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Home My WebLink AboutPermit Demolition 2004-4-22 '- )- CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00455 ISSUED: 04/22/2004 APPLiED: 04/22/2004 EXPIRES: 10/22/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Contractor Type General Plumbing SITE ADDRESS: . 3486 BALDY VIEW LN Springfield TYPE OF WORK: ASSESSOR'S PARCEL NO.: 1703232200300 'IOU \0 o.U\'(eS U\'fWPJ OF USE: PROJECT DESCRIPTION: Demo and septic abandon~t'(e O'(e~O'(\ set \0 , 0"{e~0~ .....'oJ \~Q ., oS ~'(~ n~?'~()() ~ O\~.. :\.8v e ,J OP-t"" ~e':l- Owner: PEACEHEALTH ~~1:\; 'O.ooQ 1:~OS I)~~ ~e '(I) e Address: PO BOX 1479 EUGaMt ~~~%~\e'(' ,\()\~'(o n\eS 0\ \:a\eQ~O~\o'(\ &n\\O ...."fI fJ" ~()() .... cOy .",e \! .~,\ca: . :\.\'i.\GCJ.~ S?.~t,J n'O\.Oo'. rt-.\O\IO' ,"W ~v:' ~o O~~ 9 .J., ~I::be1'{).&mFp;w,MTION I \'(\ ,,-{o ~~ ~ \~ ....._. ()9v'. \: e o.('$\~' ContractCJr c'a.\\\'(\~ '( \0'( \~_ ~ '.'- 0\ - License STANTON G~~V-PAYNE 27323 STANTON GREGORY PAYNE 27323 Site Work Only Demolition Residential Expiration Date 05/09/2004 05/09/2004 Phone 541-688-7038 541-688-7038 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 SETBACKS I DEVELOPMENT INFORMATION' Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: - # Street Trees Rqd: Paved Drive Rqd: : % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: . ICO'/.. . , I PUBLIC IM1~1'J~~~ ~ t.1--\". t.\\~\\ ~ \\$,,\Ct"~~\\ S\\~~\\ \\\\~~~\)~t.\) ~Q "\\\\S ?~\\\1t.\) ~~\\ \S ~\?)~ ~~\~ ~t.~Ct.\) ?\;,.\\\O\)' COW' \lQ\) \)~'{ ~~'{ Sidewalk Type: Downspouts/Drains: Notes: Pal!e 1 of 3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-00455 ISSUED: 04/22/2004 APPLIED: 04/22/2004 EXPIRES: 10/22/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Fee Description + 10% Administrative Fee + 7% State Surcharge Demolition Sanitary or Storm Sewer Cap Amount Paid Date Paid Receipt Number $9.00 4/22/04 1200400000000000527 $6.30 4/22/04 1200400000000000527 $45.00 4/22/04 1200400000000000527 $45.00 4/22/04 1200400000000000527 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. lJeouiredJnsnections 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 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 by the code. Paee 2 of 3 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. (~ 11.. ~ner o~Lracto - S nature Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Pal!:e 3 of3 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-00455 ISSUED: 04/22/2004 APPLIED: 04/2212004 EXPIRES: 10/22/2004 VALUE: d.~z.J 1 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2004-00455 COM2004-00455 COM2004-00455 COM2004-00455 Payments: Type of Payment Check 4/22/2004 RECEIPT #: Description Demolition Sanitary or Storm Sewer Cap + 7% State Surcharge + 10% Administrative Fee Paid By PEACEHEALTH \ \ r:(y of Springfield Official Receipt velopment Services Department Public Works Department 1200400000000000527 Date: 04/22/2004 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 174416 In Person Payment Total: Page 1 of 1 11:34:59AM Amount Due 45.00 45.00 6.30 9.00 $105.30 Amount Paid $105.30 $105.30 COI/f/TZOOL.( ;00 y sS- DEVELOPMENT SERVICES PUBUC W'ORKS METROPOLITAN WASTEWATER MANAGEMENT . . 225 FIFTH S REET 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 grant i ng of the demo 1 it i on permi t. I f the structure is very 1 arge ' or complicated the documentation process may take up to a maximum of 4 working days. Documentation will consist of photographing thebuildi ng , 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 t6 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 fo 11 owi ng i nformat ion: 1) black and wh i te 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 documentation" Brjor tont~e req4elt,ed demol it ion of the structure located at . '?J\..f ()In ~L.tl\V VI {'WJ ~- Property ,owner signature: Date: ~/;i}f J. 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726.3689 Address: ~L(~1o .~ JM ~k- MD{bI[,t; r\l1Mt~ Structure to be Demolished: Job Number: COU1 ZO 04 - 00 '1 5)' 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 . theredeveloprnent proposal is accepted as complete for City review. 1bis 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 penmt 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. ~. , r. ,. '. . ~ Ii Signature 'I 'lir ftf Date I Page 1 of 1 1:\ WORDFILE\PERMITS\Demosdc.doc 3486 Baldy View Lane Springfield, Oregon \R.A \lk:R- Site survey and sampling letter (Dint! Inc.) abatement proposal Abatement certification / demo ready letter (PEG Inc.) 541 461 9115 541 461 8995 faxx D~u~ia5 .!' ~ ~oore \.-;-::::.:.:.c::.~,~.~' .'::'.:!'_ h.:::~:i::-:~ Q PO Box 40876 Eugene Oregon 97404 USA 6)) "'" G drdintl@connect-america.net @ <0 o @ 0 o @ 0 April 14, 2004 Turner Construction Attn: Terry Shugrue Re: Pre-demolition asbestos survey Trailer House and storage building at: 3486 Baldy View Lane, Springfield, Oregon On February 14, 2004 an inspection and site survey for asbestos containing building materials was conducted at th1e above-mentioned address. On April 2, 2004 a confirmatory exercise was conbucted to confirm the reports accuracy and I adequacy. From the homogeneous list of building materials established in this exercise, 15 types of materials were ~ampled and analyzed by an independent laboratory, E.H.S. LLC. The results indicated that asbestos was present in 1 of the flooring materials, the black roof p~tch material and the window putty' caulking around the exterior windows ~nd door frames. , The asbestos found in the flooring materials in the bathroom amounted to approx. 32 sq. ft. The window putty , c~ulking was approx. 10 sq. ft. in total. These materials are required by law b~ properly abated prior to the demolition of this structure. The structure at this address, fOllowin~ proper abatement of the discovered materials, is considered ready for denlolition 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. ~l'. 'I ))QR ~CO), ~~ ~ IVY ""'I,.. Qd~ \:;:6/ ~ ~ UU[erulat~ofil@_ u1Co 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. '04 ) ,M- Douglas J. Moore, Inspector. CCB#66770 DEQ#FSC-560 _ : PACIFIC ~ - -c- JIIII Environmental ~ Group Inc. P,O, Box 22306 Eugene, OR 97402 PH, (541) 767-3770 FX, (541) 767-3775 April 15, 2004 Turner Construction Attn: Terry Shugrue Re: Pre-demolition asbestos abatement of mobile home and storage building at: 3486 Baldy View Lane Springfield, Oregon On February 14, 2004 and April 2, 2004, inspections and site surveys for asbestos containing building materials were conducted at the above-mentioned address. From the homogeneous list of building materials established, 3 types of asbestos were present in the materials sampled. These materials are required by law be properly abated prior to the demolition of this structure. On April 12, 2004 the asbestos containing building materials found in this investigation were properly abated by the Pacific Environmental Group Inc. of E,ugene Oregon. The waste generated is scheduled to be disposed of at the Lane County Solid Waste Disposal Facilities Asbestos Disposal Site. The mobile home and adjacent storage building, 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. 'o--P- I. ,M - ~ Douglas J. Moore, Superintendent. PACIFIC ENVIRONMENTAL GROUP INC. PO BOX 22306 EUGENE, OREGON 97402 PHONE: 541-461-9115 Fax: 541-461-8995 PURCHASER: PROPOSAL/CONTRACT Turner Construction DATE OFSUBMISSION: April 4, 2004 PHONE: 503 849 5810 Attn: Terry Shugrue FAX: 541 3352595 SUBJECT: Asbestos abatement, 3486 Baldy View Lane Springfield, OR SCOPE OF WORK: To provide notification to the appropriate regulatolY agencies, to supply all necessalY State certified labor, materials, equipment, and independent compliance air monitioring needed to properly remove and dispose of the materials designated at the location(s) identified. Abate window glazing compound from 10 window and door openings, black roof patch and bathroom floor. PRICES: $2,200.00 EXCEPTIONS: OWNER TO PROVIDE ELECTRICITY, WATER, PARKING AND ACCESS. This contract! proposal is for acceptance within 30 days and is subject to the following conditions: 1), The contractor shall execute the entire work described in the scope of work section of this proposal! contract. This shall commence and end within the agreed upon time frame. 2), This proposal! contract shall become legal and binding upon A). a signed copy of the Proposal! contract form or B). A notice from the owner or their representative. 3.) Progress payments may be requested provided arrangements have been agreed upon before job commencement. The amount of progress billing shall also be determined prior to job commencement. 4). Final payment shall be made by the purchaser to the contractor when the contract has been fully performed by the contractor and an invoice has been submitted 5). All work shall comply with applicable federal, state and local rules and guidelines. 6). Contractor shall at all times maintain workers compensation, liability and property and casualty insurance, PURCHASER: PACIFIC ENVIRONMENTAL GROUP INC. BY: BY -:u.Q, LvtJ\. · ..... TITLE: PRINT NAME: TITLE: Superintendent DATE: PRINT NAME: Douglas J. Moore