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Home My WebLink AboutPermit Demolition 2005-6-14 Status Issued . . .- CITY OF SPRINtiJ:<lJ!,LD Building/Combination Permit PERMIT NO: COM2005-00728 ISSUED: 06/14/2005 APPLIED: 06/14/2005 EXPIRES: 12/14/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~ SITE ADDRESS: 3214 MAIN ST 'ASSESSOR'S PARCEL NO.: 1702313104700 Springfield TYPE OF WORK: Site Work Only PROJECT DESCRIPTION: Demolition of block building and shed TYPE OF USE: Demolition Commercial Owner: LES SCHWAB TIRE CTRS OF OR Address: PO BOX 667 PRINEVILLE OR 97754 Contractor Type General Plumbing , CONTRACTOR INFORMATION , Contractor STANTON GREGORY PAYNE STANTON GREGORY PAYNE License 27323 27323 BUILDING INFORMATION' # of Units: # of Stories: Primary Occupancy Group: Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction,Type!';::' Water Type: Secondary constructi~~tyWtRMI1 SHALL EXPIF,-!a"g~ifypeiORK # of Bedrooms: 1vHORIZED UNDER 1HIS f~~5~lf~t!',~O.1 , AU SprmkIedrBulldmg: nla ('m^~^~~Ir."n OR IS ABANuvl~cu I UI\ ANY 1BO DAY PERIPOEVELOPMENTINFORMATION . Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: ATTENTION: OreQon law requires' you to , follow rules ,.hiilclE{~PIidv~'MENT~ ' Notification Co, ,. - - - u .,,'., 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 Notification Center is 1-800-332-2344). Expiration Date 05/09/2006 05/09/2006 Phone 541-688-7038 541-688-7038 Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: DownspoutslDrains: Pal!e 1 00 . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descrintion , Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe of Construction Total Value of Project Fpp<, p"W 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 Total Amount Paid $105.30 I Plan Reviews I 6/14/05 6/14/05 6/14/05 6/14/05 . La't' OF ~rKJl'\ju1'lJ<.,LD ' Building/Combination Permit PERMIT NO: COM2005-00728 ISSUED: 06/14/2005 APPLIED: 06/14/2005 EXPIRES: 12/14/2005 VALUE: Value Date Calculated Receipt Number 3200500000000000346 3200500000000000346 3200500000000000346 3200500000000000346 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 aU debris Is removed from the site. Septic Tank Pumped: After septic tank has been pumped and filled. Please provide the Inspector with receipt and verification from company performing pump and fill. Sanitary Sewer Cap: Capped within five (5) feet of the property line and capped with an approved material as required by the code. Pal!e 2 00 . . CITY OF ~nUl~hl'l.I!.LD Building/Combination Permit PERMIT NO: COM2005-00728 ISSUED: 06/14/2005 APPLIED: 06/14/2005 EXPIRES: 12/14/2005 VALUE: Status Issued 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 he 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 ohny 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 sile at all times d~struction. ~ ". t. "'19~ 0 5" ....u" coo;;;:. ~ .. - ..... Pal!e 3 00 . ~, City of Springfield Official Receipt .velopment Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone J~b/Journal Number COM2005-00728 COM2005-00728 COM2005-00728 COM2005-00728 Payments: Type of Payment Check o ., . v - ., , 6/14/2005 RECEIPT #: 3200500000000000346 Date: 06/14/2005 Description Demolition Sanitary or Storm Sewer Cap + 7% State Surcharge + 10% Administrative Fee Paid By GREGPAYNETRUCKlNG Item Total: Check Number Authorization Received By Batch Number Number How Received djb 45137 In Person Payment Total: PaRe 1 ofl 2:53:52PM Amount Due 45.00 45.00 6.30 9.00 $105.30 Amount Paid $105.30 $105.30 JUN 07,2005 03:40P . 5416896861 . page 2 CITY OF SPRINGFIELD, OREGON OP"""'GrICLO 225 FIFTH STREET 0 SI'RlNGFIELD, OR 97477 . 1'":(541)726-3753 0 FAX: (541)726-3689 t(; DEMOLITION PERMIT APPLICATION ,m; Address: '77* ~J\1 ~, StructuretobcDemolished: ~~lJ~ 4. ~~ Job Number: COWl ZOO ~ - c::> 0 7 Z F: . _" The applicant is' herehy notified that any redevelopment of the suhject site must comply with all of the applicable laws, c.odes. ordinances. polices and plans in effed at the time the redevelopment proposal is aeeR-pted as complete for City review. This would include w.. ~~on of subb"tandard conditions associated with the prescnt development Examples of such corrections may include modification ofinadcquate drainage facilities; compliance with building set- backs from property lines; w. .~_tion of subbtandard sidewalks aod street improvement!;, including driveway width and placement; and other corrections whieh may be necessary to comply with existing development standards. Furthermore, if an existing w;e is demolished or OTherwise removed prior to the development of the proposed lL~e, 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 3416(1)). My signature below indicates that I have read and wldcrstand the above conditions relating to the demolition of the above mentioned structure. Jr;f: ~~~_~~_~~,)lM~Y~ tt1;~,-c/~~t ./ ~IJC; '> , SigWdure Dale to ATTENTION: Oregon law requires YOUut'I'ty d b the Oregon II folloW rules adopte Y rules are set forth Notification Center. Those hOAR 952-001- . OAR 952001-0010 throug In - btain copies of the rules by 0090, You ma~e~teT (Note: the telephone calling the h Or~gon Utility Notilication number for t e ) Center is 1_800-332-2344 . t. \NO\'l\\ ?1\'It. W 11-\ ~Ol ~~~~~~~~6 ~:~~\'It.;I-\~~~~~~ ~~\'I fI.\.\II-\O\'lII\G 0\'1 IS fI.'O c,ON\"'~t.~c' fI.'l ?t.\'IIOG. fI.~'l ,\'CGG . JUN 07,2005 03:40P . 5416896861 . page 1 CITY Of SPRINGfiELD, OREGON $PRIN()FIELO 225 FlFTH STREET. SPRINGFIELD, OR 97477 . PH:(S41)726'3753 . FAX: (S41)726'3689 &y, 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 jf it needs to be documented before demolition. This docum~.ntation is for archival purposcs only and will not affect the granting of the demolition permit. If the structure is very large or complic.ated 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 i940 that may have historic importance to the City's development. THIS DOCUMENTATION WILL NOT IMPEDE THE DEMOUTION PROCESS. An age eut-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, aJA41![/llw:!JP.f clCV!!tiolt'dHiwlii~~fW. to measurements. follow rules adopted by the Oregon Utlilt~h Notification Center. Those rules are set 0 Thank you for your patience. 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 NotificatIOn Center is 1_800-332-2344). I grant the City of Springfield permission to enter my property to complete docu!'1entation prior to the requested demolition of the structure located at; Addkss;0/2.l~~L~ 9:=', ,_ .g~r~~~~~~~~~ __ JobNumbel':(Ou.{ZOOS--oc::> 72-8' Date: ~ I'tJr~r:' ~" "'"l' , ;l THlS'PERMIT SHALL EXPIRE IF THnN9R~'-:. AUTHORIZED UNDER THIS PERMIT ISND.: _. I. COMMENCED OR IS ABANDONEDFQR.-~' -,_~ .: ,--'-:.---;:-q ANY 180 DAY PERIOD. . - ' ;:'L,~:1-,T. '-.:;::.:~ L ..': ;; ...-- - -... . - .-.-' ,~._-.- ':.... .1 ,"~ __: ' ,:"1- .......,.. ~. - -'. .- ....-~...... - _. ..; ~__." 0" '. _' ".:- ~ ;.:..;,i-" 0G/09/2005 10:10 1541:.15 . tv '~~ · lDI-OAy At(I) NON-FRIA8LE "'..I. ....CAllON OF INTEHT TO REMOVE OR ENCAPSULATE ASBo,u.> IN LANE COUNTY, OREGON I ' . Lane Regional Air Pollution Author1ty 1010 MaIn Street . Sprtngfleld, O~ 974n (541) 736-1056. FiIlC (541) 726-1~05, toll free (877) 285-7272 ATEZ INC PAGE 03 For LRAPA USe: Project Fee Rec'd $ Check fI .._._~.".._- '-;---- - .._~-- ------ -- , i Type of Abatement Project Ca~ory 8lld REQUIRED Fee " Demolition m Em~'~~'.-J Waiver !Add 50% to required fee) S 'Ii Removal S 37 )5 Non-friable (S-Day Notice) o Encapsulation S 37 (jJ Residential Project (Occupied Resfdence, ~ for DemOlition) o R.... <,~:oo . 5 37 ril <40 Un/80 sq ft (Small Scale, Short Duration) o Maintenance/Repair $ 81 4J;:- 40 linear/80 square feet; :<;. 260 llnear/16O square feet i 0 Other_ 5324 GJ ,,260 llnear/160 sqft; ~ 1,300 linearf800 sqft l' 5406 4l "1,300Unear/800sqft;~2,60011near/1,600sqft $ 703 GJ" 2,600 linearfl,600 sqft; ~ 5,000 Ilnear/3,500 sqft .. Has a survey been $811 dJ" 5,OOliUnear/3,500sqft; ~ 10,llOOllnearf6,OOOsqtl CDIIlpIeted? S 1,298 [j" 10,000 Unear/6,OOO sqft; ~26,OOO linear/16,OOOsqft yesJif No 0 S 2,163 0" 26,000 linearf16,OOO sqft; ~ 260,000 IInearf16O,OOO sqft ! $ 2,704 0" 260000 linearf160000 sqft t ' - ,lfYes By ^ ; , I ~Whom1~ \.v~ -+_ Isthls8reY\sionto8prevlo...notn_.~'.,1 YesOm.N~ ABATEMEHT PRPtJECT IMFORMAllOH. f'l ,','. t. P-",-,)~,,' l~_.:.c.<.:j( '1 5\-x:..;? Site Name_I }11'"'\'"'\"f'U/1 ,} [\ l(~. nf)+"l Cl..-:,.,,....K Phon~ ' I SIteAddress <~\\.I nV'\v'"If~. ,IJ . City~"~" 'A.0.6.lL;,i Location of AsbestoS at the site, J Site CategoZ O~<:hool. 0 resldence 0 colleg\<', 0 i"rtllstrial, .2(commerdal, 0 other Start Date : '-ct! Completion Date; (n':J'~ Hours DI! Site:w. -"fn1 Days on Site: Th I' "!I. lEi.. .. b _...Cy project notification requested: )c{~o, 0 Yes - Discussed WIth: Date: i TYPE OF ASBESTOS MATERIAL : \.;. -- Type a Percent of ASbestos Q..\y~~ .\TC..~'-L \~Yl 0 - [E]stimate or [L]ab.f: QJJantfty of asbestOS in project-=. 5:10.0_ " ., LX.... . , _ [L]inear, [S]quafe or [qubic feet "> L o pipe insula~, 0 tape, 0 cement~tio~ (eg: transi{e), } ~floor tile~& ~O~lng, 0 feltcf.,.. :~' ,. t, o valve packing, 0 mastlc, 0 sheet:vmyl, :.JQ otherj)" > C.t ; '-f .... .....~. \ >t-f')",*_h WORK PRACTICES AHD REMOVAL PROCEDURES ! ' .wet method, 0 dry metllods with air filtering, 0 gloveba!{. 0 cq,ntainment, 0 negatiVe air, ~HEPA vacuum, 0 vacuum truck WIth HEPA ffl.ter, 0 other 'r\,..",.:j- AmblBntair.:... ,,,,tobeperf.,;: )(jes. 0"0 DISPOSAL PROCEDURES o chute to dropbox,' 0 hand-load dropbox, JIltwetted and double ba!lged, 0 other o waste stored on slte in secured container, Ji\waste secured off site at.::)?'~;:)s U, ,,,. ~ ''Iq, c- ~t"Yl~'1'V , ~e removed daily, 0 other! r..l' 0 " . 1__ .';Al SITE ': r~~~~~<B:~OOther_:-- . License No. ~S35 Mailing Address :>~"?,, lJTr.mmv \lQ ~ . City ~._~ !.5tate OR ZIP 97446 Phone IO:;~QQ<;..,;nnA Competent Pmon_~ . . .... _ c; Ku,,~ ~.:h. :-U.\ Celttficat~,No.:- C:~lfPa!ler No. A - ~ PR...o:nll'OWN~ I 0 I 6\O"t'S7 C~<l"t Name 1 q " ,-('~c, .....\ \(1: . Ma1\iI1Jl.Address (..,'-l I... \IJ .1.I.1. rtl-. nLJ <>.... ' \...l, 1 ',' I City .u-."pn.i~. 'State ~ .........~ .11_....... ~ R. "-tl"j'ftf ~...., JUN 09,2005 08:59A ZIPC{'17S';t Phone ~ 1 ~ <..{ 1...- fi;:;lt1(;. ..nra~nf,.}\tion' A~-" INC. 15419951015 page 3 06/09/2005 10:10 154191015 . ATEZ INC PAGE 02 IT) lIH-DAY AND NON.FRlABLE NOTIFICATION OF IHTEHTTO REMOVE OR ENCAPSULATE ASBESTOS IN LANE cqUHTY, OREGON Lane Regional Air pollution Authorlty 1010 Matn Street Sprllllfleld, 01\ 974n (541) 736-1056, Fax: (541) 726'1~05, toll free (8n) 285.7272 (j) Emergency Waiver iAdd 50% to required fee) S S 37 cJ Non-Friable (5-Day Notice) S 37 dJ Residential Project (Occupied Residence;~ot for Demolition) S 37 rn ~ 40 Un/80 sq ft (Small Scale, Short Our:ationJ . S 81 Q > 40 linear/80 square feet; $. 260 line!lr/t60 square feet S 324 ~ > 260 linear/160 sqft; =:. 1,300 linear/800 sqft $406 0 > 1,300linear/8oosqft;.:;.1,600linear/1,6oosqft S 703 Q > 2,600 linear/1.6oo sqft; < 5,000 linear/3,5oo sqft " S 811 Q > 5.000' linear/3,5oo sqft; ; 10,000 linear/6.ooo sqft i S 1,298 0 > 10,000 linear/6.00D sqft; ~26,OOO linear/16,OOOsqft j $ 2,163 Cl > 26,000 linear/16,OOO sqft; 5. 260,000 linear/160,OOO sqft $ 2,704 a ~ 260000 linear 1160000 sqft If Yes By Whom? ... 15 thIs a revlslon to a prevlous notificatlon? Yes 0 No 0 ~ ABATEMENT PROJECT INFoilMA.ii(n,\ : Site Name)....",. '"":l.c .,' f?.oJ .-, . , ,I-, ... ..::; 't"\ j.,,(, Phone SlteAddress '?'.:)Id \"Qa..~~~ f-J,; _ , City S/)',^')0~ V,V Location of Asbestos at the site' . Site Category; 0 school, 0 residence 0 coUegl!" 0 industrfal, )i( commerdal, 0 other StZlrtDate.tB.=k- C--;- Completion Date; t",'i.'-c~' Hours on Site:~ .-"'f- Days on Site: 'l"\"V,,,,, Emergency project notification requested: 0 ~o, 0 Yes - Discussed with: Oate: TYPE OF ASBESTOS MATERIAL . I \ Type Ii Percent of Asbestos '9;j:'1ro ("l~.,. ,,['\:.;rJ Q _ [E)stimate or [L)ab ;:- QlJantity of asbestos in project .,f"Y'; ; 4 [LJinear, [SJquare or (qubic feet .<:', o pipe illS1Jlatlon, 0 tape, 0 cementatio~ (eg: transite), )1(floor tile, 0 roofing, 0 felt, 0 sprayon, o valve pack1ng, 0 mastic, 0 sheet vinyl. : 0 other WORK PRACTICES AND REMOvAL PROCEDURES ~ ~wet method, 0 dry methods with air filteMng, 0 gloveba!l. !tcontainment, )if negative air, ltHEPA vacuum, 0 vacuum truck with HEPA fi\ter. 0 other ' Ambient air monitoring to be performed: )(yes, 0 no DISPOSAL PROCEDURES . I 0 chute to dropbox, 0 hand-load dropbox. ~etted and dOlJble bagged, 0 other I 0 waste stored on site in secured container, .J(waste secured off site at,:;P,",~.'; L\,. \. . CAt;, ~_., 'i,~1ro. 'ij," i ~ste removed dally, 0 other' \ '1 7"v'-r~ i DISPOSAL SITE o Short Mountain, )(coffln Butte. Oothe!:.____ ABATEMENT CONTRAcTOR.-- Contractor Name ATEZ. INC. Matllng Address m?<; """"Wov qq 1:Z..~ City RlIRRTI':RfTl>r- : State Competent Person I>\.r, I ~ C'",^", c..l....r.... PROPERTY OV1MER c . 0 . b' . Name .t;( ,; ,) )----V; 1, {,I y, ; ~i11~dress ;,:, ~,.., I "/1) (/)''Y}I' ",(,,:::.. <f.f".'.AC City f/r'11.~ f III ~, c :State oIL ZIPQ1T7">'('Phone "[1/1- .:///.. --"i:.J...,(~ ; Name (Please Printl~ R. .~ v1' .organization' ATEZ, INC. JUN 09,2005 08:59A 15419951015 II i Type at Abatement I i I I I o Demolition o Removal" o Encapsulation o Renovation o Maintenance/Repair o Other_ .. Has a survey been completed? Yes 0 No 0 For LRAPA Use: Project I. . __.~_ .__.._._~ Fee Rec'd S Check fI - - - Project Cat~ory and REQUIRED Fee I ' ~ ..""' License No. FSC-535 C1R ZIP 97446 Phone (<;411 QQ"-;~R. Certificate No.._ Cell/Pager NoSO / - O(,.,"ttl. S'\O<si.j(I - page 2 6G/69/2665 16:16 15419115 ATEZ INC PAGE 61 . ATEZ"lnc. Environmental Remediation Asl ~~. s/Leadl Mold/Drug Labs CCB #64090 23525 Hwy. 99 E. Harrisburg, OR 97446 PH 541-995-6008 FX 541-995-1015 Email atez@atezlnc.com ~1i~TIFICATE OF COMPLETION Former Beauty Shop and Shed 3214 Main St. Springfield ATEZ, Inc. has successfully completed the asbestos removal of approximately 1,500 square feet of floor tile, built of roofing, and 100 lineal feet of roof patch from 3214 Main St. Springfield and the shop behind it. (see attached LRAPA Notifications) The work was completed on June 7,2005. All work was completed by a certified ....;......,~..... abatement supervisor and certified asbestos abatement workers. The work was completed without incident. All waste is being stored securely off site at 23525 Hwy 99 E, Harrisburg, Oregon until it is transported to COffin Butte landfill for disposal. At that time you will receive an ASN4 form showing the waste was disposed of properly. So Certif"18d ~~ JUN 09,2005 08:58A 15419951015 page 1