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Home My WebLink AboutPermit Demolition 2005-6-14 CITY OF SPRING~lELD ' ," Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00669 ISSUED: 06/14/2005 APPLIED: 06/03/2005 EXPIRES: 12/14/2005 VALUE: SITE ADDRESS: 1888 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1703243401100 Springfield TYPE OF Single Family Residence TYPE OF USE: Demolition PROJECT DESCRIPTION: Demolition of house and septic abandonment> need contractor info Residential Owner: BEA BLAIR Address: 2660 CITY VIEW ST EUGENE OR 97405 Phone Number: 541- I CONTRACTOR INFORMATION' Contractor Type General Plumbing Contractor OWNER GIBSON & MORLEY INC License Expiration Date Phone 61433 10/16/2006 541-935-2302 I BUILDING INFORMATIONI # of Units: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: VN # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 n/a I DEVELOPMENt lJNJ\PRMATION . ~(Q)nC\E'. S\1{\ll 't)(P\R~t ';\1\5 NOi Front yard Setback: i\1\S Pr.RM\I IJNO'tR iH\S Ov~i~x D~t: Side 1 Setback: {\1J1\10R\IED R \S F\BF\N#)~"r\@t Tnfes Side 2 Setback: OMM'tNC'tD 0 D Paved Drive Rqd: Rearyard Setback: C N'< '\ '00 OF\'< P'tR\O. % of Lot Coverage: Solar Setbacks: F\ REQUIRED PARKING Total: Handicapped: Compact: Street Storm Sewer Available: Special Instruction: IPUBLIC IMPROVEMENTS I ATTENTION: Oregon law requires YOUUt'I~Oty d b the Oregon II fo\l~w ~ules adopte Yse rules are set forth Notification Center. Tho hOAR 952-001- . 2 001-0010 throug In OAR 95 - btain copies of the rules by 0090. .You may 0 t (Note: the telephone calling the cen er. Utility Notification number for the Oregon Center is 1_800-332-2344). Sidewalk Type: Downspouts/Drains Notes: 1 of 3 ._....A\N<l.I!EtL.D...~.. ........"... ".1.. ..~...~..'..~ .-.. --'. l ,~. , . "' .___ ,. -.w. '. t Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGJ.11ELD Building/Combination Permit PERMIT NO: COM2005-00669 ISSUED: 06/14/2005 APPLIED: 06/03/2005 EXPIRES: 12/14/2005 VALUE: I Valuation Descriution I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fees Paid I 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 6/14/05 6/14/05 6/14/05 6/14/05 Receipt Number 1200500000000000836 1200500000000000836 1200500000000000836 1200500000000000836 Total Amount $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. 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. 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. 2 of 3 "'......"e'......&N ~WfL. I 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: COM2005-00669 ISSUED: 06/14/2005 APPLIED: 06/03/2005 EXPIRES: 12/14/2005 VALUE: 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 wiD 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 wiD remain on the site , .;tes~d~ri~n:tru~~, fa - / <J -IJ.s- Owner or Contractors Signature Date 3 of 3 225 Fifth Street Springfi~ld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00669 COM2005-00669 COM2005-00669 COM2005-00669 Payments: Type of Payment Check ;i 'I Of 6/14/2005 RECEIPT #: Description Demolition Sanitary or Storm Sewer Cap + 7% State Surcharge + 10% Administrative Fee Paid By HENRY BLAIR HOLDINGS LLC City of Springfield Official Receipt ,,,welopment Services Department Public Works Department 1200500000000000836 Date: 06/14/2005 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1123 In Person Payment Total: 1 of 1 3:27:44PM Amount Due 45.00 45.00 6.30 9.00 $105.30 Amount Paid $105.30 $105.30 .' o. . . . . . . . . , , . .' 0.. 0_ , . . . Construction Contractors Board 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: www.ccb.state.or.us Permit #: Co VV\. ")-DObb9 '188B !-I-~7ck7"/ ElL '~& lLd Address: Issued,by: Date: fc, --If.( -0 r , ' Statement: Information Notice to Property Owners About Construction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the' ConstrucNon Contractors Board to sign the following statement before a building permit can be issued. This statement is required for residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, 'exempt from licensing under ORS 701.010(7), need not submit this statement. This statement will be filed with the permit. Fill in the appropriate blanks and initial bo?,es I and 2, and either box 3A or 3B: H'l. -TIr2. I own, ,reside in, or will resjde in the, completed structure. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. . "li. My generalcontraclor is /'I;,i - ' 'I (Name) (CCB #) , I will 'instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. " OR k 3B. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors Hcensed with the Construction ,Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is ,licensed with the CCB and will immediately notify the office issuing this building permit of the name ofthe. contractor. " I hereby certify that the above information is correct and that I have read. ami do understand the Information Notice to Property Owners about Construction Responsibilities ~n the reverse side of this form. I~i iL~ .. (Signature of permit applicant) ()~ /4; ,2J)D..$- ,'1/ .~ (Date) (White copy to issuing agency permit file, pink copy to applicant.) Property_owner. doc 06-01-04 L >' --' . .. _4" ."'- ..-~' .... .... - r,... . .. "') '- -"~ Actin@ as ':i'bur ,awn General',Contractor? ~.. ~ _,~"r_). ,~. ,~~ , , \' INF6RMATI6ti~OTICE TO PROPERTY OWNERS .' ,:~ ABO~T (~~NSTRUCTION RESPONSIBILITIES -.( '.#.J ";) \ NOTE: This Information Notice to Property Owners about Construction Responsibilities was developed by the Construction Contractors Board in accordance with ORS 701.055(5), passed by the 1989 Oregon Legislature. , , If you are acting as your own contractor to construct a new home or make a substantial improvement to an existing structure, you can prevent many problems by being aware of the following responsibilities and concerns. Employer Responsibilities You will, in most inst.ances, be rul~d to be an "empl~yer" and the contractors you contra9t with will be "employees" if you ~se contractors not licensed with the Construction Contractors Board to do labor in constructing or to assist in the construction Qr improvement of a residential structure. As the employer, you must comply with the following: Oregon's Withholding Tax Law: As an employer, you must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503..378-4988. ....... Unemployment Insurance Tax: As an employer, you are required 'to pay a tax for unemployment insurance purposeS'-...... on the wages of all employees. For more information, can the Oregon Employment Department at 503-947-1488. ".. _. .-- The Oregon Business Identification Number (BIN) is a combined number" fl?I. both Oregon, Withholding arid Unemployment Insurance Tax. To file for a BIN, call 503-945-8091 or www.dor.state.or.us/fonnsnav.html1 for the appropriate forms. ~ '.' '~ Workers' Compensation Insurance: As an employer, you are subject to the Oregon Workers' Compensation Law, and must obt~in workers' compensation insurance for your employees. If you fail to obtain workers' compensation insurance, you could be subject to penalties 'and be liable for all claim costs if one of your employees is injured on the job, For more information, call the Workers' Compensation Division at the Department ,of Consumer and Business Services at 503-947-7815. U.S. Internal Revenue Service: As an employer, you must withhold federitlincome 'tax from employees' wag~,- You will be liable for the tax: payment even if you didn't actually withhold the tax. For a Federal EIN number, call the IRS at 1-800-829-4933 or visittheir web site at www.irs,gov. Other Responsibilities Areas of Concerns Code Compliance: As the pennit holder for this project, you are responsible for resoh:ing any failure to' meet code requirements that be brought to your attention through inspections. Liability and Harnage Insurance: Contact insurance agent to see' if you have adequate insurance coverage for accidents and onllssiOIfS such as falling tools, paint over spray, water damage from pipe punctures, fire or work that must be -to ' .- Time: Make sure you-have sufficient time to supervise your employees.," Expertise: Make sure you have the skills to actGts and finish trades, and to notifY building officials as the contractor, to coordinate the work of rough-in times so they can perform the required inspections. If you have additional questions call the Construction Box 14140, Salem, 97309-5052. (503-378-4621) or ""TIte the agency at PO Property _ ovvner.doc 06-01-04 ( " 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 DEMOLITION PERMIT APPLICATION Address: , '~~ ~ J-+A-rdt"v\.. 1? r-r Jf ~ Structure to be Demolished: /~5. e- Job Number: Co"""" -t:.ooS- - DO b b '1 SPRINGFIELD 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 inclu<ie 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. .-\~ yCJ'E:x:o zO.-\(j);.4 -< ;;, :J: -v ~- ->-~Or1i~ CP r1i ::p ::p . . oz.~~ oOrn- Y:. c;,' 0 .-\ --cCf) -voz::I: r1i::POY' ::P-r1it;:: o Cf) ::P 1 oy.-\~ . c:P::I: ~ y-- zCf)::p o-vr1i Or1i- z::p'1"l r1ig:.-\ o::::\~ '1"l_~ OCf)L ::Pzo o::P .-\r- ~.f}-P iL Ie -o$-o:r/ . ., . 0reg0ft law requires you ~u SIgnature ,h ..omON: eel by the Oregon Utility Date , tonownateS == lhose rules are set fort~ ftOtiftca:..oo1-0010 through OAR 952-001 In OAR obtain copies of the rules by 0090. You may te~ (Note: the telepho~e :::: Or~gon Utility Notification Center is 1_800-332-2344). SPRINGFIELD '>, , 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(54])726-3753 . FAX: (54])726-3689 DEMOLITION'PERMIT APPLICATIONS Your deinolition 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 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 will be 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 c. omplete this d~~ij~~~~ 'JVu1J~je the City with the following information: 1~~gJI:lo~fuBlWRW{P~~~cly, ' elevation, a floor plan with measure~JW~~sn~ ~i!I1ii~c:de<56!i~lw:ith measurements., In OAR 952-001-001 0 through OAR 952-001.;; , , 0090. You may obtain copies of the rules by, Thank you for your patience. catting the center. (Note: the tel~~ho~e number for the Oregon Utility Notification , Center is 1-800-332-2344). , -_.'.'--::"1" I grant the City of Springfield permission to enter my property to complete documentation prior to the ,requested de~o~ion ~f the structure located at: Address: JJ'6~ ~'dJ.-t~ YSA ; ~JL ' " '~l....l 1_'/(./ Ai . Property Owner Signature: '~'fJ, WU -,A ) . ,// Job Number: CoW\zoo ~--oc:::> c,f, ~ Date:!o -3-l):,j NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK ,AUT~ORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. 6-09-205 1 1 : 08AM FRO~A FORYOUREYESONL Y 541 6898649 P.l fpRS INC~ Envtrimmental Services Division \ 154J Highway 99 North ! Eugene, Oregon 9740Z Phil (5~1) 607-97.0 ,,'ax# (541) 461....3044 ! ! i I June 9, 2005 Mr. & Mrs. D Blair 1888 Hayden Bridge Road Springfield OR 97477 Re: Letter of Completion ,j Dear Mr. & Mrs, Blair I i This letter is to inform you that thJ asbestos abatement pro,jeet awarded to CRS Inc. located at 1888 Hayden Bridge Sphngfield, Oregon, has been completed on 06/03/05 as to the "Scope of Work" stated in ~e proposal. Ali'asbestos containing materials have been removed in acCordance to all (Local, State, and Federal Laws. ' , i If you have any questions in regcJds to this project or any other que~1ions, please don't hesitate to call me at (541) 284-2499. See attached air analysis report. ' I ' i I I Sincerely, .: '\.....-f) r):1: 73.rUJ~~ k'/-u-~ Brenda Shearer/Office Manager Environmental Dlvtldon DEQ Lie. ## FSC-688 We D~ It f4As-Best-Os" We Can I I I I i Letter Of Completion CCB ## 147474 . 6-09-205 1 1 : 08AM FR0~~ FORYOUREYESONL Y 541 6898649 P.2 I!l ]I --- . .. . .-..- lI--. --- ~'"-4I , , "ftts ORr 6Hsiness to know JIOIIr 811vinnJmellt '1 G7C: W. 1 "TH Ave; - 5UIT~ A EUGENE, OR 97,402 - USA, P'HDNf';~ 541/6S9-S6'ZO CEt.L: 54'1/9 "2'.'706'3 F'AX::541/:6&9-6$,49 EM AlL: 1Il.l!k@ftlo.et II it r.EI: g;:J -", 1 ell, l~ C CS': 1,9,;:J, - a:3 7 . MAGNUM ENV'IRCN'ME'NTAL, INC. ..-._,~,.~-'.... I: ..---....-- '..... -- . -.----..... Air Analysis Report - Asbestos ClienlCRS Contractor CRS Project Name Bfilir Residence Proiect Address 1888 Hayden Bridge &pringfield, OR 97477 ^!OIO: MeIIlo<1 or AnO/VBI, IN/OSH ?400), S"o~fJod R,,"~ r;JI TCI~I I'lb...l,oo: 1300 roll6ill1l'M1.), Limit Of DlIloCl!on (LOD . 5,5 Ilbllt'lll, llmil 01 Quon\lrlCllltion lLOO . 10,0 fibe..). Samnle 10 Number 1 2 3 4 Sample Location B-Lab Blank AO-WorK Area P 1 ..Jason Ravlin P2-Jason Ravlln Attention' Job Numberl Jeff Johnson Work Being Performed N/A Asbestos Removal Floor Tile Respiratorv Protection N/A % Mask Y. Mask 'h Mask Date Sampled 05/3/2COfJ 06f3l2005 06/312005 oe/3/~005 Sampled by_ RV RV JR JR Pump Number NfA HV2 LV-2 LV-2 Time Started NfA 630 920 950 Time Ended N/A 1150 950 1150 Total Minutes Samoled NfA 200 30 120 Starting Flow Rate N/A 10,0 2,0 2,0 EndinA Flow Rate NfA 10,0 2,0 2,0 ~veraQe Flow Rate N/A 10,0 2,() 2,0 Volume N/A 900 60 240 OatEtAnalfed 06f6f05_ r 06f6lO5 06/6105 06/6105 Fibers/em ,I, N/A I ( 0,007 . _ __ _ 0,06 . 0,054. I\.DbfllV1SUOrle: B-BI8n~ _mOl""'. AP-Aboto"",nIIPnc,1. AD-A_", (Ou"",,I, NAE.N"l:llIhWt Ai, EKllau8\, c_~'8iOn UMII, P-PetllOOel, C-CIOO'SFK;O, NIA Non AnollOODlo, Comments Analyst's Signature t-\o.l Print Name MAL Page ..L oU