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HomeMy WebLinkAboutPermit Building 1994-6-1 SPRINGFIELD ~- LOCA~ION OF PROPOSED Wo"~"O~f-~o'\ Ie ASSESSORS MAP' if) (')3aAIY ) " BLOCK' I RESIDENTIAL PERMIT APPLICATION Inspections: 726,3769 Office: 726.3759 LOT: lfu OVllNER' G- \p", ADDR'"'''' 7 6 '1 CITY: A \ \:x,. " "- -> \("-\--",,,..0. I:::, rC-It'",,,,+ DESCRIBE WORK' Co,,&hvul- NEW 'I- ADDITION REMODEL CONTRACTOR'S NAME GENERAL: (-rlp,V\ k'L.lr..,,, 4\tsr. PLUMBING' In"" ~0,1w MECHANICAL: fY\^r5~^ \\s ELECTRICA" U\ ......A tJ b,\P..r:\' . ~ JOBNUMB~R~~~~~ 225 Fifth Street Sprlnglleld, Oregon 97477 TAX LOT: 0rJ./ Om Cpjo ) SUBDIVISION:.Dr;, k,wk P I...!- PHONE: ..:otj~ h 122 ZIP: Cj 7~ 2-1 ADDRESS CON ST. CONTRACTOR . ~(J.I),~ PHONE , qf/) . M7P( REQUIRED INSPECTIONS ~ Rough Mechanical - Prior to cover. ~ Rough ElectrIcal - Prior to cover. ~ Eleclrlcal Service - Must be approved to obtain permanent electrical power. o Fireplace - Prior 10 facing materials and framing Insp. IZ) Framing - Prior to cove.,. [Z] Wail/Ceiling Insulallon - Prior 10 cover. G!I Drywall - Prior to taping. o Wood Stove - After Installation. o 'nsert - After fireplace approval and Installation of unit. o Curbcul & Approach - After forms are erected but prior to placement of concrete. fI7I Sidewalk & Driveway - After L,4.J excavation Is completo, forms and sub-base material In place. 1KI Fence ,- When completed. rn Streot Trees - When all required trees are planted. EXPIRES r;.:)qQ4 /1..1 1'). Gel. 'f.YAII. IlM<:> ~.~~, \Q\\h) - OFFICE USE - QUAD AREA: LAND USE:-1U-1 FLOOD PLAIN' . OF BLDGS' \ . OF UNITS: ~r ZONING CODE: Jj.l)~ OCCY GROUP: ~~-\-tJ\ CONSTR. TYPE: Vf.j,) . OF BDRMS' 0., \ ~~/:;. ........ . OF STORIES: HEAT SOURCE: SECONDARY HEAT' WATER HEATER' ~ RANGE:_ ~ SQUARE FOOTAGE: \ I )4.,~ S..L,pe..-t- d.r"lrt' STAT~' Ore. +",..",1, €Av\ h;)~ DEMOLISH OTHER To request an Inspection, you must call 726,3769. This Is a 24 hour recording. All Inspections requested before 7:00 a.m. will be made the same working day. Inspections requested after 7:00 8.m. will be made the following work day. o Temporary Electric o Site Inspection - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ MechanIcal - Prior to cover. o Footing - After trenches are excavated. o Masonry - Steel location, bond ,beams, grouting. o Foundation - After forms are erected-but prior to concrete placement. o Underground Plumbing - Prior to filling trench, o Underlloor Plumbing/Mechanical - Prior 10 Insulation or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking, D Sanitary Sewer - Prior to fililng trench. o Storm Sewer - Prior to filling trench. o Water Line - Prior to fiillng trench. . [K] Rough Plumbing - Prior to cover. ~) o Final Plumbing - When all plumbing wc;>rk Is complet,e. Q Final Electrical - When all electrical work Is complete. [41 Final Mechanical - When all mechanical work Is complete. IA71 Final Building - When all ~ requIred Inspections have been approved and building Ie completed. o 01her MOBilE HOME INSPECTIONS o Blocking and Set,Up - When all blocking Is complete. o Plumbing Connections - When home has been connected to water and sewer. o Electrical Connection - When blocking, set,up, and plumbing Inspections have been approved and the home Is connected to the service panel. o Flnel - After all required Inspections are approved and porches. skirting. decks, and venting have been Installed. Lot faces ~ Lot SQ. fig. tjp;;:r:;: & Lot coverage ~ Topography b-'<"?p Total height \65/' dq/ BUILDING PERMIT tTEM sa. FT. L"V.J", ~- ''- Maln~"-~~ _7-....r- ~ 'Y B e:> Garage Carport Total Value Building Permit Fee State Surcharge Total Fee PLUMBING PERMIT ITEM Fixtures Residential Bath(s) Sanitary Sewer Water Storm Sewer Mobile Home Plumbing Permit State Surcharge Total Charge MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan ~~Iype . K Interior Corner Panhandle Cul,de,sac . r ~:. " 'Ii l y. ,c \\:., . ;~' ~.. '-'j" '-'.l".;:"~ .1.i ~;k":a:H ~'. !. '"'.' . ...~.i ~ . I PL. IN Setbacks IHSE GARIACCI ~ I Ie. I .. THE PROPOSED WORK tN THE, HISTORICAL DISTRICT, OR ON THE HISTORICAL REGtSTER? If yes, this application must be signed and approved by the Historical . Coordinator prior to permit Issuance. S W IE C) 5' 71>, ~/ $? X $/sa. FT. = VALo/i "t:)LP,X) .l:tfil..(6fr /4.('"0 " ~:.e$ ,1,'76g ~f (A) (B) N' :2 FT. FT. FT. ,L~ r~ (C) N' ? Wood StovellnsertlFlreplace Unit Dryer Vent 7;;'i;:~. Jli ; o D f-:\A- - Date Paid: --r -'-0,-\ '~ ' J __ Receipt Number: ~.- - /A!,~ ~i .eu ~7'h. % SYSTEMS DEVELOPMENT CHARGE (SDC) /9~~ Mechanical Permit Issuance State Surcharge Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk 1./0 fI Curbcut fI Demolition Slate Surcharge FEE /~C> /6e>. ~ 8.- ....,~ , _/72.!Et:;> 6. I'(;? '7_5e> h.l>'" 9.<?# /.IJ,~ /~-- .~ 3/.'" '7 /h.- Tolal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) ;:z-5'9~1 (A, B. C, 0, and E Combined) 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 Springfield, 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' :5cO I. '&<] -f(?J7'1 / ?~ 7/ ),f'" "" ,- . L- ,~~ Re~,lve, ;y~_1 /~~vlewed B v Systems Development Charge Is due on all undeveloped properlles within the City limits which are being Improved. "5'2'?~ Y Date ADDITIONAL COMMENTS ~ \ l1L('l.l:t:i=- q4 .OI.n7)Jlo~(~. ,~f\O){ \.~tQj~ \qfl~ ~ 8(d nq' (~DrQ( ) - . ' , '" ....."0 tIn f' L~ ~\^O 11 Y&CO-J By signature, I state and agree, that I have carefully examined the completed application and, do hereby certl fy 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 thaI NO OCCUPANCY will be made of any structure without permission of the Buliding Safety Division. I further certify that only contractors and employees who are In compliance with ORS 701.055 wili 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 will remain on the slt~mes ~onstructlon. Slgnat~ --<<. . ~ ?-- - Date ~'2 5 . '1 Lj VALIDATION: RECEIPT NUMBER 1-;;; /~~ DATE PAID 6- /-9 f',/ AMOUNT RECEIVED g:;'., ""1/ RECEIVED BY fl ~~ ...... , /;~- - -- - , . fi Y..'!i!I~!.!!!!~!!~ . Job No. GJf151(p SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME: h. l 0(\ ",~()tr\ ~ f) _ ' PHONE: q ~. - ~ ADDRESS: ~~oq t1))6Sl0C\f-;\J\'i ALh STATE: ~lPql3~l [)(\ '(Ar\.~ 0 .7 Tax Lot Number: \ f\ ()3'JJJf() ()~(dj) CPIO) LOCATION OF Ii'ROPOSED BUILDING SITE: Street Address if Known: ,~t 0 Plan Name: l ~I\ 'rM ~ 0 ~ 1. DEVELOPMENT TYPE (Check appropriate dwelling(sl. SDC Calculations and dwelling type definitions are on the back'> A. Sim!le Familv - Detached Single Family home NO OF UNITS B. Single Familv - Attached NO OF UNITS J C. Multi-Familv Aoartment NO OF UNITS D. Manufactured Home Park NO OF UNITS WPRD SDC Manufactured home not in a park X $400 PER UNIT .,r" $ X $370 PER UNIT = $~lln,dJ X $277 PER UNIT = $ X $280 PER UNIT = $ $?nl)~ $.R5 $...'2r)(}a) 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit) ~o~m~,,;,2\~ D~O I \ City of Springfield JiVi~\ iCft +fr: 1'foC;-U. .' .OB NO. 9ofo~r" CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NM1E OR COr1PANY: GLEN KOTA.eA LOCATlON:'5'3c" {)AKDALE S77i?&E:.T DEVELOPI'IEln TYPE: " !; J: TA/Y DE h-J ,. j"I/? I I BUILDING SIZE: LOT SIZE SQ. Ft. I, STORM DRAINAGE IMPERVIOUS SQ, FT. 2/ 'f 4 X $0.203 PER SQ, FT. (4~5.V 2. SAtnTARY SEWER-CITY IW, OF PFU'S /'l X $42,08 PER PFU ~lS1.1n (See Reverse) ........... ./' 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X 1.0/ X $424,31 X X $424.31 X $424,31 (42~.0 $ X $ 4. SANITARY SEWER-MWMC NO. OF PFU'S / '6' x $15,125 PER PFU + $10 MWMC ADM FEE $ :z.P.25 (Use PFU Total From Item 2 Above) MW/1C CREDIT IF APPLICABLE (SEE REVERSE) $ :2 1-6'3 TOTAl-MWMC sac ~ '-- ---- SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ /~ff'S'. 1''1 5. A0I1INISTRATlVE FEE~ . ARG~ }SUfL ABOVE) /I'~ / Kip Burd~ SDC Coordinator X .05 ('f~'Z0 TOTAL SDC $ /9 '8'0, 4',p I, I, f . FIxtURE UNIT,CALCAATION TABLE: Number of New Fi.S X Unit Equivalent = Fix1ure Units (NOIE: For remodels. c.llculble only th~ET additional fixlures) NUt.mm OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIVALUH UNITS l3athlub......,......,...,..,...,.".....".,...,..,.,...,.,.".....,.,.,. Drinking Fountain.........,........., ........",....................., Floor Drain......,................ ........"....,' ,.. ,.. ,. ,., ....' ,. ....." Inlerceptors For Grease/Oil/Solids/Etc................. Inlerceplors For Sand/Auto Wash/Etc.................. Uiundry Tub /C1otheswasher................................,.. C1otheswa~her - 3 Or More..................................... Mobile Hdme Park Trap (1 Per Trailer).................. Recep)or F9r RefrigeratorjWater Station/Elc......., Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single .Stall,.............,........... ....................... Shower, Gang..................,............ .....................,...... Sink, Bar, Commercial.....,...,.....,...............,............. . Urinal, StallfWall....................................................... Wash Basin/Uivatory, Single.,..............................,. Water Closet, Pubiic Installation............................. Water Closet, Privale..,..........................,................. Miscellaneous: I 2 1 2 3 G 2 G G 1 3 2 1 jHead 2 2 1 6 4 2. 'J.. I 1.. '2. ;2.. 'l.. ;2.. 6 TOTAL FIXTURE UNITS = !'if CREDIT CALCULATION TABLE: Based on assessed value. If improvements occurred after annexation date in table. calculate credtts separates, Year Annexed Rate per $1,000 Assessed Value Year Annexed Rate per $1.000 Assessed Value 1979 or before 1980 1981 1982 1983 1984 '1985 $3.21 3,13 3.08 2.96 2,82 2,68 2,51 1986 1987 1988 1989 1990 1991 1992 S 2.24 1.93 1.57 1.18 0.79 0.44 0.28 - _u_ -.-" Credit for Parcel or land Only If Applicable 3,.21 X $ ?C,G. '} (Rate X Assessed Value) X $ (Rate X Assessed Value) CREDIT TOTAL = ;Z '{, lJ 3 Improvement [If after annexation date) = $.2,. 7"3 RUNOFF COEFFICIENTS FOR STORM DRAINAGE Resid ential.........,..... ....,................ ............. ....... 0.4 Commercial..................... ................................, 0.9 I nd ustrial...............,............... ..,.. ....................... 0.45 GovernmentaL................................................, 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY -.,~b~'SC\4\)~'1lQ ~ C\\-t)~q Lr ,tP l~~ ~Q.., - -tD\CLlc:\~ jh3DO~ :# /2..lD \ ~ 5.4.Qt , .., . AUTHORIZATION TO PROCEED AGREEMENT THIS AGREEMENT is entered into this L\ day of ~~_ ,l~ by and between the City of Springfield~munic\P;l corporation- 01~he Stat;~ Oregon, hereinafter called Ci ty, and lj,L2-.f"\'. \{ ~~T\ 0--/ , hereinafter called the Applicant. ~A n ~:t C...J'\' L- YHEREAS, the applicant has applied to the ity Community Services Building Division for issuance of certa~'n ~stru '~'l perm~it~ f?,r ~evelopment improvements to be located at 6V l \XI\.Y'_ ~ Springfield, Oregon or wi thin the Ci ty' S Ur an Growtp....,i~~q..i.,c;.Qo a I\re~, ane C~lfl ty CJ~ Assessor's Map and Tax Lot number \,\r)l~rk'~( I } ,lo ~ ~ \0 , L- OJ ' YHEREAS, the applicant has asked the City to authorize the Ap icant to ~tcl~ immediately commence development improvements without a completed plan review or subsequent approval as required by the Springfield Building Safety Code Administrative Code section 303(a). YHEREAS, the Applicant has submitted to the City a completed permit application, 3 (three) sets of construction drawings, specifications, and other data required for the City to complete the necessary plan review of the proposed development improvement. YHEREAS, the intended development improvement is of a nature that requires no other review approval from other State or local agencies and is exempt from the criteria established by the Building Safety Division, attached as Exhibit A of this Agreement. YHEREAS, the City has not reviewed or approved the submitted materials for the development improvement, the City is therefore unable to confirm at this time whether the permit applicatio~ submitted will be approved, and whether the ~equired construction permits can be issued. YHEREAS, the applicant has requested the City to provide expedited authorization to proceed with certain phases of construction prior to the completion of the City's review of the permit application. YHEREAS, 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 the following terms and conditions: , . . Authorization to Proceed Agreement Page 2. 1. City agrees that the Applicant may immediately commence with the development improvements set forth in the permit application. City's authorization to proceed is conditionep however, upon Applicant's agreement that the project will be constructed as set forth in the attached submitted drawings and specifications, except as may be modified by City, and will comply with all applicable laws and ordinances. Applicant's immediate commencement of construction is at Applicant's own risk. The City makes no assurance that the deveIo~ment or construction improvements v1LL De approved or the required construct1on permits viII Later be issued. 2. City agrees to review Applicant'~ permit application in the normal review process and to thereafter: a) issue Applicant the appropriate construction permits; ~ b) advise Applicant of deficiencies in the proposed construction which must be remedied before permits can be issued; or c) advise Applicant of any statutes, ordinances or code provisions with which Applicant must comply with before City can issue the permit. 3. Applicant agrees that if City finds Applicant's permit application and submitted materials inadequate or deficient 1n any manner including but not limited to, the application or the proposed construction do not comply with all applicable statutes, ordinances or code provisions, Applicant will 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 following 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 work in a manner as prescribed in BSCAC, SECTION 204. ABATEMENT OF UNSAFE, SUBSTANDARD OR DANGEROUS BUILDINGS, STRUCTURES OR BUILDING SERVICE EQUIPMENT. Upon receipt of such notice, Applicant shall immediately remove the work 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 " . . Authorization to Proceed Agreement Page 3. 5. Applicant agrees that until Applicant's permit application is approved, construction will ,not to proceed beyond the point of authorization approved by the Ci~s B~~lding Official. Applicant's Point of Authorization is \: .1 'tl t' ~() ---:- 6. APPlica~ agrees that ~l work performed under this 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 allow inspection. 7. Applicant agrees that any or all"deficiencies identified during the necessary inspections will be promptly remedied, at Applicant's sole cost and expense before proceeding with any further construction. Applicant also agrees that these inspections do not replace the required plan review nor do they imply any approval of the submitted materials. 8. Applicant agrees that no work shall be done on any part of the building or structure beyond the point indicated in each successive inspection without 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. Notwithstanding 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, whichever first occurs. Applicant understands that all work on the project shall immediately cease without any notice from the City if this Agreement terminates before a building permit is issued. This agreement shall terminate on JlU..t~ 'f _ 1'f'9-t, ,. . 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 whatsoever, for personal injury and property damage arising from the Applicant's early commencement of construction and the work undertaken or completed. 11. The terms of this Agreement shall extend to and be binding upon the parties hereto and their heirs, successors and assigns. , ,- 12. If any suit, action or other proceeding, or an appeal therefrom, is instituted to obtain, establish, enforce, or compel any right or 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. . .~ . . 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 '. APPLICANT City of ~ingfield By: 4f/~ 9-'f' NI< ~ Building Official . t..,)fIS r ~, I Contractor O-'\\p-(\ 'fu\nrCLJ Business Name G \ e.f\ \(c')-\CLrQ.-J, I Address !lIrA \=i r0(0=tlJ( tJ~(Rltwl~ CC Registration # ~1.5.. ~ LAND/PROPERTY OVNER(S) I/YE HAVE READ THE ABOVE AUTHORIZATION TO PROCEED AGREEMENT. I/YE UNDERSTAND YHAT IT EXPRESSES AND THE RESPONSIBILITIES IT PLACES UPON US AS THE LAND/PROPERTY OYNERS. I/YE AGREE TO BE BOUND BY ALL TERMS AND CONDITIONS OF THE AGREEHENT. k / / / Name ~}J't/~ Address "LeA, B~\P<;st~~r\~I\Uj\-\\~~V\t qj3t\ , ~ . F.EV;E\',:~::' f.L A?i=r:;QVt::D ,. C: 7....." C,"-l-',;.!,. ::':)~~?~::~" ~ ~ !:,'c:.. 0~ ,; .L<!:PI.... o( ,c.,. \'\"1.2> . C':':;:':::".::: c:~:; ell\' ATiOr~~~-5:=\'" c.:1.1~\. '.. :<":::::.::':::;::!::L~ ~ . . EXHIBIT A Purpose The purpose of this agreement is to allow'certain development improvements to occur prior to obtaining plan review approval from the Springfield Community Services Division. Scope The use of this agreement shall be limited to certain one and two-family dwellings not complex in nature as determined by the Building Official and minor alterations or modifications to existing commercial and industrial buildings which 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 two-family dwelling 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 review prepared by said architect or engineer, stating that the submitted material is in compliance with the One and Two-Family Dwelling Specialty Code, may be considered eligible for this agreement. The following items include but are not limited to certain conditions of development identified as ineligible for this agreement: a) development requiring site approval which has not been obtained; b) new development located on land with over six-percent slope; c) lots having expansive (clay) soil; d) development located within flood hazard areas; e) development located within wetland areas; f) pole buildings or other such type of structure that is not of conventional construction. . .