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Home My WebLink AboutPermit Building 1995-8-9 '.' .. &0 (t::,/? ?T4lV -'. ~ 95'//66 CO M MER C I A L II N D U 5T RIAL PERMIT APPLICATION _ INSPECTION LINE: 726-3769 225 Fifth Street, Springfield, Oregon 97477 ~ t@OFFICE: 726-3759 LOCATION OF PROPOSED WORK: /'3I6._i/~/e & /;~/?.,J /":3/7 ~~h,~7 / ASSESSORS MAP: /?-o=3"'2";;--"::23 TAX LOT: .t?/~~ OWNER:~~C-67?~~~~-,/L.~~.7b/tC'r-s>,~ PHONE:,~~g-~~.s- ADDRESS: 1379 ~/Y'~~.~ . ~~C'__,. CITY: JOB NUMBER $TATE: O-Y~. ZIP: 97S/'~7"" DESCRIPTION OF WORK: &P~#7'7~.h" ~ ~~ ?7'7L/7)r~.::> ~ (0/) . , ~ -,. ~ ... NAME ADDRESS E~ .. /,:l~; ,;',-'20'1': :6~~~~~- ~/e>~~ ?'~. 9/0/ CONST. CONTRACTOR'S NAME J?~~~ CONTRACTOR 11 GENERAL:.M'~~~~;.~~&'Z?i~~~ ~/~~ I"/~-~ 1,-----.-----...--------- P LU MBING---.----- I NO. FEE I I I I I 12 I I I I NEW PLUMBING' MECHANICAL: ELECTRICAL: I REMODEL ADDITION DEMOLISH OTHER VALUE: PHONE 7Y"-~5? EXPI RES PHONE 'Z:::lg' - :s /' ,.. &:. MECHANICAL CHARGE NO r.HAJ:lr::F FFF Single Fixture Furnace / bu rner & vent < 100,000 BTUs . Furnace/burner & vent > 100,000 BTUs Relocated Bldg. . (new fix. addtl) Water Service b/.. ~; ;'-tt. Sanitary Sewer '2~~ :2/-:3 "t. Storm Sewer /~'1'o . n~":3 ft. Floor furnace and vent Suspended wall or floor mounted unit heater Appliance Vent separate Stationaryevap. cooler Vent Fan/Single duct Vent System apart from AC or htg. Mechanical exhaust hood and duct //?.~ 7~t&16 I ~2&? -0 :::?G? -z> I I I I I I .1 I TOTAL PERMIT $10.00 Backflow Device /0 I 7'/t? -I Permit Issuance TOTAL PERMIT OUAD AREA: 11 OF BLDGS: oecy GROUP: 11 OF STORIES' SQ. FTG MAIN - OFFICE USE - HANDICAP ACCESS: FLOOD PLAIN: LAND USE: /I OF UNITS' ZONING: LIGHTING POWER BUDGET: WATER HEATER' CONSTR. TYPE: HEAT SOURCE: SO. FT. $/SO. FT. VALUE x so. FTG ACCESS X SO.-FTG OTHER _.tb~//Z/t::?~x ---6~;~? TOTAL VALUE OF PROJECT PLAN CHECK FEf RCPTit DATF BY I BUILDING PERMIT 5% State ~ Surcharqe r~ MECHANICAL 15% State Su rcharqe I PAVING ?2~ _....:.- lb./5=? ~.(G6 PLUMBING I t~ 7"/~ 6c> ~O.~ /?.~~ - . /~C). ,-,~ I 7"~. % I I DEMOLITION 5% State Su rcharge FENCE VALUE $ SIDEWALK FT. I"., FT. I Cb~K~~.. SUBTOtAL PERMITS SYSTEM'S , DEVELOPMENT " CURBCUT . TOTAL PERMIT FEES EXCLUDING ELECTRICAl 9,9t?~b REQUIRED INSPECTIONS It Is the responsibility of the permit holder to see that all Inspections are made at the proper time. To request an Inspection, call 726-3769 (recorder), state your City designated job number, job address, type of inspection requested and when you will be ready for Inspection. Requests received before 7:00 a.m. will be made the same working day, requests made after 7:00 a.m. will be made the following work day. SITE INSPECTION: To be made after excavation, but prlor,to setup of forms. ~ UNDERSLAB PLUMBING, ELECTRICAL & MECHANICAL: To be made before any work Is covered. ROUGH PLUMBING, 'ELECTRICAL & .. MECHANICAL: No work is to be covered until these Inspections have been made and approved.. PAVING: After gravel is in place but prior to placing asphalt or concrete. x ATTIC DRAFT STOPS & CURTAIN WALLS SPECIAL INSPECTIONS: In accordance Sectipn 302 of the StateSPl?cialty Code a special'inspector shall be employed by the Owner/ Contractor during co-;'st'ruction'of the following work. A copy of the special testing reports shall be furnished to the Building Division. , FOOTINGS & FOUNDATIONS: To be made after trenches are excavated and forms are erected, all steel In place, but prior to placing concrete. FIREPLACE: Prior to placing facing materials and before framing Inspection. STRUCTURAL CONCRETE: In excess of 2500 PS.1. (306 a.1) f CONCRETE SLAB: To be made after all Inslab building ~ervice equipment, conduit, piping, accessories and other ancillary equipment items are in place but before any concrete Is placed. FRAMING: To be made after the roof, all framing, fire blocking and bracing are In place and all pipes, Chimneys and vents are complete and Jhe rough electrical, plumbing and mechanical are approved. .- STRUCTURAL WELDS: Performed on tM job. (2722 f) y UNDERGROUND: Plumbing, electrical, gas, sanitary sewer, storm sewer, water and drainage lines, To be made prior to covering or filling trenches. INSULATION & VAPOR BA,RRIEF.!: To be ,mad.e' after all insulation and required vapor barriers are In place but before any lath or gypsum board interior wall covering is appl ied. HIGH STRENGl'H BOLTING: During all bolt installation and tightening operations. (306 a.6) -' SPRAYED ON FIREPROOFING: U.B.C. Standards 43-8. ..J UNDERFLOOR: Plumbing, electrical, mechanical. To be made prior to installation of floor Insulation, decking or floor sheathing. FIRE & SEPARATION WALL: Located and .constructed according to plans. SPECIAL GRADING, EXCAVATION AND FILLING: During earthwork. (306 a.11 & Chapter 29) POST & BEAM: To be made prior to Installation of floor Insulation, decking or floor. sheathing, LATH AND/OR GYPSUM BOARD: To be made after all lathing and gypsum board, Interior and exterior, Is In place but befor~ .ar'1Y plastering is applied 'or before gypsum boara joints and fasteners are taped and finished. GLU-LAM BEAMS: Inspection Certificate by an approved agency, furnished to the City's Building Division before beams are placed. (2501 U.B.C. S.TDS. 25-10,1~) STRUCTURAL MASONRY: (306 a.7) FLOOR INSULATION & VAPOR BARRIERS: To be made prior to installation of decking or floor sheathing. SIDEWALK & DRIVEWAY: Required for all concrete paving within street right of way, to be made after all excavating complete and form work and sub-base material in place. 'In addition to the in,~pec- tlons specified, the Building Official may make or require other inspections of any con~truction work to ensure compliance with the Building, City or Development Code. MASONRY: Steel location, bond beams grouting or verticals In accordance with UBC 2415. J ROOF SHEATHING AND NAILING: Prior to Installing any roof covering, CURB AND APPROACH APRONS: After forms are erected but prior to placing concrete, ------------------------------------------------------- FINAL PLUMBING SITE PLAN REVIEW BOARD: Must be requested 2 days in advance of the date you wish Inspection. All project conditions such as landscaping, parking lot striping, etc. must be completed before requesting this Inspection. FINAL BUILDING: Requested after the final plumbing, electrical, mechanical and Fire Department Inspections are made and approved, No occupancy of the premises can be made until a Certificate of Occupancy has been issued by the Building Division and posted on the premises. FINAL ELECTRICAL FINAL MECHANICAL FINAL FIRE DEPARTMENT ADDITIONAL COMMENTS: ~ ,,,,,\ PLA'NS REVIEWED BY ~ U~ ~~9 DATF fF:'--5'-~-- ., . . ~r . · .c ,,~ By signature, I state and agree, that I have carefully examined the completed application and do hereby certify th,at all information herein 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 thatNO 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 this project. . I further agree to ensure t at all required i ec;ions arereqUeS!~d at the proper time, that project address' Is readable from the d Is located a th front o.f the property, and the approved set of plans will remain on the site at a/l times during constru on." ~ ~ ~.4;~~. . . ' \ . I' / Date ~1h~ Signatu VALIDATION: /~.- AMOUNT RECEIVED: 79~. ~ /a~~ RECEIPT If: /~~ DATE PAID: -----.$-~-~----, RECEIVE,b BY: ~L .,.....!;i,,.,.,.,i"'~,}".,'ft~- .'f' :J}' "'. .~. t~A(~~~fS.t ,i' CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY. AUTHORIZATION TO PROCEED AGREEMENT THIS AGREEMENT is entered into this ~ day of ~~".. ,1~y and betveen the City of SpringfieAd, a murHcipal forpoIi'U!o ofFthe State--01 Oregon, hereinaf~er called City, and m)~-" U\t\t\ ",If'~, hereinafter called the Apph can t. . ~ -...--- ~ - ~. YHEREAS, the applicant has applied to the City Community Services Building DiVision. for issuance of certain const.J\'(ction permits for de~lopment improvements to be located at~\\n-\~":)\cg &. I \~\So\\;:\\, l<... Springfield, Oregon or vithin the City's Ur~rovth Jr5sd~tional Area; Lane County Assessor's Map and Tax Lot number \~~ ~~ ~~ . -- .. - YHEREAS, the applicant has asked the City to authorize the Applicant to immediately commence development improvements without a completed plan review or subsequent approval as required by the Springfield Building Safety Code Administrative Code section 303(a). YHEREAS, the Applicant has submitted to the City a completed permit application, 3 (three) sets of construction dr~,vingsY:$'siH~cifications, and other data required for the City to complete the neces~ary plan review of the proposed development improvemen t . YHEREAS, 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 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. 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. 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. City agrees that the Applicant may immediately commence with the development improvements set forth in the permit application. City's authorization to proceed isconditionephowever, upon Applicant's agreement that the project will be' constructed as set forth in the attached submitted drawings ahd 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 will be approved or the required construction permits will 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; ~ 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 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 defic~encies so ~hat 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 11\0 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. r~ 5. Applicant agrees that until Applicant's permit application is approved, construction will not to proceed beyond the point of authorization approved ~~ BUildir; Offici~!J{ioant's Point of Authorization is . .~~ .' ~"), : -1/ 7"25"' 0-/~ //~ ... l..... '" - \ . _ , .. .. _ 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"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 imm~diately cease without any notice from the City if this Agreement terminates before a building permit is iss~_ This agreement shall terminate on ~~I""~~'1 &!~/'~~ 10. Applicant agrees to defend, indem~~h~ld City harmless from any and all costs (including attorney fees), liability or damages of any kind or nature whatsoeve~, 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 Springfield contractor fI/) C6A !Je,fe- J . Building Official Business Name ~# .7?~~ c:::;.,- ~;1?;> ~-~/~#y~ Address p~~~p~;/'1 '- ~)26~ ,/ Byq/hA~t;~ CC Registration #~~/~~ cA"P.. /.y~..~ ~ LAND/PROPERTY OWNERCS) I/WE HAVE READ THE" ABOVE AUTHORIZATION TO PROCEED AGREEMENT. I/WE UNDERSTAND WHAT IT EXPRESSES AND THE RESPONSIBILITIES IT PLACES UPON US AS THE D/PRO~ER. OWNERS. I/WE AGREE TO BE BOUND BY ALL TERMS AND COND IONS OF E AGREEMENT. Name" ~ . .'2::'b.(? A<- ~~.~9/<. /37 9 __ );.ht/ I-i'-? VIJ tf . I EVfEHC O,e. Address VALIDATION: CITY JOB # ~~~ RECEIPT NUMBER ./&~'Y DATE PAID ~~-9? AMOUNT RECEIVED I'~~~ RECEIVED BY ~