Loading...
HomeMy WebLinkAboutPermit Building 1993-11-12 ~ESI~ENTIAL PERMIT APPLICATION . Inspections: 726.3769 Office: 726,3759 LOCATION OF PROPOSED WORK: /... 74 ASSESSORS MAP' J '703 2. 2.. LOT: ~ SPRINGFIELD , rc;".7(o <, I . 93/707 JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 CLnl/tJ7et..bt-F iI!, BLOCK' OWNER: ADDRESS' CITY: J~~' I A fuF;.. //7\' ))i5-:C1,lIUr~ dJ1' .8u Co Bu Z::- DESCRIBE WORK: /[J1t I-aK NEW REMODEL ADDITION CONTRACTOR'S NAME ~ p..; STATE:_~ - ;S~/ ?M - -, DEMOLISH OTHER TAX LOT: 97ao ;JI:/~~ 7( -JC::>JL SUBDIVISION: 6/f'AA ~A PHON'" :~43 ZIP:_'77fo! ])14//1""7< ADDRESS /Avuto: ~~ CONST. CONTRACTOR . ,,~?,f!, 4. PHONE GENERAl' PLUMBING: .0~~':' ~b/M.u.,t(JA.) MECHANICAl' b~~ f.k!: ~.'- '...> ELECTRICA" EXPIRES (//r~<i ' - OFFICE USE - QUAD AREA- LAND USE: FLOOD PLAIN: . OF BLDGS: . OF UNITS' ZONING CODE: OCCY GROUP: CONSTR. TYPE: . OF BDRMS' . OF STORIES' HEAT SOURCE: SECONDARY HEAT: WATER HEATi;:Et RANGE: SQUARE FOOTAGE: '.: To request an inspection, you must call 726.3769. This is a 24 hour recording, 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. o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumblng/Electrlcall , Mechanical - Prior to cover. r"Vr' Footing - After trenches are ~ excavated. o Masonry ..:... Steel location, bond . bear.ns, grouting. ~ Foundation - After forms are ~rected but prior to concrete placeme~t. o Underground Plumbing - Prior to filling trench. 'K;;;( underflo'i;.,Plumbln!lGechanlc,J) ~- Prior to ff'fsulatlon or-oecklng. "'r\:7f Post and Beam - Prior to floor ~ Insulation or deckIng. 'R/r' Floor Insulation - Prior to ~eCklng. ,l<;:;?r Sanitary Sewer - Prior to filling ~ trench. ~ Storm Sewer - Prior to filling ~ trench. ' M Water Line - Prior to filling ~tr~nCh ., :::;,ToP VVc9'1'<K o Rough Plumbing - Prior to cover. " REQUIRED INSPECTIONS o Rough Mechanical - Prior to cove~ . o Rough Electrical - Prior to cover. o Electrical Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. " o Framing - Prior to cover. o Wail/Ceiling Insulation - Prior to cover. o Drywall - Prior to taping. o Wood Stove - After Installation. o Insert - After fireplace approval and Installation of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. o Sidewalk & Driveway - After " excavation is complete, forms and sub-base material In place. o Fence - Whe,n completed. o Street Trees - When "all' required trees are planted. o Final Plumbing - When all plumbingworklscomple~ o Final Electrical - When all electrical work Is complete. o Final Mechanical - When all mechanical work Is complete. o Final Building - When all required Inspections have been approved and buildIng is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set-Up - When all blocking is complete. o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking, set,up, and plumbing Inspections have been approved and the home is connected to the service panel. o Final - After all requIred Inspections are approved and porches, sklrtln"g, decks, and venting have been Installed. . Panhandle I P.L. IN Is 'Iw IE Setbacks HSE GAR Accl I I ,/. :- \. IS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. " Lot faces Lot Type Lot sq, ftg, Interior Lot coverage Topography Corner Total height Cul-de.sac APPROVED: BUILDING PERMIT ITEM SO. FT. X $/SO. FT, VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT c;#/r.K... '<.i')'\.<.( ';k; :5CJ f'0 This permit Is granted on the express conditlon 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. Plan 'Check Fee: Main Garage Carport Date Paid: Total Value Recel pt Number" Building Permit Fee Received 'By: State Surcharge Total Fee (A) Plans Reviewed By" :. ~. Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Developm'eni 'Charge Is due on all undeveloped properties within the City limits which are being Improved. PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Residential Bath(s) N' /p//rJ<' <:;,~T ? VAJ,fi35l1 ~Ya_ fiM- ~'1J~ c:1.tJ k. _ ( Fixtures Sanitary Sewer FT. FT. FT. Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Vent Fan N' 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 r further certify that any and all work performed shall be done In accordance with the Ordlnanc~s 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. Exhaust Hood Wood Stove/lnsert/Flreplace Unit Dryer Vent Mechanical Permit Issuance State Surcharge Total Permit (D) 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. /~gnatur~ ~ '7.1L--. Date .{(-l2 -91 - 7 MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk ft Curbcut ft Demolition State Surcharge VALIDATION: RECEIPT NUMBER DATE PAID I / ' If) ,cr 0 c .- AMOUNT RE~V /0n C! _ RECEIVED BY ([)()~)Y liJo..i.lI.'ne. ~ -0 -U Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) /qD o-P (A, B, C, D, and E Combined) . . \I"\tq~ \ Dpj)D / /(b(\ m~ . .-: .-- CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY AUTHORIZATION TO PROCEED AGREEHENT THIS AGREEMENT is entered into this II day of Dell, betveen the City of Springfield, a municipal corporation of hereinafter called City, and <:)"".........sl.";li? LAR" Ii.. the Appli can t , , 19Cn by and the State-oI Oregon, , hereinafter called VHEREAS, the applicant has applied to the City Community Services Building Division for issuance of certain construction permits for development improvements to be located at t.74Ic.7(; kj, Ct,Gl~'<...~ IE:",1' ~O_ Springfield, Oregon or vithin the City's Uroan-Grovth Jurisdictional Area; Lane County Assessor's Map and Tax Lot number 1'71?"? 22... 3/ , VHEREAS, 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 Administrative Code section 303(a). IlHEREAS, 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 improvemen t. IlHEREAS, 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 qivision, 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 ur.able to confirm at this time vhether the permit applicati::: submitted viII be approved, and .nether the required 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 viII comply vith all applicable lavs 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 vi!! be approved or the required'construction permits vi!! 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; ~ c) advise Applicant of any statutes, ordinances or code prOV1Slons vith vhich Applicant must comply vith before City can issue the permit, 3. Applicant agrees that if City finds Appli~ant's permit application and submitted materials inadequate or deficient ln any manner including but not limited to, the application or the proposed construction do not comply vith 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 discretion, 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 2\J ORJE~ for re~oval of all such .ork i~ a manner as prescribed in BSCAC, SECTION 204. ABATE~Eh7 OF u~SAFE, SU3STM~DARO OR DANGEROUS BUILDINGS, STRUCTURES OR BUILOING SERVICE EQUIPHENT. 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 '. . -' . . . Authorization 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 th~ Ci ty' s \Blugdin~ Of;_~cial. Aplllicant~ s Point, of A,uthorization is _ .D~.P . l(~t\ CH'A'\o..N.. \ f\~f'-l-\{)Y""v \ I-=~\) , . 6. Applicant agrees that all vork performed 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 any material necessary to alloy 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 befoAe a ~ild~~ermit is issued. This agreement shall terminate on \;..}.. . \ ~ ' VI ~l . 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 t~eir 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 INTERESTS 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 By: Contractor Business ~ / /J._ '1. / Building Official Address 117<;" t.. A P..(.~ If DR}' '-<.M cL f)....'"} t!,ck.. ~ 0 C }" ~ . Ol, '1'?c.{oj CC Registration * S;:S$?;Y LAND/PROPERTY OIlNER(S) I/IlE HAVE READ THE ABOVE AUTHORIZATION TO PROCEED AGREEMENT. I/IlE UNDERSTAND IlRAT 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 R' 6_ ':2.-<- ,.." ,.,' .':> "" Address 117<;; /,/ "-'!,/2 cc..L' 12 0 k-~J 'I ~ oj)., L evn I , ~ . F.E\-:;r=::,::,::' 2.. i~'.?r:;;C'V~:j ~'j:~~~'~~:,ij L~~.(_ ~ i.',;o. L'-'=_~':\, \ '\ '\ ~ . C":'~;:::~:: (::= C:T':" !~.T70?~~..~::':; (.:1":, :.:. .':.>:::::,=:::L~ "...., It . . EXHIBIT A Purpose The purpose of this agreement is to allov 'certain development 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 t.o-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 having fire resistant construction. One and tvo-family d.elling 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 Dvelling Specialty Code, may be considered eligible for this agreement. The folloving items include but are not limi ted to certain condi tions 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 vithin flood hazard areas; e) development located vithin vetland areas; f) pole buildings or other such type of structure that is not of conventional construction. .