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Home My WebLink AboutPermit Building 1995-09-15b SPFI HESIDENTIAL PERMIT APPLICATION lnspections: 726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK: MAP: LOT: OUAD AREA: I OF BLDGS: OCCY GROUP:\ - OFFICE USE _ I ,yn JOB NUMBER 225 Fifth Street Spri ng f leld, Oregon 97 477 TAX LOT: SUBDIVISION: qsbl3 BLOCK: LAND USE:tl L \FLOOD PLAIN ZONING CODE:* OF UNITS: CONSTR. TYPE: HEAT SOUBCE: r OF BDRMS:3 [Xl remporary Electric E Rough Mechanical - Prior to cover. Rough Electrical - Prior to cover. Electrical Service - Must be approved to obtain permanent electrical power. Fireplace - Prior to faclng materlals and framing lnsP. Framlng - Prior to cover. Wall/Celling lnsulation - Prlor to cover. Drywall - Prior to taping Wood Stove - After lnstallatlon lnsert - After flreplace approval and lnstallatlon of unit. Curbcut & Approaclr - After forms are erected btlt Prior to placement of concrete. Sidewalk & Driveway - After excavation ls comPlete, forms and sub-base material in Place. l--l Fence - When comPleted Stroet Tre€s - When all requlred trees are planted. 3 fVl Finat Plumbing - When all $ plumbing work is complete. TVI Final Eleclrical - When all # electrical work is complete. ffi finat Mechanical - When all f mechanical work is complete. ffil Final Building - When all f required lnspections have been approved and building is completed. LO I-+* OF STORIES: RANGF-: G-c--/ SECONDARY HEAT: SOUARE FOOTAGE:WATER HEATER: To request an lnspectlon, you must call 726-3769. This is a24hour recording. All inspections requested before 7:00 a.m. wlll be made the same worklng day, lnspections requested after 7:00 a.m, will be made the Iollowing work day. REOUIRED INSPECTIONS f\fl Underground Plumbing - Priorl#l to filllng trench. E ry N w w m m N tr tr Slte lnspectlon - To be made after excavation, but Prior to setting forms. Underslab Plumbing / Electrical / Mechanlcal - Prior to cover. Footlng - After trenches are excavated, Masonry - Steel locatlon, bond beams, groutlng. Foundatlon - After forms are erected but Prior to concrete placement. U nderlloor PIumbln g / lltselTaiifebl - Prior to lnsulatlon or decking. Post and Beam - Prior to floor lnsulation or decking. Floor lnsulation - Prior to decking. Sanitary Sewer - Prior to filling trench. Storm Sewer - Prior to filling trench, Water Line - Prlor to filling trench. Rough Plumblng - Prior to cover. Other MOBILE HOME INSPECTIONS Blocking and Set-Up - When all blocking ls complete. Plumbing Conneclions - When home has been connected to water and sewer. Eleclrical Conneclion - When blocking, set-up, and plumbing inspections have been approved and the home is connected to the service panel. Final - After all required inspections are approved and porches, skirting, decks, and venting have been installed. ry m PHON E: STATE:ztP , qmhz_ OWNEFI: CITY: ADD ADDITION DEMOLISH OTHER DESCRIBE WORK: New 4 REMoDEL EXPIRES PHONEADDBESSNAME GENERA R'co PLUMBING: MECHANICAL: ELECTFIICAL: CONST. CONTRACTOR # tr, SRrtrD , D Lot faces Topography Total height Lot Tyf X t.rturio, - Corner X panhandle - Cul-de-sac ks . IS THE PROPOSEO WOBK IN THE . HISTORICAL DISTBICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be slgned and approved by the Historlcal Coordinator prlor to permit issuance. APPROVED: ADDITIONAL COMMENTS Lot sq. fts. eWS Lot coverage %% P.L.HSE GAR ACC 27N27 ZaSzo 5 E /9 X $/SQ. FT.VALUE5ZO\t rc f,t.?6+ *BP? (A) Ll 2-? 01 Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SQ. FT. Main Garage Carport BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the express condition that the saidconstruction shall, in all respects, conform to the Ordinanceadopted by the City of Spri ngfield, including theDevelopment Code, regulating the ctnstruction and use ofbuildings, and may be suspended or revoked at any ilmeupon violation of any provisions of said ordinances. Pla ewed By aIt#ss Fleceipt Num ved B v: Date Paid Plan Check Fee SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Aol5, ?9 Systems Development Charge is due on all undevelopedproperties within tlre City limits which are being improved, ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home PLUMBING PERMIT FEE N0 t\st- FT. FT. (c) eat t 1A..sq 16o.€8.q!?+3b t U.Bq Plumbing Permit State Surcharge Tolal Charge MECHANICAL PERMIT Fu rnace Exhaust Hood Vent Fan No j Wood Stove/ lnsert/ Flreplace Unit Dryer Vent l, €c) trto., c,rt) LO- -.83't 3% &1,F1 cr'o 1" t ET (D) L{.re. B.qna Mechanical Permit lssuance State Surcharge Total Permit By slgnature, r state and agree, that r have carefulry examrnedthe completed apptication and do hereby certify that allinformation hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield, and the Lawsof the State of Oregon pertaining to the work descrlbedherein, and that NO OCCUPANCy will be made of anystructure without permission of the Building Safety Division.I further certify that only contractors and employees whoare ln compliance with ORS 701.055 wlll be used on thlsproject. I further agree to ensure that all required inspections arerequested at the proper time, that each address ls from the street, that the permit card ls located perty, and the approved set of plans will remaln Date readable at the front e at all times duri construction s-1-t of the pro on the sit, *' Slgnature MISCELLANEOUS PERMITS Mobile Home State lssuance State Surcharge Sidewalk l5 tt curbcur l5 rt Demolition :fp€ucba{r"!{y^ & {.t Ik,{3 Total Miscellaneous permi ts \ 6.{3 (E)77t rorAL AMoUNT DUE (excruding etectrica n V@Z*(A, B, C, Q and'E'Combined) VALIDATION: RECEIPT NUMBER DATE PAID AMouNr HECET,ED 324% RECEIVED BY 2^ l-Q3', 94Atb 5,rl1iL FT. t- t-B8. srr 2r- SPRINGFIELO 97477 72647Me 3=t5 -q &,tthortzed Sioraturs U n- -ffiSCmDULE not require specilic lcrriJ LDli--ELECTRICAL PERilIT APPLICATION City Job Nunber ioning, and Epprovel, ag ittecl ha* the A % 225 FIFTB STREET SPRINGFIELD, OREGON INSPECf,ION REQIIEST: OFFICE: 726-3759 1. LOCATION OF JOB ON BELOV Nev Residential-Sing1e or Multi-Family per dvelling unit. Service fncluded: I tems Cos t Sum Permits are non-transferable and expire if vork is not started vithin 1B0 daysof issuance or if vork is suspended for 180 days. 2... CONTRACTOR INSTALLATION OI-ILY ELectrica] Contractor CRod Uql/r$ t{<tfr ic Address o.(- 66 Ci ty Phone 6tZ-<gz S Supervisor License Number 3<lY- S Expiration Date constr contr. Number dtS Expiration Date Signature of Supervising Electrician B Services or FeedersInstaIIation, Alterationsor Relocation: 'Y43?:ili: :: 133'"*,. 401 amps to 600 amps -601 amps to L000 amps- Over 1000 amps/volts - Reconnect Only C Temporary Services or Feeders Installation, Alteration or Relocation 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Modular Dvelling Service or Feeder -- s Bs.oo 3, 2" s 15.00 Za s 40.00 $ 50.00 s 60.00 s 100. 00 s 130. 00 s300.00s 40.00 200 amps or less S 40.00 _ d _201 amps to 400 amps - S 55.00 -.'- -0ver 40L to 600 amps - $ 80.00 Over 600 amps or 1000-toITs see ttgrr .[frf Ovners Name Add ress Ci Phone OVNER INSTALLATION The installation is being made on property I own vhich is not intended for sale, lease or rent. 0vners Signature: DATE: RIiC D. Branch Circui ts Nev, Alteration or Extension Per Panel One Circuit S 35.00 Each AdditionalCircuit or vith Serviceor Feeder Permit S 2.00 E. Miscellaneous (Service/feeder not included) -Each ins tallation Pump or irrigation SSign/0utIine Lighting- S Limi ted Energy/Res - $ Limi ted Energy/Comm S 40.00 40.00 20.00 36.00 5 SUI]TOTAL OF ABOVE 5Z State Surcharge t, 32 Adnrinjstrat ivc FeeT<l 1'01'ALRI]CI]TVI]D I]Y:tun ./2 -r- .J LEGAL DESCRIPTTONta-3 sre /z eft3 Willamalane Park & Recreation District fob No. SYSTEMS DEVELOPMENT CHARCE WORKSHEET NAA4E OIB,!-N-)PHONE: ADDRESS:srArE:tL r,, ftt{t/l-' LOCATION OF FROPOSED BUILDING SITE:*n Sre€( Address if Known: Platt Name:Tax Lot Numbec n DEVELOPMENT TY,PE . (Check appropriate dwellingo. sDc calculations and dwelling type A-effiition-re on the back) 1 A. Single Family - Detached -l- Single FamitY home I NO OF UNITS B. Single Family - Attached NO OF UNITS C. Multi-FamilyAPartment NO OF UNITS D. Manufactured Home Park NO OF UNITS Manufactured home not in a Park X $400 PER UNIT -=' ,oc X $370 PER UNIT = x $?77 PER UNlr = X $2S0 PER UNIT = $ $ $ $ AbD.M WPRD SDC 2. SDC CREDIT (lf applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet 3. TOTAL WPRD NET SDC ASSESSED (lf SDC reduced for credit) $ $ $ .--a t-'... . ^( C ^ ^{; ^l ,{ on Date I p \-ca ATTACHI'IENT 81 ''No. 'i,€oot3 CITY OF SPRINGFIELD SYSTEI'IS DEVELOPI'IENT CHARGE I,,/ORKSHEET (COHHERCIAL & RESIDENTIAL) AEANME OR COI'IPAI.IY:e Sctcr ,., L LOCATION:r1b Ner,l 5 ,€, k DEVELOPMENT TYPE:f),R,. BUILDiNG SIZE: f. ilffi+mlAGE IHPERVIOUS SQ. FT. 2. SANITARY SFWFR-CTTY 4. SANITARY SFt'lFR-HillMC NO. OF PFU'S (Use PFU Tota'l SDC Coordinator SIZ ooo X $0.209 PER SQ. FT. Ft 6'gZ NO. OF PFU'S (See Reverse) TRINSP0RTATT 0l'l NO OF UNITS X TRiP RATE X COST PER TRIP X (,ol X s436.19 Y x s436.19 Y x s436.i9 X $43.26 PER PFU 2 s s bTl zZ SUBTOTAL (ADD ITEMS 1.2. & 3) tl7- IB x $17.19 PER PFU + SiO Hl'll'lc ADMIN'FEE F;om-itEm 2 Above) sgH r,{i.tMc CREDiT IF AppLTcABLE (SEE *tvr*t}n o, _**, ,r. SUBTOTAL (ADD ITEMS 1.2.3 & 4) 5. ANMTNISTATIVF FFFS BASE CI-IARGE (SUBTOTAL ABOVE) X .05 le o:) il llt sfER-3l tq15 ,/ 3bw \11@ -7la 6B Moff t5 q,l 82 . SDC Date:fri!. TOTAI SDC. a orS L I s*T q FIXTURE UNIT CALCUL _ION TABLE: NUMbCT Of NCW FiI {NOTE: For rcmodcls, calcutate only rrre NEI additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES Barhtub..... Drinking FounLain.... 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 Fleceptor For Commercial Sink/Dishwasher/Etc.. Slrower, Singte Sta||.......... Shower, Gang................ Sink: Bar, Commercial. Residential Kitchen. Urinal, Stail/Walt..: Wash Basin/Lavatory, Single. Toilet, Public tnstallation. Toilet , Private.... Miscellaneous: rT,4t ne's gttk TOTAL FIXTURE UNITS is X Unir Equivalent = Fixture Units UNIT FIXTURE EOUIVALENT UNITS ,L- provements occurred after annexation date in table, I au t- Z- z- 2_ A 1 I 2 J 6 2 6 6 1 3 2 1/Head 2 2 'l 6 I \ : I CREDIT CALCULATTON TABLE: Based calculete credits separates. on assessed value. lf im Year Annexed Rate per $1,OOO Assessed Value Year Annexed Rate per S1,OOO Assessed Value 1979 or before 1 980 1981 1 982 1 983 1 984 1 985 $3.46 3.38 3.32 3.21 3.06 2.92 2.73 1 985 1 986 1 987 1 988 1 989 1 990 1 991 1 993 $2.46 2.14 1.77 1.37 o.97 0.61 o.44 0.15 Credit for Parcel or Land Only lf Appticable lmprovement (if after annexation date) .- t4lo3€ (Rate X Assessed Valuel x$1o,650 bz t85 X$ - (B ate X Assessed Value) CREDIT TOTAL s I ,7 kz 6/azej ?-4^?>tu !--t q IQPtfBz Lpn P'14.-J 9/ffy and e of 0regon, CITY OF SPRINGFIELD COHMT'NITY SERVICES DTVISION BUILDING SAFETY ATITEORTZATION TO PROCEED AGREEUEIfI THIS AGREEHEM is entered into this 14 day of Frrs ,1 betveen the City of Springfi hereinafter called City, and the Applicant. corpoiation'of the Stat , hereinafter called VEEREAS, the applicant has applied to the City Community Services Building Division for issuance of certa improvements to be located at 0regon or vithin the City's Ur Assessor's Map and Tax Lot nun in construction ber for pment Springfield, County, IIHEREAS, ite appticant has asked the City to authorize the Applicant to inmediately comoence development inprovenents vithout a completed plan reviev or subsequent approval as required by the Springfield Building Safety Code Adninistrative Code section 303(a). I{EEREAS, the Applicant has submitted to the City a conpleted pernit application, 3 (three) sets of construction dravings, specifications, and other data requiredfor the City to complete the necessary plan reviev of the proposed developnent improvenent. VEEREAS, the intended development inprovenent is of a nature that requires no other reviev approval fron other State or 1oca1 agencies and is exempt from thecriteria established by the Building Safety Division, attached as Exhibit A of this Agreernent. YHEREAST 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 applicatie:r submitted uilL be approved, and vhether the..equired construction pernits can be issued. VHEREAS, the applicant has requested the City to pto proceed vith certain phases of construction pri City's reviev of the permit application. rovide expedited authorizationor to the completion of the IIHEREAS, the City's fee for the administrative services rendered in providing expedited authorization is $150.00. NOV, 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 thefolloving terms and conditions: rovt u 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 conditioned 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 nodified by City, and vill comply vith all applicable lavs and conEelrceEent of constnrctiou is at ordinances. Applicant's iunediatet's ovn r:[Ek. The City nakes no assur€rnce t t-vilI be a or ts ter 2. City ag:rees to reviev Applicant's. pernit 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 Eust comply vith before City can issue the pernit. 3. Applicant agrees that if City finds Applicant's pernit application and submitted naterials inadequate or deficient in any EErnner including but notIinited tor the application or the proposed construction do not conply vithall applicable statutes, ordinances or code provisions, Applicant vill expeditiously cure the deficiencies so that the City may issue the requiredpernits. 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 Adninistrative Code (BSCAC), - sEcrroN 201 (d) b) order disconnection of serving utilities in a manner as prescribed in BSCAC, SECTIoN 201 (f) c) issue a NOTfCE !}I) OPOER for renoval of all such rork in a manner as prescribed in BSCAC, SEgtI0N 204. ABATEHEM 0F LiNSAFE, SIESTAI.IDARD 0R DANGER0US BUILDfNGS, STRUCTLTRES 0R BUITDING SERVICE EQUIPHEM. Upon receipt of such notice, Applicant shal1 immediately remove the vork specified in the Notice and 0rder. 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 improvementsl and b) to restore the site or structure to it's pre-agreement condition and free of all hazards t or coBs on construct on Authorization to Proceed Agreement Page 3. 5. Applicant agrees that until Applicant's permit application is approved, construction vi1I not to oceed beyond the point of authorization approvedby the City's Building c iel-Applicant's Point of Authorization isPrffi 6. Applicant agrees that all vork accessible and exposed for inspeetOfficial nor City shall be liab1e replacement of any material necess 9. Notvithstanding any other provishaIl terninate upon issuance of a the date of this Agreement, vhichethat all vork on the project shall the City if this Agreetrent teroinaThis agreenent shall terruinate oa per ion for ary formed under this agreement shall be purposes and that neither the Building the expense entailed in the removal orto al1ov inspection. 7. Applicant agrees that any or all'deficiencies identified during the necessary inspections vi11 be promptly remedied, at Applicant's sole cost and expense before proceeding vith any further construction. Applicant alsoagrees that these inspections do not replace the required plan reviev nor dothey inply any approval of the subrnitted materials. - 8. Applicant agrees that no vork sha1l be done on any part of the buildingor structure beyond the point indicated in each successive inspectionvithout first obtaining the approval of the Building 0fficia1.-Such approvalshatl be given only after an inspection has been nade of each successivestep in the construction as indicated on the attached Exhibit B. Applicant's early comnencement of construct completed. sions of this Agreement, this Agreementbuilding permit or thirty (30) days fromver first occurs. Applicant understands imnediately cease vithout any notice frontbefore a building t is issued. 6rA\ PTOPion and the vork undertaken or 10.Appall licant agrees to defend,emnify hold City harmless from any and costs (includ ing attorney fees), liability or damages of any kind ornature vhatsoever, fo r personal injury and erty damage arising from the 11. The terms of this Agreement sha11 extend to and be binding upon theparties hereto and t!,eir heirs, successors and assigns. .12. rf any suit, action or other proceeding, or an appeal therefrom, isinstituted to obtain, establish, enforce, or compel iny right or obiigationresulting from this Agreement, the prevailing paity shaI1 be entitled torecover from the adverse party, in addition to costs and disbursements, suchadditionar sums as the courts, both triar and appellate, may judge r.reasonable attorney fees. Authorization to Proceed Agreement Page 4. BEFORE SICNING TEIS AGREEMEM, PLEASE READ AND I'NDERSTAND THE HEANING OF EACH PARAGRAPB OF THIS AGREEHEM. TT AFFECTS YOIIR INTERESTS IN THE PROPERTY AND, IN TTIE EVENT OF DEFAULT, IT PLACES YOU PERSONALLY AT RISK AND TEE SUBJECT PROPERTY AT RISK OF FORECLOSURE FOR COSTS AND EXPENSES INCIIRRED BY THE CITY IN ENFORCING THE TERHS OF TEIS AGREEHENT. IN TEE EVENT THAT YOU DO NOT I.'NDERSTAND ANY TERHS OR CONDITIONS OF TEIS AGREEHENT, PLEASE SEEK ANY LEGAL OR OUTSIDE OPINIONS YOU HAY.DESIRE CIfi APPLICAI{T City of Springfield ,,,Contrac tor BuildinqOf f icial,- Pq /,/ya /@, Business Name Address CC Registration # LAND/PROPERTY 09NER( S) I/IIE HAVE READ TBE ABOVE AUTEORIZATION TO PROCEED AGREEHEI.IT. IlUE I.'NDERSTAND ITEAT IT EXPRESSES AND TEE RESPONSIBILITIES IT PLACES UPON US AS TBE LAND/PROPERTY OITMRS. I/IIE AGREE TO BE BOT'ND BY ALL TERHS AND CONDITIONS OF THE AGREEHENT. Name Address e S l'L(:n TC F3iirl lLq rht\. L,t.-i-5:f--r=;3 \q.. \ 1q.a C:i:iii::: ajF CITY A.TTOEI{EY C'-:-'.,- . L.'.:.l:i:F!=i-D Puroose The purpose of this occur prior to obtai Services Division. ETHTBJT A agreement is to allov'certain development improvements to ning plan reviev approval fron the Springfield Conmunity - - Scooe fEE^[se of this'agreement sha1l be ]-j.mited to certain one and tvo-family dvellings not complex in nature as determined by the Building Official and ninor alterations or modifications to existing commercial and industrial buildings vhich are of a non-struetural"type and do not adversely affect any structural member of the building or any part of the building having fire resis tant construction. One and tvo-fanlIy dvelling plans for structures that are complex in nature that have been prepared by an 0regon licensed architect or engineer and acconpanied by a letter of reviev prepared by said architect or engineer, stating that the submitted aaterial is in compliance vith the One and Tvo-Fanily Dvelling Specialty Code, nay be considered eligible for- this agreeoent. The folloving iterns include but are not limited to certain conditions of development identified as ineligible for this agreement: a) developnent 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 sueh type of structure that is not of conventional construction.