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Home My WebLink AboutPermit Electrical 1999-4-20 225 FIFTH STREET ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 1111 INSPECTION REQUEST: 726-3769 City Job Number ~vl () ~ ()3 OFFICE: 726-3759 . M ;!, 3. COMPLETE FEE SCHEDULE BELO'.' )'. ~~ION F l1STA1LATION 11/ to 1'.':) I\"\O.D~ 1~1,'^'~~.N,'UJ ~esidential-Single or L>'~~-Family per dwelling unit. Y;:GAL DESCR:J:fI:ION --? Ser-vice Included: \-1 n-s .~"t .::.1.3 nil ~ I Items Cost Sum ~ JOB D0PTION . law requirEWP-ili ~Q. ft. or less $ 85.00 r ~Y\A 1{1 1 )f"e.AiENTION:Oieg~~ theOre~tilit\lditional 500 . t' follow rUles ..uu...'~~ Yse rules ar~lIetlOrttor portion Permi ts ar-e non-trans,~tt..;....;..,iiV11Nlijn\tlf..llW~ U hOAtloii.,...llilf- $ 15.00 if work is not stanelh~A~-GQ~l{lli9J ro '~softfieqbl~f'd Home. or of issuance or- if wor~O~!l. '$.Oll~l!\lt~~oPI.thetel~r Dwelling 180 days. callingthecenter.{ ot~iTtyNo~ilea't~ or Feeder . $ 40.00 mberfor the Oregon II . 2. CONTRACTOR INSTALLA~ON ~eri51-800'33B:2~~'rvices or Feeders Installation, Alterations Contractor or Relocation: / City Super-vi!;or Expiration Number- ~ '" E ration Date 'Signature of Supervising Electrici~ f:"-e:>6e:::=::-' ~~ OVrler-s Name ~~~ ,,^", u....EL Address City Phon~"" 31 'i5 < OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. . ovn3)~ . ~~::~~~C1------------------ RECEtpt lI:cJ5:50K I RECEIVED BY: _'I . iY\t1rl-W dI {~ Tempor-ar-y Ser-vices or Feeders Installation, Alteration or Relocation 40.00, 200 amps or less 201 amp~ to 400 amps 401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconnect. Only C. 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or- 1000 D. Branch Circuits $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 \ $ 40.00 $ 55.00 $ 80.00 see lfBll above volts New, Alter-ation or Extension Per Panel Miscellaneous (Ser-vice/feeder -Each installation Pump or irrigation SignlOutline Lighting Limited Energy/Res Limited Energy/Comm One \(;ircui t Each Additional . Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 no t included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 40.00 I . ;n-, ~.K'b -Qo ~. ;::,0 " , . . DEVELOPMENT SERVICES DEPARTMENT ATTENTION:Oregon law requires you. ~o follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952..Q01' 0090. You may obtain copies of the rules by . calling the center. (Note: the tel~~ho~e number for the Oregon Utility Notlflcalion Center is 1-800-332-2344). 225 FIFTH 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 197!tday of A-JJ)'I.I{ ,197'9by and betveeri the City of 'Springfield, a municipal corporation ot the State~ Oregon, hereinaf~er called, City, and,~ f'PAM P~lJV ',' hereinafter called the'Appllcant.' . I VHEREAS, the applicant has applied to the City Gommunity Services Building Division for issuance of certain construction ermits for development improvements to be located at p~~ ~ ~A Springfield, Oregon or vithin, the City's Uroan Grovt Jur s lctlona Area; Lane .County Assessor's Map and ,Tax Lot number -J.2D", :<~? 01127 VHEREAS, the applicant has asked the Ci ty 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. .Adm~nistrative Code section 303(a} VHEREAS, .the Applicant has submitted to. the City a completed permit application, 3 (three) sets. of.construction dravings, specifications, and other data required for the City to .complete the necessary plan'reviev of the proposed development improvemen t . VHER!'AS, 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 Di~ision, attached. as Exhibit A of this Agreement. ." " VHEREAS, the City has not revieved or approved the submitted materials for the development improvement, the .City is. therefore unable to confirm at this time .vhether the permit applicati~~ submitted viII be approved, and whether the ~equired construction permits can be issued. .VHEREAS, the applican t has' req~es ted the Ci ty to ,provide expedi ted au thoriza tion to proceed vith certain phases of construction prior to the completion of the City'S reviev of the permit application; VHEREAS, the City's fee for the administrative services rendered in providing expedited authoriza,tion is $150.00. NOV, THEREFORE, in.consideration of the foregoing recitals and of the mutual . promises contained herein; the City authorizes immediate commencement of the development improvement specified in'the, permit application subject to the' fo110ving terms and conditions: .: '. . . , Authorization to Proceed Agreement Page 2. 1. City agrees that the Applicant may immediately commence vith the development improvements set forth in the permit application..City's authorization to proceed is conditione$! .hovever, upon Applicant's agreement .that the project viII be constructed as set forth in the attached submitted dravings and specifications, except as may be modified by City, and viII. comply vith all. applicable lavs 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 reviev Applicant's permit application in the normal reviev . process and to thereafter: . a) issue Applicant the appropriate construction permits; ~ b) ad.vise Applicant of deficiencies in the proposed construction vhich must be remedied before permits can be issued; or c) advise Applicant of any statutes, ordinances or code provisions vith which Applicant must comply with before City can issue the permit. 3. Applicant agrees that if City finds Appli~ant's permit application and submitted materials inadequate or deficient 1n 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 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 jolloving 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 ~\J ORDER for removal of all such york in a manner as prescribed in BSChC, SECTION 204. ABATEMENT OF u~SAFE, 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 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. s. Applica~t 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 Poiot of Authorization .is ., /)~ ..v-IAJ~ ' .........-- .- . . 6. Applicant agrees that all york 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 york 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. NotYith~tanding 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, yhichever first occurs. Applicant understands that all york on the project shall immediately cease Yithout any notice from the City if this Agreement terminates before a building permit'is issued, This agreement shall terminate 00 ~/ /q I ,/q qCj 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 vhatsoever, for personal injury and, property damage arising from the Applicant's early commencement of construction and the york 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 pro'ceeding, ,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 BY; ~~q;p~ Fort- : Building Official contractor Business Name Address CC Registration # L~/PROPERTY OWNER(SI I/WE HAVE READ THE ABOVE AUTHORIZATION TO PROCEED AGREEMENT. I/WE. UNDERSTAND 'WHAT IT EXPRESSES ~ THE RESPONSIBILITIES IT PLACES UPON US AS THE LAND/PROPERTY OWNERS. I/WE AGREE TO BE BOUND BY ALL TERMS AND CONDITIONS OF THE AGREEMENT. A Name ~2uJJL A.~~~A:--r"u/tL t::>r Address (,.$.7 'A' ~-r:-:-~A4-"'t"'J Sf>~. .,-z...4''Z'? , (?CSk~ VALIDATION: RECEIVED BY 71(1?-n3 ?, '5-:;-52- ~//i7'), /'5 {).&C 'L(~~ CITY JOB # I<ECEIPT NUMBER DATE PAID AMOUNT RECEIVED ~ , r . . EXHIBIT A. Purpose The purpose of this agreement is to alloy 'certa-in 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-fam~ly dvellings not complex in nature as determined by the Building Official and minor alterations or modifications to existing commercial and industrial buildings vhich 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 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 conditions of development identified as ineligible.for this agreement:- a) development requiring site approval vhich.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 vi thin 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 726-3169. All inspections requested before 1:00 a.m, will be Inspections requested after 7;00 a.m. will be made This is a 24 hour recording. made-the same working day, the following work day. ~ Temporary Electric Site - To be made after excavation, but prior to setting forms ~ Footing - After trenches are excavated ~ Foundation - After forms are erected but prior to concrete placement )~ Underfloor Plumbing-- Prior to filling trench ~ Underf100r Mechanical - Prior to insulation or decking . I~ Post & Beam - Prior to floor insulation or decking - ~ Underfloor Insulation - Prior to deck~ng )~ sanitary Sewer - Prior to filling trench I~ Storm Sewer - Prior to filling trench ~ wat~r'Line_- Prior. to filling.trench