The URL can be used to link to this page

Home My WebLink AboutPermit Miscellaneous 2010-6-15 !-,I, .t~( ,,,_ -, ' f~" Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00770 ISSUED: 06/1512010 APPLIED: 06/15/2010 EXPIRES: 12/15/2010 VALUE: $ 2,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1887 LAURA ST ASSESSOR'S PARCEL NO.: 1703271003901 Springfield TYPE OF WORK: Commercial Miscellaneous TYPE OF USE: Demolition Commercial PROJECT DESCRIPTION: Interior demo- remodel permit to follow Owner: Address: SHEET METAL TRAINING FUND INC 2379 NE 178TH AVE PORTLAND OR 97230 ,'".c, ':C..""'" '<eo\\WllS ~6\.\}~ ~ r.:.'",~,~)n~;" 'br- flre:-I\::J I '- ''''i\1t' D", Co' "., ~ ,n' 'ne "". "..Q a ", .. ONiI'tRWPJ'0 -I F0R 1\.. \tl\~~~a.\\O(\ \;J'" _:-c'~Q \I1rBtlg~ Ii"e rules Contractor ~o O/llp. 9~a'~~' -~~\a\l\ 68\3\es..~ \~i~ ~l\\'\O, ,/g\1 ft1aiV~ eF'i~" ~~e~\ea\lijft oi~!I~_.~1 . nil Ollll II # of Stories: Height of Structure Type of Heat: . Water Type: Range Type: ," Energy Path'" ' Sprinkled Building: Contractor Type E;xpiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: t . \\l\\10I7}IE~::If> "'B"'t-lDOt-lEn . COMM~~jt.-<;t \ff~lOOrd: I\t-l'l '\ \N~ij'brive Rqd: J/o,of,.~~t Eo~~~.age: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport ,,', Sq Ft Other: .,' n' Or.\( Occupant Load: t-\ r. REQUIRED PARKING Total: Handicapped: Compact: I PUBLlCIMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description I - - Description Type of Construction $ Per Sq.Fi or multiplier --"Square Footage or Bid Amount Value Date Calculated Page I of 2 .,,' . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00770 ISSUED: 06/15/2010 APPLIED: 06/15/2010 EXPIRES: 12/15/2010 VALUE: $ 2,000.00 ...". >'l'l..i~..'!'" '"",..., Status Issued ~~,. . 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total VaI.~e ~f ~r?ject ,I ,Fees Paidl , Fee Description + 12% State Surcharge + 5% Technology Fee Demolition Penalty Fee - BWOP Building Sanitary or Storm Sewer Cap Amount Paid Date Paid Receipt Number $13.92 $8.70 $58.00 $58.00 $58.00 " D~;A~ ;;,-':,;', ." . - "'~ 6/15/10 6/15/10 6/15/10 6/15/10 6/15/10 2201000000000000695 2201000000000000695 2201000000000000695 2201000000000000695 2201000000000000695 Total Amount Paid $196.62,.-. ":r""~t">; l'~'i, l I" RI;n R~~iews ~ To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. ~! : Reauired'Ins'Dections ~ 1-" .;.,.' "')t: Demolition: After demolition is complete; se;;'e.. is capped or septic is pumped and filled and inspection is requested and approved, and all debris is removed from the site. Sanitary Sewe~ Cap: C~pped within five (5) feet of the property line and capped with an approved material as required by the code. By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further..certit'y-athat.any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the La,,;s' of the"State of Oregon pertaining to the work described herein, and ,. . that NO OCCUPANCY will be made of any structure",witho,,!,permission of the Community Services Division, Building Safety. I further certify that only contractors and empIoyee$;.who:a'ffiit 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 t6imeSZ;L;urin constAructiO~' ____ ....---. ___~~ ~/(S/IU . Owner or Contractors Signature Date ,'~. , I ol .~ ,~. Paee 2 of 2 (, 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 .., ." < t{ ,;jiAA ":.... ' ~ '" r ' , '; _ _s-., " f:,_~FiI'j,~~ 'm1rYOF SiBRJI~{SEIE:QD;;ORE6E>N c c _, ,":' "., J} :he?:'" ""'{!;~k,.. . -" - > , -"'y 'ff '11; <" >>\It 'f''' '*' ";,...,.'*" "'" ~ /". ~"",~'.~'i. ~.) DEMOLITION PERMIT APPLICATION Address: /Jr"6'l ~ s~, Structure to be Demolished: (10~I'2...-, o-fl--. Job Number: &0 ,- ~'7n The applicant is hereby notified that any redevelopment of the subject site must comply with all of the applicable laws, codes, ordinances, polices and plans in effect at the time the redevelopment proposal is accepted as complete for City review. This 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 permit 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. ~J1Jfl- Signature . 0/1~/~O Date A++n. ~ Rolob;e Do2 TEN-DAY AND NON-FRIABLE NOTIFICATION OF INTENT TO REMOVE OR ENCAPSULATE ASBESTOS IN LANE COUNTY, OREGON Lane Regional Air Protection Agency 1010 Main Street Springfield, OR 97477 (541 736-1056, Fax: (541 726-1205, toll free (877 285-7272 Type~f batement Project Category an,d REQUIRED Fee o Demolition I Emergency Waiver {Add 50% to required fee) sjq '; ,00 , Removal S 46 0 Non-Friable (5-Day Notice) , '. Cluct-;... -h..", ,..,~.I o Encapsulation S 46 0 Residential Project (Occupied Residence, ~ for Demolition) o Renovation S 46 0 ~.40 lin/80 sq ft (Small Scale, Short Duration) o Maintenance/Repair S 98 0 /~ 40 linear/80 square feet; ~ 260 linear/160 square feet Other_ ' S 394 <t' > 260 linear/160 sqft; ~ 1,300 linear/800 sqft S 494 0 > 1,300 linear/800 sqft; ~ 2,600 linear/I ,600 sqft S 855 0 > 2,600 linear/1 ,600 sqft; ~ 5,000 linear/3.500 sqft S 986 0 > 5,000 linear/3,500 sqft; ~ 10,000 linear/6,000 sqft S 1,579 0 > 10,000 linear/6,OOO sqft; ~ 26,000 linear/16,000 sqft S 2,632 0 > 26,000 linear/16,OOO sqft; ~ 260,000 linear/160,000 sqft S 3,290 0.':. 260000 linear/160000 sqft ~ /' revious notification. Yes rI No Cl For LRAPA Use: Project: Fee Rec'd: S Check #: Has a survey been compl~ed? Yes if No 0 By Whom?.lrTet.- If Yes Is this a revision to a ABATEMENT PROJECT INFORMATION dM Site Name Sll.~ ,-"\d,,\ 'iru;";Mji==..u.: ,:k PhonelA SIte Address ~[', ,\' STr~: -'-:j City, ' e" l':i.\d Location of Asbestos at the sitel:c ...., <, \!i, <( "1M. Ii' Site Cate , ,dTOO!-..,D residence 0 colle 'al 0 co mercial ,,'le '" ~~ Start Oat '" I~ 10 Completion Oat Hours on Site _ 10 ...---? Day qn SiJ:e~_ Emergenc ' notification requested: ~ 0 es, Discussed with Date (.110 I/O TYPE OF ASBESTOS MA TERJAL r r Type a Percent of Asbestoss\-."..-\- v: \"1.1 u- ' ~.-ti'" 'zfff, v:..\1 Y4.t/Wfl: (hr 0 Estimate ,.,{ab Quantity of asbestos in project 54 '. ~~.I=-t. (i; 0 Ie:. Linear Square 0 Cubic feet o pipe insulation 0 ~ape 0 fementatJous(eg: tranSlte) 0 floor tIle 0 roofmg 0 felt 0 sprayon o valve packingg mastic ,.{ sheet vinyl 0 other , woR!< PRACTICES AND REMOVAL PROCEDURES /' /' ~"wet.~ethod 0 dry methods with air filtering 0 glovebag t containment .rnegative air n HEPA vacuum 0 vacuum truck with HEPA filter 0 other Ambient air monitoring to be performed: 0 yes 0 no DISPOSAL PROCEDURES / DFhute to dropbox 0 hand-load dropbox "wetted and double bagged 0 other ~waste stored on site in secured container 0 waste secured off site at !'I waste removed daily 0 other . DISPOSAL SITE o Short Mountain 0 Coffin Butte .lotheriJ;i1S~or'" L~I\H;1I flL License No, F5C 51 I 11-.1C- State () f? ZIP i.1'Ji/OZ- Phone Name (Please P , Signature, Email -J Organization " Form Available on LRAPA website: www.lrapa.org ~(e\'.('i\o.: b:070109 \" ;) fI\ '\ 225 Fifth Street SpriItgfield; Oregon 97477 541-726-3759 Phone Wr ,":Q"::. ii . .,. "'-. - ~ ~ _'n," '..'" .. ..' , .'..' .. r . .. ' City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000695 Date: 06/15/2010 2:20:26PM Job/Journal Number COM20 I 0-00770 COM2010-00770 COM20 1 0-00770 COM20 I 0-00770 COM20 I 0-00770 Description Demolition Penalty Fee - BWOP Building Sanitary or Stonn Sewer Cap + 12% State Surcharge + 5% Technology Fee .,.', Amount Due 58.00 58.00 58.00 13.92 8.70 $196.62 . . ;:':!~",i. .,"""-1",--: Item Total: ":;:'.": iJ:~.- T;:~ ,- '" Payments: Type of Payment CreditCard cRcceintl Paid By PERFORMANCE CONTRACTING Check Number Authorization Received By .. Batch Number Number How Received Amount Paid cjc 086218 In Person $196.62 Payment Total: $196.62 .,. , 1. '~':j. '; i :.~i 'r'J:'\ :,~_'.\io':', . (\.~. Ir;'C('j1 ""\. " ..}\::';';;' .: :;:"l.:. ',......,\, 'Y,:' :~, ';;"",:,.:.". '( ~;'~ ;,' Page I of I 6/15/2010