HomeMy WebLinkAboutPermit Building 1996-8-2
SPRINOFIELD
~~
Page 1
RESIDENTIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
Job Number: 960593
225 North Fifth Street
,Springfield, OR 97477
Office: 726-3759
Inspection Line: 726-3769
Location of Proposed Work: 630 N CLOVERLEAF LP
Assessors Map #: 17032242
Lot: Block:
Tax Lot #: 06300
Subdivision:
Owner: MIKE HUDMAN
Address: 1443 GILHAM ROAD
Phone #: 345-7969
City/State/Zip: EUGENE, OREGON 97401
Describe Work: ASSISTED LIVING FACILITY NEW
Const.
Contractor Contractor # Expires Phone
General: TRENDSETTER HOM 0050386 04/08/97 485-0661
PO Box 70044 Eugene OR 974010000
Plumbing: DOUGS PLUMBING 0039016 02/22/97 688-3385
29503 Awbrey Ln Eugene OR 974029635
Mechanical: MARSHALLS 0025790 12/23/96 747-7445
4131 E St Springfield OR 974780000
Electrical: LH MORRIS 0054431 09/30/96 686-0905
89976 Day Lane Eugene OR 974020000
QUAD AREA: 1CNW
# OF BDRMS: 11
OFFICE USE --
LAND USE: 1134
SQ FOOTAGE: 4548
# OF BLDGS: 2
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.
REQUIRED INSPECTIONS ---
ROUGH GAS - after line is installed and capped if not attached to an
appliance
. POST AND BEAM ~ Prior to floor insulation or decking.
INSOLATION - Floor; prior to decking Wall/Ceiling; Prior to cover
, STORM SEWER LINE - Prior to filling trench,
,SANITARY SEWER LINE - Prior to filling trench,
. WATER LINE - Prior to filling trench.
ROUGH PLUMBING - Prior to cover.
ROUGH MECHANICAL - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power,
FRAMING - Prior to cover,
INSOLATION - Floor; prior to decking Wall/Ceiling; Prior to cover
DRYWALL - Prior to taping,
SIDEWALK - After excavation is complete, forms and sub-base material
in place.
SIDEWALK - After excavation is complete, forms and sub-base material
in place,
FINAL PLUMBING - When all plumbing work is complete.
FINAL MECHANICAL - When all mechanical work is complete,
GAS SERVICE - After line is installed and line has been connected to a
minimum of one appliance. Pressure test done at this point.
FINAL ELECTRICAL - When all electrical work is complete,
FINAL FIRE - When all Fire Department requirements have been met,
been met.
SPRINGFIELD
Job Number: 960593
Page 2
FINAL SITE PLAN - After all requirements have been met for Minimum
Development Standards or from the Development Agreement,
FINAL BUILDING ~ When all required inspections have been approved and
the building is complete,
Lot Faces: S
Topography: 2
Lot Type: INTERIOR
Item
'Main
Garage
Total Value
BUILDING PERMIT ---
Square Feet x
5145
$/Square Feet
64,66
= Value
332,676,00
0,00
332,676,00
Building Permit Fee
Surcharge/Admin
957.25
76,58
TOTAL FEE
(A)
1,033,83
--- SYSTEMS DEVELOPMENT CHARGE (SDC) ---
(B) 4,087,81
Systems Development Charge is due on all undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved,
PLUMBING PERMIT
Item
Fixtures
Sanitary Sewer
Water
Storm Sewer
29
Fee
290,00
25,00
25,00
25,00
o
Plumbing Permit
Surcharge/Admin
365,00
29.20
TOTAL CHARGE
(C)
394,20
- - - MECHANICAL PERMIT - - -
Furnace
Exhaust Hood
Vent Fan
Dryer Vent
GAS PIPING
VENTING HOT WATER
5
36,00
9,00
15.00
4,50
4,50
6,00
Mechanical Permit
Issuance
Surcharge/Admin
75,00
10,00
6,00
TOTAL PERMIT
(D)
91,00
--- MISCELLANEOUS PERMITS ---
Surcharge/Admin
WILLAMALANE SDC
PLAN REVIEW FEE
0,00
1,000.00
622.21
TOTAL MISCELLANEOUS PERMITS
IE)
1,622,21
(Excluding Electrical)
unless otherwise noted
TOTAL AMOUNT DUE
lA, B, C, D, and E combined)
7,229,05
I
~
Job Number: 960593
Page 3
-- - BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT ---
This permit is granted on the express condition that the said construction
shall, in all respects, conform to the Ordinance adopted by the City of
Springfield, including the Development Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Received By: LORNE PLEGER
Plans Reviewed By: LORNE PLEGER Date: 06/28/96
Building Site Reviewed By: LISA HOPPER
--- ADDITIONAL COMMENTS
DRC 94-12-259, PLANNER IS LAUREN LEZELL
PATH1
NO MECHANICAL INSPECTIONS UNTIL PLANS SUBMITED AND APPROVED
DRIVEWAY REQUIRED TO BE PAVED
STREET TREES REQUIRED
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 701,055 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
w, ill r~Jo~t all times during construction,
~ <is... 2...'16
Signature Date
--- VALIDATION
Receipt Number:
I!h -:/'2 7'=1.--'
Date Paid:
~.2.~
Amount Received:
7::l::l~~.,.,.
Received By:
~.rA_ ~
1'//
.
.
Job. No.
(\\()D~C1.3
NA~E: J\Y1 WY\l) (\
ADDRESS: \4A.~ (:\l \MM
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
PHONE: ({Cj\-.41':{)
STAi-E:~ ZIP: qrtDl
LOCATION OF PROPOSED BUILDING SITE:
Street Address: lo~ J\ . 0Q.ooJl~Of\1 tJ.1J
Plat Name: " Tax Lot Number:U 1113224-2003JJ
1. DEVELOPMENT TYPE (Check appropriate dwelling(s), sac calculations and dwelling t
ype definitions are on the back.)
A. SinolA-FAmilv DAtAr.hArj
\ Single Family home
NO, OF UNITS
Manufactured home not in a park
X $1,000 per unit = $ Jt;fJ)...(j)
B. Single-FAmilv AttAr.hAq
NO, OF UNITS
X $924 per unit = $
C, Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D, ManufactI.!mQ HomA PArk,
WILLAMALANE SDC
$
$
I(Wi /X)'
flf
$ I rf'{) ,cfJ
NO. OF UNITS
X $699 per unit =
2. SDC CREDIT (if applicable) SaC-payer must furnish proof of
Willarnalane Credit approval. See sac Credit Worksheet.
$
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if sac reduced for Credit)
lLZ'lli \ -
Development Se 'c s Department
City of Springfield
I
I
Date
I.,
, I'
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
(COMMERCIAL / INDUSTRIAL)
Name or Company: MIKE HUDMAN
Location: 630 N CLOVERLEAF LP
Developement Type: C Building Size:
1, STORM DRAINAGE
Impervious Sq Ft 1,0 X 5045
2, SANITARY SEWER
Number Of PFUs
(see Page 2)
- CITY
1. 0 X 36
3, TRANSPORTATION
Number Of Units
1.0 X 11 X
X Trip Rate
0.130 X
Transportation Total
4, SANITARY SEWER - MWMC
Number Of PFUs
36
X
X
Per PFU
18.750
MWMC CREDIT If Applicable (see Page 2)
TOTAL - MWMC SDC
SUBTOTAL - lAdd Items 1, 2, 3 & 4)
5, ADMINISTRATIVE FEES
Base Charge (Subtotal Above) X
0.50
TOTAL SDC
Reviewed By: TROY MCALLISTER
X
X
0.210
43.43
X
Job No,: 960593
Lot Size:
Per Sq Ft =
Per PFU
Cost Per Trip
437.93 =
$626,24
+ MWMC Admin Fee
+ 10,00
Date: 05/03/96
Page 1
Sq Ft
$1,059.45
$1,563,48
$626,24
$685.00
$41,02
$643,98
$3,893,15
$194,66
$4,087,81
Job Number: 960593
Page 2
FIXTURE UNIT CALCULATION TABLE
Fixture Type
Bathtub
Drinking Fountain
Floor Drain
Interceptors For Grease/Oil/Solids/Etc
Inteceptors For Sand/Auto Wash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/Etc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Stall
Shower, Gang
Sink, Bar, Commercial, Residential Kitchen
Urinal, Stall/Wall
Wash Basin/Lavatory, Single
Water Closet, Public Installation
Water Closet, Private
Miscellaneous
Number of
New Fixture
Unit
Equivalent
Fixture
Units
o
o
o
o
o
1
o
o
o
2
o
1
o
16
o
3
o
2
1
2
3
6
2
6
1
3
2
o
o
o
o
o
2
o
o
o
4
o
2
o
16
o
12
o
2
2
1
6
4
TOTAL FIXTURE UNITS 36
CREDIT CALCULATION TABLE: Based on assessed value. If improvements occured
after annexation date, credits are calculated separately.
(calculations are by $1000)
Year Annexed: 1968
Credit For Parcel Or Land Only If Applicable:
Improvement (if after annexation date) :
11,820
X
3.47
41.02
o
X
3.47 =
0.00
CREDIT TOTAL =
$41. 02
(If land value is multiplied by 1 then the parcel/land credit is not accurate.)
--J ;.,.?j),iJT~! .c-r%.
" . .-: i9CP~: *:2./785"
$Y ~~.
.
~~ccR3
(!
...
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BUILDING SAFETY
'"
'.
AUTHORIZATION TO PROCEED AGREEMENT
THIS AGREEMENT is entered into this ~ day of . ,t,A/C
betveen the.City of Springfietq,.~ rnunici~~!_~sporation of
hereinafter called City, and ~/) \4~..,CI.1lll1\
the Applicant. '-
IlHEREAS, the applicant has applied to the Ci ty Communi tyServices Building
Division for issuance of cert~'n n t.ion.p,ermits for de~lopment
improvements to be located at _ n \I\l'l.hYiDaL I Springfield,
Oregon or vi thin the Ci.ty's Ur an Grovt JUnfd~-A~; ane County
Assessor's Map and Tax Lot number l"rY~'L'141) D!Jl,~m .
, 19% by and
the State-oI Oregon,
, hereinafter called
IlHEREAS, the applicant has asked the City to authorize the Applicant to
immediately commence development improvements vithout a completed plan reviev or
subsequent approval as required by the Springfield Building Safety Code
Administra~ive Code section 303(a).
VHEREAS, the Applicant has submitted to the City a completed permit application,
3 (three) sets of construction dravings, specifications, and other data required
for the City to complete the necessary plan reviev of the proposed development
improvement.
VHEREAS, the intended development improvement is of a nature that requires no
other reviev approval from other State or local agencies and is exempt from the
criteria established by the Building Safety Division, attached as Exhibit A of
this Agreement.
IlHEREAS, the City has not revieved or approved the submitted materials for the
development improvement, .the City is therefore unable to confirm at this time
vhether the permit applicatic~ submitted viII be approved, and vnether the
~equired construction permits can be issued.
IlHEREAS, the applicant has requested the City to provide expedited authorization
to proceed vith certain phases of construction prior to the completion of the
City's reviev of the permit application.
IlHEREAS, the City's fee for the administrative services rendered in providing
expedited authorization is $150.00.
-
NOll, THEREFORE, in consideration of the foregoing recitals and.of the mutual
promises contained herein, the City authorizes immediate commencement of the
development improvement specified in the permit application subject to the
folloving terms and conditions:
~ .
~
~ ~
.
Authorization to Proceed Agreement
Page 2.
1. City agrees that the Applicant may immediately commence vith the
development improvements set forth in the permit application. City's
authorization to proceed is conditionep hovever. upon Applicant's agreement
that the project viII be constructed as set forth in the attached submitted
dravings and specifications, except as may be modified by City, and vill
comply vith all applicable lays and ordinances. Applicant's immediate
commencement of construction is at Applicant's ovn risk. The City makes no
assurance that the development or construction improvements vill be approved
or the required construction permits viii later be issued.'
2. City agrees to reviev Applicant's permit application in the normal reviev
process and to thereafter: .
a) issue Applicant the appropriate construction permits; or
b) advise Applicant of deficiencies in the proposed construction vhich
must be remedied before permits can be issued; or
c) advise Applicant of any statutes, ordinances or code provisions vith
vhich Applicant must comply vith before City can issue the permit.
3. Applicant agrees that if City finds Applicant's permit application and
submitted materials inadequate or deficient ln any manner including but not
limite4 to, the application or the proposed construction do not comply vi-th
all applicable statutes, ordinances or code provisions, Applicant viII
expeditiously cure the deficiencies so that'the City may issue the required
permits. Should Applicant fail ,to expeditiously correct submitted materials,
or should correction prove impossible, City'may in it's dis~retion, take any
or all of the folloving actions:
a) stop all further construction of the project in the manner prescribed
in the Springfield Building, Safety Code Administrative Code (BSCAC),
SECTION 201 (d)
b) order disconnection of serving utilities in a manner as prescribed'in
BSCAC, SECTION 201 (f)
c) issue a NOTICE ~,~ ORDER for removal or all such ~0rk in a manner as
prescribed in BSCAC, SECTION 204. ABATE~ENT OF u~SAFE, SuaSTM~DARD OR
DANGEROUS BUILDINGS, STRUCTURES OR BUILDING SERVICE EQUIPMENT. Upon
receipt of such notice, Applicant shall immediately remove the york
specified in the Notice and Order.
4. Applicant agrees, if the issuance of the permit is denied:
-
a) to remove, at the Applicant's sole cost and expense, all completed
construction or improvements; and
b) to restore the site or structure to it's pre-agreement condition and
free of all hazards
!
.
.
:
Authoriz~tion to Proceed Agreement
Page 3,
5. Applicant agrees that until Applicant's permit application is approved,
construction viII not to proceed beyond the point of authorization approved
by the City'S Building~ffic~pl. ~Plicant's P~nt of Authorization is
vyo~~ln ~
6. Applicant agrees tha~ all ~ork 'p rformed under this agreement shall be
accessible and exposed for inspection purposes and that neither the Building
Official nor City shall be liable for the expense entailed in the removal or
replacement of aiiy material necessary to allov inspection.
7. Applicant agrees that any or all'deficiencies identified during the
necessary inspections viII be promptly remedied, at Applicant~s sole cost
and expense before proceeding vith any further construction. Applicant also
agrees that these inspections do not replace the required plan reviev nor do,
they imply any approval of the submitted materials.
8. Applicant agrees that no vork shall be done on any part of the building
or structure beyond the point indicated in each successive inspection
vithout first obtaining the approval of the Building Official. Such approval
shall be given only after an inspection has been made of each successive
step in the construction as indicated on the attached Exhibit B.
9. Notvithstanding any other provisions of this Agreement, this Agreement
shall terminate upon issuance of a building permit or thirty (30) days from
the date of this Agreement, vhichever first occurs. Applicant understands
that all vork on the project shall immediately cease vithout any notice from
the City if this Agreement terminates before a building permit is issued.
This agreement shall terminate on .
10. Applicant agrees to defend, indemnify and hold City harmless from any
and all costs (including attorney fees), liability or damages of any kind or
nature vhatsoever, for personal injury and property damage arising from the
Applicant's early commencement of construction and the vork undertaken or
, completed.
11. The terms of this Agreement shall extend to and be binding upon the
parties hereto and tLeir heirs, successors and assigns.
12. If any suit, action or other proceeding, or an appeal therefrom, is
instituted to obtain, establish, enforce, or compel any right or obligation
resulting from this Agreement, the prevailing party shall be entitled to
recover from the adverse party, in addition to costs and disbursements, such
additional sums as the courts, both trial and appellate, may judge
reasonable attorney fees.
-
"
.'
.
.
.;~
Authorization to Proceed Agreement
Page 4.
BEFORE SIGNING THIS AGREEMENT, PLEASE READ AND UNDERSTAND THE MEANING OF EACH
PARAGRAPH OF THIS AGREEMENT. IT AFFECTS YOUR INTEREST"'S IN THE PROPERTY AND, IN
THE EVENT,OF DEFAULT; IT PLACES YOU PERSONALLY AT RISK AND THE SUBJECT PROPERTY
AT RISK OF FORECLOSURE FOR COSTS AND EXPENSES INCURRED BY THE CITY IN ENFORCING
THE TERMS OF THIS AGREEMENT. IN THE EVENT THAT YOU DO NOT UNDERSTAND ANY TERHS
OR CONDITIONS OF THIS AGREEMENT, PLEASE SEEK ANY LEGAL OR OUTSIDE OPINIONS YOU
HAY.DESIRE.
CITY
" APPLICANT
City of Springfield
~y:4~~~
.// ,,/ /'
BUF~ ~~~;4~
contractor:I\OI\~ \\omODJ
Busine~Name
Addres \?:1N
, .
CC Registration #
't\\t:M, f caQiD
1S?J l7t) ~ '-' ~ 0
LAND/PROPERTY O\lNER(S)
I/IlE HAVE READ THE ABOVE AUTHORIZATION TO PROCEED AGREEMENT. I/VE UNDERSTAND'
IlHAT IT EXPRESSES AND THE RESPONSIBILITIES IT PLACES UPON US AS THE
LAND/PROPERTY OIlNERS. I/IlE AGREE TO BE BOUND BY ALL TERMS AND CONDITIONS OF THE
AGREEMENT.
Name
MLCJ \ '\. ,.L [,.tv f) M l4;-vV
l lJ L./ '?> 6 ~L 1--4 1M. (2...0.
t.-.cu Ii- .
Address
,
~
. FE\!; ,=\'}~[.; ~!~ /.:::::1'; ~:C'VC:D
!-.2. TO FCJr;h-i .
..j<:l>~"\-\ j L<Sr.\......I.__
[-/:'l:.: h"-" \C\ \~Cj,~
-
C:::Fi~:..: C:- Ci7\' ATlOr:~~~:\'.
c;-~.\: ." ~'~"~:~:.~:~l:::LS
. . .
.
. . : '.
EXHIaIT A
Purpose
The purpose of this agreement is to allov 'certain d~elopment improvements to
occur prior to obtaining plan reviev approval from the Springfield Community
Services Division.
Scope
The use of this agreement shall be limited to certain one and tvo-family
dvellings not complex in nature as determined by the Building Official and
minor alterations or modifications to existing commercial and industrial
buildings vhich are of a non-structural'type and do not adversely affect any
structural member of the building or any part of the building havi~g fire
resistant construction.
One and tvo-family dvelling plans for structures that are complex in nature that
have been prepared by an Oregon licensed architect or engineer and accompanied
by a letter of reviev prepared by said architect or engineer, stating that the
submitted material is in compliance vith the One and Tvo-Family Ovelling
Specialty Code, may be considered eligible fo~ this agreement.
The folloving items include but are not limited to certain conditions of
development identified as ineligible for this agreement:
a) development requiring site approval vhich has not been obtained;
b) nev development located on land vith over six-percent slope;
c) lots having expansive (clay) soil;
d) 'development located vi thin flood hazard areas;
e) development located vi thin vetland areas;
f) pole buildings or other such type of structure that is not of conventionai
construction.
-
"
.-
.
.
.'
EXHIBIT B
~
Required Inspections
To request an inspection, you must call 726-3769.
All inspections requested before 7:00 a.m. will be
Inspections requested after 7:00 a.m. will be made
This is a 24 hour recording,
made the same working day,
th~following work day.
Temporary Electric
site - To be made after excavation, but prior to setting forms
~ Footing - After trenches are excavated
I ,
:><
Foundation - After forms are erected but prior to concrete placement
'X
Underfloor Plumbing - Prior to filling trench
.
y-
Underfloor Mechanical - Prior to insulation or decking
x
Post & Beam - Prior to floor insulation or decking
x
Underfloor Insulation - Prior to decking
x
Sanitary Sewer - Prior to filling trench
"'X
Storm Sewer - Prior to filling trench
'X
Water Line - Prior to filling trench
,