HomeMy WebLinkAboutPermit Building 2000-2-28
225 North Fifth Street
Springfield, OR 97477
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I Job# 99-01416-01 I
Page 1 of4
TRANS#:01-0000742
DATE:FEB 28 2000
ANT RECD:2 $ 4279.84
CHANGE:
CASHIER: 059
CITY OF SPRINGFIELD, OREGON
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Job Number: 99-01416-01
Office: 726-3759
Inspection Line: 726-3769
Location Of Proposed Site: 585 Nicholas Dr Spr
Assessors Map#: 17032212
Lot: 22 Block: Addition:
Owner:
Address:
Tax Lot#: 01900
Subdivision:Zachary Place
Cozy Homes
P.O. Box 237
Phone Number: 541-747-8704
City/State/Zip: Springfield, OR 97477
New Value: $91,322
Scope Of Work: Single Family Residence
Contractor Type
General Contr
Electrical Contr
Plumbing Contr
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Contractor
Tom Wirfs Enterprises Inc
Po Box 237, Springfield, OR 97477
Bills Electric
3170 West 11th Avenue, Eugene, OR
97402
Bmc Properties Inc
Po Box 292, Terrebonne, OR 97760
Registration #
32947
Expiration Date
6/2812000
Phone
541-747-8704
21351
4/28/2000
541-341-8426
104805
3/13/2000
541-548-7510
Office Use
1RNW
1
(VN) Wood Frame
Electric
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Forced Air Electric
Sq. Footage:
Land Use:
Zoning Code:
Bedrooms:
Range:
Single Family Dwelling
LOR
3
Electric
To request an inspection call the 24 hour recording at 726-3769. 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
working day.
Curbcut
Footing
Electrical Service
Post and Beam
Floor Insulation
Sanitary Sewer Line
Storm Sewer Line
Ceiling Insulation
Shear Wall Nailing
Required Inspections
ifransfered ~ecords I
-After forms are ereceted but prior to placement of concrete.
-After trenches are excavated.
- Must be approved to obtain permanent power.
-Prior to floor insulation or decking.
-Prior to decking.
-Prior to filling trench.
-Prior to filling trench.
Building
- Prior to cover.
- Before covering sheathing with finish materials.
Zoning: LDR
FloodPlain? 0 Wetlands? 0
Journai numbers
1: 2:
Comments:
Pianner:
Urban Growth Boundary?D
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Construction Types:(VN) Wood Frame
Occupancy Groups:Dwelling
# Of Buildings: 1
# Of Bedrooms: 3
Handicap Access? 0
rArea (Sq. Feet)
Main: Accessory:
Framing
Wall Insulation
Drywall
Final Building
Rough Electrical
Final Electrical
Underfloor Plumbing
Rough Piumbing
Storm Sewer Line
Final Plumbing
Rough Mechanical
Final Mechanicai
Curbcut
Sidewalk
Fee
Quick Start
Total Transfered Records
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Job# 99-01416-01 I
Required Inspections
Building
Page 2 of4
- Prior to cover.
- Prior to Cover
- Prior to taping.
-When all required inspections have been approved and the building is complete.
Electrical
- Prior to cover.
-When all electrical work is complete.
I Plumbing
-Prior to insulation or decking.
-Prior to cover.
-Prior to filling trench.
-When all plumbing work is complete.
Mechanical
- Prior to cover.
-When all mechanical work is complete.
I Public Works I
-After forms are ereceted but prior to placement of concrete.
-After excavation is complete, forms and sub base material is in place.
Overlay District:
# of Street Trees:
Land Use: Single Family Dwellin9
Pave Driveway? ~
3:
Additlonai Requirements:
Glenwood Area? 0 Required Attachments:
Source Locn:
Material:
Fiood Plain FEMA:
Store
# Of Stories: 1
Current Units:
Census Code: Does not apply
Height (feet):
Proposed Unlts:1
Total:1606
Paid On
Receipt#
Value/Quantity
Fee Amount
Transfered Records
10/25/1999 359
150
$150.00
$150.00
.
Fee
Hourly Plan Review
Total Plan Check
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
Wiring Footage 1,000 Sq Ft or Less
Wiring Footage Each Add'l 500 Sq Ft
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing
Hood and Exhaust
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Vent Fan to One Duct
Dryer Vent
Mechanical Issuance
State Surcharge For Mechanical Permit
Total Mechanical
New Sidewalk
New Curbcut
Total Public Works
Residential - Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential Improvement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Total System Development
S.F. Residence - Willamalane
Total WlIIamalane SDC
Grand Total
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Page 3 of 4
Value/Quantity Fee Amount
3 $100.00
$100.00
91,322 $409.00
$28.63
$12.27
$449.90
1 $85.00
2 $30.00
$8.05
$3.45
$126.50
$.00
1 $160.00
$11.20
$4.80
$176.00
1 $4.50
$.00
$.68
1 $6.00
3 $9.00
1 $3.00
$10.00
$1.58
$34.76
50 $60.00
1 $60.00
$120.00
2,281 $529.19
18 $868.86
1 $491.60
1 $242.76
1 $22.05
1 $10.00
$108.22
$2,272.68
1 $1,000.00
$1,000.00
$4,429.84
Job# 99-01416-01 I
Paid On Receipt#
Plan Check
02128/2000 742
Building
02128/2000 742
02/28/2000 742
02/28/2000 742
Electrical
02128/2000 742
02128/2000 742
02/28/2000 742
02128/2000 742
Plumbing
02/28/2000 742
02/28/2000 742
02/28/2000 742
02/28/2000 742
Mechanical
02/28/2000
02/28/2000
02/28/2000
02128/2000
02128/2000
02/28/2000
02128/2000
02/28/2000
742
742
742
742
742
742
742
742
PUbliC Works
02/28/2000 742
02/28/2000 742
System Development
02/28/2000 742
02/28/2000 742
02/28/2000 742
02/28/2000 742
02/28/2000 742
02/28/2000 742
02/28/2000 742
\l\rlliamalane SDC
02/28/2000 742
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I Job# 99-01416-01 I Page 4 of 4
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 I further certify 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 pertaining 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
certify 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 ~~Will remain on the site at all times during construction.
f!Y7' -z.-- Z ~""""'- CO
Signature
Date
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'f\.1\
~t~ ~i!I.!!!!2!~~ri~ Job. No. O{\ \'\ \ IJJ
fW SYSTEM DEVELOPMENT CHARGE
. ^ _ . WORKSHEET
NAME: \D"2::;{h\~. PHONE: 14\ ~D4-
ADDRESS:~.l~, ~ . STATE: (9(1..2:IP: a71-77
LOCATION OF PROPOSED B. UILDI~G ~:l:I\" f\.....
Street Address: y\q,~\\\~~ \\\e..J
Plat Name~t'M"-~ \..~\t\~Q ,-Xax Lot Number: \"D'::\!).n...l~ D\C\CO
1. DEVELOPMENT TYPE~Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. flinolp.-F::Jmilv Dp.t::Jchp.d
\ Single Family home
NO. OF UNITS \
Manufactured home not in a park
X $1,000 per unit = $ \rf1') pO
B. ,Sinolp"-F::Jmilv AI1::JcheQ
NO. OF UNITS
X $924 per unit = $
C. Multi-Familv Aoartment
NO. OF UNITS
X $692 per unit = $
D. M::Jnllf::Jctured H('l'l'lA PRrk,
$
$
\D()C) .en
f!1
\rco~
NO. OF UNITS
WILLAMALANE SDC
X $699 per unit c
2. SDC CREDIT (if applicable) SOG-payer must fumish proof 01
Willamalane Credit approval. See SOC Credit Worksheet.
$
3. TOTAL WILLAMALAN~)NET SIC ASSESSED
(If SDC reduced for credi:V
~~~Js~~artment J
City of Springfield
$
I
Date
)
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~
..' ,
~\o~ 0
"""Q, ooe~
e \0\,0 f;f:!o.O ~
225 FIFTH STREET ~ ~'''~~~, 1iI-"Q, 4. '
SPRINGFIELD, OREGON 9741iJl ,0 1-0 (I;.
INSPECTION REQUEST: 726-vfJ769 t-.:: ..\->\10
OFFICE: 726-3759 10 0 'i>'~"
'\)..' 0\,1-10
1. L~~O~r .
I~GAL DESCRIPTION '^,(1 "^
\'\ f)'311..l z.~ l J\,\l ~
if wo k is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
'9~
Address 11 "? () uJ j I ~
~...-tj. Phone 3 t(( 8' VU:
Supervisor License Number 116.s
Expiration Date / /J -1- I
. ~tll"
Electrical Contractor-LLLL(~
City
Constr Contr. Number ~ ( "JS I
Expiration Date C/--"L.f-OO
Signature of Supervisin Electri an
""'-\S ;J zJ'
Owners Name
sl ~l(l
Phonew.K1M
Ci
The installation is being made on
property I own which is not intended
for sale, lease.or ~ent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT 1I:
RECEIVED BY:
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SPRINGFIELD
3.
ELECTRICAL PERKIT N~I~ATION
Ci ty Job Number l,\~::~J4\ ~O
COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cos t Sum
$ 85.00 r S-
1000 sq.ft. or less I
Each additional 500
sq. ft or portion Z
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
$ 15.00 36
,$ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amI's to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnec t Only. $ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less J
201 amps to 400 amps '
Over 401 to 600 amps
Over 600 amps or 1000 volts
t./o
$ 40.00
$ 55.00
$ 80.00
see "B"
above
D. Branch Circuits
."
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00',-
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
/7tJ.s u
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S'-GFOELO
DEVELOPMENT SERVICES DEPARTMENT
, 225 FIF.TH STREET
SPRINGFIELD, OR 97477
(541) 726.3753
FAX (541) 726.3689
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BliILDING SAFETY
AUTHORIZATION TO PROCEED AGREEMENT.
THIS AG~EEMENT is entered into this 2,.S day of ~c.T. h.-.' ,19 cr; by and
bet.veen the Ci ty ofSpringfiellj" a m'unici.ef-l corponition ot the State 01 Oregon,
hereinaf~ercalled, City, and (1n~~~a-~ ,,'hereinafter calle.d
the' Applicant. .. . ~~ -.. .
IIHEREAS, the appli"cant has applied to the City community Services Building
Division for issuance of certain cqD! c iq,n er its fo development.
improvements to' be located at . """I ~, Springfield,
Oregon or vi thin the Ci ty' s Urban Grovt un. s lCtlona AreJl..i, ~~e .County ..
Assessor's Map and .Tax Lot number ~O?\I)?Y? ~ t)\~
IIHEREAS, the applicant has asked the Ci ty 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 ,
.Admini.strative Code section 303(a) .
, .
\/HEREAS, "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.
IIHER)'AS, the intended development improvemerlt 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 Diyision, attached' as Exhibit A of
this Agreement. '"
IIHEREAS, the City has not revieved or approved the submitted materials for the
developmerit improyement, the .City is. therefore unable to confirm at this time
'vhether the permit applicati~~ submitted vil1 be approved, and vhether the
~equired construction permits can be issued.
.IIH,EREAS, the !,-pplicim t has' req~es ted the Ci ty to provide expedi ted au thoriza t"ion
to proceed vith certain phases of construction prior to the completion of .the
City~s .reviev of the permit application;
IlHEREIiS, the City's fee for. the administrative services rendered in providing
expedited authorization is $150.00,
NOli, 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
fo1loving terms and conditions:
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Authorization to Proceed Agreement
Pa.ge 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 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 ova risk. The City. makes no
assurance that the development or construction improvements vill.be approved
or tbe required constructlon permits vill 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; ~
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 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 materials inadequate or deficient in 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 jolloving 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 ~,~ ORDER for removal of all such york in a manner as
prescribed in BSChC, SECTION 204. ABATEMENT OF UNSAFE, SUBSTANDARD O~
DANGEROUS.BUILDINGS, STRUCTURES OR BUILDING SERVICE EQUIPMENT. Upon
receipt of such notice, Applicant shall. immediately. remove. the vork
specified .in the Notice and Order.
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 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 ~o Proceed Agreement
Page 3.
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5. Applicaot agrees that until Applicant's permit application is approved,
construction viII not to proceed beyond the point of authorization approved
by the CitY'~~q1t~~ Official. Applicant's Point of Authorization ,is --:
6. Applicant agr~es th~l vork perfor~ed under,thi~. 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 allov'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 tha.t 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 before a building permit. is issued.
This agreement shall terminate on , ,Noll 2..f" "/~ ~1' ,
.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 vor~ undertaken or '
completed. '
11. The terms of this Agreement shall extend to and be binding upon the
parties hereto ~d their heirs, successors and assigns.
12. If any suit, action or other proceeding, or. an appeal t'herefrom, is
instituted to obtain, establish, enforce, or compel any right o~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
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 TERMS OR CONDITIONS OF THIS AGREEMENT, PLEASE
SEEK ANY LEGAL OR OUTSIDE OPINIONS YOU MAY DESIRE.
CITY
City of Springfield
,APPLICANT
contractor
By: d /JJ'
j)dW( ./l~
~lding Official
Business Name
QJ"\
Address \)tJ ~ ~(}
CC Registration # ~~c\'4[1
LAND/PROPERTY OWNER(SL
I/RE HAVE READ THE ABOVE AUTHORIZATION TO PROCEED AGREEMENT. I/RE.
UNDERSTAND WHAT IT EXPRESSES AND THE RESPONSIBILITIES IT PLACES
UPON US !\S THE LAND/PROPERTY OWNERS. I/RE AGREE TO BE BOUND BY ALL
TERMS AND COND~S OF THE AGR.EEMENT.
Name Z/7
. Address
VALIDATION:
CITY JOB #
C\C\V~\\tJ .
~ECEIPT NUMBER 0 S '5; 't -,g
Iv / l.5-/ c, 7
r .
/\71 v 17
$tJvJI
DATE PAID
AMOUNT RECEIVED
RECEIVED BY
.
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EXHIBIT A.
Purpose
The purpose of this agreement is to alloll "certa.in development improvements to
occur prior to obtaining plan reviell approval from the Springfield Community.
Services Division.
~~ope .
e use of this agreement shall be limited to certain one and tllo-family
dllellings not complex in nature as determined by the Building Official and
minor alterations or modifications to existing commercial and industrial
buildings IIhich 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 tllo-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 reviell prepared by said architect or engineer, stating that the
.submitted material is in compliance. lIith the One and Tllo-Family Ovelling
Specialty Code, may be considered eligible for this agreement.
The follolling items include but are not limited to certain conditions of
development identified as ineligible for this agreement:
a) development requiring site approval IIhich.has not been obtained;
b) nell development located on land lIith over six-percent slope;
c) lots having expansive (clay) soil;
d) development located lIithin flood hazard areas;
e) development located within lIetland areas;
f) pole buildings or other such type of structure that is nqt of conventional
construction.
.
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EXHIBIT B
Required Inspections
To request an inspection, you must call 726-3769.
All inspections requested before 7:00 a.m. will'be
Inspections requested after 7:00 .a.m. will be made
This is a 24 hour recording.
made. the same working day,
the following work day.
Temporary Electric
Site - To be made after excavation, but prior to setting forms
Footing - After trenches are excavated
Foundation - After forms are erected but prior to concrete placement
Underfloor Plumbing.- Prior to filling trench
Underfloor Mechanica1 - Prior to insulation or decking .
& Beam - Prior to floor insulation or decking
Underfloor Insulation - Prior to decking
,
Sanitary Sewer - Prior to filling trench
Sewer - Prior to filling trench
- Prior. to filling.trench