HomeMy WebLinkAboutPermit Demolition 2003-8-25 (2)
.
. CITY OF ~rK11~GFIELD
Building/Combination Permit
PERMIT NO: COM2003-00820
ISSUED: 08/25/2003
APPLIED: 08/25/2003
EXPIRES: 02/25/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
S41-726-3769 Inspection Line
SITE ADDRESS: 3113 GAME FARM RD
ASSESSOR'S PARCEL NO.: 1703220001400
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
Demolition
Residential
PROJECT DESCRIPTION: Demolition
Owner: PEACEHEAL TH
Address: 722 COUNTRY CLUB RD EUGENE OR 97401
I CONTRACTOR INFORMATION'
Contractor Type
General
Plumbing
Contractor
STANTON GREGORY PAYNE
STANTON GREGORY PAYNE
License
27323
27323
Expiration Date
05/09/2004
05/09/2004
Phone
541-688-7038
541-688-7038
BUILDING INFORMATION I
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
U-I
VN
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Impervious Surface Area:
SETBACKS
, DEVELOPMENT INFORMATION'
REQUIRED PARKING
Overlay Dist:
# street Trees Rqd:
\\" ~ .
<. iliivedj>nve Rqd:
,\'Y:-" S ~
~ ~ ~o/.;'Of~ot Coverage:
,~~ ~~~,y'Y ~\), \0
,,-,,,\..';:~ ,\'0\i'P.UBLIC IMPROVEMENTS I o.\ll~es ~0\IX'\'l--"
Go' ~ S" 'Ny . ",'<> ,<I,'Il ~e eQ,O'\l \\0"
Street Improvemen~:~"~~ '0~ 0.. {:> 'N' Sidewalk:Type:'l\e o~ ~~e Se 00
_..~"'X0,.,~<:::i ~,. ~\) ~',O~":'~c\'O'l" ...,WS 091::;2: \
Storm Sewer AV8J~b~'5 'N~'" <;,,~<:::i 'X~~ ~\\~Do't,~pouts~!:alDs:"\I Of'.'P ~\lWS
Special Instruction::<' ~'\~ ~~~ <:::i~ p:f\'C: ~\lWS a: '\IW~,\I \'l\~0\1~ 0\ \'l\e "\IO'\le
~('I;J~ ,,-<o\l \0\\~'Il ~\10'\l c~,\ .oo'\~ '\I Co~I~~'l\e \eW'~~lc~\IO'\l
Notes: '\J ~ \I\IC 9<::>?'-'0 O'O\~I ~o\e,. '\'l~O'
~ ~O Of'.~ \l ('\I~'l . \e~.1:I '\I '0\1\1 ~il,il".
\'\1 90.'<0 \'l\e ce'\l O~eQ,O .'3'3?-'?-
00 ~\XI'\lQ, \O~ \'l\e, '\ .<000
c :oe~ \e~ IS
'\I\l('\l Ce'\l
Frontyard Setback:
Side I Setback:
Side 2 Set hack:
Total:
Handicapped:
Compact:
Rearyard Setback:
Solar Setbacks:
Paee I of3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-00820
ISSUED: 08/25/2003
APPLIED: 08/25/2003
EXPIRES: 02/25/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fpp< PIilLI
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Demolition
Sanitary or Storm Sewer Cap
Amount Paid
Date Paid
Receipt Number
$9,00
$6,30
$45.00
$45.00
8/25/03
8/25/03
8/25/03
8/25/03
1200200000000002020
1200200000000002020
1200200000000002020
1200200000000002020
Total Amount Paid
$105,30
I Plan Reviews ,
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.
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 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.
3 Sanitary Sewer Cap: Capped within five (5) feet of the property line and capped with an approved material as
required hy the code.
Pae:e 2 of3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. LIlY" OF .srKll'\j\,yt<lJ!..LU
Building/Combination Permit
PERMIT NO: COM2003-00820
ISSUED: 08/25/2003
APPLIED: 08/25/2003
EXPIRES: 02/25/2004
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 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 readahle 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 ~.construction. _(/
< ,- AJ' dk./_ R-::h--<':;-o~
- /." //
Owner or Contractqrs Signature
Pa2e 3 00
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00820
COM2003-00820
COM2003-00820
COM2003-00820
Payments:
Type of Payment
Check
...'Iti\1I.'..'."<.."".~..... "".
Wi'.....':.."........'......Oj
..,....'
, '.'
,
.',^,.-' .,
Receipt #: 1200200000000002020
Description
Demolition
Sanitary or Storm Sewer Cap
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By Received By
GREG PAYNE BRENDA PAYNE ~b
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt '
Development Services Department
Public Works Department
Date: 08/25/2003 2:32:35PM
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
.
.
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726,3753
FAX (54 1) 726,3689
Address: 31/3 (J~/J?c {;&1 f20~D
Structure to be Demolished: .-if o{ )1Jf. t 'f:2M,J
Job Number: COMV1oJ-crO 3-z.0
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, lbis 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
pemlit 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,
~k
'SignaF' V -l ~\:p..'f..
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Page I of 1
1:1 WORDFILEIPERMITS\Demosdc,doc
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.
DEVELOPMENT SERVICES
PUBUC WORKS
METROPOLITAN WASTEWATER MANAGEMENT '
. 225 FIFTH S REEf
SPRINGFIELD, OR 97477
(503) 726-3753
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 if it needs to be documented
before demolition. This documentation is for archival purposes only and will
not affect the granting of thedemol ition 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
historical 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 a set of elevation drawings with
measurements.
Thank you for your patience.
property to complete
f the structure located at.
Property ,owner signature:
Date: ~ -&.I-D3~y'
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5414619115
541 461 89951axx
Douglas J, Moore
President I Sole. Plopl'ictQI
.
.
PO Box 40876
Eugene Oregon 97404 USA
drdintl@conn<cl-am<rica,11<1
August 12, 2003
Turner Construction
Attn: Terry Shugrue
Re: Pre-demolition asbestos survey
3113 Game Farm Road, Springfield, Oregon
Main House, Small Barn, Large Barn
On January 4, 2003 an inspection and site survey for asbestos containing
building materials was conducted at the above-mentioned address, From the
homogeneous list of building materials ,established, 3 types of Roofing, 2 types
of window glazing compound, ceiling and wall composites and several types of
flooring materials were sampled and analyzed by an independent laboratory,
Magnum Environmental Services, The results indicated that asbestos was
present in 3 of the flooring materials sampled in the main house and one of
window glazing compounds in the west end of the barn.
Asbestos was found in the house in the flooring materials in the kitchen 1 dining
rooms(approx 400 sq. ft,) and in the bathroom(approx 35 sq, ft,) These materials
are required by law be properly abated prior to the demolition of this structure.
On August 11, 2003 the asbestos containing building materials found in this
investigation were properly abated by the Pacific Environmental Group Inc, of
Eugene Oregon, The waste generated is scheduled to be disposed of at the
Lane County Solid Waste Disposal Facilities Asbestos Disposal Site,
,)oug'as
nternationa
,nc.
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=,i>.,.'~.'; ,,"~. ~ t'll! !1i;I ~:) m
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.
Fe ' PACIFIC
: - _ .. Enviionmental
~ Group Inc.
(OWl 'LoO 3' -bO 8'2..0
. CCB#66770 DEQ#FSC-560
P,O, Box 22306 Eugene, OR 97402 PH, (541) 767-3770 FX. (541) 767-3775
August 22, 2003
City of Springfield, Permit section
Attn: David Bowlsby
Re: Pre-demolition asbestos survey and subsequent asbestos abatement
3113 Game Farm Road, Springfield, Oregon
Main House, Small Barn, Large Barn
On January 4, 2003 an inspection and site survey for asbestos containing
building materials was conducted at the above-mentioned address, From the
homogeneous list of building materials established, 3 types of Roofing, 2 types
of window glazing compound, ceiling and wall composites and several types of
flooring materials were sampled and analyzed by an independent laboratory,
Magnum Environmental Services, The results indicated that asbestos was
present in 3 of the flooring materials sampled in the main house and one of
window glazing compounds in the west end of the barn,
Asbestos was found in the house in the flooring materials in the kitchen 1 dining
rooms(approx 400 sq. ft,) and in the bathroom(approx 35 sq. ft,) These materials
are required by law to be properly abated prior to the demolition of this structure,
On August 11, 2003 the asbestos containing building materials found in this
investigation were properly abated by the Pacific Environmental Group Inc, of
Eugene Oregon, The waste generated is scheduled to be disposed of at the
Lane County Solid Waste Disposal Facilities Asbestos Disposal Site,
.
.
Co"", Z.OO] , 00 8ZO
The structures at this address, following this exercise, are considered ready for
demolition pursuant to the rules specified in DEQ Division 340-248-0270 and
LRAPA's Title 43-015-10-A&B regarding asbestos.
All documentation from these activities and the credentials of those who
performed them are on file at the offices of Pacific Environmental Group Inc,
If you or any of your associates have any questions regarding the activities
described, please don't hesitate to call me at 541-461-9115 or 541-954-4369,
Thanks for your patronage,
~ 0-S2 j . VV\
-=-
Douglas J, Moore, Superintendent Pacific Environmental Group Inc,