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Home My WebLink AboutPermit Building 1994-10-14l.ik!43,1 otlo SPRINGFIELD RESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 q41 afr, JOB NUMBER 225 Fifth Street Springfield, Oregon 97 477 LOCATION OF PBOPOSED WORK:J4t{L otto ASSESSORS MAP TAX LOT: LOT: q ooftoANo i coNsrRUcTroN,rNc *71158 84959 Parkway PLEASANT HILL,OR 97455 SUBDIVISION Nlu PF l^brth PHON E ZIP: BLOCK: OWNER: . ADDRESS: - CITY: -DESCRIBE WOFIK:str) r.Tew I FIEMODEL ADDITIoN DEMoLISH oTHER 84959 Parkuay Pleasant HiII, 0r 97455 3170 tlt tlth, Eugene, OY 97402 500 Greenfield Eugene, 0r 97404 4131 "E "St . Sprinsfield, 0r 97478 2766L Crou Rd Eugene, 0r ?7402 687-1851 -21351 o4/95 33076 06/95 688-1931 l'tarshalls OiI & Ins.?5790 L2/94 7 47 -7 445 34s-7564Brooks Excavation 55921 03/95 RANGE:2-HEAT SOUFICE:+z- 71158 CONTRACTOB'S NAME ADDRESS WATER HEATER: S OF STORIES: EXPIRES 02/?5 PHONE 726-3899 SECONDARY HEAT SQUARE FOOTAGE: CONST. CONTRACTOR # GENERAL: PLUMBING: -MECHANICAL: - ELECTRICAL: - HE and i Const.,Inc. BiIIs Electric Oon Lewis Plumbing OUAO nnee: J * OF BLDGS: , OCCY GBOUP: I To request an inspection, you must call 726-3769. This ls a24hour 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. REQUIRED INSPECTIONS ) h(l Temporary Electric E tr ry ry m W Frr F + ry + [l Underground Ptumbing - prior.J to filling trench. Site lnspection - To be made after excavation, but prior to setting forms. Underslab Plumbing/ Electrical / Mechanical - Prior to cover. Footing - After trenches are excavated. Masonry - Steel location, bond beams, grouting. Foundation - After forms are erected but prior to concrete placement. Underlloor Plumbing/ Mechanical - Prior to insulation or decking. ..(, .i Sanitary Sewer - Prior to filling trench. Storm Sewer - Prior to filling trench. Water Line - Prior to filling trench. Rough Plumbing - Prior to cover. Post and Beam - Prior to floor insulation or decking. l, r,;';;,*b,Yicin : p\,ia, tt t il Rough Mechanical - Prior to cover. Rough Electrical - Prior to cover Eleclrical Service - Must be approved to obtain permanent electrical power. Framing - Prior to cover. Wall/Ceiling lnsulation - Prior to cover. Drywall - Prior to taping Wood Stove - After installation. Fence - When completed Other MOBILE HOME INSPECTIONS Plumbing Connections - When home has been connected to water and sewer. Final Plumbing - When all plumbing work is complete. Final Electrical - When all electrical work is complete. Final Mechanical - When all mechanical work is complete. Final Building - When all required inspections have been approved and building is completed. Final - After all required inspections are approved andporches, skirting, decks, andventing have been installed. m s m &T ry ry ry L J .,, lnserl - After fireplace approval and installation of unit. [-l alocking and Set.Up - When ail - blocking is complete. ry Qurbcut & Approach - After'fdims are erected but prior toplacement of concrete. deck ng ffi SiA"*ulk & Driveway - After-,- excavation is complete, forms and sub-base material in place. Electrical Connection - Whenblocking, set-up, and ptumbing inspections have been approved and the home is connected tothe service panel. ffi Street Trees - When all required T+ trees are planted. f-{ r++5 [-l Fireplace - Prior to facing - materials and framlng lnsp. Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type ,. - lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR ACC N J E .-.TS THE PROPOSED WORK IN THE HISTORICAL DISTRICT, OB ON THE HISTORICAL REGISTER? _-_--- lf yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. APPROVED: 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 Spri ngfield, 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: r. ' s ltnhq---f-5[te-PI ewed By By: Receipt Numbe Date Paid BUltiDlNG PERMIT VALUE 1\.\1f,\ote SQ. FT. X $/SO. FI. &\-E. s?qA.u^ --+fts"(A) rt&l\.)+ 1e.?D Rslrt 14.tn 6\q3 Total Value Building Permit Fee State Surcharge Total Fee ITEM Main Garage Carport Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. SYSTEMS DEVELOPMENT CHA (B) RGE (SDC)/r-r\s.tt ADDITIONAL COMMENTS ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE N0 \6o@ FT. FT. coIPlumbing Permit State Surcharge Total Charge ^cDB_-----d@.BGA,*Ur (c) Wood Stove/ lnsert/Fireplace Unit Dryer Vent MECHANICAL PERMIT <ort 3e I).se !p--(o G,@ t'9 Mechanical Permit lssuance State Surcharge Total Permit 3? q&-*r'^ - t,E tot 3t\.31 Fu rnace Exhaust Hood Vent Fan No5 By signature, I state and agree, that I have caref ully 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 Springf ield, and the Laws of the State of Oregon pertainlng to the work described hereln, 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 f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permlt card is located at the front of the property, and the approved set of plans will remain Signature Date 8.a?-?r on the site at all times during construction MISCELLANEOUS PERMITS Total Miscellaneous Permits (E) BE-te Surcharge Demolition Mobile Home State lssuance State Surcharge Sidewalk Curbcut tOI tt &d{ tt EI D DATE PAID VALIDATION: FIECEIPT NUM AMOUNT R RECEIVEDTOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) 3S{e-13 FT- u5.sE ACfl.]9 ATTACHMENT 81 .OB NO 34zg 7 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CI{ARGE WORKSHEET (COHHERCIAL & RESIDENTIAL) NAI'IE OR COMPA}IY: LOCATION:2r44 6 o/h DEVELOPMENT TYPE:SFD 1. STORI4 DRATNAGF IMPERVIOUS SQ. FT.312C X $0.209 PER SQ. FT s 7ta.os 2. SANITARY SEWER.CITY NO. OF PFU'S (See Reverse) tY X $43.26 PER PFU ' $ 77 7. st 3 TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP x /,o/ x$436.19 x - x $436.19 x - x $436.19 s ffu.sr SUBTOTAL (ADD ITEMS 1,2, & 3) $ .A3f.ZC 4. SANITARY SEl|lER-l',lhIMC N0. OF PFU'S /V x $17.19 PER PFU + $10 Ml^lMC ADMIN.FEE s 3o?./2 (Use PFU Total From Item 2 Above) S St.72 $ s $ zt 0.6oMI.IMC CREDiT IF APPLICABLE (SEE REVERSE) TOTAL-I,IWMC SDC SUBTOTAL (AOO ITEMS 1.2.3 & 4)$ 2t E;,EL 5. ADMTNISTATTVF FFFS BASE (SUBTOTA.NOVE) X .05 $ /o?,2? f,'t r'?4 ar SDC g, P.E 82. SDC i nator Date: TOTAI SDC S zz?f.,tC BUILDING SIZE: - LOT SIZE' SQ. ft. / FIXTURE UNIT CALCULA-rlON TABLE: Number of New Fix' (NOTE: For remodels, calculate only -.; NET additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES Bathtub..... Drinking Fountain.... Floor Drain lnterceptors For Grease/Oil/Solids/Etc................. A lnterceptors For Sand/Auto Wash/Etc Laundry Tub/Clotheswasher.... Clotheswasher - 3 Or More.... Mobile Home Park Trap (1 Per Trailer)...... Receptor For RefrigeratorAVater Station/Etc Receptor For Commercial Sink/Oishwasher/Etc.. Shower, Single Stall....-..... Shower, Gan9........ Sink: Bar, Commercial, Residential Kitchen..I Urinal, StalllYVall. ; X Unit Equivalent = Fixture Units UNIT EOUIVALENT FIXTURE UNITS T --T- /v _4__ /Head 2 1 2 3 6 2 6 6 1 3 2 1 2 2 1 6 4 Wash Basin/Lavatory, Single. Toilet, Public lnstallation. Toilet , Private Miscellaneous:tT',t roPb *ttk z 2 TOTAL FIXTURE UNITS 2 oREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table, calculate credits separates. Credit for Parcel or Land Only lf Applicable tmprovement (if after annexation date) 3.4C x $/7.orz:f8-rz (Rate X Assessed Value) (Rate X Assessed Value) CREDIT TOTAL = $str.Fz x$ Year Annexed Rate per $1,0OO Assessed Value Year Annexed Rate per $1,OOO Assessed Value 1979 or before 1 980 1 981 1 982 1 983 1 984 1 985 $3.46 3.38 3.32 3.21 3.O6 2.92 2.73 1 985 1 986 1 987 1 988 1 989 1 990 1 991 1 993 s2.46 2.14 1.77 1.37 0.97 o.61 o.44 o.15 " ----- '.:;;;5;;.3 I 1_-z- SPRINGFTELO 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dvelling Servlce or Feeder utr.ecrRrcAt, PERHTT APPLTcATToN m The {ollowipg proli'ct es sr'rbniill'rd has tlte 225 ?y.YtB SI1EBf, zc,liirg, iind cle i rrc! requiio spec!'lic li?nd spRrNGprgLD, oREGON 9747fp'orcvsl'q4Ls'.)INSPECTION REQTIEST: oPPfCB: 726-3759 1 726-3769 zc,niris - 'City Job Nurober Signature I.EGAL Permits are non-transferable and expire if vork is not started vlthln 180 days of lssuance or lf vork is suspended for 180 daYs., 2. CONIRACTOR INSTALI.ATION O}ILY Electrlcal Contractor BILLS Address 3170 WEST 11TH AVENUE ci ElIGFNF Phone 6R7- t RE'l Supervisor Llcense Number 980S Expi ration Date 70/t/95 3. COHPI.^ETB PEE SCEEDTILE BELOV A. Nev Residentlal-Single or HuIti-FamiIy per dvelling unit. , tut""e rncruded: r tems cos t Date sEqt? Sum q J _4 $ 8s.00 35,tu $ ls.oo 3o,e s 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- over 1000 amps/volts -Reconnect 0nIy s s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 d Constr Contr. Number Z:.:jii Explratlon Date 4/28/9q J of sing Electrician Temporary Services or'Feeders Installation, Alteratlon or Relocation c E. 200 amps or less I S 40.00 201 amps to 400 amps - $ 55.00 tu Over 401 to 600 amps - g BO.OO Over 600 amps or 1000 voT[s see uB', a56ii 0mers ci Phone OgNER INSTALI.ATION The. installatloir is beirig made onproperty I ovn vhich is not intendedfor sale, lease or rent. Onners Signature: DATE: D. Branch Circuits Nev, Alteration or Extension Per Panel One Ci rcui g Each Addi tional Circui t or r.ri th Service or Feeder Permi t $ 3s.00 $ 2.00 Hiscellaneous (Service/feeder not included) -Each installation .00 .00 .00 .00 Pump or irrigatlon SSign/OutIine Lighting- $Limited Energy/Res - SLlmi ted Energy/Comm $ 40 40 20 36 5. STIBTOTAL OP ABOVB5f State Surcharse rcrff,aoB\AAiD^ T.fi"\ \SS.qA+RECEIVED [ 6T.{0 Perrnits are non-transferable if vork is not started vithin of issuance or if vork is sus L80 days. 2. COI\ITRACTOR INSTALI,ATION ONLY S DATE: L000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Manuf'd Home or Modular DveIling Service or Feeder SPRlNGFIELO EIJCTPJCAL PERI{IT APPLICATION Nev Residential-Single or Multi-FamilY Per dvelling unit' Service Included: I tems Cos t $ 8s.00 $ 1s.00 $ 40.00 $40 40.00 5s.00 The lollowing proiect ss eubmttted hrs the lollowlng ifir"ii, ,iiii?6ld not requiro specirlo land use approvai 225 FI.YTH SIREET SPRINGFIEI,D OREGON INSPECTION REQTIBST: 0FPICE: 726-3759 1.INST IJGAL OB DESCRIPTI A and expire 1B0 days pended for Sum 80. oo ee ilBu a6ove Electrical Contractor Ci ty Phone Supervisor License Number Expiration Date C. Constr Contr. Number Expiration Date S ture of Supervising Electrician D Ovners Name Address Ci tv Phone Services or Feeders Installation, Alterations or Relocation: 200 amps or less zOi .rbt to 400 amPs -401- amps to 600 amPs - 601 amps to 1000 amPs- Over 1000 amPs/volts - Reconnect 0n1Y Temoorarv Services or Feeders ins'taf faiion, Alteration or Relocation 200 amps or ]ess \- 201 amps to 400 amPs - Over 401 to 600 amPs - 0ver 600 amPs or fOOOGTts Branch Circuits Nev, Alteration or Extension Per Panel one circuit $ 35'00 e."h aaaitionalCircuit or vith Servic" ' or Feeder Permit - $ 2'00 Miscellaneous (Service/feeder not included) -EacH installation Pump or irrigation Sign/0utline Lightirg- Limited EnergY/Res - Limited EnergY/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL B 00 00 00 00 00 00 $300 $s0 $60 $100 $130 $ $ $ s $ 40.00 s 40.00 $ 20.00 $ 36.00 OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent' E CC) C'TY OF SPR OREGO'V RECEIVED ture: 5 $C\ - B LV,ql +q4 I ml t44s?- ttr ,a CITY OF SPRINGFIELD COMMUNTTY SERVICES DIVISION BUILDING SAFETY AUTHORIZATION TO PROCEED AGREEMENT THIS AGREEMEM is entered into this day of betveen the City of Springfield,mun hereinafter called City, and the Applicant. raco o t ta by and 0regon, , hereinafter called r& te ot IJEEREAS, the applicant has applied to the City Community Services Building Division for issuance of certain construction permits for development imp rovements to be located at Z/c/( O77Z Springfield, Oregon or vithin the Ci Assessor's Hap and Tax ty's Urban-Giovth Jurisdictional Area; Lane Lbt number /?4-Z*// a/aao . County IIHEREAS, the applicant has asked the City to authorize the Applicant to immediately eomnence development improvements vithout a conpleted plan reviev or subsequent approval as required by the Springfield Building Safety Code Administrative Code section 303(a). VtsEREASr the Applicant has submitted to the City a completed permit application, 3 (three) sets of construction dravings, specificationsr and other data requiredfor 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 thecriteria established by the Building Safety Division, attached as Exhibit A ofthis Agreement IJHEREAS' the City has not revieved or approved the submitted materials for the development improvement, the City is therefore unable to confirm at this timevhether the permit applicatia; submitted vi11 be approved, and vhether the Iequired construction permits can be issued. VHEREAS, the applicant has requested the City to provide expedited authorizationto proceed vith_certain phases of construction prior to the completion of theCity's reviev of the pernit application. IJHEREAS, the City's fee for the administrative services rendered in providingexpedited authorization is $150.00. NOIJ, THEREFORE, in consideration of the foregoing recitals and of the mutualpromises contained herein, the City authorizes i.mmediate commencement of thedevelopment improvement specified in the permit application subject to it," - 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 conditione! hovever, upon Applicant's agreement that the project vill be constructed as set forth in the attached submitted dravings and specifications, except as may be modified by City, and vilI comply vith all applicable lavs and ordinanees. Applicant's imnediate connencenent of constructiou is at t'so@sno assurErnce ts-EiIfTe roved ts teror 2. City agrees to reviev Applicant's. permit application in the normal reviev process and to thereafter: a) issue Applicant the appropriate construction permits; e! b) advise Applicant of deficiencies in the proposed construction vhich must be remedied before pernits 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 naterials inadequate or deficient in any manner including but notIimited to' the application or the proposed construction do not comply vithall applicable statutes, ordinances or code provisions, Applicant vil} expeditiously cure the deficiencies so that the City may issue the requiredpermits. Should Applicant fail to expeditiously correct submitted materials,or should correction prove impossible, City may in it,s discretion, take anyor all of the folloving actions: a) stop all further construction of the project in the nanner prescribedin the Springfield Building Safety Code Administrative Code (BSCAC), sEcTroN 201 (d) b) order disconnection of serving utilities in a manner as prescribed in BSCAC, SECTToN 201 (f) c) issue a NOTfCE lJ'D 0BDER for removal of all such vork in a nanner as PTESCTibCd in BSCAC, SECTION 204. ABATEMEM OF I.JNSAFE, STIBSTAI,IDARD oR DANGEROUS BUILDTNGS' STRUCTTRES 0R BUILDING SERVICE EQUIPMEM. Uponreceipt of such notice, Applicant shall immediately remove the vorkspecified in the Notice and Order. 4. Appricant agrees, if the issuance of the permit is denied: !, a) to remover dt-the Applicant,s sore cost and expense, arr completedconstruction or improvementsl and b) to restore the site or structure to it's pre-agreement condition andfree of all hazards or eons ruc construct on Authorization to Proceed Agreement Page 3. 5. Applicant agrees that until Applicant's permit application is approved, construction vi1I not to proceed beyond the point of authorization approvedIding Official. Applicant's Poiut of Authorization isbyCi ty's 5. Applicant agrees that all vork performed under this agreenent shall be accessible and exposed for inspection purposes and that neither the BuildingOfficial nor City shall be liable for the expense entailed in the removal or replacement of Emy Eaterial necessary to allov inspection. 7. Applieant agrees that any or all'deficiencies identified during the necessary inspections will be promptly remedied, at Applicant's sole cost and expense before proceeding vith any further construetion. Applicant also agrees that these inspections do not replace the required plan reviev nor dothey irnply any approval of the submitted materials. 8. Applior struc vi thoutshall be step in 10. Applicant and aII costs 9. Notvithstanding any other provisions of this Agreement, this Agreementshall terninate upon issuance of a building permit or thirty (30) days frorn the date of this Agreement, vhichever first oceurs. Applicant understandsthat all vork on the project shall immediately cease vithout any notice from the City if this Agre This agreenent shall ement terminat before a building ermit is issued. cant agrees that no vork shal1 be done on any part of the buildingture beyond the point indicated in each suceessive inspectionfirst obtaining the approval of the Building 0ffieial. Such approvalgiven only after an inspection has been made of each successive the construction as indicated on the attached Exhibit B. tenninate on and hold City less rom anyliability or damages of any kindnature whatsoever, for personal injury and property damage arising from thApplicant's early comnencement of construction and the vork undertaken or completed. 11. The terms of this Agreement shal1 extend to and be binding upon theparties hereto and tl,eir heirs, successors and assigns. .L2- rf any suit, action or other proceeding, or an appeal therefrom, isinstituted to obtain, establish, enforce, or compel any right or obligationresulting from this Agreement, the prevailing party shall be entitled torecover from the adverse party, in addition to costs and disbursements, suchadditionar sums as the courts, both trial and appelrate, may judge reasonable attorney fees. agrees to defend, indemnify (including attorney fees),or 6 Authorization to Proceed Agreement Page 4 BEFoRE8IGNINGTIIISAGRE_EI{ENB,PI,EASE-.READA}IDUNDERSTA}IDTIIE UEAIIINc oI' EAcrr PARAcRAPs--or THIs aengg;iNr' Ir eFFEcl[S yOLR TNTERE'E' rN TI.E pRopERry AND, iN rng E-vENr oE DEFAUT,T' rr PrJAcEs you pERsoNALLY AT RIsK erlo' rns sUBJEAtr PRoPERIrY AT RISK OF FORECLOSURE FOR COSTS A}TD - EXPEN8ES TNCUNNEO BY IHE CITY IN ENFoRCINGTIIETERMSoFTHISAGREE!{ENT.INTEEEVENT:IIIATYoUDo NOT T'NDERSTAND ANY TERMS OR CONDIUONS OI' THIS AGREEI{ENT' PI'EASE SEEKANYIJEGALoRoUTSIDEoPINIoNsyouUAYDESIRE. CITY City of sP ringfield APPLICANT Contractor By Business N 7"*?ra:ft(*7 ilding official Addre CC Registration 7//93 IJAND /PROPERTY OI{NER ( S I I/WE HAVE READ TIIE ABOVE AUTIIORIZATION TO PROCEED AGREE!{ENT. llwB uilonnsrexo wHAT rr ExpREssEs AND TIIE REsPoNsrBU,rrrEs rT Pr,AcEs upoN us As THE LAND/PROPERTY OWNERS. TIWE AGREE TO BE BOTND BY ALL' TER}TS AND CONDITIONS OF EIIE AGREE!,TENT. Name t*ant )o" t h, i* Addres VALIDATION: CITY JOB # + RECEIPT DATE PAID AMOUNT RECEI L \t \ RECEIVED BY D 00 EXHTBIT A Purpose The purpose of this agreement is to alrov'certain development improccur prior to obtaining plan reviev approval from the springfieidServices Division. ovements to Communi ty Scope The use of this agreement shall be limited to certain one and tvo-familydwellings not complex in nature as determined by the Bui1di"g otfi"ial andminor alterations or modifications to existing commercial and industrialbuildings vhich are of a non-structural"type Ind do not ad;;;se1y affe"i "nystructural nember of the building or any part of the buildint-Uaving fireresistant construction. One and tvo-family dvelling plans for structures that are complex in nature thathave been prepared.by an oieion licensed;;ahiiect or engineer and accompaniedby a retter of reviev p."p".Ed uy saia-ar"tii""t or engineer, stating that thesubmitted material is in complianee with the One and rio-ramily Dwerlingspecialty code, may be consiieiea eriiiur.-'i"r".r,i;'";;;#fi: The folLoving items include but are not limited to certain conditions ofdevelopment identified as ineiigiur" io.-iiiii-"gr""r"r,., 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; t' ::*.|*li:r" or other such tvpe of s*ucture that is not of conventional t