HomeMy WebLinkAboutPermit Building 1993-11-12
~ESI~ENTIAL
PERMIT APPLICATION
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Inspections: 726.3769
Office: 726,3759
LOCATION OF PROPOSED WORK: /... 74
ASSESSORS MAP' J '703 2. 2..
LOT:
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SPRINGFIELD
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93/707
JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
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BLOCK'
OWNER:
ADDRESS'
CITY:
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DESCRIBE WORK:
/[J1t I-aK
NEW
REMODEL
ADDITION
CONTRACTOR'S NAME
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STATE:_~
-
;S~/
?M
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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.
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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.
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Panhandle
I P.L.
IN
Is
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Setbacks
HSE GAR Accl
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\. 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.
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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')'\.<.(
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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. _
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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)
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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:
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Authorization to Proceed Agreement
Page 2.
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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:
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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
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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.
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11. The terms of this Agreement shall extend to and be binding upon the
parties hereto and t~eir heirs, successors and assigns.
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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.
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Authorization to Proceed Agreement
Page 4.
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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
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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.
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