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Home My WebLink AboutPermit Demolition 2005-07-26Status 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: COM2005-00975ISSUED: 0712612005APPLIED: 0712612005 EXPIRESz 0112612006 VALUE: SITE ADDRESS: 1465 30th St ASSESSOR'SPARCELNO.: 1702303401901 PROJECTDESCRIPTION: Demolition. Springfield TYPE OF WORK: Manufactured Home on Private Lot TYPE OF USE: Demolition Residential Owner: Address: Contractor Type General MERRILL EVONNE 1465 30TH ST SPRINGFIELD OR 97478 Contractor License A ACTION MOBILE HOME MOVING & DEN1428O7 Expiration Date 05/05/2006 Phone 541-935-1786 # 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: Notes: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: )c Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: (\t $$t $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Valuation Description Description Type of Construction Page I of2 Value Date Calculated (-(rr\ r r(AU r t,K il\rr:|5]vrt\.!jl!al I'UlLLrl-t\t lL\-rIJ-F(]YIAIlt L\ # ofStories: Height of Structure Type of Heat: Water Type: Range Energy tss p\ Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2005-00975ISSUED: 0712612005APPLIED: 0712612005 EXPIREST 0112612006 VALUE: Fee Description + l0%o Administrative Fee + 77o State Surcharge Demolition Sanitary or Storm Sewer Cap Total Amount Paid Amount Paid $9.00 $6.30 $4s.00 $45.00 $105.30 Total Value of Project Date Paid 7t26t0s 7t26t05 7t26t0s 7t26t05 Receipt Number 2200s00000000000986 2200500000000000986 2200s00000000000986 2200s00000000000986 f,'ees Pa Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Demolition: After demolition is complete, sewer is capped or septic is pumped and filled and inspection is requested and approved, and all debris is removed from the site. Sanitary Sewer Cap: Capped within five (5) feet of the property line and capped with an approved material as required by the code. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPAI\CY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are ln compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the stree$ 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 Contractors Signature Pase2 of2 Date Kequrfeq tnsDecuons l 225 FIFTH STREET' SPRJNGFIELD'OR97477 o PH:(541)726'3753 o FAX: (s41)726-368e ffi, DEMOLffION PERMIT APPLICATION L.t6{3o +t".. _+ Address: Stnrcture to be Demolished:abr/a (_- Job Number:Cosn zoos -90 \ -15 5 Signature Date Theapplicantisherebynotifiedthatanyredevelopmenlo|!|y,suujectsitemust "o-oiv *ith all of the applicable laws, cod"s, ordinances, polices and plans in effect it the time the redevelopmenJ p.opo"."ii*"t"ptua'as..comolete for City re'iew. This would i;;rd; ;,.".tioi, of .'rr.f;#;;;5;;"dtttons associated with the present a.u"roptL'i:;;;l;t of t'"h "ottections may'include ffi dtn;i;;;iffi d"ilililil;;i":n'5";;";"91'3fi:;:i*lfiill!":,* backs from property lines; correction.ofst improvements, includi;'di;;*"v ;g'n *JIi"9""''"'u and other corrections whichmayber""""Hl;;;;ii;'h-;;Gdevelopmentstandards' Furthermore,ifanexistinguseisdemolishedorotherwiseremovedpriortothe #T:#*#i$i,li"r:".ilri;l':ffi y"'i:*f; xPn:*lm"xiiqJ demolition permit #""fi;;"i;;'ri "i,u" li;ou.iv e*istins use' (springfield Municipal Code g'+16(r))' $PF,BGFIEIE .1);4q'q'1 64 My signature below indicates that I have-read and underslrnd the above conditions reiating t" trr" d"*"iition of the above mentioned structure' \ t +lsbwJ's PoPa( q e"ilu,*o-r'le-hw v gP'}IX'GF}ELD SPRINGFIELD,OF-97477. r PH:(541 \726-3753 r FAX: (541)726-3689 W225 FIFTH STREET o Address: measurements. Thank You for Your Patience' I grant the CitY documen tation of Springfield Permission to enter p.[?t"it e re[uested demolition my proPertY to comPlete of the structure located at: Your demolition permit is currently being processed' There m?y qe a slight delay' of up to z working a"V. iot small structures] due to the time required to review the history of the stru"iure io determine if it needs to be documented before demolition' This documentation is for archivut porpor"s only and r,r'ill not affect the granting of the demolition permit. If the structure is very large or complicated the documentation pro"".t t"uy tuft" up to a muiimum of 4 working days' Documentation will consist of photogr"pfti"g th.e-building, tuJting- measulements and making scaled aru*i"lr. .'he documlentatioi will be undertaken by the City at no cost to you. Documentuii-oi-ir u"ing done o" uu structures dated prior to 1940 that may ftur" fti.toric importance to the City's development' THISDoCUMENTATIoNWILLNoTIMPEDBTHEDEMoLITIoNPRoCESS. An age cut-offof 1940 rya: glosel because this is the date that the National Parks Service and The #;;gfi;1d-p"u"rop*"icodu ,ls" to determine potential historic significance. If vou would prefer to complete lhis documentation yourself Vou must provide the ciiv wittr the fotlowing informatioru i"fru;[;;e *'dtte photographs of each elevation, a floor plan-with *.uroru-u.rtr, urrd z) a set of ete'ition drawings with t'/6 5 ft^.=f Evan ,l/ PropertY Owner Signature: ^ oo\=? I Date:1 -11 -05 Job Nrrmber:GFd.ZcoS; DEMOLITION PERMIT APPLICATIONS ient By; SCHNEIDEF LABS;1 8043536778 ;Jul-18'05 8:37AM;Page 213 Asbectos SamPle Ootected Descrlption No Browtt, OrganicallY Bound NON FIBROUS MATERIAL 10070 No Clear' Sofl NON FIBROUS MATERIAL 1OO% No Beig6, Organically Bound' Fibrous CELLULOSE FIBER g07,, NOI'I FIBROUS MATERIAL 70% No Brown, OrganicallY Bound NON FIBROUS MATERIAL 1OO% No Clear, Soft NON FIBROUS MATERIAL 1OO% No Beige, Organically Bound' Fibrous CELLULOSE FIBER 3OiO. ruOru FIBROUS MATERIAL 70% SCH NEID ER LABORATORIES INGORPORATED ,',,.g,i1i,:X;Ull.l$lgl,T'.,i1ff i,','.'.3,111"804-3s-- ' 'e-' rcici tnsgffq"^+7-ii13 1?flr,cAELAP 207E, Nc 5s3 AIHA/ELLAP 1oo527,NVtlP 1011 50'0' NYEL LABORATORY ANALYSI S REPORT etoe-ttos' rientir'*ti* by EPA Method 600/R-93/1 1 6 DATE COLLECTED: 711412005 ;AiERECEIvED: 7t15t2oo5 OAfeaHlLVZeO, 711s12005 olfenEPORTED: 7/15/2005 ACCOUNT: 23s8'0t2084aiEfi;' ECs/wagner Environmenlal lO-OngSS, 371 Wsslsth Avenue Eugene, OR 97401 PO NO.:iiolrcr NAME: Evonne Merrill PROJECT NO.: JoB LOGATION: 1465 30th St' Client Sample No. #1 Samplcl Layer lD ldentilication/ Layer Name SLt SamPle (YeslNo) #2 #3 28577s1',1 FT Layer 1: Floor Tile 100% Non-Asbeetoa Layer 2. Mastic 100% Non'Asbestos Layer 3: Floor Tlle t00% Non-Asbeetoe 28577512 Kitchen Layer 1: Floor Tile 100% Non'Asbestoo uayet 2: Mastic 100% Non-Asbestos Layor 3: Floor Tile {00% Non-Aebestos 28577513 Bedrm Layer 1: Sheel VinYl 100% Non.Asbeetog No Beige, Organically Bound' Fibrous CELLULOSE FIBER 40"7", NON FIBROUS MATERIAL 60% Sent BY: SCHNEIDEB-LABS;I 8043536778 ; (YeslNo) JuI-18'05 8:37AM;Page 3/ 3 Page 2 (Continued) ACCOUNT - WORKORDER: 2358-05'2084 Asbestoe SamPle Detec'ted DescrlPtionsample ldentlficatlon/ Layer Name #4 28577514 Bathrm Layer 1; Sheet vinyl !9^-- white' organicallv Bound' Fibrous lOO% NoN.ASoOSIOS CELLULOSE FIBER 4di;;NOTIBROUS MATERIAL 60% Cllent SamPle No. sLl SamPlel Layer lD Layer 100o/o 2i Mastic Non'Asbestos No Yellow' Soft NON FIBROUS MATERIAL 1OO% No White' Fibrous ' - CELLULOSE FIBER ES'/', NON FIBROUS MATERIAL 159/O #5 28577515 Bedrm Lavet 1: Ceiling Tilo t0'07r Non'Asbettos #6 28577516 Roof tayer 1: Roof . SealanUPaint iobi. Hona"beBlos cELLULoSE iiaote to sep.nate individual layerc' No SilveriBlack, Soft, Bitumin iigen E'/., Nor'r rienous MATERIAL 95% No Btack, Bituminous' Fibrous CELLULOSE iIEEN 45'",,T'ION FIBROUS MATERIAL 55% #7 28577517 Roof Layer '1: Roofing PaPer 100% NonAgbeetos KNi,l^" '.,oXt9:84o\ ra xL'l = L'to . -r6\-r+L- lP K D L4, MELBIt l,lbs 3d D+rvt-tt C CnxAq s( s f,f+ 4r+ e Propo.+3 Line - ?oct<-r pol4_ O Mekr Polz A wqrl-e- nr.;k, W Surlf Cka-t'L O ($.. rRP' n **? \i \ oJ TJ .oo ,qttt\ Jn,-J -t- \ FV 1 I d I 1 t{r 7 J l-q tlJ a_ o g_ rt ItvK i I I vsI ,s( b -9 \ ,-.- Io' gft tr ryrt oft 6. gqlt-*rFY rrV \ ?Cf t9 J! x \o L 00 @ Eu 0r;t f Lose e.uffioofr'-,.l Dw S*reef e nPr*Y I [vJ30 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt Jevelopment Services Department Public Works Department RECEIPT #: 2200s00000000000986 Date: 0712612005 11:43:02AM Job/Journal Number coM200s-0097s coM2005-00975 coM2005-00975 coM2005-00975 Description Demolition Sanitary or Storm Sewer Cap + 7Yo State Surcharge + l0o/o Administrative Fee Amount Due 4s.00 45.00 6.30 9.00 Item Total:til05.30 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check EVONNE E. MERRILL Jmp 1030 In Person Payment Total: $10s.30 -$ro-55,' 7/26/2005 Page I of I 5D