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HomeMy WebLinkAboutPermit Building 1994-7-22 RESIDENTIAL PERMIT APPLICATION Inspecllons: 726.3769 Dftice: 726.3759 LOT' . Cr A ')('~ 1\ (L S. ~. ~ I'\\("\ QX\,t\ 0.. ~ CITY: DESqRl1}Ij WORK: NEW \{../ REMODEL If . C14(}i4~ JOB NUMBER 225 Fifth Street Springfield, Oregon 97477 ) ()P>2.2 STATE: 1V J~ 0 ~ ZIP: qf)4n \ ADDITION DEMOLISH OTHER CON ST. CONTRACTOR' CONTRACTf"\'S NAM~ l\,D.... \, j-DDRESS GENERAL )(O~,.JCU~\(\Q~ PLUMBING: l \ MECHANICAl' ELECTRICAl' QUAD AREA: ~~~)\0 . OF BLDGS: ~ \ OCCY GROUP: . ~~ V\ \ V · OF STORIES: WATER HEATER: ( - OFFICE USE - LAND' USE: _^~.\ \ · OF UNITS: , I CONSTR. TYPE: 1/tJ HEAT SOUR~: ,t=='u RANGE: '(../ EXPIRES PHONE FLOOD PLAIN: ZONING CODE:l f.)V . OF BDRMS: ' ~ SECONDARY H~AT:~ SQUARE FOOTAGE: ~ 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. ~TempOrary Electric D SUe Inspection - To be made after excavation, but prior to setting forms. D Underslab Plumblng/Electrlcal/ Mechanical - Prior to cover. ~ Footing - After trenches are excavated. D Masonry - Steel location, bond ,beams, grouting. ~ Foundation - After forms afe erected but prior to concrete placement. D Underground Plumbing - Prior to f11f1ng trench. ' ~ ~~~~~~~sf~:~!;~~.'~e:~~~;I~?1 ~ Post and Beam - Prior to floor ~. Insulation or decking. 1V1 Floor Insulation - Prior to 'T'"'-decklng. _ ~ Sanitary Sewer - Prior to filling trench. ~ Storm Sewer - Prior to tilling ~. trench. ~ Water Line - Prior to filling ~ trench. ~ Rough Plumbing - Prior to Lp- cover. REQUIRED INSPECTIONS ~Rough Mechanical ~ Prior to ~ cover. r:;(l Rough Electrical - Prior to ~ cover. f>(] Electrical Service - Must be ~ approved to obtain permanent electrical power. D Fireplace - Prlol'l to facing materials and framing Insp. IfSI Framing - Prior to cover. F7l Wall/Cefllng Insulation - Prior to ~ cover. ~ Drywall - Prior to taping. D Wood Stove - After Installation. D Insert - After fireplace approv~1 and Installation of unit. ~ Curbcut & Approach - After ~ forms are erected but prior to placement of concrete. I'ZI Sidewalk & Driveway - After ~ excavation Is complete, forms and sub.base"materlal In place. D Fence - When completed. D Street TroQs - When all required trees are planted. ~Flnal Plumbing - When All L,LJ . plumbing work Is complete. . , ~ Final Electrical - When all L,L.....:J electrical work Is complete. rY1 Final Mechanical - When all ~ mechanical work Is complete. ~ Final Building - When all ~. required Inspections have been approved and building is completed. r ~ Other 1...1- , MOBilE HOME INSPECTIONS D Blocking and Set.Up - When all blocking Is complete. D PlumbIng Connoctlons - 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. D Final - After all required Inspections are approved and porches, skirting, decks, and venttng have been Installed. "-:' ,.... .....".. .,.'" l(Type · "..,. ~. '~:\d:-:':I) 'C.THE,PROPOSED WORK IN THE.. ' .. >, 'I Lot faces N- Setbacks, I' p.L. HSE GAR ACe' I ....HiSTORiCAL DISTRICT, OR ON Lot sq. flg. _ Interior IN I THE HISTORICAL REGISTER? Lot coverage Corner ?,;~ If yes, this application must be signed 'Z 10 Is 12- I and approved by the Historical Topography YO Panhandle Iw I Coordinator prior to permit Issuance. Total height Cul-de-sac IE ,{ I APPROVED' BUILDING PERMIT ITEM ~. F Main Garage X $/SO. FT. = l't;881 ~~.~,.~ SYSTEMS DEVELOPMENT CHARGE (SDC) (B) $,$/ T. "J C, 1).// 1..~ FEE Carport Total Val ue Building Permit Fee State Surcharge rt61f 1- ,q,'fO (A) Total Fcc PLUMBING PERMIT ITEM ~ '2,/.64 iff 9,() If FIxtures Residential Bath(s) N' '?~ /to. 0 (') Sanitary Sewer FT. Water FT. Storm Sewer FT. Mobile Home Plumbing Permit -LO,f;tJ State Surcharge If; 86 t- 8'.tJo (2..8 ~ Total Charge (C) 172-,g (J MECHANICAL PERMIT Furnace Exhaust Hood ':1 Vent Fan NO"J Wood Stove/lnseg-;lr~lace Unl;') Dryer Vent L/0,~ Mechanical Permit Issuance State Surcharge L3/<I- 2-,'~ Total Permit (D) MISCELLANEOUS PERMITS Mobile Home State issuance Slate Surcharge Sidewalk 3{ fl Curbcul ')/1/- It Demolition State Surcharge Tolal Miscellaneous Permits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, Co 0, and E Combined) (.OD /f. 60 q r/) tJ is .0-4 "5 rf} 0 ~~~ 1.f33b NU) (') : 3,'t') 56/1--'1 15,1/.~ /3.60 '2/1, 0lJ <')..7"15'/~ 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 ;~:nn :~:::loF::f a~~~~Of, said ordinances. Date Paid: ;j" ~. Receipt Number: r _LD \ Received By: \ffi ) ~1ffY'L . 7-/J'~'7l( Plans Reviewed By Date . Systems Development Charge Is due on all undeveloped properties within the City limits which are being Improved. ADDITIONAL COMMENTS T'. -\ ,'lfX) ~ o' )~ \ C\ lnC ) ? ?/t"l"'r/1 Sb:?~ et6c:r, .L1,1:::;.nu~r 'p~///A"~ ~fl.l~L\ (~ l.\g JYb~ -fuJ\ ~rto. &(\ C\ 19JI \lD By signature, I state and agree, that r have earefully 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 with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to tho work described herein, and thai NO OCCUPANCY will be made of any structure without permission of the Building Safely 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 that all required Inspections are requested at the proper time, that each address Is readable from the street, that the permit eard Is located at the front of the property, and the proved set of plans will remain ,/ the site time urlng constru tlon. ^Ignatr )~ ," Date~/ ~~ 9'<1 VALIDATION: RECEIPT NUMBER \L\ty:\~ DATE PAID'" . !LQ...L\'1 AMOUNT RECfIV~D ~'=il / rS". /.,. RECEIVED BY z::n (]':V).. J . . fi !!!i!I!'I!!~!!!,!!t; Job NO.Ef (JffS SYSTEMS DEVELOPMENT CHARGE WORKSHEfT NAME~'ffi ~\\~_ PHONE:~'()& ADDR~-&~_rwA-1 fl~ST^,,~pAooL LOCATION OF Ii'ROPOSED BUI~~"lG~TE: C'. ") , , Street Address if Known: \}-ft" ~qLD\G..~_ Platt Name:~\ l:)\(A\ \~Tax Lot Number: \ 1).l)O~f')~ oo.q 18 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC Calculations and dwelling type definitions are on the back.) A. Sim!le Familv - Detached \ Single Family home NO OF UNITS I _ Manufactured home not in a park $400~ X $400 PER UNIT _= B. Single Familv - Attached NO OF UNITS X $370 PER UNIT = '$ C. Multi-Familv Aoartment NO OF UNITS X $277 PER UNIT = $ D. Manufactured Home Park NO OF UNITS X $280 PER UNIT = $ WPRD SDC $ 4\Dp9 $ff $ 4{)D, (JJ ,M-,q L. 2. SDC CREDIT (If applicable) SDC-payer must furnish proof of WPRD Credit approval. See SDC Credit Worksheet. City of Springfield .,.... . . 1o.~().94 1:\::- 13lcf1 \ Q4cfi3 CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY AUTHORIZATION TO PROCEED AGREEMENT . THIS AGREEMENT is entered into this ~ay o~l'\ Q ~ ,19CM- by and between the City of springfiel~~~niciPll corpor t on ot the State~ Oregon, hereinafter called Ci ty" and , "\f'\ThI\~,-,V, hereinafter called the, Applicant. , VBEREAS, the applicant has applied to the City Community Services Building Division for issuance of certai~~~~u~C1~ermit~ ~ development improvements to be located at \~ ~ 1\'X)ln......) 'Springfield, Oregon or within 'the City's Urban Grgwi~~~~~ciiona.l~}f('~ane County Assessor's Map and Tax Lot number \l(~ ~ ~ . 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). VBEREAS, 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. VBEREAS, 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 criteri~established by the Building Safety Division, attached as Exhibit A of this Agreement. VBEREAS, 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 applicatic~ submitted will be approved, and whether the required construction permits can be issued. . VBEREAS, 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 tbe development or construction improvements will be approved or tbe required construction permits will later be issued. 2. City agrees to review Applicant's permit applicatiDn 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 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 l~D ORDER for removal of all su~~ ~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 viII not to proceed beyond the point of authorization approved by the City's Building Offiqial. Applicant's Point of Authorization is nCU'f. 0'" ~ 6. Applicant agrees that all vork perform\d 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 allov inspection. 7. Applicant agrees that any or all'deficiencies identified during the necessary inspections viII 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 reviev nor do they imply any approval of the submitted materials. 8. Applicant agrees that no vork shall be done on any part of the building or structure beyond the point indicated in each successive inspection vithout first obtaining the approval of the Building Official. Such approval sharI be given only after an inspection has been made of each successive step in the,construction as indicated on the attached Exhibit B. 9. Notvithstanding 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, vhichever first occurs. Applicant understands that all vork on the project shall immediately cease vithout any notice from the City if this Agreement termina~e b ore a buit~~l1ermit is issued. This agreement shall terminate on II ,~ \y~\ 10. Applicant agrees to defend, inde fy a~ holJ City harmless from any and all costs (including 'attorney fees), liability or damages of any kind or nature vhatsoever, for personal injury and property damage arising from the Applicant's early commencement of construction and the vork undertaken or completed. 11. The terms of this Agreement shall extend to and be binding upon the parties hereto and t!,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 Cit f ~ield ~ ' .\~tEG\ Building Official " APPLICANT LAND/PROPERTY OVNER(S) I/VE HAVE READ THE ABOVE AUTHORIZATION TO PROCEED AGREEMENT. I/VE UNDERSTAND VHAT IT EXPRESSES AND THE RESPONSIBILITIES IT PLACES UPON US AS ,THE LAND/PROPERTY OVNERS. I/VE AGREE TO BE BOUND BY ALL TERMS AND CONDITIONS OF THE AGREEMENT'1!Ji::: N me C;; ~ Address' ' .J &-~ ~.# - , ~ . F:EViE\'.JL-::[, ~'~ AP?t=:QVt=D ,...... -n C" -.f' I-.Z': i '- . '-'r;:O:I.J L ..j~_;:'~M"'\ ~....( [.f:it:.: ~=-" Vi" \ '\ q, ~ c:r:Fi~:: C!= CIT\' ATTOrr~"~EY c~-~.'.; :~:' ~'~"::;;:~:::~J~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 tvo-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 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. , ~ ~