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Home My WebLink AboutPermit Demolition 2003-4-10 . .~ CITY VI' ~rK.lNul'lI!,LD Status Issued Building/Combination Permit PERMIT NO: COM2003-00257 ISSUED: 04/10/2003 APPLIED: 04/10/2003 EXPIRES: 10/10/2003 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1629 ROLAND WAY ASSESSOR'S PARCEL NO.: 1703363105600 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Demolition Residential PROJECT DESCRIPTION: Demolition of residence Owner: ACKERMAN WALLY TE Address: 935 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Owner: ACKERMAN ROSE TE Address: 935 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Owner: WALLY F & ROSE A ACKERMAN Address: 935 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Owner: REVOCABLE LIVING TRUST Address: 935 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type General Owner Contractor WALLY ACKERMAN ACKERMAN WALLY TE I BUILDING INFORMATION I License Expiration Date Phone 541-747-9251 # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # 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 I DEVELOPMENTINFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: REQUIRED PARKING Total: Handicapped: Compact: Rearyard SeUT~NTION:Oregon law reqUires y"6dlfJ..ot Coverage: Solar SetbafoUow rules adopted by the Oregon Utility Notification Center. Those rules are sat fort' NOTICe' In OAR 952-001-0010 through OAR 952-001 THIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rulllls b\ AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note:.the tel~pho~e COMMENCED OR IS ABANDONED FOR numberforthe. Oregon Ullllty NotificatIOn ANY 180 DAY PERIOD. Center IS 1-800-332-2344). Pal!e I 00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction Fee Description + 10% Administrative Fee + 7% State Surcharge Demolition Sanitary or Storm Sewer Cap Total Amount Paid . I PUBLIC IMPROVEMENTS' I Valuation Descrintion I 5 Per Sq Ft Square Footaee . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00257 ISSUED: 04/10/2003 APPLIED: 04/10/2003 EXPIRES: 10/10/2003 VALUE: Sidewalk Type: Downspoutsmrains: Value Date Calculated Total Value of Project I If pp~ tiiIiI.I Amount Paid Date Pai Receipt Number 2200200000000000730 2200200000000000730 2200200000000000730 2200200000000000730 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. 59.00 56.30 545.00 545.00 4/10/03 4/1 0/03 4/10/03 4/10/03 5105.30 I Plan Reyiews I ~lrlln~,nll~lrUIuILI Paee 2 00 . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2003-00257 ISSUED: 04/10/2003 APPLIED: 04/10/2003 EXPIRES: 10/10/2003 VALUE: 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 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. ff)0JJJ4 I} t);,~ O~ner or..t:ontractors Signature t.f- /0- v1 Date Pal!e 3 of3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Line Items: Job/Journal Number COM2003-00257 COM2003-00257 COM2003-00257 COM2003-00257 Payments: Type of Payment Check Paid By Description Demolition Receipt #: 2200200000000000730 Date: 04/10/2003 Sanitary or Storm Sewer Cap + 7% State Surcharge + 10% Administrative Fee WALLY F ACKERMAN Received By Check Number Confirm No dIm 984 Page 1 of I 4/10/2003 2:54:5IPM City of Springfield Development Services Department Public Works Department' Official Receipt . Amount Paid 45.00 45.00 6.30 9.00 Line Item Total: S105.30 How Received Amount Paid In Person 105.30 S105.30 . Payment Total: cReceipt.rpt 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 City Job Number (' ~ '2..8fJ 1- 002 S 7 Date 4;;~ 7 o I & 2 Family D~elling or Accessory 0 New Construction! ! - 0 Demolition o Multi-Family 0 AdditionlAlteration/Replacement 0 Other o CommerciallIndustri~ . 0 Tenant Improvement Job Address It?] C; I:( r.la~,o( uJeu.., Bldg No. Suite No. Lot Block' Subdivisioh Tax Maprrax Lot Project Name Description of Work/location on premiseslspecial conditions o Property Owner 1 & 2 Family Dwelling Name lUll \ \" }Qc~U-V1?C~ SQ Ft X $/SQ Ft Mailing Addres's _ c,!.:3c::;- Jla..@,~.~ I' f!~ New Dwelling Area j./. ~ ,,' City~pf'''1 ,{'f(r Slale U, Zip '"1''7<17'1 Garage/CarportArea Phone /J(/,..f- (;2", Fax J1/'JA-t'..- OlherStructureArea Value Owner Representative Phone Fax Total Value CommerciClI/IndustriClI/Multi-Family SQ Ft X $/SQ Ft Value o Applicant Name Mailing Address City Phone Existing Building Area New Building Area State Fax Zip Total Value o Architect/Designer/Engineer Name Address Existing New City Contact Person Phone State Zip Occupancy Group(s) Const. Tvpe(s) Number of Stories Fax o Contraetor(s) Contractor's Name CCB# Expiration Date Phone # General Plumbing Mechanical o ResiclentiClI P,'ojects Heat Source: Primary Water Heater Range Do you require any of the following for this project? Over-width or Second Driveway 0 Yes 0 No Temporaty Power 0 Yes 0 No Notice: All contractors & subcontractors are required to be licensed with the Construction Contractors Board oflhe State of Oregon under provisions ofORS 701 and may be required to be licensed in the iurisdiction where work is bein~ performed. I For Qffice Use Only I PLAN CHECK FEE I Electrical o Commercial/Industrial Projects Has site review application been submitted? DYes 0 No 0 NIA Ifso, Name of Planner Journal Number Secondary Energy Path BUILDING I PERMIT I DATE I BY I I RCPT# I APPLICATION Shared Drive(T:)/Building FonnslBuilding Pemlil Application IO-02.doc .. . . . 371 West 5th Avenue. Eugene, Oregon 97401 (541) 343-0300. FAX (541) 343-0375 April 9, 2003 Wally Ackennan 897 Hayden Bridge Road Springfield. OR 97477 RE: Results from Asbestos Surveys conducted at 1629 & 1631 Roland Way Dear Mr. Ackennan, Enclosed are copies of bulk sample results for the samples of suspect asbestos-containing mater:\als I collected from 1629 & 1631 Roland Way on March 24, 2003. Also enclosed are the Chain of Custodies describing each sample location and my AHERA Inspector certification. While on site collecting the samples, all portions of each house was inspected including interior, exterior, attic and crawlspace. The Lane Regional Air Pollution Authority (LRAPA) and OR-OSHA define asbestos-containing materials as those found to contain greater than 1 % asbestos. Following is a Summary of the findings for each house. 1J'i29 Roland Wav~ In this house 10 bulk samples were collected. All were found to be non- asbestos except for remains of green floor tile throughout the floor of the living room area. This material will need to be removed by a licensed asbestos abatement contractor prior to the house being burned. 1631 Roland Way: In this house 10 bulk samples were collected. All were found to be non- asbestos except for a plaster like material troweled onto the bricks of the old chimney. This material will need to be removed by a licensed asbestos abatement contractor prior to the house being burned. I recommend that you contact an abatement contractor(s) to get quotes to remove the two materials identified above. I recommend that you get copies of notifications, dump receipts or a letter stating what was done by the abatement contractor and that these items will be delivered to you once the materials are disposed of and the notification is ftled. This information along with this survey report should be adequate to show that a thorough survey was conducted and that the materials identified as being asbestos-containing were properly removed by an abatement contractor and that the houses can now be burned. If you have any questions about this report please do not hesitate to call me at 343-0300. rr;ri~d Greg Cordy President ECSlWagner Enyironmental AHERA Inspector . ,. .CRS Inc. + A Environmental Services Division 1541 Highway 99 North Eugene, Oregon 97402 . PhN (541)607-9743 FaxN (541) 461-3044 April 10, 2003 Mr. Wally Ackerman 935 Hayden Bridge Road Springfield, Oregon 97477 Re: Asbestos Abatement at 1629 & 1631 Roland Way, Springfield Dear Mr. Ackerman, This is to inform you that CRS Inc. has abated the identified asbestos containing materials at the above addresses. This material was located and identified by ECSlWagner Environmental during the required survey. All abatement was performed in accordance to all applicable rules and regulations, and was performed by Certified asbestos abatement personnel and Supervisor. All abated surfaces were then encapsulated with a penetrating encapsulant. I have included a copy of the notifications required by the Lane Regional Air Pollution Authority. If you have any questions, please feel free to contact me at anytime. Sincerely, j.~ Jeff Johnson 1 CRS Inc. Program Manager Environmental Division DEQ Lie. # FSC-688 CCB # 147474 ;; . SMALL SCALE. SHctt DURATION NOTIFICATION OF I.NT TO REMOVE OR ENCAPSULATE ASBESTOS IN LANE COUNTY. OREGON For LRAPA Use: Project (541 )736-1 056. II Type of Abatement o Demolition lid"" Removal o Encapsulation o Renovation o Maintenance/Repair o Other Lane Regional Air Pollution Authority 1010 Main Street Springfield. OR 97477 Fax: (541) 726-1205. toll free (877) 285-7272 Fee Rec'd S ChecK # Annual Fee Schedule for Non-Friable $ 350 o Non-Friable Projects at Schools, Colleges and Facilities Annual Fee Schedule for Small Scale. Short Duration S 260 0 Friable Projects S 40 lin/SO sq it -7 Has a survey been completed? Ves 19" No 0 -7 Submit Notices Quarterly: o 1" Quarter (January 1 thru March 31) ~nd Quarter (April 1 thru June 30) o 3'd Quarter (July 1 thru September 30) o 4'h Quarter (October 1 thru December 31) If Ves, By Whom?_fCC, ABATEMENT PROJECT INFORMATION Site Name-LLloU,! ~rb'rf"'''l"\ l<P<.;(I"."r-P Site Address I(..,~q. R,.,\".,,~ _lc!o.\ Lccation of Asbestos at the site c.,,', "" n " I '" ~A ^ \.( Site Category: 0 scheel. g(esidence 0 college, [J indusuisl. 0 ccmiiiercial. c: other Start Date <"1 Iq !(')~ Completion Date LJ Ie. !r',<' "ours on Site:Sl'.30 \" LI,<.() Emergency project notification requested: ~o, 0 Yes. Discussed with: Date: Phone III 1 - 7 q (... C\ City."'\rv;",",f;"IA , ...J TYPE OF ASBESTOS MATERIAL Tyee & Percant of Asbestos ('i-,.-, , <,.J, I", .'\5%. [Elst'mate or [L]ab t:' Q~antity of asbestos in project Apf'''''' _ I/". [L]inear. [S!c;uare or [C]ubic' faet 5' o pipe insulation. 0 tope, 0 cefrlentatious (eg: transite). 0 fleer tile, 0 rcofir,g, 0 felt. 0 sprayon, o valve packing. 0 mastic. 0 sheet vinyl. g/other Pl A <;.\.",.. I)",.\or" \.-... WORK PRACTICES AND REMOVAL PROCEDURES G"''{:Iet method. 0 dry methods with air filtering, 0 glovebag. ~ntainmem. ~ative air, 8"'"EPA vacuum. 0 vacuum truck with HEPA filter. 0 other Ambient air monitoring to be performed: 0 yes. [?'i1o DISPOSAL PROCEDURES o chute to dropbox, 0 hand-load dropbox, ~e"ed and double ba~~ed. 0 other o waste stored on site in secured container, 0 waste secured off site at uy.;"aste removed daily, 0 OthEr DISPOSAL SITE @!Short Mountain, 0 Coffin Butte, 0 other ABATEMENT CONTRACTOR Contractor Name (' R ~ T",.. Mailing Address i c:.'-ll 1-\," I, , City f', ,'" p.,...,,,, CcmpetenrPerson M; k, M r"..- r ;<: C\Q fl)~ . StatE i"1k' ZIP'llti(1:J Phone C.()I-qltl~ Certificate ~lo.~(jq . H,y Cell/Pager ~Io. q <:;'-1- :1:"-,Y I . License No. ~ <., r - Go.?2, R PROPERTY OWNER Narr:e (. 1,0 I t. \ (.\ " 'r<" (" "^ a. " Mailing Adorass Cj '".l, <:; \-\ A, , rj" ^ Citlf .<,\,rl"s~""IA NamE (PleasePrint)T" Ct ,\;,1,......."'(')"- C':___...__ ....I!. 11,'1 A j) I<r-,,\r..p . State oR f,)rI ZIP 91'-111 Phone {'-II - q:l c:; I _ Organization C. R c:., lfl ( , - SMALL SCALE, SH. DURATION NOTIFICATION OFeENT TO REMOVE OR ENCAPSULATE ASBESTOS IN LANE COUNTY, OREGON For LRAPA Use: Project Lane Regional Air Pollution Authority 1010 Main Street Springfi~d,OR 97477 (541 )736-1 056. Fax: (541) 726-1205. toll free (877) 285-7272 Fee Rec'd S Check # Type of Abatement o Demolition IY'" Removal o Encapsulation o Renovation o Maintenance/Repair o Other ,lI.nnual Fee Schedule for Non-Friable S 350 D Non-Friable Projects at Schools, COlleges and Facilities Annual Fee Schedule fcr Small Scale. Short Duration $ 260 D Friable Projects ~ 40 linlSO sq It -+ Has a survey been completed? Yes IlY' No 0 I If Yes, By Whom?}' r <:.., -+ Submit Notices Quarterly: D 1" Quarter (January 1 thru March 31) ~nd Quarter (April 1 thru June 30) D 3'd Quarter (July 1 thru September 30) 04'" Quarter (Octcber 1 thru December 31) ABATEMENT PROJECT I!;l,FO~MATION Site Name_ tl,.. k"r 1"'0" 'Kg,., ('1.. AI" P Site Address i.h~() R,,?\Al"'..rl (,.Ja, I r _ Location of AsbesiOs at the site 1_\ II i..... r. k!{'T'\.. r IL~r.~.- Site Category: ~ school, &resider-Ice O'c611ege, [! industrial. 0 cGr.",mercial. 0 other Start Date '-l/q I (')1. Completion Data-4-/5L'D< ,",curs on Site: 9,: "-0 Emergency pr6jed notification requested: D No, 0 Yes' - Discussed with: Phone City 74 7 ~ q ::l S I Sr-C'lrl. to L( '.3() Date: TYPE OF ASBESTOS MATERIAL Type & Percent of ,lI.sbestos (' h" \ < ,', i', \.r:> I c::, 'Y':' Quantity of asbestos in project A,,!'('V_ '2 D pipe insulation, 0 tope, 0 cerhi:ntatious leg: transite). o valve packing, 0 mastic, 0 sheet vinyl, 0 mher [E!stimate or [L]ab ;:: [Ljinear, [S!cuare or [C1ubdeet ~5 o flcer tile, 0 rcofing, D felt, D sprayon, WORK PRACTICES AND REMOVAL PROCEDURES o wet method. 0 dry methods with air filtering, D glovebag, 0 c:ntainment. D negative air, CiYfiE?A vacuum, [J vacuum truck with HE?A filter. D other Ambient air monitoring to be performed: 0 yes. unfo DISPOSAL PROCEDURES o chute to dropbox, D hand-Ioae eropbox, D wettee and double bagged, ~ther HI=' Ot:l \1..,-, ,., "'" o waste stored en site in secured container, 0 wasta secured off sire c\ ~aste removed daily, 0 other DISPOSAL SITE ~hort Moun_t~in. 0 Coffin Butte, [J other ABATEMENT CONTRACTOR Contractor Name_r Q <- -C "\r Mailing Address I c,q \ \-\"" \ C\ c\ City r" '\. "" Competent Person M \ \<. '" f"\ ,-, r r i <. License No. FS (' ~ g, $1, State c1 f? Z1Pq NO Phone (.,n 7 - q., t..l \ . Certificate No. S()<\ -i.1:3.- Call/Pager No. q "',y_ ~'2,~ \. PROPERTY OWNER Name (dall,\ 4"k.p.(,,,~,,-,..... Mailino Address q:<,,, H!\.. A." City <:;,..,r:,^,,+.,;,iA . .j Name (Ple3sePrint) ~l;~f ,~h,"",":/'.r"I C':__ .6..__ A l~ f) A /1 Rr"A"P ;;:>), . State.flR Z1Pq 7'-111 Phone 1 '-.j 1- J q I~ q Organiza!ion r f<- <., T J\ r . ~2-a3]' -C7D:2-S-7 I~.' 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 DEVELOPMENT SERVICES DEPARTMENT Structure to be Demolished: I~ ~C1 r;<O rCrl of Wcu-t We a('t'" Address: 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. 1bis would inClude c"'..,,~;':on 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 pemlh 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 . relatirig to the demolition of the above mentioned structure. .llkf~1 ~ .~c. Signatl4re ~- 9~ 2oqJ.. Date. Page I of 1 (:\ WORDFILEIPERMITSIDemosdc.doc . . , .. SPRINGFIELD DEVELOPMENT SERVICES PUBUC WORKS METROPOUTAN WASTEWATER MANAGEMENT . 225 FIFTH STREET . 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 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. ~ T~IS DOCUMENTATION WI~L 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. I grant the City of Springfield permission. to enter my property to complete documenlt~tionprj.oJ: to thl} reql!.ested .demol ition of the structure located at. h 2.9 . K () land WC<M , . Property .owner signature: W~. '7 .'.~~",,- -, . Date: ..1(- tJ- 2-tb3 ~. ,