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HomeMy WebLinkAboutPermit Building 1995-4-4 (2) OWNER' /(/.!./~_ d&:::>tl ADDR~"'" r;.., 7 (') ~/ .A~ ~ CITY:_~~~/""'-P7~ DESCRIBE WORK' S/Li..l'~~ ~. X~A NEW'-/'. REMODEL ADDITION DEMOLISH OTHER I ~-~ .... r I RESIDENTIAL PERMIT APPLICATION Inspections: 726.3769 Office: 726.3759 LOCATION OF PROPOSED WORK' I~ 2.. ASSESSORS MAP: .~ LOT: .:. SPRINGFIELD BLOCK' jI.";A"", ~ c.. ;;-, STAT~' ~ .~, . '7 i;0',?;.? . JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT: /)2S6D (/tOJ SUBDIVISION: ~~# 87?1-r'"C:r PHONE: 1<.-1- '~?7 2- 9??:2-{;" ZIP' CONST. CONTRACTOR' CONTRACTOR'S NAME ADDRESS GEN~RAL:.Lf hr~. A'~) PLUMBING: -.f~/rtt;'" )~~/h.;Y? MECHANICAL: ~ N<A.7 ~,;;; ELECTRICAl' AdLA' J!-'I ~ QUAD AREA: ~I<. ~ C t .. OF BLDGS: OCCY GROUP: _I<.. ~ -r-,/4'1 I . OF STORIES: WATER HEATER:_;=; - OFFICE USE - LAND USE: !ifl EXPIRES PHONE 9J;t~3)L 7,c .;t-I9f;d... 4'- 7..#-2s/Sj , , ,hfi..?-/$,<;"/ FLOOD PLAIN' ZONING CODE: _4..-< "] . OF BDRMS' SECONDARY HEAT: SQUARE FOOTAGE: /) . OF UNITS: CONSTR. TYPE: -YA ) HEAT SOURCE: _F C '5 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. D Temporary Electric D Site Inspection - To be made after excavation, but prior to settlng forms. D Underslab Plumbing/Electrical/ Mechanical - Prior to cover. r'V1" Footing - After trenches are ~ excavated. D Masonry - Steel location, bond beams, grouting. I\:/r Foundation - After forms are ~ erected but prior to .concrete placement. D Underground Plumbing - Prior to filling trench. KA'. Underfloor Ptumblng/Mechanlcal .7"-!<-.Prlor to Insulation or decking. 'f\:"':/r Post and Beam - Prior to floor 1,6..! Insulation or decking. d Floor Insulation -- Prior to ~decklng. d Sanitary Sewer - Prior to filling r trench. rvf Storm Sewer - Prior to filling ~trench. . ~ Water Line - Prior to filling ~rench. D Rough Plumbing - Prior to cover. REQUIRED INSPECTIONS D Rough Mechanical ~ Prior to cover. D Rough Electrical - Prior to cover. D Electrical Service - Must be approved to obtaIn permanent electrical power. D Drywall - Prl o Wood Stove D Insert - After fireplace approv41 and Installation of unit. D Curbcut & Approach - After forms are erected but prior to placement of concrete. D Sidewalk & Driveway - After excavation Is complete, forms and sub-base material in place. o Fence. - When completed. D Street Trees - When all required trees are planted. D Final Plumbing - When all plumbing worl< Is complete. . . D Final Electrical - When all electrical work is complete. D Final Mechanical - When all mechanical work Is complete. D Final BUilding - When all required Inspections have been approved and building is completed. DOthor HOME INSPECTIONS D Blocking and Set-Up - When all blocking Is complete. . D PJumbing Connections - When home has been connected to water and sewer. D 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 Insl'ectlons are approved and porches, skirting, decks, and ventIng have been Installed. Lot faces -. ':\Wl~ l<?t~'&~Jtg: . \~~;.:,t-': Lot'e'o.verage \ I: . Topography Total height Lot TY. Interior Setbacks HSE GAR Accl I I I '1 . . " . -..' ~ IS THE PROPOSED WORK 'iN THE. 'HISTORICAL DISTRICT, OR ON THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit issuance. .. .-..;, ~;~:..~\}r~j ;' Panhandle I P.L. IN Is Iw I~ APPROVED: Corner Cul,de,sac ,'- BUILDINq PERMIT ITEM SO. FT.' X $/SO. FT. VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT G aragc " This permit Is granted on the express condition that the said construction shall,.ln 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. Main Carport Plan Check Fee: Date Paid: Total Value Building Permit Fee Receipt Number: Received By: State Surcharge Total Fcc , , (A) Plans Reviewed By Date SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge Is due on all undeveloped ~, - . - - - . properties within ~h'e City limits which are being Improved. .' PLUMBING PERMIT ITEM ADDITIONAL COMMENTS FEE Fixtures Rcsiden.tlal Bath(s) NO San i tary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace 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 , ~ _. Jilth the Ordinanc~s of the City of Springfield, and the Laws ~.' . ~,;\ ~ \ 1 (. O?"t~e State of Oregon pertaining to the work described ~_~; ~_11); _ ~ '). ~\ \1 'J herel~'(..~nd that NO OCCUPANC?Y will be made of any . \'~,JI \; "< . \'\'~rftur<;Wlthout permission of the Building Safety Division. Mechanical Perml~... ~.: ~}.,'~ J fJhhercertlfy that only contractors and employees who Issuance ""'~~ \..~"~l.!' :~' E'~~ ___'_. . .~~ .~ a~~I~'c"O~Pllance with ORS 701,055 wlll be used on thIs t"'" "- \,~,."""-;, > project. State Surcharge ~,~. '-~ ~ F II ,,---~ -- ...' Total Permit ',((0) ,_~,.., ~~tl"". '!.. \:,..,! I further agree to ensure that all required Inspections are 'f requested at the proper time, ~hat each address Is readable PERMITS iJ ......,\> 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 site at all times during construction. Exhaust Hood Ven t Fan NO Wood Stove/lnsert/Flreplace Unit Dryer Vent MISCELL.f'NEOUS Mobile Home State Issuance State Surcharge Signature Sidewalk It Date Curbcut ft Demolition. State Surcharge Total MIscellaneous Permits (E) VALIDATION: RECEIPT NUMBER DATE PAIr> AMOUNT RECEIVED RECEIVED BY TOTAL AMOUNT DUE (excluding electrical) (A, B, C, 0, and E Combined) ~ " '..;' .... . ~ '. "t,.. .... ......,. '. . ...,~" .......:~. ''': '.., ...:' ': :; .'"... ~; .,..... .},"-:'" .:...'. .~ .~. ".' '. ~;. ...."",. 7.........:: ...../:.:. '. '\ .. ,,. ." ~'. ' . .;..~ : ....~ ...... ."'.. .;:. .. ..'~' '~-f:.:~' ,. ;.) .... ." '-, ~,'..{. .:"..-J.,~ ~".:':' .:.' 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'.'::~: -' .....,:~'.. :'.~ .~~:}.. ., ..... ,'.: " :.":~,'.....:.~~:; ::., '.; .... ..... . .:....~~ '. ,'.: '. .- '~'" .f: ., <.'. .A'.," '. ~'::\ . ..... ,t. '. " _;".:;<: ,. }..,.......:~;.., ':: ~.. , . "'~ .,:i;' .' .'.' .... .... . ..'" :. ~.:.~:.:.::. ::. -:~~: :" .,'. ~.! .:'~ .."..' . ~ ., ~:.~;:.:,. ..' '. " ... +........ ...:;.:. .;..:, "',' '.:, City of Springfield 225 FiHh S.t,rc"t, Sp~jhgficld, OR 97477 (5C3) 72&-3753 .'.;..... '. ',' / ...... .,". Tr.~ns"ct,:ior, nljRlbcr Oi&8~.4 Apr.l 04, i995 8.42 AM .'," Rcc:civod fr'olll' RIVER BEHD HOMES Cont,r"ct/O~n 9503&3/9503&2 Addrcss~ &70 PINE CT, e:. l y ~ aF.'ESII;ELL St,: OR -B'Ji '-ding- Job 3503&2 .q Dcscr-it)tion .... ..' QIJick S+.ar-'{, Quic.: S':,8rr, .... To+'"l: Anl+' F~~C'Gi ved: 300.00 31)0.00 Check 479 ~i: Th"n\: Don M. you, ~~.. '+-;":-".'.~"':.::.-'.. , '. . '/.:'.' . ~'.. . ;. "::~,::.r..:'{:;:" ~,'~ :';....,: ., ., '..-.:".:.:', :";~" .. . "../.:--.~},.':.,;;,....~.'.{::' ':,: "';.' :;;::. ,. . .: :'~': .'~"'~: ....;.. :-.:~~--"-----:- .. ..;. . ,,".; ;:~;:: ~.;. . .. . ~ ,~ , , ":. .','. " i.' , '. ..... ';.' Zi~: 374.2~ ; . ,. . : .~ . .. ':"'0"-'; ',' .', ' "..- ,': ........ '.~' " . ., ..... " ..' . . . ,~ .',' ".", .' , .,: ~ '. c ..' " ,. ";'.-:' - .,.. ;+,1 :;.._~ ., '., :., ..~. :. ~. .. .~~ . .... ,:.' ~. ., '.: .... .:,.. '.. "~;. ....- -':...... ....,..; ;.~:~~~.>.;':'\~: '.:~:. .:.. ":'~;:'~' : .. ,,":::!~l~ ' i50.00 c,,€c:: ,,"'.:' .... .\;~ ...:'.. .-...... . .:~:~:~ ....:..:;. .. -~,.. .:: ~'" '.,".. .' .r. .' -'~'.,.. '..::=. . .:\'~",:-f 'r:.;:-l .. ..... .-- ':'~'. -.,..... .,#',: .". .' ..... .... ......... '..:'.' .... , . ..:' ., " :,'. .'~ :"'.:',:. . ;.., ..-.... . ~.::-.::< . M..:., ..-'." ..':..~ > . -~r '.. ,-- I, ;' -",+ ..,.,? ,., ~':'..: ".::j~::~t".~" </'/.' ""'::::.:.~::j':L /:;~(\:::< ..- :-...'::/:,' ...:'., '. . ...." " " , ~'.' '. .. "-'. ..... ,'. ;~:. .... .... , ..' ,_, A. t ~.... ~:.~.' . ~.. .: . . ': . " .., '.. .' .' .~~ ." ',,:" " " .....t-.-..........;. '. :.:-;.,....:.. :'.\ > ',". ',". .' - .' ':t,:.': , . .:.~ ~ :';:. . ,,: ?:~,.:., ..,.. '::".': ....-:-:........ ... .~ :.' ." ~.~ ." -i. .." .. .'.:: ',' , '., r. .' .~?:~:. " .~,~ :::" ". .~ ..,..'. '..,. ". . .. ,. .' ~ +, . .\.:.:.'" '. '" ',- .".. -'~: . . .. .~. '-'-, " :'r .' ,~ .\ :.:. : " ..''', , . ..' '.~~ --. ._-.\.. . . CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY AUTHORIZATION TO PROCEED AGREEMENT THIS AGREEMENT is entered into this ~~ day of ~/~ ,199~by and between the City of Springfiel~.~. munlciP.al. corporation of the State~ Oregon, hereinafter called Ci ty, and,{!(LLZ."" .~~~, hereinafter called the Applicant. .- VHEREAS, the applicant has applied to the City Community Services Building Division for issuance of certain construction permits for development improvements to be located at -1t~l',- ~C;u'7?r7.A. Springfield, Oregon or wi thin the Ci ty' s Urban rowth Jurisdit.tlonal Area; Lane County Assessor's Map and Tax Lot number /~"2... 1":).1' en .o2.9~ (At;.j VHEREAS, the applicant has asked the City to authorize the Applicant to 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). VHEREAS, 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 Agreemen t. VHEREAS, 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 applicati~~ submitted will be approved, and whether the ~equired construction permits can be issued. . VHEREAS, 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. VHEREAS, 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 conditione~ 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 development or construction improvements viII be approved or the required construction permits viII later be issued. 2. City agrees to review Applicant's permit application in the normal review process and to thereafter: . a) issue Applicant the appropriate construction permits; or b) advise Applicant of deficiencies in the proposed construction which must be remedied before permits can be issued; ~ 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 in 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 ~'8 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 City's Building Official, Applicant's Point of Authorization is 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 to allow inspection, ;:.\ 7, Applicant agrees that any or all"deficfencies identified during the necessary inspections will be promptly remedied, at Applicant's sole cost and expense before proceeding vith 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 /1.4A-.J 4. /4 <;. '" I 7 I 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 tr,eir 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.DESlRE. CITY " AFPLICANT City of Springfield ~y:~~ 1'i!Jw Building Official Contractor tfJ(/ftI! t6wo ~5 Business Name Address (; /0 P/II/4:. CT CRt{ 5~ t-L CC Registration II 09~ 3.5> L LAND/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 LAND/PROPERTY OYNERS. liVE AGREE TO BE BOUND BY ALL TERMS AND CONDITIONS OF THE AGREEMENT. Af) Name tf3M-k:.~ C/E~~(;... Address;; 70 A--'/V~ CT (J.e~ g.a.-~c.c , ~ . F.EV1E\'/L:C, {J~ AP?t=:CJVt::D f- ~ -n F~ -r ' .:'). ~~?~~:~,"" j L r;J-\ ~ o( U:,E: ~~ \Ci. \,\q,~ . Or-Fi~~: C~ CfT\' ATTOJ-;~"~E'''{ C.~~'\' C~: E<:'~:;l~,~::::!=!~LD . .~,:"'-~ ~ . . . . 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 t~o-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 ~ith the One and Two-Family Dwelling Specialty Code, may be considered eligible fo~ 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. . .