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Home My WebLink AboutPermit Building 2014-5-12 (2) -a SPRINGFIELD 225 Fifth St A CITY OF SPRINGFIELD Springfield,OR 97477 �y_ t Phone: 541-726-3753 °NEC°" Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01041 www.springfield-or.gay perm itcenter@springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/12/2014 EXPIRES: 11/07/2014 STATUS DATE: 05/12/2014 APPLIED: 05/12/2014 SITE ADDRESS: 1134 MAIN ST,Springfield, OR 97477 SCOPE: Substandard Building • ASSESOR'S PARCEL NO: 1703354104300 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Demo all structures and sewer cap OWNER: LANE COUNTY Phone Number: ADDRESS: 3040 N DELTA HWY EUGENE OR 97408 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 Plumbing Contractor NORTHWEST HAZMAT INC CCB 141189 02/28/2016 541-988-9823 L INSPECTIONS REQUIRED I Inspections 7160 Sewer/Septic Cap 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 or 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. wn Contractor Signature Date • NOTICE: ATTENTION: Oregon law requires Utilit THIS PERMIT.SH.ALL EXPIRE IF THE WORK Notification Center. Those e Or are set forth AUTHORIZED UNDER THIS PERMIT IS NOT n OAR 952-001 0010 through OAR 952-001- `COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by ANY 180 DAY PERIOD. calling the r.e (Note: the telephone number Cente rIS i.600 2 2344)ificatiorl • Springfield Building Permit 5/12/2014 8:37:54AM Page 1 of 1 SPRINGFIELD -... CITY OF SPRINGFIELD -7: 225 Fifth St TRANSACTION RECEIPT Springfield,OR 97477 `‘ 541-726-3753 OREGON 811-SPR2014-01041 vnvw.springtield-or.gov 1134 MAIN ST permitcenter@springfield-or.gov RECEIPT NO: 2014001027 RECORD NO:811-5PR2014-01041 DATE:05/12/2014 DESCRIPTION__,-_ _ _- ACCOUNT CODE/TRANS CODE:-._ __.AMOUNT_DUE1 Sewer cap/septic tank demolition 224-00000-425603 1005 80.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 93.60 11 PAYMENT TYRE__;_PAYOR CASHIER:CCARPENTER - _C_OMMENTS •-__` - .'AMOUNT PAID.-. - Check Northwest Hazmat _ 93.60 5957 • TOTAL PAID: 93.60 • • Plumbing Permit Application DEPARTMENT USE ONLY n7 `? Permit no.: $/% /o � TLC alit � _ _ t 'Nd �/f 7 / `Y .,G I/ 2.5 Fifth JUeet s Springfield,OR 97477• PIi1s4 1)726-375) •FA\f411P6:047 OftfGON Date: This permit Is issued_under OAR 918-780-0060.Permits are issued only to the person-or contractor doing the work. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. • LOCAL GOVERNMENT APPROVAL I FEE SCHEDULE COSI Total I Zoning approval verified? ❑Yes ❑No Description Qt}� ea. cost Sanitation approval verified? ❑Yes ❑No New residential [ CATEGORY OF CONSTRUCTION _ I bathroonul kitchen(includes:first WO feet of water/sewer s w lines.hose ❑Residential I 0 Government $262.00 Gove ❑Commercial bibs.ice maker,underfloor lmv-Coin JOB SITE INFORMATION AND LOCATION dr, rsnndroln-drainpewkagea) • Job site address: ) 1 3 �' C-T 2 bathrooms/1 kitchen $411.00 I S y P-If�/ (v J J / ^7 3 bathrooms/1 kitchen 5483.00 S " C([}': /,p(!l , State: p�. ZIP: 7�1 / Each additional bathroom(over 3) $104.50 S Reference: I Taxiot.: Each additional kitchen(over I) I I $104,50 1 5 DESCRIPTION OF WORK Residential lire sprinklers(Includes plan review) Jf!Ltr-ru re-5 4— 0 to 2,010 square feet I 580.00 I S . lJ Sc r ,C. d v w'6 • �•;) �pp fir jra ge VT1 2,001 to 3.600 square feet S128.00 $ yd?Ault V T ri I 3,ti01107,200 square feet "Sl92.00 $ • • PROPERTY OWNER 11 7,201 square feet and grenRr 5255.00 $ Name: L-A,/ - GDU'ply Manufactured dwelling or pre-fab(circle one) Address:aeSre /1/. 4, t7(.4)'y • Connections to building sewer and I 580.00 S t`CI `� enter supply City: ✓SEA State: D ZIP: �7/O�H City: -wci Commercial,industrial,and dwellings ocher than one-or Phone:ty ( -4,f1 -1skel I Fax: - - two-family Minimum fee I I S80.00 5 1 1 mnil: e- • R.cork c,o• lane• or. Os Each fixture $21.00 S This installation is being made on residential or fnrnr property Miscellaneous fees owned y.me or a member of my imme'- : mily,and,is • exempt in licensing requirem/e,°is u der 0. t 913-695-0020. 100'storm sewer,seater line I $83.50 S �`Signa `-� ---64- \ Each fixture,appurtenance,and piping $21.00 .5 C NTRACTOR INSTALLATION Sturm water retention/detention facility $21.00 S Irrigation systems _ I $21.00 $ __ Business name: Pi ing or rivate stonn drains e • P _ P drainage I $21.00 1 S Address: systems exceeding the first IOU feet ---- — Specialty fixtures $21.00 S • City: State: ZIP: Rein=_pectiou fno.of hrs.x lee per hr") 580.00 .S Phone: - - I Fax: - - Specint requested inspections(no.of $00.00 S E-mail: hrs.x fee per hr.) _,�,/1 Cal license no.: BCD license no.: Each additional inspection:(I) / 580.00 SO C,A Plumbing license no.: Medical gas piping Minimum fee S Enter value of installation and equipment S Print name: Enter fee based on installation and equipment value. $ Signature: _ APPLICANT USE (A) Enter subtotal of above fees I S�)tOQ • (Minimum Permit Fee 580.00) �((�� . (B)Investigative fee(equal to[AI) • $ (C)Enter 12%surcharge(.12 x[ADD]) S 547---e2,5�7 (1))Technology Fee(5%of IA]) S �/� .TOTAL fees and surcharges(A through D): S 440-2500-f(4/Il2013ICOM) • Northwest • • -4- HazMat • Inc. I Asbestos Bulk Sample Report 36 West Q Street Springfield, Oregon 97477 541-988-9823 fax. 541-988-9833 Project information Date: 05.08.2014 Client: _ LANE COUNTY Client 3050 N. DELTA HWY., PUBLIC WORKS address: EUGENE, OR 97408 . Client project DEMOLITION AND Attention: JEFF TURK No. CLEANUP Project 1134 MAIN ST., Method of PLM location: SPRINGFIELD, OR 97477 analysis: No.Samples 5 No. Samples 5 received: Processed: Turnaround: 2 BUSINESS DAYS Site sampling JASON SMITH • agent: Samples JASON SMITH Report analyzed by: disposition: FINAL Sample No: 1 Lab ID: NWH14BK-13773 Location: FRONT BUILDING — COMPOSITE ROOFING MATERIAL Asbestos Analysis: NAD Physical Description: BLACK WITH MULTICOLOR GRAY AGGREGATE. Non-Fibrous Materials: 55% Other Fibrous Materials: 45% CELLULOSE AND FIBERGLASS • Comments: Sample No: 2 Lab ID: NWH14BK-13774 Location: FRONT BUILDING/NORTH WEST BEDROOM — SHEET VINYL Asbestos Analysis: NAD Physical Description: GREEN DETERIORATED WEAR LAYER WITH FIBROUS BACKING. Non-Fibrous Materials: 80% Other Fibrous Materials: 20% CELLULOSE Comments: Note:NAD means No Asbestos Detected. If submitted samples are non-homogeneous in nature,then subsamples of the components will be analyzed separately. Because of equipment/measurement limitations,asbestos fiber content will be unable to be determined in some samples.Those samples determined to contain asbestos fibers,will have the following measurement percentage ranges(1%=0-3%,5%= 1-9%, 10%=5-15%,20% =10-30%,50%=40-60%)as specified per EPA method 600/R-93/116.If samples are not collected by NW Hazmat Inc.Personel,then the accuracy of results will be determined by the methodology and acuity of the sample collector. Northwest • 4y HazMaf Asbestos Bulk Sample Report 36 West Q Street Springfield, Oregon 97477 541-988-9823 fax. 541-988-9833 Sample No: 3 Lab ID: NWH14BK-13775 Location: FRONT BUILDING/CEILING — VERMICULITE INSULATION Asbestos Analysis: NAD Physical Description: MULTICOLOR BROWN AND GOLD Non-Fibrous Materials: 100% Other Fibrous Materials: 0% Comments: - Sample No: 4 Lab ID: NWH14BK-13776 Location: FRONT BUILDING/NORTHEAST BEDROOM — SHEET VINYL Asbestos Analysis: NAD • Physical Description: RED WITH BLACK BACKING. Non-Fibrous Materials: 80% Other Fibrous Materials: 20% CELLULOSE Comments: Sample No: 5 Lab ID: NWH14BK-13777 Location: BACK BUILDING/GREENHOUSE — COMPOSITE ROOFING MATERIAL Asbestos Analysis: NAD Physical Description: BLACK WITH GRAY AGGREGATE Non-Fibrous Materials: 6O% Other Fibrous Materials: 40% CELLULOSE AND FIBERGLASS Comments: .. Note:NAD means No Asbestos Detected. If submitted samples are non-homogeneous in nature,then subsamples of the components will be analyzed separately. Because of equipment/measurement limitations, asbestos fiber content will be unable to be determined in some samples.Those samples determined to contain asbestos fibers,will have the following measurement percentage ranges(1%=0-3%,5%=1-9%,10%=5-15%,20% =10-30%,50%=40-60%)as specified per EPA method 600/R-93/116.If samples are not collected by NW Hazmat Inc.Personel,then the accuracy of results will be determined by the methodology and acuity of the sample collector.