HomeMy WebLinkAboutPermit Electrical 1999-7-7
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Permits are non-transferable and expire
if work is not started within 180,days
of issuance or if work is suspended for
180 days.
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number 9 9 0 r:< B
Sum
$ 15.00
.$ 40.00
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
~/ f Installation, Alterations
Electrical contractor~? Y~'1-L or Relocation:
Address /' Ires OU\f.OO amps or less
ATTEN IIUI":Ule\jul~ '~c;- , : Uti\?Q1 amps to 400 amps
City '~II~vfk!?!t~doPt~Y the reJo 1~ )~, amps to. 600 amps
. ' N 'tilicalion ell.. r.\ nose IUI"'~ "re set)j )1- amps to 1000 amps
Supervisor Llcens~\i.\!."l:Pe 01-001 o through OAR 952 O'63f 1000 amps/volts
In 09 au may obtain caples of the rUI€'Re'connec t Only
Expiration Date 0 :,.__....^^"nlAr INote:thetelepho~e
\0",,,,,9,, ,.. the Oregon Utility NottlJcattemporary Services or Feeders
umlmr'11ber!or...,_ < _Qnn_~~:>-2344). Installation, Alteration or Relocation
\.,i.;;.. .~..:.. .- -
225 FIITH STREET Mulhonzeo Signalure
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
NOTICE' 3. COMPLETE FEE SCHEDULE BELO\I
1. LOCATION OF Im>~0~Tl"lm' FTI-lFWORK
I (). 1 q U., fHISP~~SHALLI;Xf.IR~ew'l\esldEmtial-Single or
\ AUTHORIZEDUNUERTHISFliiHM[[J~ly per dwelling uni t.
LEGAL DESCRIPTION ~9.MMENCEDOR ISABANoel"l~RIncluded:
nos 2-, I/q 0 AN~O;~uu/'\tr'EFIIOD. Items Cost
1000 sq.ft. or less S 85.00
Each additional 500
sq. ft. or portion
thereof
Each Manuf'd Home,or
Modular, 'Dwelling
Service or Feeder
Supervising Electrician
Owners
Name~"";;fL{r iT
} /J.. 5 U/UL..t+-/;e... ~.rr
34'5'. 5Y'2-0
Address
Ci ty FUJ Phone
OVNER1rNSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Ovners Si~re:~ ~
--~-"'~//
D~------~-~~---~----~---------
RECEIPT U: ./
RECEIVED BY:
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
200 amps"oT less '/ $ 40.00 '7,::7, Oc)
201 amps to 400 amps $ 55.00
Over 401 to 600 amps '$ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
.'
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
1'1oState Surcharge
31. Administrative Fee
TOTAL
$ 35.00
$ 2.00
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
JII).{)O
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SPRlalELD
225 FIF.TH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726,3689
CITY OF SPRINGFIELD
COMMUNITY SERVICES DIVISION
BlinDING SAFETY
AUTHORIZATION TO' PROCEED AGREEMENT,
THIS AGREEMENT is entered, into this day of
betveen the City of Springfield, a municipal corporationot
hereinafter called, City, and FOIi!"'t7I1' /;dA/S7/Z-hG-/U""
the Applicant:
~HEREAS, the applicant has applied to the City Community Services Building
~ivision for issuance of certain c~strUC{iOn,~permi,ts~o,r developmen~' .
lmprovements to be located at \N'1'-1 1!0,~ , _ 'R. Spnngfleld,
Oregon or vithin, the City's Urban Grovth Juns lctlona Area; Lane County
Assessor's Map and Tax Lot number \l(\~."~4l.\ ()<;( rn,
,19 by and
the State-oI Oregon,
,'hereinafter called
~HEREAS, the applican t has asked the Ci ty to au thorize the Applican t to
immediately commence development improvements vithout a completed plan reviev or
subsequent approval as required by the Springfield Building Safety 'Code
.Adm~nistrative Code section 303(a)
VHEREAS, ,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 planreviev of the proposed development
improvemen t.
~HEREAS, the intended development improvement 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 Agreemen t. '.
~HEREAS, 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 applicati0~ submitted vill be approved, and whether the
r,-equired construction permits can be issued.
. . . (
~HEREAS, ',the applicant has requested the Ci ty to ,provide expedi ted authorization
to proceed vi th certain phases of construction prior to the complE,tion of the
City'S reviev of the permit application;
~HEREAS, the City's fee for the administra t i ve services rendered in providing
eipedited authorization is $150.00.
,NO~, 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'
folloving terms and conditions:
"
.
.
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
au thoriza tion to proceed is condi tionej:! 'hovever, upon Applican t' s agreemen t
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 ovn risk. The City makes no
assurance that the development or construction improvements viII 'be approved
or tbe required construction permits 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 lJ'~ ORDER for removal of all such ~~rk in a manner as
prescribed in BSChC, SECTION 204. ABATEMENT OF UNSAFE, SUBSTANDARD OR
DANGEROUS,B~ILDINGS, 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 permi t 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.
S. Applicant agrees that until Applicant's permit application is approved,
construction will not to proceed beyond the point of authorization approved
by the City's Building Official. Applicant's Point of Authorization 'is '
, " \~ "..'" ,d\)..kCu-a, '.,", --:-:-
6. Applicant agrees that all 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 t,o 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 ~ building permit, is issued.
This agreement shall terminate on aU~ X' 1f'9<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 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 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
APPLICANT Jb ~ ~
contractor h~i.J}._D '~(:
, \J
City of Springfield
By: dJ tJaJ
f- BU~9 ~~
Business Name
Address ~~S ~J~~J' ~UJ..)n_
CC Registration # OCJ)5(\~
LAND/PROPERTY OWNERlS)
I/WE HAVE READ THE ABOVE, AUTHORIZATION TO PROC,EED AGREEMENT. I/WE
UNDERSTAND WHAT IT EXPRESSES AND THE RESPONSIBILITIES IT PLACES
UPON US AS THE LAND/PROPERTY OWNERS. I/WE AGREE TO BE BOUND BY ALL
TERMS ~ f~IT:IO~S~T~EEMENT. ,
Name /)~~,,~ ~ "
.Addre~' './ /, .
VALIDATION:
CITY JOB #
()'3lf 7 )0
~ECEIPT NUMBER qtj 0 g 2.f
DATE PAID 7/7/1'1
. 'I c.)
AMOUNT RECEIVED ~f}} tJ. (/
RECEIVED BY M ~,
.
.
EXHIBIT A,
Purpose
The purpose of this agreement is to allov'certa'in development improvement,s to
occur prior to obtaining plan reviev approval from the Springfield Community,
Services Division.
Scope
The 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 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 tvo-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 reviev prepared by said architect or engineer, stating that the'
submitted material is in compliance vith the One and Tvo-Family Dvelling
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 obt8.1ned;
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 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
Temporary Electric
.
.
This is a 24 hour recording.
made'the same working day,
the following work day.
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 Mechanical - Prior to insulation or decking ,
Post & Beam - Prior to floor insulation or decking
Underfloor Insulation - Prior to deck~ng
Sanitary Sewer - Prior to filling trench
(,
(>~
~
,torm Sewer - Prior to filling trench
Water'Line,- Prior, to filling trench