HomeMy WebLinkAboutPermit Building 2005-4-14
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Status
Issued
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. CITY OF >SYKll'i\.d'lI'.,LU.
Building/Combination Permit
PERMIT NO: COM2005-00420
ISSUED: 04/14/2005
APPLIED: 04/14/2005
EXPIRES: 10/14/2005
VALUE: $ 4,000.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
., 541-726-3769 Inspection Line
SITE ADDRESS: 5303 MAIN ST
ASSESSOR'S PARCEL NO.: 1702333107303
Springfield TYPE OF WORK: ReRoof
TYPE OF USE: Alteration
Commercial
PROJECT DESCRIPTION: Reroof.
Owner: ARM CHAIR HOLDING LLC
Address: 38533 JASPER LOWELL RD
FALL CREEK OR 97438
Phone Number: 541-302-6892
I CONTRACTOR INFORMATION I
~v <;:J'
Contractor ,,\~\ 0 ~ License
WILLAME'!,TE)~_Ou!,!!"" & CONSTRUCTI 63512
~'~~ q'(.,~~i':BUlLDING INFORMATION I 0
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# of Units: . S~'?'~<y<0 "'?-<(;'?' # of Stories: F>"'O-V~ O~ ,Lot Size:
Primary,Occupanty,Grci~p:'\)~ (). 0 ,,~. Height of Structure .~~0 o~ 0'~ ,,<:;)' ~ Ft 1st Floor:
",,, .().,~ .,,\ ,,~' 'v is:' f=$ '0 n>-> "'"
Secondary Occupancy'Group.:, v (.~ Type of Heat: \0 0\0 \e n."Sv F> '0 Ft 2nd Floor:
. ~'" ":< -,,, vv (Yv ~ 'lI' -" ~e ""-
Primary Constr-l'~I1~$YP!Jv ::-\. ~ Water Type: '\.'lI' -S-e ~ec' ~ \V o~_Kt Basement:
Secondary COO'striCtlO~~TYee:Y: Range Type\00~ 'Q'" 0 \V '&' 0 ~-s-e if ~t Garage/Carport
# of Bedrooms: ~\,,<0~~''Q Energyp<!!1i1':~0C>,\,<:,0'O 0~<:$F>0 ,~~CSqFtOther:
"'~ Spri~ ~\I!.ng~ ~ o<l. n/t~>.o ~Occupant Load:
\" .(~ _ f'8 _,qj _"'- . C; ...e.' .,~ ^-~
.
......... .'1_- .01.' \~- -" -'- . ,,,. .v
I DEVEIS6P.MENX.JJINFORMATION-'b');
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....0 .~,c, Q) <$' c,0 O.~
O-'\la~'" 0 0 ,
",yeb-Y m.st: 'S' \ 'S' ;.ofo
# "tree'l-Trees'lR!\a: ^,0
~ ~ ,OJ ~'"D-S:' tzV
Pavell' D~ve~.;.lI:c;
% of Lot ~verage:
Contra,ctor Type
General
Expiration Date
01109/2006
Phone
541-688-5000
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Se,tbacks:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes: '
I Valuation Descrintion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!elof2
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.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-00420
ISSUED: 04/14/2005
APPLIED: 04/14/2005
EXPIRES: 10/14/2005
VALUE: $ 4,000.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Estimate
Estimate
$ 1.00
4,000.00
$4,000.00
$4,000.00
04/14/2005
Total Value of Project
Fp.p.~ P,'iIid ,
Fee Description
+ 10% Administrative Fee
+ 7% State Surcharge
Building Permit
Amount Paid
Date Paid
$6.06
$4.24
$60.60
4/14/05
4/14/05
4/14/05
Receipt Number
1200500000000000444
1200500000000000444
1200500000000000444
Total Amount Paid
$70.90
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 he 'made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I Rp.IJlJirp.d In,np.dinn,'
R;oofing: Prior to installing any roof covering.
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, t~at 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.
Owner or Contractors Signature
Date
Pal!e 2 of2
" . - " ". ctiY OF SL.lNGFIELD, OREG9N" . '0" :i,
"I
U5 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689
SPRINGFIELD ~:-;.l.ai..:'
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City Job Number 5 - CO.~ '2:.0 Date
o 1 & 2 Family Dwelling or Accessory 0 ~Construction
o Multi-Family W'AdditionlAlterationlReplacement
~~mmerciaVIndu;trial 0 Tenant Improvement
Job Address 53 0 3 \iV\M~ s::-+- ;' . Bldg No.
Lot Block Subdivision Tax Maprrax Lot
Project Name W\ (J(. -e I., z. i' e. (~",,' "",-""L ~ S f,! t-.A- L
Description of Work/location on premises/special conditions (~\1 (.[JV.e.,'L (~_/1/l.- B . K'."''+ I \ IAi U. !: i 5GCr-,';;J..,
......-0 ; '.''t-:',,,7-::':.-:;'C~(:'l;,t'''I' ~,~:"~. ~'-,~":--'''';.;- '"r; -"; " -' ~~_-'1 f - '~-&--;:':J7,~' -. .f~~':"l.""-'lf.""'~>;~:."":-;:; tS ~:.~.....~;' :1;,:~';-'''",
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Name l'I'\A-l<.-ilrv. OeW&E:..IJoh""'f lJiAtHJ...... SQFt X $/SQFt ;, Value
Mailing Address _ c:; s'O -"5 ~ .(~. New Dwelling Area
City s::~( State U (C Zip q ') I.{ ) 'I Garage/Carport Area
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Phone (C),~ {"-iZ ?j J- Fax Other SbUcture Area
Owner Representative .::i v;", V\ V\..... VJ A 't J 0 '" Total Value
Phone ;.,V'Z--(?<g~ L. Fax I lt~~;;~r~i~J!.[~d~M~ll'YJitj+Ed@ilil,.:;;7~::....
\/0 L-ti~Iilica;;i".~~.": '; ~ ~:.:.~:< 'T~"'-;'~/:,J EXistingBUildingAre~S.o;~ OX $~Q.~o,f J::Jo
Name iJ; f,/ tt W>-R7(;(L, (2.tTiJf, lr. ~ t Co->4' t AI ( ,New Building Area /'
Mailing Address <.Ii.q 1 vt01 j (T-)
City ~'"{/1~ State r;/L. Zip c('7V~ L"
Phone (;'0'g~s;o<v:J Fax I),qg-Iu) 0 Total Value
o Demolition
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Other
Suite No.
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Name
Address
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Existing
New
City
Contact Person
State
Zip
Occupancy Group( s)
Cons!. Type(s)
Number of Stories
Phone
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/ Contra9lor's N'I!!)e
General iA )) [!Iu~
Plumbing
Mechanical
Electrical
_.'..__._....~_,...__ ..._.~,,,........__ "'-r-~_ _', _. _---,,-"-.~ ~~ ~ ...,--:--------..-~~"__ ..~{.-~._.-. '...':"....-~-".._,-...._"_v~'
o )~c;o~m,~.!:cj.al/Jijc!ustria!.Proje"If.: 0 .}3.!'!i!ie.liti~l.J7gj'?':J!- .:......:--'-'-'~ - ~~,,:~ ;:",,:,:::,,'._,-,"~
Has site review application been submitted? Heat Source: Primary Secondary
o Yes 0 No 0 N/A Water Heater Range Energy Path
If so, Name of Planner Do you require any of the following for this project?
Journal Number Over-width or Second Driveway 0 Yes 0 No
Temporary Power 0 Yes 0 No
Notice: All contractors & subcontractors are required to be licensed with the ConsbUction Contractors Board of the State of Oregon
under provisions of ORS 70 I and may be required to be licensed in the jurisdiction where work is bein~ perfOlmed.
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I PLAN CHECK FEE I I RCPT# I DATE I
APPLICATION
Fax
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CCB#
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Expiration Date
Phone # ...,
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I BY I
BUILDING
PERMIT
Sh.:lred Drive(T:)/Building Forms/Building Permit Application 10-02.doc
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f. Deck: C-15/32 incline: No Limitation
Existing Roof System:
A Class A, B or C mineral or smooth surfaced asphalt
felt roofmg system, covered with:
B. Single-ply (modified Bitumen) roof system,
covered with:
C. Class A, B or C asphalt organic fell or glass fiber
mat shingles, covered with:
Slip Sheet:
A Two layers L ydall "Manniglas 1151" foil side
down, mechanically fastened.
B. Four layers Atlas Energy Products "FR-10",
mechanically fastened.
Membrane: "Duro-Last@"(PVC),mechanicallyfastened,
8. Deck: C-15/32 Incline: 1
Existing Roof System: Class A gravel surfaced asphalt
felt roofing system. The gravel must be maintained at
400 lbs./sq.
Insulation: Carpenter Insulation "Foam[old",
mechanically fastened.
Membrane: "Duro-Last@"(PVC), mechanically fastened.
9. Deck: C-15/32 Incline: No Limitations
Existing Roof System: Class A, B or C roof (smooth or
granular surfaced cap sheet, shingles or modified bitumen
single-ply), covered with Y, in. (min) gypsum board,
mechanically fastened.
Memhrane, ".Duro-Last@" (PVC), mechanically fastened,
10. Deck, NC incline, 3
Existing Roof System: Insulated or uninsulated ballasted
single-ply membrane, ballast may be removed, covered
with:
Slip Sheet: Atlas Energy Products "FR-l 0", mechanically
fastened or loose laid.
Membrane: "Duro-Last@"(PVC), mechanically fastened,
11. Deck: C-15/32 Incline: 2
Existing Roof System: Class A gravel surfaced asphalt
felt roofing system. The gravel must be maintained at
400 lbs./sq,
Insulation: Polyfoam Packers "ThermoSafe-RB"
insulation, mechanically fastened.
Membrane: "Duro-Last@" (PVC), mechanically fastened,
Incline: 2
Class A, B or C BUR, smooth
gravel surface; gravel may be
12, Deck: NC
Existing Roof System:
surface, cap sheet or
removed.
Barrier Board (If gravel is removed): ~ in. gypsum
board.
Insulation: Plymouth Foam Products "Ultra-fold TPM" or
"Ultra-Guard TPM". mechanically fastened,
Membrane: "Duro-Last@"(PVC),mechanically fastened,
13. Deck: C-15/32 Incline: 2
Existing Roof System: Class A, B or C smooth or gravel
surface (gravel maintained at 400 lb, per sq,)
Insulation: Amocor Foam Products "Amocor P14, PB4,
PB6. PB6W or Duro-Fold 1M"
Slipsheet: Atlas "FRIO" or "FRII"
Membrane: "Duro-Last@"(PVC),mechanically fastened.
REV 11101199
.
14, Deck: C-15/32 See Note I Incline: 3
Existing Roof System: Class A gravel surfaced.
Barrier Board: Georgia-Pacific Y. in. (min) "Dens Deck@
Overlayment" with all joints staggered a min 6 in. from
plywood joints.
Membrane: "Duro-Last@" (PVC),
)
15, Deck: C-15/32 See Note 1 Incline: 1/4
Existing Roof System: Clau A, B or C covered with:
Barrier Board: Georgia-Pacific Y. in. (min) "Dens Dcck@
Overlayment" with all joints staggered a min 6 in. from
plywood joints.
Insulation (Optional):
A Atlas Energy Products "AC Foam \" any thickness
mechanically fastened or adhered.
B. Celotex "Star AP" or lIHy_Tec", any thickness.
Memhrane: "Duro-Last@"(PVC).
16. Deck: C-15/32 See Note 1 Incline: 3
Existing Roof System: Insulated or uninsulated ballasted
single ply membrane, ballast may be removed, covered
with:
Barrier Board: Georgia-Pacific Y. in. (min) "Dens Deck@
Overlayment" with all joints staggered a min 6 in. from
plywood joints.
Insulation (Optional):
C. Slip Sheet: Atlas Energy Products "FR 1 0",
mechanically fastened or loose laid.
Membrane: "Duro-Last@" (P'y'C).
-.--.-.-----::::-. .
Maintenance & Repair
Mechanically Fastened - Class B
Deck: C-15/32 Incline: 1
Existing Roof System: Class B. BUR system smooth
surfaced covered with:
Slip Sheet:
A Type 30 or G2 (45 ib.) base sheet.
B. One layer Lydall "Monniglas 1200",
C, One layer Atlas energy Products "FR-lO",
mechanically fastened.
D. Amoco Foam Products "Amocor P14, PB4, PB6,
PB6W or Duro-Fold 1M"
E, Carpenter Insulation "Foamfold".
C ' ......1'. 3 mll polyethylene Sheet -:;.
M~~l\!lI ("vL),mechanic
2. Deck: C-15/32 Incline: No Limitations
Base Sheet: One layer Type G2 Owens-Coming base
sheet, mechanically fastened to deck.
Cap Sheet: One layer Type G3 GAF Mineral Surfaced
Cap Sheet, hot mopped,
Membrane: "Duro-Last@"(PVC),mechanically fastened,
Coating: Kool Seal "Unitlex Elastomeric White, Gray or
Black roof coating at 3;4 to 1 gal/sq.
Surfacing: No 11 roofmg granules embedded in the wet
coating at 50 lbs.lsq.
UL-6
UL & ULC Nov 99.doc
-225 Fifth Street
'Springfield, Oregon 97477
1'541-726-3759 Phone
Job/Journal Number
COM2005-00420
COM2005-00420
COM2005-00420
Payments:
Type of Payment
Check
I
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4/14/2005
.
RECEIPT #:
Description
Building Permit
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
WILLAMETTE ROOFING
_~""'IlU>'
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~ of Springfield Official Receipt
.elopment Services Department
Public Works Department
1200500000000000444
Date: 04/14/2005
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
jmp 2560 In Person
Payment Total:
Page 1 of!
10:13:07AM
Amount Due
60,60
4.24
6.06
$70.90
Amount Paid
$70.90
$70.90