HomeMy WebLinkAboutPermit Demolition 2004-6-7
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. L111' OF ~rK1Nljt<1~LD
Building/Combination Permit
PERMIT NO: COM2004-00662
ISSUED: 06/07/2004
APPLIED: 06/07/2004
EXPIRES: 12/07/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 3345 GAME FARM RD
ASSESSOR'S PARCEL NO.: 1703220001000
Springfield TYPE OF WORK: Single Family Residence
TYPE OF USE:
Demolition
Residential
PROJECT DESCRIPTION: Demolition and septic pump
Owner: PEACEHEAL TH
Address: PO BOX 1479 EUGENE OR 97440
I CONTRACTvn ",runMATION I
Contractor Type
General
Plumbing
Contractor
STANTON GREGORY PAYNE
STANTON GREGORY PAYNE
License
27323
27323
Expiration Date
05/09/2005
05/09/2005
Phone
541-688-7038
541-688-7038
I BUILDING INFORMATION I
# of Units: # of Stories:
Primary Occupancy Group: R-3 ~eight \ - c'\1t
Secondary Occupancy Group: ~ I'I1i
Primary Construction Type ~~ ()t9Q~~, ~se\~\.
Secondary Construction TY",~ a6OY"""-"" ""'}e9g1l!, f(/fL '0'1
# of Bedrooms: ~\<tfl~":""'Af., li;'A~
\0-::'_4\\01\ ~\':Qo\O.Dtin~ IlllfdimGtIfl
wo\\'l""""'_",,,.()G\ ~\i\ QUI". ..... ~~....\n(\
\~~_',(Q\l~~~fMim~f~ATION I
QV~\{l9 ":t~Ql"~Il-:t:.
~ ~\9 '\'iverlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
Front)oard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS' v..
Sidewalk T;w.e\f "I\-\t. 'l'I~~1
"'\C~: \ \ t.'1-~\~ ~~\1 \S \"
"0 , ~~\I SD~WhSP(\lttyJ)fJlin\: fO~
I\-\\S ~t:Q\lt.Q \)~Qt.\\ f>,~f>,~QQ~t.'i)
f>,\)1\-\0" t.Q Q\\ \S
CO~~t.~~f>,'{ ~t.\\\OQ.
~:\':' ~I\?
I Valuation Descriotion I
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa~e 1 of2
.
. Ul l' OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00662
ISSUED: 06/07/2004
APPLIED: 06/07/2004
EXPIRES: 12/07/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Value of Project
F..... Pllid I
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Demolition
Sanitary or Storm Sewer Cap
Amount Paid
Date Paid
59,00
$6.30
545,00
$45,00
6/7/04
6/7/04
6/7/04
6/7/04
Receipt Number
1200400000000000861
1200400000000000861
1200400000000000861
1200400000000000861
Total Amount Paid
$105.30
I PIau 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.
I ~"?Uiw!.Lll.'~if~tiow
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 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,
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
(~2rLI'l/ '
...u"C~,&.." ~W"
0.;' 01/
Date
Pace 2 of2
225 F;ifth Street
Springfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2004-00662
COM2004-00662
COM2004-00662
COM2004.00662
Payments:
Type of Paymeut
Check
6/7/2004
RECEIPT #:
""~A.I""~!'I,'~',"..,
Ilk'
, i
--.-. ]
j . ~... ~
, '
-~--~- .
JiiIy of Springfield Official Receipt
.elopment Services Department
Public Works Department
1200400000000000861
Description
+ 7% Slate Surcharge
+ 10% Administrative Fee
Demolition
Sanitary or Storm Sewer Cap
Paid By
PEACEHEALTH
Received By
djb
Page I of I
Date: 06/07/2004
Item Total:
Check Number Authorization
Batch Number Number How Received
179269
In Person
Payment Total:
10:19:07AM
Amount Due
6.30
9,00
45.00
45.00
$105,30
Amount Paid
$105.30
$105,30
.
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 revi ew the hi story of the structure to determi ne 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
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.
. NTION' oregon law requires you. ~
Thank you for your patience. ATTE I ~doptedbytheOregonUtlhty ,
. follow ru es rules are set forth
Notification Center. lhosa hOAR 952-001-
, . In OAR 952-001-0010 thro~g of the rules by .
I grant the City of SpringfieibIlO~'Q1m~e~tmCri>>re..pllIl)MCrty to complete
documentati1on prio,): to t~ reQ!j&",;";;.:J.d_EVtitllli\R'[i1V~&ifali!l~ture located at'
'?J1jL/i-:, { ~.A'l'\i\e t&lIM. 1 ~I",per for the Ore,gon I "!, ' 0+-'
SI1 cent~l~YIN""".r<'"
,,,,oct,,,,,, "t't"" ~"PAn ~~
J. . ~ ij
Da te: ,{' })-f' 10 Ii '
( , -;. . Lu,oY\zoolj:...oo(06c
NOTICE: , '
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR '
ANY 160 DAY PERIOD,
',1'
225 FIFTH STREET
SPRINGFIELD, OR 91411
(541) 126.3153
FAX (54 I) 126.3689
Address: 7;J.7~':) ~~W\f.. ~p
Structure to be Demolished: ---#vI)/) ~ Ac-f/lK~t1Yp/r'J
Job Number: c.olN1'Z.Oc>4~ OObG-Z.
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 devClopment charge credit for the
previously existing use shall expire two years after the date of issuance of the demolition
penillt or other removal of the previously existing use. (Springfield Municipal Code
3.416(1)),
,.5/~Jo(l
Da(e ( I
N01\eE:. IRE IF 11-1E WORK.
11-1\S PERMI1 S~~i~ ~~S PERM\1 IS N01
AU11-10RIIED UOD \S ABANDONED FOR
COMMENCED n
AN'f 180 OA'f PERIOD,
Page I of [
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PO Box 40876
Eugene Oregon 97404 USA
5414619115
541 461 89951...
Douglas 1. Moore
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August 18, 2003
COlN\"Z...OOLf- oOb bL.
Turner Construction
Attn: Terry Shugrue
Re: Pre-demolition asbestos survey
3345 Game Farm Road, Springfield, Oregon
Main House (Map Bldg. #1)
On August 14, 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, there were 16 suspect
'materials found, Samples were collected and submitted to Magnum
Environmental for testing for asbestos content. None of the samples collected
were found to contain more than 1% asbestos.
The building identified, following this exercise, is 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 Douglas International 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-,)2 f .M
Douglas J. Moore, Inspector.
Doug .as . UlterU1cBJt~oUl~ .
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PO Box 40876
Eugene Oregon 97404 USA
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5414619115
541 461 8995 faxx
Douglas J. Moore
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September 10, 2003
COvVI zool../ - ooG bl.
Turner Construction
Attn: Terry Shugrue
Re: Pre-demolition asbestos survey
3345 Game Farm Road, Springfield, Oregon
Apartment (Map Bldg. #2)
On August 14, 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, there were 4 suspect
materials found. Samples were collected and submitted to Magnum
Environmental for testing for asbestos content. None of the samples collected
were found to contain more than 1% asbestos.
The building identified, following this exercise, is 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 Douglas International 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.
-D~) tN\
Douglas J. Moore, Inspector.
Doug' @~ _ ntcerU1caJt~(Qfil~ .
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PO Be. 40876
Eugene Oregon 97404 USA
5414619115
5414618995faxx
Douglas J. Moore
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August18,2003
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Turner Construction
Attn: Terry Shugrue
Re: Pre-demolition asbestos survey
3345 Game Farm Road, Springfield, Oregon
Barn (Map Bldg. #3)
On August 14, 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, there were 4 suspect
materials found. Samples were collected and submitted to Magnum
Environmental for testing for asbestos content. None of the samples collected
were found to contain more than 1% asbestos.
The building identified, following this exercise, is 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 Douglas International 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.
b-Q ( ,if\!\
Douglas J. Moore, Inspector.
Doug .as 'w fi1tcerruat~orua
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