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HomeMy WebLinkAboutPermit Building 1998-2-17 . SPRINGFIELD . Page 1 RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMUNITY SERVICES DIVISION BUILDING SAFETY Job Number: 971752 225 North Fifth Street Springfield, OR 97477 Office, 726-3759 Inspection Line, 726-3769 Location of Proposed Work: 565 POLTAVA ST Assessors Map #: 17032423 Lot, 20 Block, Tax Lot #, 01001 Subdivision, RIVER TRAILS Owner: TIM RICHTER Address: 3980 OAK STREET Phone #, 484-5959 (oeU)$/7- '}/!l' City/State/Zip, EUGENE, OREGON 97405 S ~'S'-tO&1 Cw) ~ 5).--( -7otJe<> NEW Describe Work, S.F. RESIDENCE QUAD AREA, 5RNW # OF UNITS, 1 CONSTR. TYPE, VN WATER HEATER, E OFFICE USE -- LAND USE, 1111 ZONING CODE, LOR # OF BDRMS, 3 RANGE, E Ss>,nst. co~~or # ..." ~O' ~ C) ~~ ,o~ ~ 1z,.O~~~ V~~ ~/'& %> ~C) Vu ~ ~}-~O.o ~~L\(~ ~A-r{s> "TA ~ ~a -?~ '''PO' ~<<- ~ ~<b,o~ ~~ ~h~" ~ ~ ~ {PAL.. ~1" U-9 # >(0)' BLDGS, 1 OCCY GROUP, R3 HEAT SOURCE, WH INSUL PATH, P1 Expires Phone Contractor General: OWNER Plumbing: OWNER Mechanical, OWNER Electrical: OWNER To request an inspection, call the 24 hour recording at 726-3769. 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. REQUIRED INSPECTIONS TEMPORARY POWER FOOTING - After trenches are excavated. FOUNDATION - After forms are erected but prior to concrete placement. UNDERFLOOR PLUMBING - Prior to insulation or decking. POST AND BEAM - Prior to floor insulation or decking. INSULATION - Floor; prior to decking Wall/Ceiling; Prior to cover SANITARY SEWER LINE - Prior to filling trench. WATER LINE - Prior to filling trench. STORM SEWER LINE - Prior to filling trench. SHEAR WALL NAILING - Before covering sheathing with finish materials. ROUGH PLUMBING - Prior to cover. ROUGH ELECTRICAL - Prior to cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power. FRAMING - Prior to cover. INSULATION - Floor, prior to decking Wall/Ceiling; Prior to cover DRYWALL - Prior to taping. CURBCUT - After forms are erected but prior to placement of concrete. SIDEWALK - After excavation is complete, forms and sub-base material in place. FINAL PLUMBING - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all required inspections have been approved and the building is complete. \ SPRINGFIELD . Job Number: 971752 Page 3 Received By, Plans Reviewed By' TOM MARX 'Date: 12/26/97 Building Site Reviewed By: LISA HOPPER - - - ADDITIONAL COMMENTS - - - ELECTRICAL PERMIT REQUIRED DRIVEWAY REQUIRED TO BE PAVED 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 with the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. 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 card is located at the fr t of the property, and the approved set of plans will re the sit t all times during construction. ?~ IS- n-- -------- Date --- VALIDATION Date Paid, 'Z-'?,q 3/ cJ-17-c;'i ~~) IS. s~ Receipt Number, Amount Received: Received By' . . . . SPRINGFIELD , I' Job Number: 971752 Page 2 Lot Faces, N Topography, 2 Solar Approved, Y Lot Coverage, 20 % Setbk From NPL: 20 N House 10 Garage Lot Sq. Ft., 7776 Total Height, 17 Lot Type, PANHANDLE Setbacks S W E 10 25 15 Item Main Garage Total Value BUILDING PERMIT --- Square Feet x 1210 386 $/Square Feet 64.66 16.27 Building Permit Fee Surcharge/Admin TOTAL FEE PLUMBING PERMIT --- Item Residential Bath(s) 2 Plumbing Permit Surcharge/Admin TOTAL CHARGE MECHANICAL PERMIT - -- Exhaust Hood Vent Fan Dryer Vent 2 Mechanical Permit Issuance Surcharge/Admin TOTAL PERMIT --- MISCELLANEOUS PERMITS --- Surcharge/Admin Sidewalk Curb Cut SDC PLAN CHECK WILLAMALANE TOTAL MISCELLANEOUS PERMITS (Excluding Electrical) unless otherwise noted TOTAL AMOUNT DUE (A, B, C, D, and E-\C~co.O --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- (A) = Value 7B,239.00 6,280.00 84,519.00 388.00 31.04 419.04 Fee 160.00 160.00 12.80 172.80 4.50 6.00 3.00 15.00 10.00 1. 20 26.20 0.00 11.95 11.95 2,873.40 80.00 1,000.00 3,977.30 4,595.34 11.'\-.1.D 4'119.<:>4 1 (C) (D) (E) 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. ATIACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET . . JOB NO. Q7/75Z , ., NAME OR COMPANY: TIM R IOITE,'L l)(~C; PtCJL TAVA LOCATION: DEVELOPMENT TYPE: .~ I=' 1< BUILDING SIZE: LOT SIZE SO. Ft. 1. STORM DRAINAGE IMPERVIOUS SO. FT, 4, r;77 I X $0,226 PER SQ. FT. 1..1 t? ~_40 , 2. SANITARY SFWFR-rrTY NO, OF PFU'S ~C) (See Reverse Side) X $J6.B6 PER PFU $ Q~~. 3. TRANSPORTATION 'NO OF UNITS X TRIP RATE X COST PER TRIP X 1,01 X $472.49 $ -477, 2-1 X X $472 49 $ X X $472.49 $ 4. SANITARY SFWFR-M~Mr NO. OF ~S X 277,7~PER FEU + $10 MWMC/ADM FEE $ 287,7& MWMC CREDIT IF APPLICABLE (SEE REVERSE) TOTAL-MWMr SD<;, $ $ ~~~. ~lo SUBTOTAL (ADD ITEMS 1.2.3 & 4) $ ?7.~~. r:;7 5. ADMINISTRATIVF FFFS BASE CHARGE (SUBTOTAL ABOVE) X .05 $ J ~(D . P.3 Date: TOTAL sac: $ 28'7 J, ~ 0 SDC Coordinator -""-':TIATunC:'UIIII I" V'J..\.I:;I.,;U 1:;.\:1111"". :l-\DLC:;"Number~ot New FixtcAx Unit Equivalent = Fixture Units (NOTE: For remodels, calCulate' Cinly 'NET'additional tixturesl ~ ., , '. . NUMBER OF UNIT FIXTURE FIXTURE TYPE NEW FIXTURES EQUIVALENT UNITS 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 RetrigeratortWater Station/Etc........ Receptor For Commercial Sink/Dishwasf1er/Etc.. Shower, Single Stall.............. ................................... Shower, Gang.... ...................................... ................ Sink: 8ar, CommerCial, Residential Kitchen........................ Urinal, Stall/Wall.................................... ................... Wash Basin/Lavatory, Single.................................. 'Toilet, Pubiic Installation................ ........................ / Toilet, Private....................................................... Miscellaneous: 2- 2 1 2 3 6 2 6 6 1 3 2 i/Head 2 2 1 6 4 2.... 2- 2... TOTAL FiXTURE UNITS = 4. 4- , 'Z. ~ 2-D CREDIT CALCULATION TABLE: Based on assessed value. It improvements occurred atter annexation date in table, calculate credits separates. , " I I Year Annexed Rate per $1,000 Assessed Value Year Annexed 1979 or betore 1980 1981 1982 1983' 1984 1985 1986 $3.97 3.89 3.83 3.70 3.55 3.39 3.20 2.91 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 Rate per $1,000 l' Assessed Value $2.56 2.17 1.73 1.31 0.92 0.74 0.61 0.45 0.31 0.17 Credit for Parcel or Land Only If Applicable = X $ (Rate X Assessed Value) X $ , (Rate X Assessed Value) Improvement (it atter annexation datel = CREDIT TOTAL = $ RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Onlyl Residen[ial...:....................... 0.4 Commerica!......................... 0.9 Industria!............................ 05 Governmental...................... 0.5 IMPERVIOUS AREA = TOTAL LOT SIZE X RUNOFF COEFFICIENT < . . Job. No. Ql \ lfO,.. .. ,. SYSTEM DEVELOPMENT CHARGE WORKSHEET . NAME:\\~ \\~~~\Pe-' PHONE:~~L\-.~ ADDRESS: ~q<lO (~J\t..iDOO-*- STATE:~ZIP:{]]Bn5 LOCATION OF PROPOSED BUILDING SITE: Street Address: 0\.o~ \. ~ ~O_ r, - Plat Name: ~\\'-ori-'ct\'Jlr\~ Tax Lot Number: \1DCB+~j Ol[() ( 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SOC calculations and dwelling t ype definitions are on the back.) - A. SinnIA-F;:Jmilv DAI;:JchAQ \ Single Family home NO. OF UNITS I Manufactured home not in a -Rark X $1.000 per unit = $ \ DO{J .~ B. ,SinnIA'-F;:Jmilv M<l~hArl NO. OF UNITS X $924 per unit = $ C. Multi-Familv Aoartment NO. OF UNITS X $692 per unit = $ D. M;:Jnuf;:Jc!ured Home Pa~ NO. OF UNITS WILLAMALANE SDC X $699 per unit = $ $ \~D() .00 2. SDC CREDIT (if applicable) SOC-payer musI furnish proof of Willarnalane Credit approval. See SOC Credit Worksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED (if SDC reduced for Credit) \~)\ ~~nJf . Developmenf ~~~ Department City of Springfield \ % $ \\)DD pO I \~ I q ~_ $ Date I r , I ,\ . . . SPRAIELD DEVELOPMENT SERVICES DEPARTMENT 225 FIF.TH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 CITY OF SPRINGFIELD COMMUNITY 'SERVICES DIVISION BUILDING SAFETY AUTHORIZATION TO PROCEED AGREEMENT. THIS ,AGREEMENT is. entered into this ~~ day of ~h""v~~ Y , '19?8 by and betveen the Ci ty of Springfield, a mUnk~l?al.e:.9ora.tion .ot the State OI Oregon, 'hereinafter called. Ci ty,'and \\ f(\ 't:' \ r'r\:~_ . " hereinafter calle,d the' Applicant: - - - - - . \/HEREAS', the applicant has applied to the Ci ty Communi ty Services Building Division for issuance of certain constru i permit^,for qevelopment ' improvements to be located at J(\ .~~r-:- Springfield, Oregon ()r vithin, the City's, Ur an Grovt J'lr~~ lCR\0f5'A~ea; Lane 'County , Asses.sor's Map and Tax Lot number J1.D.....~~ti-.:. I . . \/HEREAS, the ,applicant has 'asked, the Ci ty to authorize the Applica.nt 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) , - . \1HEREAS, ,the AppliC:ant has ,submi tted to, the City a completed permit application, 3'(three) sets, of'construct~on dravings, specifications, and'other. data required for the City to .complete the necessary, plan' review of the proposed development improvement. , , IlHEl\EAS, the intended development impq)vemellt 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 Diyision, attached' as Exhibit A of this Agreement.' , '. \/HEREAS, .the City has not revieved or approved the submitted materials for the developmerit improvement, the ,City is, therefore unable to confirm at this time 'vhether the permit applicati0~ submitted will be approved, and vhether the lCequired, construction permits can be 'issued. '\/HEREAS, .the ~pplicant ha; req~ested the City to ,provide expedited authorization to proceed vith certain phases of construction prior to the completion of the City's reviev of the permit application; IiHEREAS, the City's fee for the administrative services rendered in providing expedited authorizat'ion 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' 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 Aoolicant's own risk. The City makes no assurance that the develooment or construction imorovements will 'be aooroved or the required construction permits vill 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) ad'vise Applicant of deficiencies in the proposed construction which' ,must be remedied before permits can be issued; or c) advise Applicant of any stat~tes, ordinances or code provisions with vhich 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 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 york in a manner as ' prescribed in BSChC, SECTION 204. ABATEMENT OF UNSAFE, SUBSTANDARD OR DANGEROUS,BUILDINGS, STRUCTURES OR BUILDING SERVICE EQUIPMENT. Upon receipt of such notice, Applicantshall'immediately' remove. the work 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. 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 Official. Applicant's Point of Authorization is ' '. , _ f'\ 0 1'X}.pfi\ \ . , '~ 6. Applicant agree~ that all vor~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 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 work 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 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. Notvith~tandiDg 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.,Appl1cant understands that all work on the project shall immediately cease without any notice from the City if this Agreement terminates before a building per~it'is issued.. This agreement shall terminate on . ' '10. Applicant agrees to defend, indemnify and hold'City harmless from any and all costs (including at~orney fees), liability or damages of any'kind or nature vhatsoever, for personal injury an~.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 tt.eir heirs, successors and assigns. 12. If any suit, action or other proceeding, ,or' an appeal t'herefrom, 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 EX~ENSES 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 ,....-r contractor J I, \r^. 12,'c-'h~e (' By:, /? ~ ~ Business Name 'rt.,.., l2o..-'t.s ..,-' ;~\.;....... .~7' /~-~/' !J' < Building Official Address. 3 '1~ tJ.. "-~-t 0 , Ev'~p Y\ e. 0(2.. q7 ~G. ~ CC Registration # L~/PROPERTY uft"~R(S' IIWE HAVE READ THE ABOVE, AUTHORIZATION TO PROC.EED AGREEMENT. X/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 AND CONDI~U; ~n., "~A)NT. Name ~ // ,'~"(' , ,,-... 110 . . ,Address ~~ VALIDATION: CITY JOB # C\fJ \ f\ Y1~ -' ~ I<ECEIPT NUMBER -:z."fZ ~8 ") DATE PAID /-5 ''7$ AMOUNT RECEIVED \ ~'\') ~U RECEIVED BY ~ ~ ~~ , /r ' -~ . . EXHIBIT A, Purpose The purpose of this agreement is to allov'certain development improvements 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 buil~ings vhich are of a non-structural'type and do not adversely affect any structural,memb~r 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 'folloving items include but are not limited to certain condi Uons of develQpment identified as ineligible .for thiS agreement:' a) development requiring site approval vhich.has not been obtained; b) nev development located on land vith over six-percent slope; c) lots having expansive (clay) soil; d) development located vi thin flood hazard areas; e) development located vithin vetland areas; f) pole buildings or other such type of structure that is nqt of conventional construction. . . EXHIBIT B Required Inspections 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 sito'- To be made after excavation, but prior to setting forms ~ Footing- ~" Foundation After, trenches ,are ex~avated - After forms are erected but prior to concrete placeme~t v Underfloor PlumbiDg'- Prior ,to filling trench Underfloor Mechanical - Prior to insulation or.decking y ./ Post, & Beam - Prior to floor insulation or ~ecking Underfloor Insulation - Prior to decking , J / storm /' ~at~r. ,'. Sanitary Sewer - Prior to filling trench Sewer - Prior to filling trench .... Line ,- Prior, to ~illing,trench ','