HomeMy WebLinkAboutPermit Demolition 2009-4-6
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00456
ISSUED: 04/0612009
APPLIED: 04/0612009
EXPIRES: 10/0612009
VALUE:
SITE ADDRESS: 1599 RAINBOW DR
ASSESSOR'S PARCEL NO.: 1703274201400
Springfield TYPE OF WORK: Site Work Only
TYPE OF USE: Demolition
Residential
PROJECT DESCRIPTION: Demolish house
Owner: JEFFREY VISGER
Address: 1599 RAINBOW
SPRINGFIELD OR 97477
Contractor Type
General
Plumbing
Contractor
OWNER
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Phone Number: 541-741-2653
I CONTRACTOR INFORMA nON I
License
Expiration Date Phone
BUILDING INFORMATION I
# of Stories:
R-3 Height of S!ructure
Type of Heat:
VB Water Type:
. R~~!l50SvV<S1 JS1USO
'(VV8G~~ne [Ra'\!J:SL\1 JOI lSqwnU
UOi]BO!l!lON AI~p',;i:Krrd'.IB~iIlnrig"n 6u!li130 B/a
aUOljdalal all\' ''': _ '''I_'~^ '''III nOk '060
~~~~~fiEY:EL0,~,= =~nw.~RM}(jJi&l:i
L\IJOI18S alB s81nJ ~.1.a;d~~~~~lriJ MOIIOl
AI!l!Jn uo6al~r%Ca~~gS:lO 'NOI1N311'l
01 noA S8l!nl/StreJt Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Cov~rage:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutsrDrain~:
NOTICE: EXPIRE \fl\-\EWORl{
THIS PERM\TSH~~~ THIS PERMIT IS NOT
AUTHORIZED UONR IS ABANDONED FOR
COMMENCED
ANY 180 DAY PERIOD.
Paee 1.0f3
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00456
ISSlJED: 04/06/2009
APPLIED: 04/06/2009
EXPIRES: 10/0612009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I V~I~ati?n Descriqtion ,
Description
Tvpe of Construction
$ Per Sq 1'1
or multiplier
Square Footage
or Bid Amount
Va'ne
Date Calculated
Total Value of Project
I I<pp<, Pgi<l .
, I i l..........
Fee DescriPtion
+ 12% State Surcharge
+ 5% Technology Fee
Demolition
..I Sanitary or Storm Sewer Cap
Amount Paid
Date Paid
Receipt Number
$6.96
$5.80
$58.00
$58.00
4/6/09
4/6/09
4/6/09
4/6/09
1200900000000000237
1200900000000000237
1200900000000000237
1200900000000000237
Total Amount Paid
$128.76
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.
I.. )leouirecUnsnections I (
Demolition: After demolition is complete, sewer is capped or septic is pumped and filled and iuspection is
requested and approved, and all debris is removed from the site.
Sanitary Sewer Cap: Capped withiu five (5) feet of the property line and capped with an approved material as
required by the code.
Paee 2 of 3
_~!:!AIN'Il!'lI~g,
t .
1
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00456
ISSUED: 04/06/2009
APPLIED: 04/06/2009
EXPIRES: 1010612009
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 Divisiou, Building Safety,
I further certify tbat 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.
Ow",'mc~!k~~{.8
A/- C:, - CJ V
Date
Paee 3 of 3
"
J-'
CITY OF SPRINGFIELD, OREGON
SPRINGFIELD ;---'~:-.:. .,
;~. -_/~;\<": ~~.<:,/':_--'
L_'_ \" ."J
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726'3689
'i ',,;
-...'
DEMOLITION PERMIT APPLICATIONS
Your demolition permit is currerttly 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 wilfbe 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.
Address:
I grant the City of Springfield permission to enter. my property to complete
documentation prior to the requested demolition of the structure located at:
is g q 12.t:Jll1bD4) D{'Jv~'/
Property Owner Signature: ~t6 L{j'
Job Number: (Orl1WC y- c>ol.{ ~-b Date:
i/-b :... O't
II
225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
SPRING~I~LD l:_-:"-=:-;-
!I I' ^ /"-.-J
I ;--~~~-_:::,:::-- /,
L:-", .~
. 0
CITY OF SPRINGFIELD, OREGON
DEMOLITION PERMIT APPLICATION
, Address:
OA~(\b~(A) hn0e..-
Structure to be Demolished:" ~ Be.JQ.OO M.I-ki IY\O
JobNumber: '(:OWl zoo_9~OO 'I S:b
15~~
Q1w~~~+)
.
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.
,. , ..... .
,~/; (/\-
Signature uW - U
'-/ - {; - zeo",!
Date
" .-
, ;
City of Springfield
Department of Fire & Life Safety
Fire Operations
Attention: JeffKronser
I JeffVisger have removed all asbestos from 1599 Rainbow Drive detected
by Northwest Hazmat Inc. All asbestos removed was taken to Short Mountain
Landfill and properly disposed of. There is no other asbestos detected on site.
~ _ M (A'
(j)U . 0
JeffVisger
1599 Rainbow Drive
Springfield, OR 97477
HM 541-741-2653
Work 541-746-7616
:
,,..:
,-'
ASN-4
Asbestos Waste Shipment Report Form
Lane Regional
Air Pollution
Authority
If you have questions about this form, contact:
Lane Regional Air Pollution Authority
(541) 736-1056, toll free (877) 285-7272
Fax (541) 726-1930, e-maillrapa@lrapa,org
Short Mountain'LandfiU
(541) 726-3047
WASTE GENERATOR: (Person or company doing actual removal)...,.... rr l) , .
1. Siteowner'sname&a~~~~ Je-I'r J!?Cler
J,'5YCf 52.~J' 1 t),.ik.u, ,\~-h~/d oj/v
Street rr- ,,\ ' cuy U
Contact Person: ,:-'\Pt+- L/l~r- Date:
2, Operator's name & addr.ess: ~p{4: tA~ei "
Isc,Cf f&:.'''I~~d~' -5frM",,-hek- [J?
Street , City V
3,
4,
5,
6,
WILl, ')
Zip
'-/)l!') )
Zip
Waste Disposal site: Short Mountain Landfill
84777 Dillard Access Road.
Street
Eugene, OR 97405
City State Zip
of' Verr(\iwl/Ie- InsuJA-hDn
Type f;J In;/! flu...J,C- Wf'lJl/-eO-
Description of materials:
L ir>,oJ eJ} /Y)
:J-
J
Containers:
Number
7, Special handling instructions & additional information:
Total quantity (cubic yards):
Operator's Certification: I hereby declare that the contents of this consignment are fully and accurately described above
by proper shipping name and are classified, packed, marked and labeled, and are in all respects in proper condition for
transport by highway according to government regulations; all movement of asbestOS-containing material shall be
recorded on a Waste Shipment Record, j
NAME&COMPANY~Pri T e)'. ' ;-'pJ:-.c- (JJ.~CAe r
SIGNATURE: ' 'f("1 ' ,0
Phonennmber \, U_..5'-11-7'1 J- 2JnS 1
TRANSPORTER(S):
DISPOSAL: (Certification of receipt of asbestos materials covered by this manifest; except as noted in Item 12 below)
W -"T,",,,,,"SAL SITE, r:;; t "IE:/ L,t~~rr I
Name & Title (Please Print): j ~ r-A.A f<'<rn,
Stgnature: r<. --::!>. IOn. J...A ^ ~ I'!(; j , _l\:>. _
9,
10.
II.
8,
Date:
(,.,-J7-nPl
TRANSPORTER #] (ACknowle7len~reC,ei~t nflllaterials)
COmpanYNam~f;J(;)'fP, U.1.&..f1P--
SIgnature: ~r
TRANSPORTER #2 (Acknowledgme~~ceipt of material;)
Company Name:
Signature:
Agent Name:
Date: {.. - J '7 - ?. (;{J PI
, Agent Name:
Date:
Date:
/
v._ J?_ 0)<
12, DISCREPANCY SPACE (Add attachments as needed):
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00456
COM2009-00456
COM2009-00456
COM2009-00456
Payments:
Type of Payment
Check
cReceiotl
RECEIPT #:
Description
DerilOlition
Sanitary or Storm Sewer Cap
+ 5% Technology Fee
+ 12% State Surcharge
raid By
JEFF VlSGER
City of Springfield' Official Receipt
Dcvelopment Services Department
Public Works Department'
1200900000000000237
Date: 04/06/2009
'Item Total:
Check N umber Authorization
Received By Batch Number Number How Received
djb
6707
In Person
Payment Total:
Page 1 of 1
2:34:50PM
Amount Due
58,00
58,00
5,80
6,96
$128,76
Amount Paid
$128,76
$128.76
4/6/2009