HomeMy WebLinkAboutPermit Building 1997-1-3
COMM ERCIALI IN DUSTRIAL
PERMIT APPLICATION
~
JOB NUMBER
INSPECTION LINE: 726,3769
OFFICE: 726,3759
225 Fifth Street, Springfield, Oregon 97477
'/
.. ,
305 South A St., Springfield, OR 97477
LOCATION OF PROPOSED WORK'
ASSESSORS MAP:
TAX LOT
OWNER:
Lester C. Swaggart. Jr.
2070 Orr Lane
Eugene
PHON'" 686-91')7
ADDRESS'
CITY:
STAT'"
OR
ZIP'
97405
DESCRIPTION OF WORK:
NEW ~ REMODEL
PAl/lAic; i ~A'A:[)L~ ~ #Nk/LZ
ADDITION
DEMOLISH
OTHER
A#tS4- ~u,J:,.:..::.t -15,410
vALuE,gravel- 6,6~.
- '--'- --, 22,OCJ1
PHONE
NAME
ADDRESS
ARCHITECT'
CONTRACTOR'S NAME ADDRESS
GENERAL' Asphalt Coating Co. P.O. Box 811 Spfd. OR
CONST,
CONTRACTOR #
1/82166/
EXPIRES
PHONE
746-048')
PLUMBING'
MECHANICA' '
ELECTRICAl'
I PLUMBING I I MECHANICAL I
I NO FEE CHARGE I 10 EEL.. _CHARGE1
I Single Fixture I Furnace/burner & vent
< 100,000 BTUs
I Relocated Bldg. I I Furnacel burner & vent I
(new fix. addtl) > 100,000 BTUs
I Water Service I I Floor furnace and vent I
It.
I Sanitary Sewer I Suspended wall or floor I
ft. mounted unit healer
I Storm Sewer I Appliance Vent I
ft. separate
,I - --.- ----- -I'--~ Stationaryevap. -- ---.-- ,oul,
I Backtiow Device -c-o-oTeT - - --,-- I
I I I Vent Fan/Single I
ducl
I I I Vent System apart I
from AC or htg.
I I I Mechanical exhaust I
hood and ducl
I I I I
I I Permit Issuance $10.00 I
I TOTAL PERMIT I TOTAL PERMIT I
- OFFICE USE -
HANDICAP ACCESS:
OUAD AREA'
LAND US.'
FLOOD PLAIN:
# OF BLDGS'
# OF UNITS'
ZONING'
LIGHTING POWER BUDGET:
WATER HEATER'
OCCY GROUP:
CONSTR. TYp.'
# OF STORIES'
HEAT SOURC'"
SO, FT,
$/SO, FT,
VALUE
SO, FTG MAIN
SO. FTG ACCESF
X
X
SO. FTG OTHER
X
TOTAL VALUE OF PROJEC'T
PLAN CHECK FEE
RCPP
DAT"
BY
I BUILOING PERMIT
15% State
Surcharge
I MECHANICAL
15% State
Surcharoe
I PAVING
, PLUMBI NG
, DEMOLITION
5% Slate
Surcharge
FENCE
VALUE $
SIDEWhLK
FT.
SUBTOTAL
PERMITS
SYSTEMS
. DEVELOPMENT
CURB CUT
FT,
TOTAL PERMIT FEES I
EXCLUDING ELECTRICAl
REQUIRED INSPECTIONS
It is the responsibility of the permit holder to see that all inspections are made at the proper time. To request an inspection, call
726.3769 (recorder), state your City designated job number, jOb address, type of inspection requested and when you will be ready
for Inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:00 a.m. will be made
the following work day.
SITE. INSPECTION: To be
made after excavation, but
prior'to setup of forms.'
UNDERSLAB PLUMBING,
ELECTRICAL &
MECHANICAL: To be made
before any work is covered.
ROUGH PLUMBING,
ELECTRICAL &
MECHANICAL: No work is to
be covered until these
inspections have been made
and approved.
x
PAVING: After gravel is in
place but prior to.placing
asphalt or concrete.
FOOTINGS & FOUNDATIONS:
To be made after trenches are
excavated and forms are
erected, all steel In place, but
prior to placing concrete.
FIREPLACE: Prior to placing
facing materials and before
framing Inspecti,on.
SPECIAL INSPECTIONS: In accordance
Section 306 of the State Specialty Code
a special inspector shall be employed
by the Ownerl Contractor during
construction of the following work. A
copy of the special testing reports shall
be furnished to the Building Division.
ATTIC DRAFT STOPS &
CURTAIN WALLS
CONCRETE SLAB: To be
made after ali insJab buil<Jmg
service equipment, conduit,
piping, accessories and other
'ancillary equipment items are
in place but before any
concrete is placed.
FRAMING: To be made after
the roof, all framing, fire
blocking and bracing are in
place and all pipes, chimneys
and vents are complete and
the rough electrical, plumbing
and mechanical are approved.
STRUCTURAL CONCRETE: In
excess of 2500 P.S,L (306 a.1)
STRUCTURAL WELDS:
Performed on the job. (2722 fi
UNDERGROUND: Plumbing,
electrical, gas, sanitary sewer,
storm sewer, water and
drainage lines. To be made
prior to covering or filling
trenches.
INSULATION & VAPOR
BARRIER: To be made after all
insulation and required vapor
barriers are in place but
before any lath or gypsum
board interior wall covering Is
applied.
HIGH STRENGTH BOLTING:
During all bolt installation and
tightening operatlons. (306
a.6)
SPRAYED ON
FIREPROOFING: U.B.c,
Standards 43-8.
UNDERFLOOR: Plumbing,
electrical, mechanical. To be
made prior to installation of
floor insulation, decking or
floor sheathing.
FIRE & SEPARATION WALL:
Located and constructed
according to plans.
SPECIAL GRADING,
EXCAVATION AND FILLING:
During earthwork. (306 a.11 &
Chapter 29)
POST & BEAM: To be made
prior to installation of floor
insulation, deckIng or floor
sheathing.
LATH AND/OR GYPSUM
BOARD: To be made after all
lathing and gypsum board,
interior and exterlor, Is In
place but before any
plastering Is applied or before
gypsum board joints and
fasteners are taped and
fi nlshed.
GLU,LAM BEAMS: Inspection
Certificate by an approved
agency, furnished to the City's
Building Division before
beams are placed. (2501 V.B.C.
STDS. 25,10,11),
FLOOR INSULATION &
VAPOR BARRIERS: To be
_m"1de. prior to ir"lst~II;::>.tio/"'l r:lf
decking or floor sheathing.
STRUCTURAL MASONRY: (306
a,7)
MASONRY: Steel location,
bond beams grouting or
verticals in accordance with
UBC 2415,
SIDEWALK & DRIVEWAY:
Required for aii concrete
paving within street right of
way, to be made after all
excavating complete and form
work and sub-base material in
place.
ROOF SHEATHING AND
NAILING: Prior to installing
any roof coverl ng.
CURB AND APPROACH
APRONS: After forms are
erected but prior to placing
concrete.
-In addition to the inspec-
tions specified, the Building
Official may make or require
other inspections of any
construction work to ensure
compliance with the Building,
City or Development Code.
FINAL ELECTRICAL
SITE PLAN REVIEW BOARD: Must be requested 2 days in advance
of the date you wish inspection. All project conditions such as
landscaping, parking lot striping, etc. must be completed before
requesting this inspection.
FINAL PLUMBING
FINAL MECHANICAL
FINAL BUILDING: Requested after the final plumbing, electrical,
mechanical and Fire Department inspections are made and
approved. No occupancy of the premises can be made untll a
Certificate of Occupancy has been issued by the Building Division
and posted on the premises.
FINAL FIRE DEPARTMENT
ADDITIONAL COMMENTS:
PLANS REVIEWED BY
DAT~
By signature, 1 state and agree, that I have carefully examined the completed application and do ~ereby certify th~t all InformatIon
herein Is true and correct, and J 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 Building Safety Division. I further certify that only contractors and employees
who are in compliance with ORS 701.055 will be used on this project.
I further agree to ensure that all required Inspections are requested at the proper time, that project address Is readable from the
street, that the permIt d' located at the front of the property, and the approved set of plans will remain on the site at all
times during constr ctlo
Signaturp
Date
/1?h7
~.-
RECEIPT ':
DATE PAID'
RECEIVED BY'
VALIDATION:
AMOUNT RECEIVED:
. --~
;<ar 7*[ #/kC;fT7,p0
~ ;/JftY4($ /~rr /,V
11th rIce? LitVpL.
S/1C:- //~ ,et:j//6uJ ~
~8qi(:(t ~~ej/
7W Ww4Wl1 ay~7Ifi(
~ nx ~~/6!r;q//,
~bc-, e-rc-) ~~
'I. .~
To ,(~J rQf2j",'-L~C
-~~----~---------7r--T~~-----
----3-Qcd--7.~f2L-h-'-:.zjf!!{/:t--
----'S{v~~f&j(i2--~~-f2Zr2-
Net due 10 days after this invoice. All past due accounts will be charged 2% per Mo.
;;:~ . ,'"
"(,':1,1'"
,Y
~
.'
'. '
. ,
A5PHAL T COA TING CO,
Serving Oregon since /974
p, 0, Box 831
Springfield, OR 97477
~
746-0485
Contract No.
Description
In. i'\.,
:, g") I] {jn" "
,!.t "'., ' .0 . ..J:/"-' e.(??
ft\u;-e.... " OV7/, tt..?.,;/( - '--.
(', . ., 0" oj1J2~- ,J)~Q
t~vL07/~ --<.i'1 t ". it"
(\' f"~)-1;..t.'
().dk.~/L@'/' r~ v V'1
~~
~/oD JqL,.
,
------..
Invoice No.
c>;
/~, '-,;::: {9 -' 7;",~
Date 'l..!:7'. -- .
Cost
Ii ,5'100
-7 () 0
F-
Cr ()t9
1Ll~
,Jj ~7S ell
. /
Pay last amount
in this column..
.---_._---=:._--,....._-~... .
,... ,"
ASPHAl T COATING CO.
Serving Oreg-on since /974
'f'.r.""->.,,. .
TO:
'.\.PA S'Q..rL~
--: . 7?j '.II,{,' {", ~
'-I - f y~ '::L--f,
Sj~JIM,tbf!;J12, VJ2 r
'oJ I
Date: Lj /-21/9(,'
97'1'77
Dear Six:
~J e., propose to furnish all materials and
to c:omplete the follO\'ling: l~ve.-. ~>
-^A i)} W;,':UL 2> 'l alhkctf' (
, ; u ' r
perform all labor necessary
Q'.J)Q.eu... Q;oF~ 2 D, 8DO
All of the above ,,'ork to be completed In a sUbst1ntHll and \,orkmanllke m/n "."
according to standard p"actlces for the' sum of j)-"u/;J1~r1--t/2c)'z{...(J-<P/)~ We
II (\ f) ',J---- ~"'/ ~,
{~.I)J--f-<: .p .A.<-,,-VI.f /11/0 Dollars ($ )1-/:5~00 I Dc:? )
I
Payments to be made'- --------------- ----------
as the \'lark progresses to the value of[)~\e b"I,(',/red per cent(
of all work completed, The entire amount of contract to be paid
) (;J days after completion.
!.-DD,/{;. )
'Ie;.)
Any alteration or deviation froln the above spec:j.fications involving extra
costs of lnaterial or labor will only be executed upon written orders for same,
and will become an extra charge over the sum mentioned in this contract. All
agreements must be made i.n writing.
ACCEPTANCE
Respectfully Submitted, /
(\, r)
By: '),Y0'l-7 l'::;/J.b7JJ/Z/'
U
You are hereby autllorized to furnish all materi.ols and labor requj.red to
complete the work mentioned in the above proposal, for which
agree to pay the amount mentioned in said proposal, and according to the terms
thereof,
PJ.ease sign & return one COpy.
ACCE~.:I'E? JL
c--(" ~y<; /, -i
\ ,'2--/, ~'-1------c~r
I
Date: .5 /~/ 16
Cc.13:rJ' S :13h0
I.,,'
~
P.O, Box 831, Springfield, OR. 97477 (503) 746-0485
/')4 -Ie '0.-/' -~"
/riJi~-L - 0 ,l..'>.._ d~..-,..t....J;>--' ,,<':..., L-<-'Z-[ ~..{.:.',_.'-----1f/
~'/'-!'/
l:: -.'-'-) 1 f:::-'
.lI!~
------
"
-
TERMS: Customor agrees to pay in full upon complet'lon 01
worK, unless advance arrangements are made. Customer
agrees to pay interest at 'the rale .of 2'=;', per month (24% per
annum), if paymont is not received within 30 days, Customer
agrees 10 pay 81l0rney fees and all o!her 8;t.penS8S inCUff&d by
Oregon Excavating to collecL Oregon ExcavatIng reserves
the right to assert any and all liens against customer or third
panics under all applicable Federal, State or local laws, in the
event th;:lllecms on this <lgreement are nOl mAl.
DATE _Iti~-- ze;
S-J!ty_<h. A___
689-1442
eGB ,674<}<1 f DEQ 37062
I
...jf:<
~()z::; ~ '
S!UI<.F t..])
I
S'e;-P ilLc:2.,L_--
f+ .c;r
.9Rl--.9.!LL/..t; fJ
DATE DESCRIPTION RATE
~-o f?1 MR K 1/ 11 d 9 3:J '71i7J <,
I ~ -r') &Llj}~ ~d~c:
, / :2 121 V
r:; ~b,;p R;;;;f) T/f L
- /)),ueJ2 geNT-He. 7
l-J1~--
... -L ;4- H/) R t!:. '-:R ~/) :nfl-V
;:;jEL /
mJu t--=i-IJ
c:&iJ--i,P..LtJEAJi ~f.Y1:DC~'. -~ ~1~~_- i
c:I \l2'J:t-., ftft r ~~, J- I
~ii 0 qMAtt'i 1
'U
White. Office Canary. Custome 7
Pink. - Charge
I
I
INVOICE
1538
11;::1-d
T'V0Z 6:39 1: VS . ::IN I ~IN I .1.1:::1,'\1:;::1/',1:.1::1:.<3 t..jO~)3~O
I'
AMOUNT I
I 1-
S3~ICIO
'-Voi'~ .
,j)L) loti..
rJ/r; ij ::~
8 () iCO
&'),00
,~-
!
I
forr
fc,!r,9! / l ~
..
Clf'w.nh ~ou
Wd 22:Z1 L6-20-Nl:;::Ir
,., . ",l.....'r.