear /16,000 s,fft; :26O,Ofi) llnear/ 1 60,fi)0 sqfrt> 260000 tinear/160000 sqft
-t a
on Stte:
I
IL
H
537 fr
$37 D
$37 rj$81 CI
8iH H5703 H
$ 811 tr
5 1,298 n
$ 2,163 E
52,7M n
By
Slte }lame
Slte
tocathn of at
TI"E OF ASBESTOS }IATERIAL
Type & Percent of
Qrantity of asbestos in
tr pipe fnsulatlon,
tr ntve pacttng,D mastic,, D sheet vinyt,E other
iltape, tr (eg: rransrfe)
WOfi'( PRACTICES AND REtvlOVAt PRO(IDURESu(,Yffi m6thod, tr dry methods Mth
a
Amblent air monltor{ry to be perrorrned: (yes, D noDTSPOSALPROCEPURES
tr chute to dr4box, tr hard-load dropbox,
E containment, [J negative air,
and double bagged, fl other
securecl off slte
License No-
air filtefinE,
HEPA fflter,E other
}{wetted
frwaste
b
/t{atlfng Addrers qq
nor LMFA Uso:
Fee Rec?g
Check
EAtsl?F
z lP3?446_
PROPETTY OWNER
Name ftease
No.(JqCett/Pager No6
71P
-n3^ -;-
JUN 03,2005 03:23P
R-
r State
15 419 951015
AIEZ
flala page 3
Site
Stqrt
Emergency DeysComptetlon
& commercial,
Hours onrequested;, Dlscr.ssed with:
tr
o
fl
e\\t1, r rvr -
66/83/2685 16:33 15419951415
T1rys of Abatament
,tst Demolffion[] Rernova(tr Errapsutatlontr Renovationtr MaintenancelRepalrtr Other
ATEZ INC
(8771 28s-727?
ProJect Catdgory snd REeU|RED Fea
PAGE 82
. TEN.DAY AI{D }IOil"FRTABTf }TOTIFICATION OF IHTEIIT
ASBESTOS IN I*ANE cout{rY,OREGON
Lane Regional Alr FolluHon Authorrtvl0lO lrtatn Stract
(s{t) 736-1056,_ grtryfleld, oR 97477
Fax: (54t) T26-1?.05, tofl ftee
$tt
537
537
$81
$ 324
Sqoo
$ zor
S 811
s {,299
$ 2,103
S 2,T04
DX
E
m
trtl
r)
D
[J
tr
El
n
+ Has a survey been
complGtad?ye$( No n
lf Yes By
Site
Site
+a a trI
)
For LR.{pA the:
Fee Roc'd s
Check
D other
Date:
O negatfve alr,
on Slte:with:
E other
DtsPOffl srTE
Contrqctor
ilattlng Adrtre*Llcense No-99
Compstent
PROFEf,TY Nn.* Ce{ll Pager Nosloq ir{'t
ztPName (please
ztP
JUN 03,2005 03:22P 15 419 95101s
II\C
page 2
on
B
slte
roofing,
Prorect
-.------