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HomeMy WebLinkAboutPermit Building 1994-9-19 (2) RESIDENTIAL PERMIT APPLICATION Inspections: '726-3769 Office: 726-3759 LOCATION OF PROPOSED WORK' ASSESSORS MAP' LOT' ~9 ~- '34<,-';; Coi/HD)R.A.J .7);',; {.'. BLOCI" ADORE"'" 'if'?'? N- J3. ::rnr (h'.,.;!.~Aii) fu~.A"t:r&) -" ''7' J./' ./ -=;-_ -:S"';;1~ ~ OWNER: CITY' ~>'" p-L-... - , ;J~ DESCRIBE WORK' NEW "'I:.. REMODEL I ADDITION CONTRACTOR'S NAME GENERAl' ~ ~..v,.. PLUMBING: MECHANICA' . ELECTRICAL: STATF' ~ -Jic A-J 3Ur t<MI!tKJ 7t-94enl 9-t13tt DEMOLISH OTHER JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 TAX LOT: SUBDIVISION: AI~L/1::J~ c:;;;:-~_~ PHONE: ?LJ<J -L?~/ ZIP: "";Jl1 ')".:- t> /,,0/- V7,:1. Itq~^~~>"l -............. ill EXPIRES '-. __P.~6NE ,/-,2/. -Q8'" 7.4'.4'-6~ As '3 ~ L..-? ~~?b;'~ CON ST. CONTRACTOR' 'f' ;;';)0 '6' S~~ ADDRESS' .'. . '. i'J /U'" "'I/)d' M?tMl/tf '/0&74. ~ - OFFICE USE - 9#-J.,q {' f7<: -2/3-7 QUAD AREA: 3AJ S E LAND USE: IIII FLOOD PLAIN' " . OF BLDGS' I . OF UNITS' I ZONING CODE: LA// OCCY GROUP: . /f8 'i-/Y! CONSTR. TYPE: V61 . OF BDRMS: ?I · OF STORIES' / HEAT SOURCE: tNtj SECONDARY HEAT: WATER HEATER: E RANGE: E SOUARE FOOTAGE: '/;>:;9,< J.I.~ !L 1/ ? /-1-11- ~-, '" """ , #-~ J,Nt ; ~JAY... 1 73,.1.>> 4?A t' 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 forrowlng work day. o Temporary ElectrIc O Site Inspecllon - To be made after excavation, but prior to setting forms. o Underslab Plumbing/Electrical/ Mechanical - Prior to cover. Ilt1 Fooling - After trenches are ~ excavated. o Masonry - Steel location, bond .beams, grouting. M Foundation - After forms are ~ erected.but- prior to concrete placem,~nt. o Underground Plumbing - Prior to filling trench. r1J Underlloor Plumbing/Mechanical ~ -.Prlor to Insulation or decking. rif1 Post and Beam - Prior to floor ~ Insulation or decking. , ~ Floor In.ulati;'~ -' Prior to decking. ''\ .; .,,~ f\ll Sanitary Sewer - Prior to filling T trench. m Storm Sewer - Prior to filling \ trench. . IVl Water Line - Prior to filling ~ trench. rv1 Rough Plumbing - Prior to ( cover. REQUIRED INSPECTIONS m Rough Mechanical - Prior to L..fJ cover. ~ RoughElectrJcal - Prlor'to LlJ cover. rtJ Electrical Service - Must be ~ approved to obtain permanent electrical power. o Fireplace - Prior to facing materials and framing Insp. LfJ Fra;"lng - Prior to cover. M Wail/Ceiling Insulation - Prior to ~ cover. [::$I Drywall - Prior to taping. o Wood Stovo - After Installation. o Insert - After fireplace approvlll and Installation of unit. r:\1l Curbcut & Approach - After ~ forms are erected but prior to placement of concrete. M Sidewalk & Driveway - After ~ excavation Is complete, forms . and sub-base material In place. o Fen~e - When complet~d. o Street Trees - When all required trees are planted. rn Final Plumbing - When all ~ plumbing wc;>rk Is complet,e. m Final Electrical - When all T electrical work Is complete. R1l Final Mechanical - When all L.J-J mechanical work Is complete. m Final Building - When all , required Inspections have been approved and building Is completed. o Other MOBILE HOME INSPECTIONS o Blocking and Set.Up - When all blocking Is complete. o Plumbing Conn~ct,lo.ns - 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, skirting, decks, and venting have been Installed. ~-- Lot faces , , L~t~yP~ Interior Lot sq. Itg. Lot coverage Corner Topography Total height Panhandle Cul-de-sac BUILDING PERMIT ITEM sa. FT. \ \ 3,~ S:C-() X $Isa. FT. a Ec....!Vl \)..j. , I (', '. Main Garage Carport .,.-'\ Total Value .. 'C"'II ,. '\ ....t. . '_\\ Building Permit Fee 11,l{<; *\C,'t7 State Surcharge Total Fee (A) ",':;!~. .' .'-),. ,'1-,:1 '~..;,:"r,,'-iFi;"fA'~}~~f.. ::h:'. \ .~.:-, :: .. ," "!:,.;;'7'.-1;l.;~",: " Setbacks . HSE GAR ACe' I I ,!;P.L. '1 N Is Iw IE VALUE b..~ b 1~ 78<1b , 1(,S7~ ~~9.- ~1.~ ?. 1c'~ (B) SYSTEMS DEVELOPMENT CHARGE (SDC) 1.2./I'La; PLUMBING PERMIT ITEM Fixtures Residential .B,ath(s) N' .'1 Sanitary Se.wer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit 8.~+~.~ State Surcharge Total Charge (C) MECHANICAL PERMIT Furnace Exhaust Hood Vent Fan N' .s Wood StovellnserllFlreplace Unit Dryer Vent Mechanical Perml t Issuance State Surcharge .~"'.so Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State issuance State Surcharge Sidewalk 1M It Curbcut ~ It Demolition ~:S~!:~hL~ FEE co JJ,.l'\. --:- 'bD~ I:l..~ \19.- ~ 4.s:2 '1. W- ~~ Ie... SQ. l('). t&L \:u- ::1 "7. ~ ~ .Yt 'Bt I ~,c:e. 4() .l&L.- ~I.~ Total Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) .:18S~.lb (A, B, c. 0, and E Combined) _THE.PROPOSED WORKIN THE, ' "HISTORICAL DISTRICT, dR' ON" THE HISTORICAL REGISTER? If yes, this application must be signed and approved by the Historical Coordinator prior to permit Issuance. 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 Cheek Fee' Date Paid: Receipt Numbp" Re~v\d By: Pla~~1;wed By ~ Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. A!tQITIONAL ~MMENTS _ U&r\;;.~':' ~ ~ .\I~"~'"n.J. 1. ~r\lf\ M-\-II"".. ~ l-1ru.jl\>.l" By slgnature,,1 state and agree, that I have carefully examined the completed application and do heraby certify 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 ba made of any structura without permission of the Building Safaty Division. I further certify that only contractors and employees who are In compliance with ORS 701.055 will be usad on this proleet. I further agree to ensure that all required Inspections are requested at the proper time; that each address Is readable from tha street, that the permit card Is located at the front of the property, and the approved set of, pl~'WIII remain on the site at al Imes durl "C~J . . Signature ,~~ Data4!#/ ~ - VALIDATION: RECEIPT NUMBER DATE PAir' AMOUNT RECEIVED RECEIVED BY / '/7~~ ~-/9-9c:/ c1BS ~.~b ~~ '~- . ATIACHMENT Bl _OB NO. 9~/3? l' CITY OF SPRINGFIELD SYSTEMS' DEVELOPMENT CHARGE WORKSHEET (COMMERCIAL & RESIDENTIAL) NAME OR COMPANY: I('j~ U. .. LOCATION:3!I.S?- ~ <~ .J r DEVELOPMENT TYPE: BUILDING SIZE: I OT SI7F SQ, Ft. 1. SJ:QRtI nRATN~ IMPERVIOUS SQ. FT. 2"1- '1--1 X $0.209 PER SQ. FT. $~;r~.1'~ 2. ~ITARY SFWFR-CTTY NO. OF PFU'S IV X $43.26 PER PFU $(11' ?!; 0 (See Reverse) - 3. TRANSPORTM.LQM NO OF UNITS X TRIP RATE X COST PER TRIP X /.0/ X $436.19 X X $436,19 X X $436.19 ~o. 5-~) $ $ SUBTOTAL (ADD ITEMS 1. 2, & 3) $ / H 9. 01J 4. SANITARY SFWFR-MWMC NO, OF PFU'S / 6 x $17,19 PER PFU + $10 MWMC ADMIN.FEE (Use PFU Total From Item 2 Above) MWMC,CREDIT IF APPLICABLE (SEE REVERSE) IQIAI -MWMr. s.oc SUBTOTAL (ADD ITEMS 1,2.3 & 4) $ 3/ '1, ~ 2. $ ~1," 'Zl $ c2~2- ~ 2:J $ .20'8J.62. 5. ~TNTSTATTVF FFFS BASE fHARGE 2T A /~idp.. SDC i.e'oordi natDr ABOVE) X . 05 (!;./04,L1... ~ Date: '1-1,)' 14' TOTAl SDC $ 2/ 'ii,o/ B2.SDC . ~--==--- FIXTU.RE UNIT CALCULA.N TABLE: Number of New Fixtu.unit Equivalent = Fixture Units (NOTE: For remodels, calculate only the liE! additional fixtures) NUMBER OF NEW FIXTURES FIXTURE TYPE " Bathtub........,.......................".................,.."".,.,..,."" Drinking Fountain...,..........,...........,....,.,....,.......,....., Floor Drain........ ...................,.......,..".,.."..,..,..,......... Interceptors For Grease/Oil/Solids/Etc................. Interceptors For Sand/Auto Wash/Etc................., Laundry Tub/Clotheswasher. ..... ,.............,.',...... ,.... Clotheswasher - 3 Or More..................................... Mobile Home Park Trap (1 Per Trailer),................. Receptor For Refrigerator/Water Station/Etc........ Receptor For Commercial Sink/Dishwasher/Etc.. Shower, Single Stall.,...,.,.,.,..,......,...,..,...,.."......."... Shower, Gang.......,.........,....,................, ...........,...". Sink: Bar, Commercial, Residential Kitchen........................ Urinal, Stall/Wall..:..........,..,........"...,....".., ....".."..... Wash BasinlLavatory, Single.................................. Toilet, Public Installation.........,.......,..,..,...........,..., Toilet , Private..............,.............,...,..,..,...........,..., Miscellaneous: ,TAl'll TORS S/Nk UNIT EQUIVALENT 2. 2 1 2 3 6 2 6 6 1 3 2 l/Head 2 2 1 6 4 ..l FIXTURE UNITS ~ z. z. 2. q R CREDIT CALCULATION TABLE: Based on assessed value, If improvements occurred after annexation date in table, calculate credits separates, 2. 2 TOTAL FIXTURE UNITS = r - -01 Year Rate per $1,000 Year Rate per $1,000 Annexed Assessed Value Annexed Assessed Value 1979 or before $3.46 1985 $2.46 1980 3,38 1986 2.14 1981 3.32 1987 1.77 1982 3.21 1988 1,37 1983 3,06 1989 0.97 1984 2,92 1990 0,61 '1985 2,73 1991 0.44 1993 0,15 t Credit for Parcel or Land Only If Applicable 1...1. ~ X $ /O,~ = 5~"O (Rate X Assessed Value) ----- Improvement (if after annexation date) X $ = (Rate X Assessed Value) CREDIT TOTAL = $ >~.6o ... " ., .. .. 'I' CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY AUTHORIZATION TO PROCEED AGREEMENT THIS AGREEMENT is entered into this /~ day of '~ _'/', , 199ciby and between the City of Springfield, a munlclpal corporati6n'ot the State~ Oregon, hereinafter called Ci ty, and j/A,\(j)&FA/ .EM7'1i!!:RM/.'iE[,4. hereinafter called the Applicant. ';' YHEREAS, the applicant has applied to the City Community Services Building Division for issuance of certain construction permits for development improvements to be located at 31S''2.... ~.>' '();>(/I/t:; Springfield, Oregon or within the City's Urban Growt JurlS ictlonal Area; Lane County Assessor's Map and Tax Lot number 1.sr -1'1- ~if=iI/~' ' . '/JII/I if/c;.0 VDEREAS, the applicant has asked the City to authorize the Applicant to immediately commence development improvements vithout a completed plan reviev or subsequent approval as required by the Springfield Building Safety Code Administrative Code section 303(a). VDEREAS, 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. VDEREAS, 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. VDEREAS, 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: . I .. .. . 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 conditionephowever, 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 develo~ment or construction imorovements viII be approved or tbe required construct~on oermits 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; ~ 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 fl{J 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 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 ./=L~ '7JrJ=;~ ----:- I 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 a building permit is issued. This agreement shall terminate on L/c-T/'17I~ /~.- /~ 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 TH 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 By: 4JZ:: q;:/p-<- ~: Building Official contractor jhl-';'P$A/' h)n~~&rh z:....t Business Name j/1I-i?h~.AJj;Al1iu~')lt<;,4,Qc, Address ~71 ~ .<:0.- 3;) -=I! yf. CC Registration # YO::Z::2.o ~ LAND/PROPERTY OWNERIS1 I/WE HAVE READ THE ABOVE AUTHORIZATION TO PROCEED AGREEMENT. UNDERSTAND WHAT IT EXPRESSES AND THE RESPONSIBILITIES IT P UPON US AS THE LAND/PROPERTY OWNERS. I/WE AG EE TO TERMS AND CONDITIONS OF THE AGREEMENT. Name #~~..k-.., .' . Address 'i)f9 .c;;o . ~~ ~ $/I- - ~,r=7':b. VALIDATION: RECEIVED BY 94/3CJ'7 /f(- 1'/ 7'1: 3/T<(- ,s' I c::; D ,(YO ~ t CITY JOB # RECEIPT NUMBER DATE PAID AMOUNT RECEIVED ,- . .. .. \' 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. " ..