HomeMy WebLinkAboutPermit Demolition 2003-6-27
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CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2003-00556
ISSUED: 06/27/2003
APPLIED: 06/27/2003
EXPIRES: 12/27/2003
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line.
SITE ADDRESS: 355 S 43RD ST
ASSESSOR'S PARCEL NO,: 1702323403800
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
Demolition
Residential
PROJECT DESCRIPTION: Demolish residential structure
Owner: NEDCO
Address: 775 MONROE EUGENE OR 97402
Phone Number: 541-345-7106
I CONTRACTOR INFORMATION I
Contractor Type
General
Owner
Contractor
STANTON GREGORY PAYNE
NEDCO
License
. 27323
Expiration Date
05/09/2004
Phone
541-688-7038
541-345-71 06
I BUILDING INFORMATION I
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
SETBACKS
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: .
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
D.ownspouts/Drains:
Notes:
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED fOR
ANY 180 DAY PERIOD.
,.\, \ b:l\J i IUN.uregon law requires you.~o
f~llow rules adopted by the Oregon Utility.
i\Jotification Center. Those rules are set fort,
11 OAR 952-001-0010 through OAR 952-001
0090. You may obtain copies of the rules b}
calling the center. (Note: the te\~~ho~e
nurnbe"r for the Oregon Utility Notification
C0nter i~, '1-800-332-2344).
Pa2e 1 of2
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CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2003-00556
ISSUED: 06/27/2003
APPLIED: 06/27/2003
EXPIRES: 12/27/2003
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
LFees Paid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Demolition
Sanitary or Storm Sewer Cap
Amount Paid Date Paid Receipt Number
$9.00 6/27/03 1200200000000001660
$6,30 6/27/03 1200200000000001660
$45.00 6/27/03 1200200000000001660
$45.00 6/27/03 1200200000000001660
Total Amount Paid
$105.30
I Plan Reviews I
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.
L Reouired Insoections I
1 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.
o~contr ctors~
c. -a?.- IJ ?
Date
Pal!:e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00556
COM2003-00556
COM2003-00556
COM2003-00556
Payments:
Type of Payment
Check
Reccipt#: 1200200000000001660
Description
Demolition
Sanitary or Storm Sewer Cap
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
GREG PAYNE
Received By
llh
Check Number
Batch Number Authorization Number
42498
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 06/27/2003 2:12:48PM
Amount Paid
Item Total:
45.00
45.00
6.30
9.00
$105.30
How Received
In Person
Payment Total:
Amount Paid
$105.30
$105.30
Jun-23~03 lO:03A NEq~O
. F'ROf'1 : S GREG PAYNE COt6~,';r 'rm.i
1
PHm~E NO. 541 689 6861
P.03
JI..I"', 21 201]3 11; 52At1 P2
.. (:t. ~ 5!1;.1. ~ .
DEVEJ..OPMENT SERVIces
PtlBUC WOAKS
METROPOLITAN WASTEWATER MAHAGEMENT
225 FIFT1-i'STRcET
SPRINGFIELD. OR 97477
($03) i76.J~
QrHOlITION PERMIT APPLICATIO~S
. Your demolition permit is currently beins .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 af the structure to determine if it needs to bl documented
before demolition. ThiS documentation is for archival purposes only and will
not affect. tne granting of the'demol itian permit. If the structure is very l~;..ge'
or complicated the documentation process. m'Y take up to a maximum of 4 working
days. Oocumentation will consist of photograph;ng the .building, taking
measurements ~nd making scaled drawtngs. The documentatton w111 be undertaken
by the ti'ty at no cost to yotl. DoclJment,a~.ion is being done on a11 structures
dated prior to 1940 that may have hi.st,or;fc .'importance to j the City's development..
. , . J' \\.1' f .. .
" TtuS DOCtJllENTATIOri Wlf..L NOT IMPEOE THE ElEMOtITIOH' PROCESS,
. . . .r"..,/
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 potentia1
historical s1gnificarr.ce. .
If you wOIJld prefer to completa this documentation YOUl'SQ1f you Illust provide the
City w1U the fo11o\o/109 1nfonnation: 1) black and white photographs of each
e1lvation, a floor Jllan with measurements, and I sat of .levation drawings with
measurements.
Thank you fc~ your patienee.
I grant the City of Springfh1d permission. to enter my property to compl ete
documenhticnprior to the reQuested. demoHtlon of the structure located at
~.
p,..p.tty....n.' 1'9n"0"": ~t./l~ .
Datet _ C:, I~~ IC3 ~ /. IJ h~ A
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Jun-23703 lO:02A NE~)O
"FROM : S GREG PHyt~E '=mJSTFi~"'''.'ij ON
1
PHOt~E NO. 541 689 6861
P.02
Ju.r' 212003 11:S1Ht1 Pi
J~.'
. I., "
OEV!LOPMENT SE~VICES DEPARTMENT
225 FifT,Y 5 TnEEi
5PR!NG~IELO. OR 97477
(541) 726..3r5::
FAX (547) 725-3689
.'
Struc.ture to be Demolished:
4~
~ tA. S e...
Addres!: -.3.s-S S.
Job Number:
. 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 substaDdard C<lnditiooS associated \Vim the 'present development. Examples
of such corrections Inay include modification of'inadequate drainage facilities;
compliance with building 5et-backs from property lines; corr~tion of substaDdard .
sideWalks and street improvements. includiag driveway width and placement; md other
corrections which. may be nw:ssary to comply with eKisring development standards.
Furthermore, if en existing use is demoliShed or o~~~i~I;nove~ prior to. the
development of the proposed use. then the system dcvc;ropmei1t ch3.rge credit for the
previocilyexisting use shall expire two ye?JTS.~ the date of issuance of the demoiition
penmt or other removal of the previously'exiSting use.' (Spiingfield Municipal Code
3.416(1)).
My Slgtlature below indicates that I have read and understand the above conditions
relating to thedemolitioIl of the above mentioned stlUcwre.
~~.
~.~
.. SiiIl.ature (j ... .
i1~ fx~
~W
~ /;2~ /03
, Date' I
po.,.it- Fax NI)te 7671 Da'~-~,.t.c;>3 Its8~s".:;J-
tO~d~ ~lcC(;o F~~/.f' .~
C<l.IOePI. J . Co.V .
Ptrone '\ '11/ :!J- r?'/~ ""Me · ~ RI( 7 aJ ~
I'b' ~'?r.r~!P59<t FQJii r-?fr9 ~?~/
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BULK SAMPLE ANALYSIS
FOR
355 43RD ST.
SPRINGFIELD, OREGON
ATEZ, INC.
23525 HIGHWAY 99 EAST
HARRISBURG, OR 97446
PHONE: (541) 995-6008 FAX: (541) 996-1015
E.MAIL: atezinc@aol.com
CCB# 64090
~~
~~~~
@Q)Q) tD@lJtlQ) ~H32lf
~I~LJB)D @lID
SAMPLE NO.
MATERIAL LOCATION
BA01 NC041403 Top layer of roofing south east corner east
3 tab roofing/Black side
with green & white
(Black tar-like)
BA02NC041403 Under BA01 south east corner east side
3 tab roofing/Black
with red (Black tar-
like)
BA03NC041403 Center entrance from dining room
Linoleum/Tan
(Gray linoleum;
Black fib.)
BA04NC041403 Center of living room
Plaster/White painted
green (Gray gran.)
BA05NC041403 North east bedroom ceiling center
Ceiling texture/White
painted blue (Off-
white powder:Blue
paint chips,)
BA06NC041403 West side window north entry door top of
Window caulking/ window
White (Gray powder)
% of ASBESTOS
No Asbestos Detected
No Asbestos Detected
No Asbestos Detected
No Asbestos Detected
No Asbestos Detected
No Asbestos Detected
Fi~E No.o23 04/21 '03 09:41 'D:EHS
FAX: Sf' 1379:L8
P~lGE 1/ 3
_ ..... ,~ . _ _, ___ . ......"':.JD:lI.....
ENVIRONMENTAL HAZARDS SERVICIES, IL.L..C"
14tsY' VWHII!; il-'11'tR: kUALJ -KIl:t\MUNU,'VA 2:fJ:a'l ,-,_.-.".
804..275-4788 FAX 804.275-4907
BULK ASBESTOS SAMPLE ANAL YS\S SUlVlIIAAR'V
- .. - ,.---.
CliENT:
ATE Z, Inc.
P,Q. BoJ( 126
Harrisburg, OR 97446
DAn: OF Fl::gGEKPT: 16 i.~d;l'n, :~~003
DATE ()f A~I.Iu.Yms: 1'9 AP'I,"i~O()3
DArfi~ Of REPO~~T: 19 }'\F']::: ilO03
CLIENT NUMBER:
EHS PROJIECT #:
PROJECT:
38-1287 A
04.03-2165
030419; Westover Realty
EHS CLIENT SAMPLE #I % ASBESTOS
SAMPLE # lABORATORY GRO~S DESCRIPTION
01 BA01NC041403/ NAP
Black Tar-Like
02 BA02NC041408/ NAD
Black ~rar.Like
03 BA08NC041403I NAn
Gray Linoleum.; Black Fib.
04 BA04NC041403/ NAD
Gray Gran.
05 BA05NC041403/ NAD
Off.White Powder; Blue Paint Chips
06 BA06NC041403I NAn
Gray Powder
0'11}lIEH Iw!ilini: IRII~ILS
._._.__H__-..-O..,-..,.....'. ......- -.-----'--
20% (~;-i)Ldoi3e
80% Non- F'i.l:m)Ull
20% CenU1o~ie
80% Nrm-FihtolLs
20~'-b Cflllnloifc'
80% Ne.n- Fibrou$
2% ~;YO'!}lHh::
9b'Yc. :(';{(In.":~'ibromi
wm\:, HOll..:F:ilII'Ollii
100(il. ~r,:m,..fi'ibnm:;
QC SAMPLE:
QC BlANt(:
M2-1998.1
SRM 1866 fiberglass
REPORTING LIMIT:
1 % Asbestos
METHOD:
Polari~ed Light Microscopy, EPA Method 600/R.9~l!llfi.'
ANALYST: Feng Jiang, M.S.
Reviewed By Aulhari..d Signatary: /~ · ~ .-----
Howard Varner, Laboratory Director
Irma Faszewski, Quality A88urallCe (\)~rdintliDr
David Xu, MS. Senior CMmist
Feng Jia,ng, MS, Seni.or Geolo,~t
Michael A. Mueller. Qu,ality A81luranc:e MaIWBl?r
-- PAGE 01 of 02-.
FILE No.623 04/21 '03 09:4'
ID : EHS
FAX:8,r "B7~jt8
IYiGE
ENVIRONMENTAL HAZARDS SERVICES, L.L.C.
CLIENT NUMBER: 38-1287 A
EHS PROJECT #: 04-03-2165
PROJECT: 030419; Westover Realty
Results represent tl'1e analySis of ismples submitted by the client. Sample location. description, al'ea, volume, e1c., "flC)~i pn:l','idl,'.) I;y
the client. This report cannot be used by the cHant to claim product endorsement by NVU~P or any c,guncy G>f Ul'~ 1.1..:; ,:;o\'t:l'!llr,unt.
Thil$ report shall not be reproduced except in fuji, without the written consent of Environmenb;~ Haz.31'<jS ~jlll';i(;I;~;, l..i..c. G,lii'-c.r,'\ia
Certification #2319 NY ELAP #11714. All infol1Tlation concerning sampling IoGation, date. <nill ti:TII~ Celtl till /t)Wld nil Cliel/l.(}f.
Custody. Environmental Hazards Services, L.L.C. does not perlorm any sample collBction.
Environmental Hazards Services, L.L.C. recommends reanalysis by point count {for m,:)re aCC1Jr:'lte QlJantil~:<lli(lll) or TI:ai'l:,l1\is" Dn
Electron Microscopy (TEM}, for enhanced detection capabilities) for materials regulate:1j by thl~ EP'~ NES~lfd) (I~illi':,rli"1 Fll\is:~":Hl
Standards for Hazardous Air Pollutants) and found to contain less than ten per'Cl;:nt (<10%) a~;b-E:5tO.. by ~~)I~lri2il.:1 li~lllL 1lli(:!O~;(:,lpy
(PLM). Both services are available for an additional fee.
· All California samples analyzed by Polartzed Light Microscopy, EPA Mettlod 600JM4-82.i);~O, Dee 19fi~~.
. LEGEND NAD :: no asbestos detected
SCF .. susc~ c8rami~bers
plm 1.dot/07 JAN20021 MR
-- PAGE 02 of 02 :... END OF REPORT -,
ENVIRONMENTAL HAZARDS SERVICES, L.L.C.
7469 Whitepine Road Richmond, Virginia 23237 Phone (804) 275-4788 Fax (804) 275..4907
GH-AIN OF CU$TODY FORM
Company Name:A T E Z, Inc.
Address: P.O. Box 126
City, State, Zip:, Harrisburg, OR 97446
EHS Client Account #: 38-1287 A
Phone # : (541) 995-6008
P.O. #:
Asbestos
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Sample 0... L.. 0 E <( Q)
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Date & >.0 c > W ro
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Time 0 -0... C5 <( 0
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~l.V'r"-'\'IL/()"-">1 v
BACl, A.XI Ni (~0"'") 1 '.'
1Y~nl. X'()~ (.1..(631 v
0<<.1(\,( 1(' 0-i ILiD) 1 /
1
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-,
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Fax#: (541) 995-1015
Lead
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0 0...
c c C
L- m m ct 0
<( 0... 0... 0.. if)
.-
'"" r 11-1
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Other Metals
~ (Soecifv metals below)
ill
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ex) ill 0
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Yes tJ No D
Do wipe samples submitted meet ASTM E1792 requirements?
Released by: Signature:
Received by Signature:
Rei e a sed by: '..'..__,__ _""_____H'____ S i 9 n a t 11 f(:>~_,___
Received by Siqnature:
: r:'.'i~~~d :)/~!nn~l
Date: -<'-1- I~!/ ~o3
ConfuctName:tLoc~
: Sampler Name: (I I? R ./6 M~ / '7 /1 ,
Project #: 0~ C) c...1/ <J /.. j1.JC:h~ A
jJ(7~ r
{,
Indoor Particulate: Total Nuisance (NIOSH 0500)
Air Quality Respirable (NIOSH 0600)
o
o
.0 ill
m 0.
~ ~ m
ill if) I-
(j) ill ill
(j) () ()
m ill m m
Ou't't~
o ::J::J::J
Q)if)if)if)Q)
Air Volume (L)
OR
Wipe Area (ft2)
OR
Scrape
Area(cm2)
3 f-a1, Rou~(L?5
-3 -k'-'" Y2<:;(,{:.....-:::>
S l6...-G-(~, ~ \ t..{.\ S.. ~ "
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Comments
LI n () / r::: i.~-''71 _ -r;. ~:YJ _. . ~
...--. . I . L.:...Yy-." ~ e'~p"\...-":-< .
, 1..,.' i..:i:L' _--=-<?- . ~'~A'
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u
I I I
I II
I I I
Date/Time
n....___ "______
Date/Time
Date/Time:
Onle/Time
355 NORTH 43rd ST.
SPRINGFIELD, OR
(DRAWING NOT TO SCALE)
,(
NORTfJ
~Ol
STORAGE OPEN PORCH . A02 LAUNDRY.
--
1 J
BEDROOM BATHROOM DINING KITCHEN
BA05 /:BAo 3
I ~'
~-...... ~ ,
'" -('
y /
V
BEDROOM
BEDROOM FRONT ROOM (CONVERTED
GARAGE) -"
BA04
r ~.
'BA06
OPEN PORCH
STREET
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