HomeMy WebLinkAboutPermit Demolition 2003-04-02Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00225ISSUED: 0410212003APPLIED: 04102/2003
EXPIRESz 1010212003VALUE: $ 500.00
SITE ADDRESS: 1179 32ND ST
ASSESSOR'SPARCELNO.: 1702303406400
PROJECT DESCRJPTION: Demo MH and sewer cap
Owner: LyMAN WILLIAM L TE
Address: 1179 N 32ND ST SPRINGFIELD OR 97478
Springfield TYPE OF WORK: Site Work OnIy
TYPE OF USE: Demolition Residential
Contractor Type
General
Owner
Contractor
STANTON GREGORY PAYNE
LYMAN WILLIAM L TE
License
27323
Expiration Date
0st09t2004
Phone
541-688-7038
CONTRACTOR INFORMATION
# of Buildings:
Primary Occupancy Group :
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvgrnents:
Storm Sewer Available:
Special Instruction:
Notes:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
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:
Impervious Surface Area:
VN
ts s,N\
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
Description Type of Construction $ Per Sq Ft Square Footage
TION
Pase I of2
Value Date Calculated
I' U I LL'II\ U 11\ I' (JI(.IYIA I T\-,].\ I
)"
N(
Valuation Descriotion I
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
PERMIT NO: COM2003-00225ISSUED: 0410212003
APPLIEDz 0410212003EXPIRES: 1010212003VALUE: $ 500.00
Fee Description
+ l0%o Administrative Fee
+ 7oh State Surcharge
Demolition
Sanitary or Storm Sewer Cap
Total Amount Paid
Amount Paid
Total Value of Project
Date Pai
4t2t03
4t2t03
4t2t03
4t2t03
Receipt Number
2200200000000000674
2200200000000000674
2200200000000000674
2200200000000000674
$9.00
$6.30
$45.00
$4s.00
$105.30
'ees Paid
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.
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.
2 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 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.
/9%4-z ^ aJ
Owner or Contractors Signature
Pase2 of2
Date
Kequrreo Inspecuolls l
4/2/2003
9:50:34AM
City of Springfield
Development Services Department
Public Works Department
Official Receipt
225 Fifth Street
Springfield, Oregon 97 477
54L-726-3759 Phone
Receipt #z 22002000000000 0067 4
Date: 0410212003
Line Items:
Job/Journal Number Description Amount Paid
coM2003-00225
coM2003-0022s
coM2003-00225
coM2003-00225
Demolition
Sanitary or Storm Sewer Cap
+ 7Yo State Surcharge
+ lUYo Administrative Fee
Payments:
45.00
45.00
6.30
9.00
Line ltem Total:$105.30
Type ofPayment Paid By Received By CheckNumber Confirm No How Received Amount Paid
Cash WILLIAM LYMAN djb
Total:$10s.30
In Person 105.30 I
Page I of I cReceipt.rpt
,':r.SPFIINGFIELE,
DEVELO P M ENT SERV I C ES D EPARTMENT 225 FIFTH SI"BEET
SPRINGFIELD, OR 97477
(s41) 726-3753
FAX (541) 726-3689t
Address ll-7 1 32*S
Structure to be Demolished:il*,,qr^{il"vryl{
Job Numb er; COwtZo o 3 -- O O ZZi
The applicant is hereby notified that any redevelopment of the subject site must comply
with all of the applicable laws, codes, ordinances, policies 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 developmenl Exarnples
of such corrections may include modification of inadequate drainage facilities;
compliance with building set-backs from properfy lines; correction of substandard
sidewalls and steet impiovements, including driveway width and placement; and other
corrections which may be trecessary to comply with existing development standards.
Furthermore, if an existing use is demolished or otherwise removed prior to the
development of the proposed use, ttren the system development charge credit for the
prwiously 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 the above conditions
relating to the demolition of the
$4-z-c3
Signature Date
Page I of I
I :\WORDFILE\PERMITS\Demosdc.doc
OREGO'I'.CTTV OF
SPFrINGFTELO
DE]/ELOPMENTSEFY'CES
PUBUC l,VlOEr(S
M ETR O PO LITA N WAST EWATER M AN AG E M ENT
If you rtould prefer to 'lete thicompngiCity w ith the followi nfo
el evati on, a floor plan with
measurements.
Thank you for
I grant the C
a 0nta
Date:4-2-o3
ck and white pho
vide theof each
and a set of elevation drawings with
225 FIFTH STREET
SP8/NGF/ErD, OR97477
(tus)726-s7s3
your demolition permit is currently be_ing..processed. There.may..be a slight
iiiiy,-oi up to i working days for-small ltructures, due to.the time. required
to'r6,iiew ttie history of [he itructure to determine if it needs to be documented
ilflri airotltion. -Thls documentation is for arch'iva'l purposes only and-will
nii-iffJci the grinting of the demolition permi.t. If the structure is-very large
i.-.rirpiilated -ifre aoclmentation process
.may take u.p- to a .maximum of 4 working
aiys. ' Documeniation will consist of photographing. the p_u_i'l.ding'. taking
meisurements and making scaled drawings. The documentation will be undertaken
iii-it. Ciiy at no cost-to you. Oocumentation is being.{on.^.on aII structures
iitej prioi to 1940 that mai have historic importance to the City's development.
., T,HIS DOCUI'IE}{rATION T{ILL NOT II'IPEDE THE DEHOLITION PROCESS.
DEMOLITION PERMIT APPLICATIONS
An ag e cut-off of 194 0 was chosen because this is the date that the Nationa'l
Parks Service and the Springfield Devel t Code use to determine potentia'l
hi storical significance.
ation yourse'lf you must pro
tographs
,
ssion to enter my property to complete
demo'lition of the structure located at
C_O7v^Zr5O3 -
Property .owner signature:flr.y'' / ,/7..
J
$
ililffiffiHil
lllil llllI lllllI llEl.lHlrElillHilHHB$ttHBilflllsssllH ilqcH t#HEqgq ll il llll il il il 1il il
BID PROPOSAL
PREDEMOLITION ASBESTOS ABATEMENT AT 1179 N. 32ND SPRINGFIELD, OB
February 7, 2003
b
First of all, thank you for the opportunity to bid your project.
ATEZ, lnc. is prepared to properly remove and dispose of the metal roof from your mobile
home at'1179 North 32nd, Springfield for a total amount of $1,386.00, as a non-friable
proiect.
All asbestos removal will be completed by Oregon Certified Asbestos Abatement Workers,
under the'direction of an Oregon Certified Supervisor, and will be in compliance with all
Federal and State regulations applicable to asbestos abatement'
This bid will be honored for thirty days from date this proposal was written.
GENERAL EXCLUSIONS:1. Overtime, week-end or shift work
GENERAL CONDITIONS OF THE BID:
1. Delays or condensed scheduling caused by others will result in additional costs to the
General Contractor/Owner.
2. Liability lnsurance limits of $5,000,000/$5,000,000.3. Temporary ventilation, lights, power and water are to be provided within reasonable
distance from the work by others at no cost to ATEZ, lnc.
4. Billing is due net thirty days, a 1t/z7o per month interest will be charged on any
unpaid balances.
The DEQ requires 5 days notice prior to any non-friable asbestos abatement. The DEQ will
allow less time for notice if your proiect is considered an emergency. The DEQ charges an
extr4 50% fep increase in such case$.
lf lcan be of any further assistance, please do not hesitate to call.
Sincerely,
{t'v
v
I
Robert R. Kinyon
President
Mr. William Lyman
1 1 79 North 32nd
Springf ield, OR 97477
PRE_DEMOLITION ASBESTOS SAMPLING
THIS IS NOT AN AHERA SUBVEY
February 7,2003
On January 30, 2003, AHERA lnspector Robert R. Kinyon, Certificate No. 02-
11-46, inspected the mobile home at 1179 North 32nd, Springfield, for Mr.
William Lyman.
The only materials inside the mobile home that I found suspect for asbestos
were the sheetvinyl floor covering (Sample BA01W1013003) and the ceiling
board (Sample BA02W1013003) which both tested no asbestos detected
(NAD).
The only supect material I found on the exterior of the mobile home was the
roof sealant (Sample 8A03W1013003) which tested positive for asbestos
(20o/o Chrysotile)
See attached report f rom Environmental Hazards Services titled "Bulk
Asbestos Sample Analysis Summary".
This last material must be removed by an asbestos contractor, handled and
disposed of in compliance with many Lane Regional Air Pollution Authorities
(L.R.A.P.A.) and Oregon O.S.H.A. regulations. I recommend you contact these
agencies and satisfy yourself as to what the regulations are'
This is not an AHERA Survey. lt is a good faith type survey. There is always
the possibility that during demoliton suspect material may be uncovered that
this inspector did not find.
lf suspect material is uncovered, work must stop and the material must be
tested for asbestos.
Attached please find a bid from ATEZ, lnc. for removal and proper disposal
of the roof,
lf I can be of any further assistance pl ease do not hesitate to call 995-6008
R. Ki
lY<
ATEZ, lnc.
RRK/ad
Attach.
nyon,As ding pector Cert. 02-1 1 -46
,/
e
iiLE No.438 02t05 '03 16:3r ID:FAX
ENVIRONM ENTAL HA,,ARDS SERV]CE$
80+275-47EE FN( 80+2754e07
BULK AS,B-ESTqS SATIPtE ANALYSIS SUMIUARY
POGE lt ::
,CLIENT:
CLTENT NUIIEER:
EHS PRGIECT #:
PROJECT:
ATEZ,Inc-
P.O. Bor 126
Harrisbrug, OR 97446
$&1287 A
02.03-0215
03020?; William LYman
L..L,C,
DATE 0F RECEIPT: 04 FI]B t]00S
DATE OF AN.ILYSIS: 05 F]TB ?OO3
DATE OF IIEPORT; 05 F;i]B 2OO3
0I
0z
03
8A01wL018003/
Orange/Dark Brown Vinyl'Like; Green/
Pale Beige Fib.
NAD
NAD
L&orqtory Dirccnr
Qtntity Aa s ur an ce C oor di nai o r
80% Cellubse
1570 }Iai:r
55% Nor'I'ibrou:
90?6 Oellulost:
10% Non-Fibrousi
3% CeU'.riose
??9'o l'{orr-Itibrc,u s
QC SAIJIPLE:
QC BLANK:
REPORTING LIMIT:
METHOD:
AI{ALYST:
Rovievred BY Authorized Slgnatory:
BA02WL0r3003/
Tas Fib.; Off-White Brittle
BA0SWL013003/
LishtiDark Gray Pliable; Silver Brittle
20% ChrYsotile *
2096 Total Asbestos
* Present tbroughout saurPle.
Ml.1998-4
SRM 1866 Fiberglass
Polarized Light Mio'oscopy, EPA Method 6001R'93/1I6 "
Mark Case
HotwrdVuw\
IrmaFu*wshi,
Daaid Xu, MS, *niar Chcmiat
FerE JianE, MS, Senior Geologist
Uinaet,S,. Uueltar, Qwlitv Atsurlnce MotWer
-PAGE01 of02-
EHS CLIENT SAITPLE #/ 7C ASBE$IOS OTHER I[ATHFU,(\'; i
-#c.
FILE No.438 02t05 '03 16:35 'D FAX FPGE "1,' 1
ENVIRoNMENTALHAZARDSSERVIGES,L.L.c.
CLIENT NUMBER:
EiHS PROJEGT #:
PROJEGT:
3&rlE? A
02.03-0215
030207;WiIIiam LYman
ttesurts repressnt tha anatysis of sampros submitted by he dient. .s.qqp- bcatir:n, description, area, volurne' etc" vy,s-p*r'dNl by
the dient. ThB report ,annot oe used uy trq ureflto bin pmorct unob",J#nioJi{i*t or anv agencv of tlre u'{i' G,.rv:rt;t'rtt:r"i
This remrt shalr not oe reproduceo €xcept in fuil, wifrout ti..,e rrritt* -*""t "i
-Environtnenal Hezirds
-servir:et; L'L'c' (';aiircr:r;il
cerrifidrbn #2319 Ny {;nc #11714. AI ilb;;tun conceming **pilinio*t"i,' ort ' and time can ire fr}urc c'rr'l)hirirt't:'r-
r)usbdy. Envionmentat rr#lt'bl*f""", UL.C. Ooes not per'form any sample collection'
Envrronmentar Hazard. services, L.L.c. recommends reanarysis ?y point count {for mor', acc,rate quantifrr:a1io') c'r -i'nrr:t:Tistir:t
=r€cron
Microsmpy flEilj, for lnhanced d"Edril;p;6iriilrl mi'r"r#il';i;i"t"d:y rhg EpA, NEsr-u\p (t{ati?nat '::';ris':ii:t
StandardsforHazardous]fi,'ihi.iiJGjanorunj'tE;ta,nb;"trranten}ercl-nr(<10%)asbestosbypolarizadlightmi:."cS,i:J!..:/
iPiM): B"tr seMces are available for an additionalfee'
* All California samples analyzed by Polarized Light Microscopy, EPA M€tlod 600/l#'82'0i10' Dec' 1982'
LEGEND MD = no agbestos detested
plm1.dov07 - PAGE 02 ol02 - E0{D oF REPORT -
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Client Accaunt#: 3B-1287 A'
Phone#: (541)995$0OB
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Asbestos Lead Other Motals
lsoccifu nretals belowl
lndoor
Air Quality
Padiculate: Tolal Nulsenco {NIOSH 0500}
Gespl,-abl6 (NlOSll 0G00)
fIE
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Number
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Area(cm2)
Comrnents
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Do wipe sarnples submitted meet ASTM 81792 requirements? Yes No
Released by:Signature.Date/Time
Date/TimeReceived by:Signature:4, ,
Signalrrre:1 I \N,r l\ n DateiTimeReleased by r )<-, IReceivecl by Siqnature.l I iur t A----te/Time \
---. -:--^.a 'tranna|-v|)t:t, at/tlr,a
FUUi tsr.
Gertificate of Completion
has euccsssfuly mmpbted ho rcquislto kelnlng lor
acfirdlhton under TSCA Tlth tt
EPA NIERA (A8bcBlo6 Hazard Emergercy Rcrpnr Ad),
ud ASHARA Model Accrcdltillon Prcgnm rcquircrnrntr for
AHERA INIPECTOR R,EFR.EE{ ER
aD Hetent€d by
Chylon Oroup Sclior, lru
clarlfi]GBpscrrk r. lns. 1$00N!lnlg.sultr4.l0,Porurnd,or.€on 97232 {c71)2r4nm +ix(c7t)214-120e
Robert R, Kinyon
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Cowre Dale: 0|f,21lg,t
C6nl'lcdiql # 0ati{5
Ceilllorb ErCndon Dctr: g1l1/et
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