Loading...
HomeMy WebLinkAboutPermit Building 1994-06-23,n"t rtt 66o s y'tn SPRI,{GFIELE,.l RESIDENTIAL PERMIT APPLICATION lnspectlons: 726-3769 Office:726-3759 LOCATION OF PROPOSED WOFIK: ASSESSO LOT CONTNACTON'S NAME 2/aaaz - h,h JOB NUMBER 225 Fifth Street Sprlngfleld, Oregon 97 477 TAX LOT os BLOCK:SUBDIVISION ADDIlESS CONTRAfiOR ' v - OFFICE USE - LAND USE: , OF UNITS. \ ltceer"- ,'{1 fuir- EXPIFTE6 3'>5,55 PHONE e0 !,-dg1-U0GENENN L: PLIJh,IBING tvlr:CtlAN ICAL: ELECTRICAL: QUAD AREA: a?:(s SQsc- L -t 0 { 5o3'S9't 7 -*I I OF BLDGS: OCCY GROUP: * OF STOBIES: WATER HEATER: CONSTR. TYPEI HEAT SOURCE; FLOOD PLAIN: ZONING CODE: r OF BDRMS: SECONDARY HEAT: SOUARE FOOTAGE:RANGE:V. To request an lnspectlon, you must call 726-3769. Thls ls a 24 hour recordlng. All lnspections requested before 7:00 a.m. wlll be made the same worklng day, lnspectlons requested after 7:00 a.m. wlll be made the followlng work day. REOUIRED INSPECTIONS E E F M E tr E Temporary Electrlc tr tr Rough Mechanlcal - Prlor to cover. lslf Flnat Plumbing - When ailrr plumblng work ls complete. ffi Flnal Electrlcal - When allFd electrlcal work ls complete. Slte lnspectlon - To be made after excavatlon, but prlor to settlng lorms. Rough Electrlcal - Prlor to cover. Undersl Electrical/E Electrlcal Servlce - Must be approved to obtaln permanent electrlcal power. E Flnal Mechanlca! - When all mechanlcal work ls complete.Mechanlc to cover, Footlng - After trenches are excavated,fl Flreptace - Prlor to faclng materlals and framlng lnsp. E Flnal Bulldlng - When all requlred lnsp€ctlons have been approved and bullding ls completed.Masonry r- Steel locatlon, bond beams, groutlng. ffi Framlng - Prlor to cover. ffi watllcelllng lnsutatlon - Prlor to - cover. E['o"'"'l - Prlor to taplng' Foundatlon - After forms are erected but prlor to concrete placement. Underground Plumblng - Prlor to fllllng trench. MOBILE HOME INSPE TTONSUnderlloor Plumblng/ Mechanlcal - Prlor to lnsulatlon or clecklng.Wood Stove - After lnstallatlon. Post and Beam - Prlor to floor lnsulatlon or decklng.tl lnserl - After flreplace approval and lnstallatlon of unlt. Blocklng and Set-Up - When all blocklng ls complete. Floor lnsulallon - Prior to decklng.E Curbcut & Approach - After forms are erected b(rt prior to placement of concrete. Plumblng Connectlons - When home has been connected to water and sewer. ffi Sanltary Sewer - Prior to fllllng,4 trench. M Storm Sewer - Prlor to tllllng!a trench. ffi Water Llne - Prlor to fillingr# trench. lV[ Rough Plumbing - Prior toP cover. Sidewalk & Drlveway - After excavation ls complete, forms and sub-base materlal ln place. Electrlcal Connection - When blocklng, set-up, and plumblng lnspectlons have been approved and the home ls connected to the servlce panel. Fence - When completed. Streel Trees - When all requlred trees are planted. Flnal - After all required lnspectlons are approved andporches, sklrtlng, decks, and ventlng have been lnstalled. Plumbl x oWmeR: ADDR CITY: PHON STATE:ztP; REMODEL ADDITION DEMOLISH OTHERl./ DESCRIBE WOFIK: NEW .4 [-l olher *.? J THE PROPOSED WORK TN THE - HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, thls applicatlon must be slgned and approved by the Historlcal Coordinator prior to permit issuance. APPROVED: P.L.HSE GAR ACC N S W E Lot faces Lot sq. ftg. Lot coverage Topography Total helght , Lot Type X ,n,"r,o, - Corner - Panhandle - Cul-de-sac LUE 4zl Po ,+re X so. ")nMutu(A) Main /5?5 Carport u.35 -Tr-tq Total Value Building Permlt Fee State Surcharge Total Fee BUILDING PERMIT ITEM SO. FT. Garase sq!, 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 Springfield, including the Development Code, regulating the construction and use of bulldings, and may be suspended or revoked at any tlme upon vlolation of any provisions of said ordinances. Receipt Number:- Plans ewed By Date f -/s ^7 v Plan Check Fee:21'7, Date Paid Received By SYSTEMS DEVELOPMENT C (B) HARGE (SDC) f /szt. ru Systems Development Charge is due on all undeveloped properties within the City limits which are being improved. ITEM Flxtures Resldentlal Bath(s) Sanitary Sewer Water Storm Sewer Moblle Home FEE / do,oo / {l,oo a? ftoaru t,o cJ&-/ 1*.60(c) FT. No 2- PLUMBING PERMIT Plumblng Permlt Stat6 Surcharge Total Charge - FT. ADDITIONAL COMMENTS zhOPduhb) l*24r.70 Wood Stove/ lnsert/Flreplace Unlt Dryer Vent Lta 1.?,9o 10,0 0 3,oa __2( 71n,+bvtru --,-ET-(D) 31,C7 Vent Fan 6,ol 4.90 Mechanlcal Permlt lssuance State Surcharge Total Permit MECHANICAL PERMIT Furnace Exhaust Hood NOZ By slgnature, I state and agree, that I have caref ully exanrlned the completed application and. do hereby certlfy that all lnformatlon hereon ls true and correct, and I f urther certlfy that any and all work performed shall be done in accordance wlth the Ordinances of the Clty of Sprlngfield, and the Laws of the State of Oregon pertainlng to the work descrlbed hereln, and that NO OCCUPANCY will be made of any structure wlthout permission of the Building Safety Divislon. I further certify that only contractors and employees who are ln compllance with ORS 701.055 wlll be used on thls project. I further agree to ensure that all required lnspections are requested at the proper tlme, that each address ls readable from the street, that the permlt card ls located at the front of the property, and the approved set of plans will remain o the sl all times durlng construction. MISCELLANEOUS PERMITS Moblle Home State lssuance State Surcharge stdewatk 6 O ,, curbcut L( ,, Demolltlon State Surcharge Pwq C#ect< Total Mlscellaneous Permits (E) l9,gct / 3.a0 -4@ffi-WizT ToTAL AMOUNT DUE (excluding electricaO@ (A, B, C, Q and E Comblned) 2O<g .C 7 /1co/ o 2 OC9 o7 BECEIVED BY AMOUNT RECEIV DATE PAID VALIDATION: RECEIPT NUMBER FT. ' - ii:r t,; ,.qffi ots 225 PTrit'E SI?BEf, SPRINGPIBID, oRBGON 97477 INSPECTION RE0tESTz 726-37 OPEICB: 726-3759 aedeSH{ 6flr,ilo.u*a SPRINGF!ELO spectlic irnd SIIBTOTAL OP ABOVE5f State Surcharge TOTAL m -l s Bs.oo 3Permlts are non-transferable and expire if vork is not started vithln 180 days of lssuanee or lf vork ls suspended for 180 days. ! 2. COI{TRACTOR INSTALI^ATION ONI.Y EIecLrlcal Contractor ROSE C0RP Address 8997 DAY LANE Cl ty rrrcrrur Supervisor Llcense Number 1 55BS Expl ration Date t0/1/95 Constr Contr. Number '.-i 5443i Explratlon Date Slgna ture ing Blectrician Ovners Add ci ALI,ATION The. installatioir is beirig made on property I ourn vhich is not intendedfor sale, lease or rent. 0sners Signature: ELECTRTCAL PERHIT APPLTCATION City Job Number 3. COHPI..ETE FEE SCEEDT'LE BELOU A Nev Resldential-Sing1e or MuIti-FamiIy per dvelling unit. Service Included: I tems Cos t Sum6 € B. Services or Feeders Installation, Alterations or Relocation: $ 1s.00 $ 40.00 s 35.00 $ 2.00 ice/feeder not included) s 40.00ng- S 4o.oo s 20.00 s 36.00 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/volts Reconnect 0nIy $ s0.00 $ 60.00 s100.00 $130.00 $300.00 s 40.00 C. Temporary Services or Feeders Installation, Alteratlon or Relocation D. Branch Circuits Nev, Alteration or Extension Per Panel 200 amps or less S 40.00 201 amps to 400 amps - S 55.00 over 401 to 6oo amps - S Bo.oo Over 600 amps or 1000 voTis see uB" aEoE One Circuit Each Additional Circuit or vith Service or Feeder Permi t Hiscellaneous (Serv -Each installation Pump or irrigation Sign/0ut1ine Lighti Limited Energy/Res Limi ted Energy/Comm E DATE:) RECBIVBD B 5 t 3. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Hodular Dvelling Servlce or Feeder t "UtrT7 Phone nRn-oqos Willamal aneDistrictPark & Recreation lob No. SYSTEMS DEVELOPMENT CHARCE WORKSHEET }Lr,,9&ruADDRESS: LOCATION OF FROPOSED B 4{owStre€t Address if Known: Platt N Tax Lot Number: 1 DEVELOPMENT TYPE (Check appropriate dwelling(s). sDc calculations and dwelling type definitions are on the back.) A. Single Family - Detached I I Single Family home Manufactured home not in a park NO OF UNITS B. Single Family - Attached C. Multi-Family Apartment NO OF UNITS D. Manufactured Home Park NO OF UNITS X $400 PER UNIT -= I X $277 PER UNIT = X $280 PER UNIT = 4N u) U) NO OF UNITS X $370 PER UNIT = $ $ $ $ WPRD SDC $ 2. SDC CREDIT (lf applicable) sDc-payer must fumish proof of wPRD credit 6p;"*1. s n ioi'iieaii worksh)eet. $ 3. TOTAL WPRD NET SDC ASSESSED (lf SDC reduced for Credi1 $ Communiry Services City of Springfield sion t JUB NO. CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CIIARGE ,, o,,,oH?l It# ,,,EI',, 0.-, ? lo6d z NANE OR COI'IPAI.IY: LOCAT I0l,l:q31 5 46&E/. DEVILOPI.IENT TYPE: BUILDING SIZE: I. STORI'I DRAINAGE IHPERVIoUS SQ. FT. 2. SANITARY SEI.IIR.C ITY NO. OF PFU'S (See Reverse) 3 T SIZ 5 x so.2o3 PER SQ. FT X $42.08 PER PFU? x l,ol x s424.31 x -- x s424.31 x x s424.31 AL E) X .05 TRANSPORTAT ION NO OF UNITS X TRIP RATE X COST PTR TRIP . Fr. s s /4,7,3 ,8,7 z I s 4. SANITARY SEh'ER-I,l1^ll.lC NO. OF PFU'S (Use PFU Total I BASE C (SU From Item 2 Ml^lI4C CREDIT IF APPLICABLE (SEE REVERSE) $15.I25 PER PFU + $IO Mlt'MC ADM FEE Above ) TOTAL-Ht\lHC SDC SUBT0TAL (ADD ITEMS 1,2,3 & 4) 5 8.s{ Coord i na TOTAL SDC S /,2/, 7 6 OFEGO'UC'TY OF SPFlI,{GFIELD The lollowing projaa as eubmitted hae the lollowing zonlng, and d oes not roquire specific land !.r&e BIJCIT.ICAL PERHIT APPLICATION225 YTYTE STRBBf, SPRTNGFTBLD, oREGoN INSPECTION REOTIBSI: OFEICE: 726-3759 1 OF ar:crol;l- e7417 726-376q,inx LDL_ - City D:rtr b -)-,ttl Job Number qtu /-un I,BGAL DESCRIPIIONo'z c-.,5 i '2-19 di-,'z-c- I JOB DESCRTPTION Electrlcal Contractor Address Ctty Phon"- Supervisor Llcense Number Expiration Date Const r Contr. Number Explration Date Slgnature of Supervlsing Electrician Owners Address Or,ners Slgnature: 3. COHPIATB FBE SCffiDT'I,E BBLOS -A.--fei-nes fden t lal-S ingle or HuItl-FamlIY Per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or Portion thereof Each Hanuf'd Home or Modular Dvel}ing Servlce or Feeder $ 8s.00 $ 1s.00 $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amPs -l401 amps to 600 amPs - 601 amps to 1000 amPs- 0ver 1000 amps/vo1ts - Reconnect 0nIY / Si3n aturo L):lP Z4 Sum Permits are non-transferable and expire lf vork is not started vlthln 180 days of tssuance or lf vork ls suspended for 180 days. 2. CONTRAC;TOR INSTALI,ATTON ONLY $ so.oo $ 60.00 $100.00 $130.00 $300.00 $ 40.00 c.Temporary Serviees or'Feeders Installation, Alteration or Relocation ctty 'l' ,{,{- ) ,/i'1* Phone&4)21'7 -r'r2t, ogNBR rNsrALLATroN 72r" -2 7'/2 The.insta}Latloh is beirig made on property I osn vhlch ls not intended for saIe, lease or rent. D. Branch Circuits New, Alteration or Extension Per Panel ' On" Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permi t E. Miscellaneous (Service/feeder not included) 200 amps or less 201 amps to 400 amPs - 0ver 401 to 600 amps 0ver 600 amps or 1000 volts -Each installation Pump or irrigation Sign/0utllnb Light lng--- Limited EnergY/Res t imited Energy/Coqrm .T 40.00 L;- 55.00 80.00 ee trBr affi $ $ $ s f E s 2.00 40 40 20 36 $ $ $ $ 00 00 00 00 r*t) 7t>o 1- i lG?>STIBTOTAL OP.ABOVB 5Z State Surcharge TOTAL DRECEIVED 5 +3ob ndsnin It-<-?** -j te , ,r%tate-i? CITY OF SPRINGFIELD COUHIJNITY SERVICES DIVISION .BUILDING SAFETY AUTHORIZATION TO AGREEME}I"I rat no tTHIS AGREEUENT is entered into this ay of by and 0regon,betveen the CitY of Springfi , hereinafter calle<ihereinafter called CitY, the Applicant. VHEREAS, the aPP licant has apPlied to the CitY Community Services Building Division for issuanc e of cer ru on t development imp rovements to be located at Springf ield, 0regon or vithin the CitY's Ur e CountY Assess or's Map and Tax Lot number t HHEREAS, ihe applicant has asked the City to authorize the Applicant to immediately conmence develoPment improvements-vithout a completed plan reviev or subsequen. "pproi"f-"t-t"qrii:g Ui the Springfield Building Safetv Code adrnini"ttativL Code section 303(a) ' LTHEREAST the Applieant has submitted to the city a completed permit application, 3 (three) ,",' 5i'Iilr,ir".i;;-a;;;i"g.'-"p""iii"itioni, and other data required for the City to complete ttre neces="i} if"i' reviev of the proposed development improvement. uHEREAS, the intended development improvement is of a nature that requires no other reviev "p;;;;;i iio, otr,"i'si"il or ro""i-.s"";t::-:ll^is exempt from the criteria estaUrlstred by tne auiiaiti'i"it'y-oivislon' attached as sxhibit A of this Agreement LTHEREAST the city has not revieved or approved the submitted-materials for the development impirov;;r;;'.;; ;ilv-i"-tt'Lietore ""tui"-to conf irm at this time vhether the permit applica.i"'. iiuiit;il-;iii-i'"- tpptoved' and vhether the r.equired "on"atiiiioi'petmits can be issued iffiingas, the applicant has requested the city to provide expedited authorization to proceea . ri tnpti;;;r';;.;;-;;' Ilnriiu"t ror,'i'ioi - to-tr,"' completion of the City's revlev ot-it't permlt application' VBEREAS,theCity,sfeefor.i|gadministrativeservicesrenderedinprovidingllr"iiila - "utrloii'at ion is $150'00' No',,, THEREF.RE, in consideration of the foregoing reci!"1:^1ld of the mutual ! io*i "' ::' : il::1 "*H:i ["ii;':l:i"::if iiiii' ff li :::' ::-::;;:::" l "" l nln' develoPment rmProveurErrL,:I::::. folloving terms and conditions' Authorization to Proceed Agreement Page 2. 1 Ci ty agre es that the Applicant may immediately commence vith the development imP rovements set forth in the Permit application.Ci ty' s authorization to pr oceed is conditioned hovever, uPon Applicant's agreement that the project vi 1I be constructed as set forth in the attached submitted dravings and specif ications, except as may be roodified by City, and viIl comply vith all app Iicable lavs and ordinances.lcan t's innediate conBencenent of coas truction is at t's ovn r DO assurance ts a or ts ter a) stopin the - SECTION Z. City agrees to reviev Applicant's. pernit application in the normal reviev process and to thereafter: a) issue Applicant the appropriate construction permits; g b) advise Applicant of deficiencies in the proposed construction vhich must be renedied before pernits can be issued; or c) advise Applicant of any statutes, ordinances or code provisions vith ,ti.h epplitint loust compiy vith before-City can issue the permit. 3. Applicant agrees that if City finds Applicant's permit application and subniited nateiials inadequate 6r deficiint in any nanner -including but not limited to, the application or the proposed construction do not comply vith all applicable stiiutes, ordinances or code provisions, Applicant viII expediiiously cure the deficiencies so that the City may issue the reguired peimits. Shoirla Applicant fail to expeditiously correct submitted materlals, or should correcti;n prove impossiblL, City may in it's discretion, take any or all of the folloving actions: further construction of the project in the manner prescribed ngfield Building Safety Code Administrative Code (BSCAC)' (d) b) order disconnection of serving utilities in a manner as Prescribed in BSCAC, SECTToN 201 (f) c) issue a N0TICE lJ.D OF.DER for renoval of alL such rork in a manner as prescribed in BSCAC, SECTION 204. ABATEHENT 0F IJNSAFE' STESTANDARD 0R DaNcgnous BUTLDTNGS, srRucnRES 0R BUTLDTNG sERvrcE EQUTPHEM. upon receipt of such notice, Applicant shalI 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, a1I completed construction or improvementsl and b) to restore the site or structure to it's pre-agreement condition and free of all hazards alI Spri: 20L t or coas on coI}s ruc Authorization to Proceed Agreement Page 3. 5. Applicant agrees that until Applicant's permit application is approved, construction vi11 not to by the City's Building 0 roceed beyond the point of authorization approved ty harmless from any damages of any kind or amage arising from the e vork undertaken or c1 I t's Point of Authorization is 6. Applicant agrees that all vork perf orme d under this agreement shal1 be accessible and exposed for inspection purposes and that neither the Building0fficial nor City shall be liab1e for the expense entailed in the removal or replacement of any material necessary to allov inspection. 7. Applicant agrees that any or aII'deficiencies identified during the necessary inspections viIl be promptly remedied, at Applicant's sole cost and expense before proceeding vith any further construction. Applicant a1-so 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 sha11 be done on any part of the buildingor structure beyond the point indicated in each successive inspectionvithout first obtaining the approval of the Building Officia1. Such approvalshatl be given only after an inspection has been made of each successivestep in the construction as indicated on the attached Exhibit B. 9. Notvithstanding any other provisions of this Agreement, this Agreement sha1I terminate upon issuance of a building permit or thirty (30) days from the date of this Agreement, vhichever first occurs. Applicant understandsthat all vork on the project sha1l immediately cease vithout any notice from ;ffi"':}I.HJt':riiir:il1":;:':1"'"Slff!L' oH'tEqTit is issued' .T10. Applicant agrees to defend, indemnify and:}oId Ci and all costs (including attorney fees), liability or nature vhatsoever, for personal injury and property dApplicant's early comnencement of Lon!truction- and' th completed. 11. The terms of this Agreement shall extend to and be binding upon theparties hereto and tl',eir heirs, successors and assigns. .12. If any suit, action or other proceeding, or an appeal therefrom, isinstituted to obtain, establish, enforce, or compel any right or obligationresulting from this Agreenent, the prevailing party shall be entitled torecover from the adverse party, in addition to costs and disbursements, suchadditional sums as the courts, both trial and appellate, may judge reasonable attorney fees Authorization to Proceed Agreement Page 4. BETORE SIGNING TEIS AGREEHEM, PLEASE READ AND I'NDERSTAND THE HEANING OF EACH PABAGRAPE OF THIS AGREEMENT. TT AFFECTS YOUR TMERESTS IN THE PROPERTY AND' IN TTIE EVENT OF DEFAULT, IT PLACES YOU PERSONALLY AT RTSK AND THE SUBJECT PROPERTY AT RISK OF FORECLOSURE FOR COSTS AND EXPENSES INCTTRRED BY THE CTTY IN ENFORCING THE TERMS OF TETS AGREEMENT. TN TEE EVE}{T TEAT YOU DO NOT T'NDERSTAI'ID ANY TERHS 0R CoNDITIONS OF TEIS AGREEUENT, PLEASE SEEK ANY LEGAL OR oUTSIDE OPINIoNS YoU MAY.DESIRE CTII APPLICANT ci of .Spri t e1d By: Building 0fficial OVNER (s) AGREEMENT. Name Address ' EE\.,'l i:i.'.ii;1, 3,,4.i--jFF:CVED l-uJFii:i Con t rac Busines Address CC Regi tor s Name stration * I/vE HAVE READ TEE ABovE AuTEoRIzATIoN To PR0CEED AGREEMEM. I/IJE T,NDERSTAND I{EAT IT ExPRESsiS-$lo tns REsPoNaiBiirtrps IT PLAcES UPoN us AS THE LAND/pRopERry o;r\1EilS. i/vn AGRd-io-sE souNo svJil rERHs AND coNDrrroNs 0F rltE (ht\' 1- . .a 'i'a: .1q. C:i:ii:l:: a:i:LJI ] :A.fiOF.IT:EY C.'J-t" -'t a TC q Puroose ThE pu-pose of this agre occur prior to obtaining Services Division. EXHTBTT A ement is to a11ov'certain development improvements to plan reviev approval fron the Springfield Community Scooe TFe use of this'agreement shall be Limited to certain one and tvo-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 menber of the buildi.ng or any part of the building having fire resistant construction. One and tvo-family dvelling plans for structures that are complex in nature that have been prepared by an 0regon 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-Pamily Duelling Specialty Code, rnay be considered eligible for- this agreement. The folloving itens include but are not limited to certain conditions 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) dev€lopment located vithin vetland areas; f) pole buildings or other such type of structure that is not of conventional construction.