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Home My WebLink AboutPermit Building 1994-6-1 LOCATION OF PROPOSED ~FW-j I' ~!1 ASSESSORS MAP' \ III ) :)[-}..':=\.(:C) L9 OWNER: G\,O 0 ~\l~D...~ , ADDRES~"\ f\$)C\ ~$$\'('f>~TJ $'('\\IP CITY' ~ '\)l"cl "'-~ - - STATE: ~'\eL\ ()y\ ZIP: ev'\2G, ( DESCRIBE WO~I" ~~ \:'. \~ a \:\ l r\ 0 f\ r" Q.,; - - ,-r(~JY\,J,,~ ~ NEW ~ REMODEL" RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOT: ADDITION . BLOCK' , . DEMOLISH OTHER e., q4a~:'P\lO JOB NUMBE'R 225 Fifth Street Springfield, Oregon 97477 TAX LOT: (')(it ()(:CJ( ~p SUBDIVISION: 1lbLr.M 1 0" . PHONE: UJ,C{ - \.D \ ';}. r L CONTRACTOJ'~ NAME ~-l ADDRESS GENERAL: (\\.01\ \\~- PLUMBING' '\7'\<YI~Q r MECHANICAL:\'f\(\L - _ ~ ~ ELECTRICA" U <::\-- \ 1 QoS CONST, CONTRACTOR N ~0 8.5'Rn I D ll.=)t O'd-. EXrJ.R~ PHOJ:'l..E f).;:l Vf ,{4" qif}. i~ Ic9"8J~ 1o-\Q.Q4, 'l~;I~n\ \ ~J\ \l q, ') - OFFICE USE - QUAD AREA: LAND USE:_11U FLOOD PLAIN' N OF BLDGS' ~~, ~-t- fv\ N OF UNITS: I ZONING CODE: w)~ OCCY GROUP: CONSTR, TYPE: V fIt/ N OF BDRMS: ,~ . N OF STORIES: \ HEAT SOURCE: E/6cr M- SECONDARY HEAT: c.u ,~ , SQUARE FOOTAGE: -1!..ftc:=s WATER HEATER: RANGE: 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 a,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 Plumblng/Electrleall 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 Underfloor Plumbing/Mechanical _ Prior to InsulatIon or decking. o Post and Beam - Prior to floor Insulation or decking. o Floor Insulation - Prior to decking, , o Sanitary Sewer - Prior to f1Illng trench. o Storm Sewer - Prior to filling trench. . o Water Line - Prior to filling trench. \Xl Rough Plumbing - 'Flrlor to cover. REQUIRED INSPECTIONS rn Rough Mechanical - Prior to cover. . [6] Rough Electrical - Prior to cover. [Z] Electrical Service - Must be approved to obtaI n permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. IA Framing - Prior to cover. [Z] Wail/Ceiling Insulaflon - Prior to cover. rn Drywall - Prior to laplng, o Wood Stove - After I~stallat'lon. o Insert - Alter fireplace approval and Instaliatlon of unit. o Curbcut & Approach - After forms are erected but prior to placement of concrete. [2] Sidewalk & Driveway - Alter excavation Is complete, forms and s:ub-base material In place. ~ Fence - Whe," completed. r-J;1 Street Trees - When 'all ,requIred" LAJ trees are planted. [1] Final PlumbIng - When all plumbing work Is complet,e, ~ Final Electrical - When all electrical work Is complete. !Xl Final MechanIcal - When all L,L\J mechanical work Is complete. r7I Final BuildIng - When ali ~ required Inspections have been epproved and building Is completed. o Other 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 Final - After all required Inspections are approved and porches, sklrtln'g. decks, and venting have been Installed. Lot faces 2- Lot Type . Setbacks ~ THE PROPOSED WORK IN THE Lot sq, Itg. '/lir.Yt:> 2(;"lnterlor I PL. HSE GAR ACC HISTORICAL DISTRICT, OR ON IN THE HISTORICAL REGISTER? Lot coverage ~ Corner 'In;' If yes, this application must be signed &l-~~ Is ~ and approved by the Historical Topography ,- Panhandle Iw Coordinator prIor to permit issuance. ~ S Total height Cul.de.sac IE ,t/ APPROVED' ?.e>$"//.~ BUILDING VALUE, PLAN CHECK X $/SO. F7-.- = 1)I1~ AND BUILDING PERMIT ...:5Lo .'lL) LM , This permit is granted on the express condition that the said Ill. " construction shall, in all respects, conform to the Ordinance I:L.IO ,Uc ~ adopted by the City of Springfield, Including the Ii: ~b c,,( Development Code, regulating the construction and use of r buildings, and may be suspended or revoked at any time upon vIolation of any provisions of said ordinances. Plan Check Fee: \,... ~(1If1c, /IWV J.~ BUILDING PERMIT ITEM SO. FT. Main/~~~ 1;1 K"""""" Garage yo dtI.) Carport ? b7/?;"f}1 '7 '7}') 19- ~r:- IS.- IA. ~ ~;? ~ SYSTEMS DEVELOPMENT CHARGE (sDC) 197/. ~ Total Val ue Building Permit Fee State Surcharge Total Fee (A) (B) PLUMBING PERMIT ITEM FEE Flxtu res Residential Bath(s) N' '2 /ht:;:> San Itary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit r~ I~.- 8.- State Surcharge ,.. ~.,,- ~.&D Total Charge (C) /'2 $c::> MECHANICAL PERMIT h.- e.; ~5i::> c..- Furnace Exhaust Hood Vent Fan N' '2 Wood Stove/lnsert/ Fireplace Unit Dryer Vent ~-- MechanIcal Permit /&7.5Z> It!:>. ..., .~ - , Issuance State Surcharge Total Permit (D) ~/. i!>? MISCELLANEOUS PERMITS Mobile Home State Issuance State Surcharge Sidewalk tjo It It /6. .-. Cu rbcut Demolition State Surcharge Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) :Z5"go/,~ (A, B, C. D, and E Combined) I Date Paid: .". ~::l. ? ,"?"Y Date . . Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved, ADDITIONAL COMMENTS t f'tV,0#yq.U\{)' 1 \\\Q~.l\} '..' , I ' \ '~M.~ \ Yl-LQ-->: \~l \~ ') ( ~~'. $0:>) 19~Cj rJl(JfJ1 ()( _~twYJ'A _~r ,'~ l-)~rl 0 V q'YillDJ , I By signature, ,I state and agree, that I have carefUlly examined the completed application and do hereby certify that ail 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 'he 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 Building Safety Division. I further certify that only contractors and employees who are In compliance with ORS 701,055 will be used on 'his project. I further agree to ensure that all required Inspections are requested at the proper t1me~ that each address Is readable from the street, that the permit card Is located at the front ot'the property. and the approved set af plans will remain on the site at es durln~~Ctlan. Signa re. i/f. ~ ~ Date b!'fi~ I ' VALIDATION: RECEIPT NUMBER / ~ I ~O "" -/-'? c./ AMOUNT RECEIVED ~~. ~ RECEIVED BY ,~~- v DATE PAID . . o Y!i!I!m!!~!!~ JObNO.~l2 NAME: SYSTEMS DEVELOPMENT CHARGE WORKSHEET G\ 12]\ ~",)~CUI\_) PHONE: CV\Ct~to \~~ '\\d~\ ~~r-))Qrt) lli\ALh STATE: lOQ ZIP q(r~a,1 ADDRESS: LOCATION OF "ROPOSED BUILD~N,G)iIR t l\ v,\ ,= h Street Address if Known: f'f-\ 'r+-,. ~ ~ A u~fr..-, Platt Name: C~~~ Tax Lot Number: V\D?J~tXD oa\ctO. L~ 10) 1. ,DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back'> A. Sinl!le Familv - Detached Single Family home Manufactured home not in a park NO OF UNITS X $400 PER UNIT .:F. $ B. Sinl!le Familv - Attached . NO OF UNITS X $370 PER UNIT = $ ~'7D.CO C. Multi-Familv Aoartment NO OF UNITS X $277 PER UNIT = $ D. Manufactured Home Park NO OF UNITS X $280 PER UNIT = $ ~l~~[,)5J~~V City of Springfield Div\si\n lo / \ $~ 7() ,CO E $ 0 $ 2/7!J 0 l~~ WPRD SDC 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See sac Credit Worksheet. 3. TOTAL WPRD NET SDC ASSESSED (If SDC reduced for Credit) - Date +;t..' 1"o~1G. .' .JOB NO" ~? 0 ~'1 ~ CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NM1E OR C0I1PANY: GLEN f:oTA.eA LOCATION: ~~2 ()AKDALF Sne 5 c.r DEVELOP~lENT TYPE: "5J: TANOEh?" },.II., . LOT SiZE SQ. Ft. '1 BUILDING SIZE: I . STORI,I ORA I NAG E IMPERVIOUS SQ. FT. 215' 4 X $0.203 PER SQ. FT. (("';:3 T'~ ~ 2. SANITARY SEWER-CITY IW. OF PFU'S /"l X $42.08 PER PFU QS1.1j) (See Reverse) 3. TRANSPORTATION NO OF UNITS X TRIP RATE X COST PER TRIP X /.0/ X $424.31 ~42<g. ;n ;. ~ X X $424.31 $ X X $424.31 $ 4. SANITARY SFWER-MWMC NO. OF PFU'S /1)> x $15.125 PER PFU + $10 MWMC ADM FEE $ :z p.:2 5' (Use PFU Total From Item 2 Above) MWI1C CREDIT IF APPLICABLE (SEE REVERSE) $ 21,?3 TOTAL-MWMC SDC ~ '------" SUBTOTAL (ADD ITEMS 1,2,3 & 4) $ IS-:; r.' 'f 5. ADMINISTRATIVE FEES ~S{ CHARG~(S TOTAL ABOVE) I~ ' / Kip B r ck SDC Coo ainator X .05 ~ ~n.;?) '- ---- :1 TOTAL SD~ $ /9r-1. :>~ ,: f " I,' , - FIXTURE UNIT,CALC~TION TABLE: Number 01 New FiX. X Unit Equivalent = Fixlure Units (NOTE: For remodels. c.11culate only theTET addilionallix1ures) NUMGEH OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EOUIV/,LE1H UI~ITS I 2 1 2 3 G 2 G G 1 3 2 l/Hcad 2 2 1 G 2 ~~~.,"-,.,",.,',.,',..".,""',., Drinking Fountain.__ _ _, __, -,..' ,.-."., -, -, - ....- -".- ,- Floor Drain__.._,_. ___ _ _, '--' - ,-.., -, - -,.,., '. -..- ,. -,- Interceptors For Grease/Oil/Sollds/Etc___._____ Interceptors For Sand/Auto Wash/Elc.._.,._.__.._ Laundry Tub /Clotheswasher. _... _..,.., _.,. -.- -. -,.,... aotheswa~her - 3 Or More________......._............ Mobile Home Park Trap (1 Per Traller)....___........ Recep!or F9r Refrigerator /Water Station/Etc...._.. Receptor For Commercial Sink/Dishwasher /Etc_ Shower, Singl e' StalL,.............,...,.......... _............ - -, Shower, Gang.... ...___...... _. -............... --..'.'..'.:'.'.' Sink, Bar, COmmercial..................,..-.......--,-,.,-", . Urinal, Stall('Nall......,.........-........-.....,.,.,.-..,-,...,.... Wash Basin/Lavatory, Single........,...._.,............._,. Water Closet, Public Installatlon..._..._._.........___, Water Closet, Private....._............""...,.____,....,...,. Miscellaneous: I 'L 1... '2. ,~ '" ;l. 4 :? TOTAL FIXTURE UNITS II? CREDIT CALCUU\TION TABLE: Based on assessed value. If improvements occurred after annexation date in table, calculate credits separates. ~ I Rate per $1.000 I Assessed Value Year Annexed Rate per $1,000 Assessed Value Year Annexed 1979 or belore 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 $ 2.24 1.93 1.57 1.18 0.79 0.44 0.28 I, I I I Credit for Parcel or land Only If Applicable :$..2 I X $ Ii"" G, "J ;l. 1. 8 3 (Rate X Assessed Value) Improvement Cd after annexation date) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ 2. '{, n RUNOFF COEFFICIENTS FOR STORM DRAINAGE Residential...._.... ..... ............ ...... __... ......... ....... 0.4 Commercial.........._..._............................"....... 0.9 I nd ustrial. .......................... _....... ......., _............. 0.45 Governmental.._......................................,........ 0.5 IMPERVIOUS AREA '" TOTAL LOT SIZE X RUNOFF COEFFICIENT , . I ~'D~\SC\~t;'S'll9 . C\\\J~,~F\ Lv ,1$I~rYX) J-CL - -tD\~.L,c\~ ...' SfSD00") #" lQ..lol~ 5.~.91. . CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY AUTHORIZATION TO PROCEED AGREEMENT THIS AGREEMENT is entered into this ~daY of ~ 'u I ~ n ,1~ by and between the City of Springfield~munic p I corpor~o~e Stat;~ Oregon, hereinafter called Ci ty, and l j, U2f'\" [l\-C'l_J\ 0----./ , hereinafter called the Applicant. ~:t ~-'Z.- YHEREAS, the applicant has applied to the ity com, munity Services Building Division for issuance of certain~s~t~,permits f~r ~evelopment improvements to be located at ,,')~ " \,:(\~C\C\ ~~ Springfield, Oregon or wi thin the Ci ty' s Urban ~rowt . 'N~' 'c~oJl..a-h Are~' ane c~.nty CJ~- Assessor's Map and Tax Lot number \'\()" ;rj..'Ni ,)( Hl(J " =\ 't \0 J L 0 J ~/, I. YHEREAS, the applicant has asked the City to authorize the Ap icant to lUitcla,LG.-/ 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. .. NOY, 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. Ci ty agrees tha t the Applican t may immediately commence vi th'''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 lays and ordinances. Applicant's immediate commencement of construction is at Applicant's own risk. The City makes no assurance that the develo~ment or construction improvements viII be approved or the reQuired construct10n oermits viII 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; 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 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 folloving 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 }~8 ORDER for removal of all such "'ork 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 york 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 Of,ficial. Applicant's Point of Authorization is ~ ). ), t' :L.AJ'\C\ ---:- 6. Applicant agrees that a~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 JI/"~ -r, 1'f'9-(- 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: R~ 9--7' ,nil< ~ Building Official .~r~, I n % \ l ~ L(\ ,Y'\ ). Contractor \..''1 L\\ \.[:>\1.._'---\ \._L-/ Business Name t\ ef\ \(()'\(\-fCL.-) Address rJ\d~~ \=i ((\(rct'(J( \\Jl0 Alb1I1U CC Registration # ,~~'7~~ ( LANDI PROPERTY OVNER(S) lIVE HAVE READ THE ABOVE AUTHORIZATION TO PROCEED AGREEMENT. lIVE UNDERSTAND VHAT IT EXPRESSES AND THE RESPONSIBILITIES IT PLACES UPON US AS THE LANDI PROPERTY OVNERS. lIVE AGREE TO BE BOUND BY ALL TERMS AND CONDITIONS OF THE AGREEMENT. k / / / Name ~}J't/~ Address r\L t-\ ~\ ~\\eS:-.t J'y( I \\J\>-".1, &\ t)(U\.Mr " ~\3t\ 0 , ~ . F.EViE\'.;~:'. [L A?::r::C'VC:D ,.,...,. -.... C~l-'~" :,,) ~~:~: ~~:,." ~ 'L~~ ,( L!:i'E. p.., ',,\, \~"\~ .. C':';?:::::~~: (~.:= CiTY Jl.TTO~i~..::::':: c.: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. . ~