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HomeMy WebLinkAboutPermit Building 1999-04-27CITY SPFINGFIELE, Ja RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIEI.D COMMI'NITY SERVICES DIVISION BUII.DING SAFETY Page 1 ilob Nurnber: 990329 225 North Fifth Street Springfield, OR 97477 Location of Proposed Work: 6814 SIMEON DR Assessors tttap #: L70234]-1- Lot: 16 Block: Office Inspection Line 725 -37 59 726 -37 69 Tax Lot #: Subdivision: 04800 LEVI LANDING Owner: SIERR.A BUILDERS Phone #: 744-8267 Address: 83188 ENTERPRTSE ROAD City/State/Zip: CRESWELL, OREGON 97426 NEW ContracEor Const. ConEractor #Expires 05 /2s / ee Phone 7 44 - 826'7 473 -2827 -147 - 7 445 685 - 0905 # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOI-IRCE: FG INSUL PATH: P1 General: Plumbing: Mechanical: Electrical: QUAD AREA: 4RNE # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: G SQ FOOTAGE: 1830 SIERRA 670 PINE CT CRE BMC 648 W OREGON AVE MARSHALLS 4110 OLYMPIC ST S ROSE CORP 89976 DAY LANE EUGENE AIIE ense You rfortB€ OFFICE USE -- LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E 2 To requests an inspection, call the 24 hour recording aL 726-3769. A11 j-nspections requested before 7:00 a.m. w1If be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. --- REQUIRED INSPECTIONS --- FOOTING - After trenches are excavated. FOITNDATION - After forms are erected but prior to concrete placement. UNDERFLOOR PLITMBING - Prior to insulation or decking- ITNDERFLOOR MECHATiIICAL - Prior to insulation or decking. ROUGH GAS - after line is installed and capped if not attached to an appliance POST AtiID BEAl,t - Prior to f loor insulation or decking. INSULATION - Floor; prior to decking Wa11/Ceiling; Prior Lo cover WATER LINE - Prior to filLing trench. SANITARY SEWER I,INE - Prior to filling trench. STORM SEWER LINE - Prj-or to filling trench. ITNDERFLOOR DRAIN - Prior to cover or placement of concrete. ROUGH PLTMBING - Prior to cover. ROUGH MECHA.I{ICAL - Prior to cover. ROUGII ELECTRICAL - PriOr TO COVCT. ELECTRICAL SERVICE - Must be approved to obtain permanenL power. SHEAR WAIJL NAILING - Before covering sheathing with finish materials. FRAI,IING - Prior to cover. INSULATION - Floor; prior to decking Wal1/Ceiling; Prior to cover DRYWALL - Prior to taping. CURBCUT - After forms are erected but prior to placement of concrete. SIDEWALK - After excavaLion is complete, forms and sub-base materiaf in place. Describe Work: S.F. RESIDENCE I SPR'NGFIELED Job Number: 990329 cnvoF a Page 2 FINAL PtIrldBfNG - When all plumbi_ng work is complete. FfNAL MECHANICAL - When al1 mechanical work is compleLe. FfNAL ELECTRICAI, - When al_l elect.rical work is complete. FrNAL BurLDrNc - when all reguired inspections have been approved and the building is complete. Lot Faces: S Topography: 2 Solar Approved: y House Garage LoL Sq. Ft.: 5310 Total- Height: 19 Lot Type: TNTERTOR Setbacks SWE 105 18 Lot Coverage: 37.1-7% SeLbk From NPL: 45 N 19 Item Main Garage PORCH Tota1 Value Building permit. Fee Surcharge/Admin TOTAL FEE --- BUILDTNG PERMTT --- Square Feet x L406 424 L44 $/Square Feet 69 .64 18.34 15 (A) Value 97 , 91_4 .00 7,776.OO 2 ,1,50 . OO 107,850.00 451.00 35.08 487.08 PLI'MBING PERMTT ---Item Residential- Bath(s) Plumbj_ng permit Surcharge/admin TOTAL CHARGE 2 Fee 150.00 150 1,2 00 BO (c)L72.80 --- MECHA.T{ICAL PERMTT ---Furnace Exhaust Hood Vent Fan Dryer Vent GAS LINE s. w /H Mechanical permit fssuance Surcharge/Admin TOTAL PERMTT Surcharge/edmin Sidewal-k Curb Cut PLAN REVIEW AD,JUST WILLAMALANE SDC CITY SDC ELECT. PERMIT TOTAL MISCELLANEOUS PERMITS (Excluding EtecErical )unless otherwise noted --- MTSCELLA.I{EOUS PERMTTS --- TOTAL AMOI'NT DUE --- 3 5.00 4.50 9.00 3.00 5.00 27.50 10.00 2.2L 39.7L 0.00 14.05 14.80 )oa 1, 000 . 00 2 ,2gL .52 1,57 .40 3,490.59 q;go-.a{ ls 2a (D) tl (A, B, C, D, and E combined) (E) tl-7 ,o ff SPFITGFIELD Job Number: 990329 CITY SPilNGETELD,a Page 3 BUILDING VALUE, PLAI{ CHECK AND BUILDING PERMIT --- This permit is granted on the express condition that the said construction shal1, in a1f respecLs, conform to the Ordinance adopted by the Ci-ty of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violati-on of any provisions of said ordinances. Plan Check Fee 290.23 Date Paid: Received By: Plans Reviewed By: DON MOORE Date: Building Site Reviewed By: LISA HOPPER 03 / 1,1/ ee 04/06/ee Recelpt Number:. 331-27 --- ADDITIONAL COMMENTS A & T NOT LTSTED fN COUNTY SYSTEM AS OF 3/1,5/99 DEFAULT AMOUNT USED FOR CITY SDC CREDIT PURPOSES PATH 1 DRTVEWAY REQUIRED TO BE PAVED 2 STREET TREES REQUIRED By signaEure, I stsaEe 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 cerLify 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 pert.aining 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 certj-fy 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 wj-11 remain on the site at all times during construction. r'ezz Signature Date --- VALIDATION --- Recelpt Number Date Paid Amount Received Recei-ved By: 0i?(7fefir '(,r f1 t{/,{ 7. d ? ADDRESS: LOCATION OF PROPOSED BUILD IN.G SITE: Street Addres Plat Name:Tax Lot Number:\ 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). sDC calcu ype detinitions are on the back.) NAME: Willamalane Park & Recreation District A. Single-Family Detached -l=- Single Family home NO. OF UNITS B. Single-Family Attached NO. OF UNITS C. Multi-Familv Aoartment NO. OF UNITS D. Manufac'tured Home Park NO. OF UNITS WILLAMALANE SDC Job. No. SYSTEM DEVELOPMENT CHARGE WORKSHEET PHONE: srArE: [VLr,r' lations and dwelling t Manufactured home not in a Park ( x $1,ooo per unit = $tt)m 90 \ X $924 per unit = $ X $692 per unit = $ X $699 per unit = $ $@ oD 2. SDC CREDTT ([ applicable) SDC-payer must (urnish proo{ of Willamalane ireOit-approval. See SOC Creat Wortcsheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED (lf SDC reduced for Credit) $ Se S City of fie epartment onEcoNclroFs $ze rlPt. 'rt"tELrr rit,t,:(;'l'lt I (;Al, PIqRHI 1' Ci ty Job Number Ftitl s(;llIDUl,B l]l;:l,0lI ential-Single or ity yrer dwellitrg utt ncluded: I t etns ?.25 SPR rNs OFII 1. t; I r'l'll :;'lltl':l':'l' lN(itrllil.l), oRI':(.;oN 9 lh I I PECl'loN Itti()tlliS'[ z l?-6 -3 t6 ICIi: l?.6'-1159 Po it. Cos t $ 8s.00 Sum I (ffitu @ clr s(l .h_st sq.ft. or less addi tional 500 ft or portion l'e r s are ttott- t ratrsf erable arrtl exlr tre if rk is tto I s tartecl wi thin 180 days of issuance or if vork is suspended for 180 days t lrereo f s 1s.00 Each Matruf 'tl llonre or Itodular Dwelling :€Fgdiirf avpadnrdEn ut(l-- $ 40'00 the n uti lity IIS2. CONTRAC'I'OIT INSTALL\TION ONLY N Elec t ri caI Corl t rac tor Adclress 8'l1 Ci ty Phone Supervisor Licetlse Nuntber ATTENTION follow C $ s0. S 60. s 100. $130. s300. $ 40. $ s $ s 00 00 00 00 00 00 .00 .00 .00 rrBil Expiratiotr L)ttte o Cons t t' Colt t r Nurrrber 5++31 Expiratiorr IJate OO Sigrt a ture o[rvising Electrician Uwners Na Add ress Ci ty Phone OSNER INS'T'ALLATION Tlre irrstal.lation is beirrg made on proper ty I or,rrr uhich is not irrtended for sa1e, lease or rellt' Owners Signature: I]ATE: RECEI 'lenrporarY Servi ces or Feeders Insiallaiion, Alteration or Relocation 200 anrps or less E 20L amps to 400 amPs 1 - Over 401 to 600 amPs Over 600 amps or fOOO volTs Branch Circui ts {) 40 55 BO d ee a6ovE- not included) 40.00 40.00 20. o0 D Nev, Alteration or Extension Per Panel One Circuit S 35'00 Each Addi tional Circuit or with Service or Feeder Permit' $ 2.00 E 5 Miscellaneous (Service/feeder -Each installation Pump or irrigation S signzoutline Lighting-- q t iilri ted EnergY/Res - - S : l] SUBTOTAL OF ABOVE 5Z State Surcltarge 3Z Administrative Fee TOTAL //f RECBIVBI) ta,1 LI u L JOURNAL OR JOB NO. ATTACHMENT A CITY OF SPRINTIFIELD SYSTEMS DEVELOPMU,IT CHARGE WORKSHEET NAME OR COMPANY A'er r0 B*0$*^ LOCATION Kl4 *t rn-eovt Dprte. DEVELOPMENT TYPE 5F FtBUILDING SIZE OT SIZ i. STORM DRAINAGE tYe +tYko)+ q7e) IMPERVIOUS SQ. FT : z* x$o.2z7PERSQ t.s*1.17 2. SANITARY SEI.IER-CITY NO. OF PFU'S tr x $47 . 14 pER pFU $ K1(. SL (See Reverse Side) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP .6 x $475.32 $.o'l x $475.32 $ 4. SANITARY SEWER-MWMC A. REIMBURSEMENT COST: OF FEU'S/ I X 271d4PER FEU $.4+ X x NO B. IMPROVEMENT COST: N0. 0F FEU'S I x 25.2?PER FEU MI^IMC CREDIT IF APPLICABLE (SEE REVERSE). Mt^lMC ADMINISTRATIVE FEE SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5. ADMINISTRATIVE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 SDC Coordinator ATTACH'A. l,lPD $ 25'2o <$ - TOTAL-t'4t^lt'4C SDC $ 10.00 s ?z,a+ 7,4() $ i/z f%u-outu,Z/X/ffi TorAL sDC s zz7 /,5 Z FIXTURE UNIT CALCULATION TABLE: Number of New Fixtures X Unit Equivalent : Fixture Units. (NOTE: For remodels, calculate only NET additionat fixtures)\/ NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALENT UNITS Bathtub..... Drinking Fountain...... Floor Drain. lnterceptors For Grease/Oil/Solids/Etc.............. lnterceptors For Sand/Auto Wash/Etc.............. Laundry Tub/Clotheswasher...... Clotheswasher - 3 Or More..... Mobile Home Park Trap (1 Per Trailer)............., Receptor For Refrigerator/Water Station/Etc...-. Receptor For Commercial Sink/Dishwasher/Etc. Shower, .Single Sta|1.......... Shower, Gang......:.. Sink: Bar, Commercial, Residential Kitchen.........I Urinal, Stall/Wall Wash Basin/Lavatory, Single........ Toilet, Public lnstallation. Toilet, Private....... Miscellaneous TOTAL FIXTURE UNITS CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table, calculate credits rates Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) x$: (Rate X Assessed Value) (Rate X Assessed Valuel CREDIT TOTAL 2 1 2 3 6 2 b 6 1 3 2 1 2 2 1 6 4 /Head $ Year Annexed Rate per S1,OOO Assessed Value Year. Annexed Rate per $1,OOO Assessed Value 1 989 1 990 1 991 1 992 1 993 1 994 'i": ,1,995 1 996 1 997 $1.98 1.55 1.15 o.96 o.83 o.67 o.52 o.3B o.21 1979 or before 1 9BO 1 981 1 982 1 983 1 984 1985'';'.,,'. 1 986 1 987 1 9BB $4.27 4.18 4.12 3.99 3.83 '3.68 3.48 3.18 2.82 2.42 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Onlyl Residential.. Commerical..... -...... lndustrial.. Governmental......... o.4 o.9 o5 o.5 FIXUNIT.WPD 4- I L -77- It "- e--tr- ------------- )L IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT OREGOA'CITY OF SPr iFIELO D EV ELOP M E NT S E R VI C ES DE PART M E NT CITY OF SPRINGFTELD COHMI.JNTTY SERVICES DTVISIOI'I BUTLDING SAFETY AUTHORIZATION TO PROCEED AGREEMENT THIS AGREEMEMI is entered into this day of br{Z 225 FIFTH STREET SPRINGFIELD, OR 97477 (s41 ) 726-37ss FAX (s41 ) 726-368s betveen the Ci hereinafter ca the Applicant. ty of Springfie a ]1ed. City, VHER-EAS, the applicant has apDivision for issuance of cert improvements to be located at 0regon or vithin the City,s U plied to the City Community Services Building a1 t tion erml.f.evelopmen t C 1.poiEfi6n-6I-o , 7Z by and tate of 0regon, einafter called I5e-3 ,, her r an na ea; Springfield, e CountyAssessor's Hap and Tax Lot nunber VHEREAS, -the applicant has asked the City to authorize the Applicant toimrnediately commence development improvements vithout a corpilted plan reviev orsubsequent approval as required by the Springfield Building'Safety CodeAdministrative Code section 303(a) IiIgRPAST-the Applicant has submitted to the City a completed permit application,3 (three) sets of'constructlon dravings, specifications, and bther data requiredfor the City to complete the necessary plan reviev of the proposed developmentimprovement. UHEREAS, the intendbd development improvement is of a nature that requires noother reviev approval from other State or loca1 agencies and is exurpt from thecriteria established by the Building Safety Division, attached as rxLibit A ofthis Agreement. VHEREAS, the City has not revieved or approved the submitted materials for thedevelopment improvement, the City is theiefore unable to confirm at this timevhether -the permit applicatic.-: submitted vi.1l- be approved, and whether the Eequired construction permits can be issued. l VHEREAST the.Epplicanl has requested tha city to provide expedited authorizationto proceed vith_certain phases of construction prior to the completion of theCity's reviev of the permit application. uH.Ery+S,.the gity's fee for the administrative services rendered in providingexpedited authorization is 5150.00. NOIJ, THEREFORE, in consideration of the foregoing recitaLs and of the mutualpromises contained herein, the City authorizes immediace commencement of thedevelopment improvement specified 1n the permit application subject to thefolloving terms and conditions: Authorization Page 2. to Proceed Agreement 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 conditioned hovever, upon Applicant's agreementthat the project vill be constructed as set forth in the attached submitted dravings and specifications, except as may be modified by City, and vi1I comply vith all applicable lavs and ordinances. Applicant's immediate commencenent of constructiou is at t's ovn iiEF.--TEE-ei ty Ees no assurErnce tE-viII-5e roved or ts ter 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 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 naterials inadequate or deficient in any Eanner including.but notIinited to, the application or the proposed construction do not comply vithall applicable statutes, ordinances or code provislons, Applicant vlll expeditiously cure the deficiencies so that the City may issue the requiredpernits. Shou1d Applicant fail to expeditiously correct subnltted materlals, or should correction prove impossible, City nay in it's discretion, take any or all of the .following actions: a) stop all further construction of the project in the manner prescribedin the Springfield Building Safety Code Administrative Code (BSCAC), sEc'TroN 201 (d) b) order disconnection of serving utilities in a manner as prescribed in BSCAC, SECTToN 201 (f) c) issue a N0TICE .!j'3 OEDER for reraoval of a1] such ror!'- in a Eanner as prescribed in BSCAC, SECTION 204. ABATEHEI{T OF IiNSAFE, SUBSTANDARD 0R DANGEROUS BUILDINGS, STRUCTTRES 0R BUILDING SERVfCE EQUIPHEM. Upon receipt of such notice, Applicant shall iramediately remove. the vork specified in the Notice and Order. 4. Applicant agrees, if the issuance of. the permit is denied: expense, all completeda) to remove, at the Applicant's sole cost and eonstruction or improvements; and b) to restore the site or structure to it's pre-agreement condition and free of aII hazards ont or construct construct Authorization to Proceed Agreement Page 3. 5 Applicant agrees that until Applicant,s permit application is approved,construction vill no t to proceed beyond the point of authorization approvedby the Ci ty,s Building offi al.plican t's Point of Authorization is 6. Applicant agrees that all vork perfor under this agreement shall beaccessible and exposed for ins pection purposes and that neither the Buildin gOfficial nor City shall be lia b1e for the expense entailed in the removal o rreplacement of any material ne cessary to allov inspection. 7. Applicant agrees that-any or all'deficiencies identified during thenecessary inspections vi11 be promptly renedied, at Applicantrs s6le costar-rd expense before-proceeding vith'any further construttion. Applicant alsoagrees that these inspections do not replace the required plan- ieviev nor dothey imply any approval of the submittei materials.' B. Applicant agrees that no vork shall be done on any part of the buildingor structure beyon9 !h. point indicated in each succlsii.re inspectionvithout first obtaining the approval of the Building Official.'Such approvalsha1l be given only after an inspeetion has been male of each successirestep in the construction as inditated on the attached Exhibit B. 9. Notviths.tanding any other provisions of this Agreenent, this Agreementshall terminate upon.issuance-of a bulldlng permti or thiity (3O)-days f omthe date of this Agreenent, vhlchever first occurs. Appllcairt'undersiandsthat all vork on the project shall imnedlately cease irithout any notice from !!,9 city if this-Agreenent terminates before i Uuttaing pernit is issued.This agreenent shall teruinate ou , 10. Applicant agrees to defend, indemnify and hold City harmless from dnyand all costs (including attorney fees),-liability or danages of any kind ornature vhatsoever, for personal injury and.. property damage arising trom theApplicant's early conmencenent of conltruction-and- the vork underiaken orcompleted 11. The terns of this Agreement sha1l extend to and be binding upon theparties he-reto and tlieir heirs, successors and assigns. L2- rf any suit, action or other proceedingr or an appeal therefrom, isinstituted to obtain, establish, enforce, or compel lny right or- obiigationresulting from this Agreementr the prevailing paity sfritt be entitled torecover from the adverse party, in addition to costs and disbursenents; suchadditional sums as the courts, both triar and appellate, may judge reasonable attorney fees Authorization to Proceed Agreement Page BEF.RE 'IGNING THIS AGREEMENT, PI,EASE READ AND UNDERSTAND TUE MEANINGoFEACIIPARAGRAPu-oTTHISAGREEI{ENT.ITAFFECTSyoUR TNTERE'T' rN THE pRopERTy AN;, rN IrIIE nvnNr oF' DEFALLT' rr PLACES YOU PERSONALLY AT RISK ANO.TTTE SUBJE.T PROPERTY A.lt RISK OF roREcLosI,REroncosrsA*-Ex-PENsEs-rNcunnpoBYTIIEcItrYIN ENFORCING THE TERMS OF TEIS AGd'EEI'TENT' IN TEE EVENT TIIAI YOU DO NoTuNDERSTANDANYTERMSoncoNpTTIoNsoFTEISAGREEI.iENT,PI,EASE SEEK ANY LEGAi ON OUTSIDE OPINIONS YOU I4AY DESIRE' CITY city of SPringfie By: APPLICANT Contractor siness N Building off icial Address t3\s8 CC Registration # LANp/PROPERTY OWNER (S I r/wE EAVE REJAD TIIE ABOVE AUTEORIZATION :TO PROCEED AGREEI'IENE'r/I{E UNDERSTA}ID STEA'T IT EXPRES SES AND TEE RES PONdIBII,ITIES Itr PLACES I,PON US AS TEE LAIID/PROPEREY OWNERS.I/wE AGREE IcO BE BOI'}ID BY AI,I, TERMS afO CONDITIONS TEE AGREEMENE. Name ,dp-3,4e@Address VALIDATION: CITY JOB #Qq RECETPT N:r,IqBER avz rG DATE pe:ro V-27-23 <e> AI\,IOUNT REC RECEIVED B EIVED a ETHTBJT 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 Divisi.on. Scope The use of this agreement shall be limited to certain one and tvo-familydvellings 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 anystructural member of the building or any part of the building having fireresistant 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 Dvelling Specialty Code, may be considered eligible for this agreement. The folloving itens include but are not limited to certain conditions of development identified as ineligible for tiris agreement: a) development requiring site approval vhich has not been obtained; b) nev development Iocated 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. I To request an inspection, you must caII 725-3769. This is a 24 hour recording. AII inspections requested before 7:00 a.m. wiII be made the same working day, fnspections requested after 7:OO a.m. wiII be made the following work day. _E Teuporary Electric EXHIBIT B Required Inspectioas site - To be made after excavation, but prior to setting forms Footing - After trenches are excavated Foundatioa - After forms are erected but prior to concrete placemdht Uaderfloor Pluubl-ng - PrLor to filllng trench l/ uaderfloor Mechanical - Prior to lnsulation or decking Post & Beaa - Pribr to floor lnsulation or decking Underfloor fnsulatiou - Prior to decking sauitary sewer - Prior to filling trench Storu sewer - Prior to fL1llng trench t/ L r _E t/ L-'- l< water:Line - Prior to filllng trench -l-::_..