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Home My WebLink AboutPermit Building 1999-10-04ctTy oF ONEGON SPRI]'IGFIELD Location of Proposed Work: 3480 PARKER LN Assessors Map #: L1021943 Lot : 45 Bl-ock: NOTICE: THIS PERMIT SHALL EXpFEtrNqE{fOFUhur t AP P L r cAr r oN NrTHoRlzEo ur'roen m51ffi 1$5r'nn il:: - : H - ", ".n COMMENCED OR lS ABANDONEBfSBNG sAFEry 2 z s uo rdNYlEgP{YI'EEtoD Springfield, OR 97477 Page 1 Job Nr:rnber: 990854 Office Inspection Line 7 26 -37 59 7 26 -37 69 Tax Lot #: Subdivi-sion: 04500 AMBELSIDE Owner: SCOTT CARLSON Address: 1-230 EAST 19TH AVENUE Describe Work: S.F. RESIDENCE Phone #: 484-9286 city/state/zip: EUGENE, oREGON 97403 NEW General-: Plumbing: Mechanical Electrical QUAD AREA: 3RNC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: G SQ FOOTAGE: 2L45 ConEractor SCOTT CARLSON OO']2491, 1230 E 19TH EUGENE OR 974030000 MCMICHAELS OO28B32 40108 BOOTH KELLY RD SPRINGFIELD OR MARSTIALLS 00257 90 4110 OLYMPIC ST SPRINGFIELD OR 9747 L & E 0083195 OFFI Const. Contractor #Expires 03/20/oo oe/2L/ee 1.2 /23 / ee 03 /30 / oo Phone 579-8408 744-9099 7 47 -7 445 51 9-71,35 1 R3 tr (r P1 v LAND ZONI #oF RANGE 1 111 t1 r OCCY GROUP: HEAT SOURCE TNSUL PATH:E num ber To request an inspection, call the 24 }:,o.ur recordi-ng at 726-3769. A11 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 fol-l-owing work day. --- REQUIRED INSPECTIONS --- SITE - To be made after excavation but prior Lo seLting forms. FOOTING - Aft.er Lrenches are excavated. FOITNDATION - After forms are erected but prior to concrete placement. ITNDERFIJOOR PTIIMBING - Prior Lo insulation or decking. ITNDERFLOOR MECHAIiIICAL - Prior to insul-ation or decking. ROUGH GAS - after line is installed and capped if not attached to an appliance POST AND BEA.II{ - Prior to ffoor insulation or deckj-ng. INSULATION - Floor; prior to decking Wa11,/Ceiling; Prior to cover WATER LINE - Prior to fill-ing trench. SANITARY SEWER LINE - Prior to filfing trench. STORM SEWER tINE - Prior to fill-ing trench. ITNDERFLOOR DRAIN - Prior Lo cover or placement of concrete. ROUGH PLTTMBING - Prior to cover. ROUGH MECHANICAL - Prior Lo cover. ROUGH ELECTRICAL - Prior LO COVCT, ELECTRICAL SERVICE - Must be approved Lo obtain permanent power. SHEAR WALL NAILING - Before covering sheathing with finish materials. FRA.MING - Prior to cover. INSULATION - Floor; prior Eo decking Wa11/Cei-1ing; 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. # OF BLDGS: ceni +go!1ia\,l rirles are se Ce:itet SPRINGFIELO Job Number: 990864 CITT OF SPHNGFIELI', ONEGON Page 2 FINAL PLITMBING - When all plumbing work is complete. FINAL MECHANICAL - When all mechanical- work is complete. FINAL ELECTRICAL - When all electrical- work is complete. cAS SERVICE - After line i-s installed and line has been connected to a minimum of one appliance. Pressure test done at. this point. FINAL BUfLDING - When aII required inspections have been approved and the building i-s complete. Lot Faces: S Topography: 2 Solar Approved: Y House Garage Lot Sq. Ft.: 5883 Total Height: 20 Lot Type: INTERIOR Setbacks SWE 6 205 Lot Coverage: 36.5 % Setbk From NPL: 47 N 27 Item Main Garage Total- Value Building Permit Fee Surcharge/admin TOTAI, FEE --- BUILDING PERMIT --- Square Feet x 1550 495 $/Square Feet 69 .64 18.34 (A) Vafue 114, 905 .00 9, 078 . 00 L23 ,984 .0O 487 . OO 38.96 52s.96 --- PLIIMBING PERMIT --- ftem Residential Bath(s) Plumbing Permit Surcharge/admin TOTAI, CHARGE 2 Fee 160.00 160 1,2 00 BO (c)L72.80 --- MECHANICAI, PERMIT Furnace ExhausL Hood Vent Fan Dryer Vent GAS LINE & W/H Mechanical Permit Issuance Surcharge/admin TOTAI, PERMIT 3 5.00 4.50 9.00 3 .00 5.00 (D) 27.50 10.00 '> ,1 39.7L --- MISCEI,I.A.IVEOUS PERMITS Surcharge/admin Sidewalk Curb Cut WILLAIVI'\LA}IE SDC CfTY SDC TOTAI. MISCEI,LNiIEOUS PERMITS 0.00 60.00 60.00 1, 000.00 2,499.'7O 3 ,6L9 .7 O(E) 4,358.L7(Excluding ElecErical ) unless otherwise noted --- TOTAL AMOI'NT DUE --- (A, B, C, D, and E combined) SPRIIiIGFIELD .fob Number: 990864 qTT OF SPruNGFIELD, ONEGON Page 3 --- BUITDING VAIJUE, PLA}iI 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 Springfj-eld, including the Development Code, regulating the const.ructj-on and use of buildi-ngs, and may be suspended or revoked at any tj-me upon violation of any provisions of said ordinances. Pfan Check Fee: 316.55 Date Paid Received By: Pl-ans Reviewed By: DON MOORE Date Building Site Reviewed By: LISA HOPPER 05 /24 / ee oe/23/ee Receipt Number: 34589 --- ADDITIONAL COMMENTS --- A & T NOT LISTED IN COUNTY SYSTEM AS OF 5/28/99 DEFAULT AMOUNT USED FOR CITY CREDIT PURPOSES PATH 1; SEPARATE ELECTRICAL PERMIT IS REQUIRED. DRIVEWAY REQUIRED TO BE PAVED 2 STREET TREES REQUIRED Dd --- VAI,IDATION --- Receipt Number: Date Paid: Amount Received: Received By: fi f"rv to/,rl qq i1r By signature, I staue and agree, that f have carefully examined the completed applicaLion and do hereby certify that all information hereon is true and correct, and I further certify Lhat any and all- work performed shall be done in accordance with the Ordinances of the City of Sprlngfield, 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 wil-I be used on this project. I further ag'ree Lo ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is focated at the front of the property, and the approved set of plans will remain on the site at all- times during construction. JOURI' OR JOB NO. 19_88LgL_ ATTACHMENT A CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY cozT CeaLja*/ LOCATlON DEVELOPMENT TYPE BUILDING SIZE OT SIZ F SQ. Ft F..F \$ rz-7 5t Yzl' z?, 9zt yzo I t?Qcl1o7 I 6q lZo A-lib 1. STORM DRAINAGE IMPERVIOUS SQ FT. 2,8Ub 2. SANITARY SEWER-CITY X $0.227 PER SQ. FT $ c48,3t X $47.14 PER PFU $ q4 z ,8c, $ 18o,o7 $ $ zz^ 44 $ zf, zc, Dt/ 7cs (See Reverse Side) 3. TRANSPORTATION 4. SANITAR' SEWER_MI^JMC A. REiMBURSEMENT COST SDC Coot"di nator ATTACH 'A. l,'lPD NO. OF PFU'S NO OF UNITS X TRIP RATE X COST PER TRIP I X ttot X$475.32 X x $475.32 NO. OF FEU,S I X Z7?,#1. PER FEU B. IMPROVEMENT COST: NO. OF FEU'S I X 2<,U) PER FEU |'4I,JMC CREDIT IF APPLICABLE (SEE REVERSE) MI,,IMC ADMINISTRATIVE FEE SUBTOTAL (ADD ITEMS 1,2,3 & 4) 5 ADMINISTRATIVE FEES: BASE cHARnbryroTAL AB0VE) x A/,1-, TOTAL-MhJMC SDC $1 00 $ 3o7 ,'17 $ 2,s&a.a-7 $ tt7,q<05 Date L-?o_q ToTAL SDC $ Z,+qq.7o FIXTURE UNIT CALCULA'T' -)N TABLE! Number of New Fixture (NOTE: For remodels, calculate only thellI additional fixtures) NUMBER OF FIXTURE TYPE NEW FIXTURES Unit Equivalent = Fixture Units UNIT FIXTURE EOUIVALENT UNITS Bathtub..... Drinking Fountain.... Floor Drain. lnterceptors For Grease/Oil/Solids/Etc............. lnterceptors For Sand/Auto Wash/Etc............. Laundry Tub/Clotheswasher...... Clotheswasher - 3 Or More..... Mobile Home Park Trap ('l Per Trailer)............ Receptor For Refrigerator/Water Station/Etc.... Receptor For Commercial Sink/Dishwasher/Etc Shower, Single Stall.....:.... Shower, Gan9......... Sink: Bar, Commercial, Residential Kitchen..... Urinal, Stall/Wall... Wash Basin/Lavatory, Single........ Toilet, Public lnstallation. Toilet, Private....... Miscellaneous: 2 1 2 3 6 2 6 6 1 3 2 1t 2 2 1 6 4 2 adHe 2 Z z- 8, TOTAL FIXTURE UNITS 21) CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in table, calculate credits se arates Credit for Parcel or Land Only lf Applicable lmprovement (if after annexation date) (Rate X Assessed Value)X$ (Rate X Assessed Value) CREDIT TOTAL O,Zl x $ /{,o,,<3.'( $J,l! Year Annexed Rate per $1,OOO Assessed Value Year Annexed Rate per $1,OOO Assessed Value 1979 or before 1 980 1 981 1982 1 983 1 984 1 985 1 986 1 987 1 988 s4.27 4.18 4.12 3.99 3.83 3.68 3.48 3.1 8 2.42 2.42 1 989 1 990 1 991 1 992 1 993 1 994 1 995 1 996 1 997 $1.98 1.55 1 .15 o.96 o.B3 o.67 o.52 o.38 o.21 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating Purposes Only! Residential. Commerical......... lndustrial... Governmental..... . o.4 o.9 o5 o.5 FIXUNIT.WPD IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT L Willamalane Park & Recreation District NAME: ADDRESS: LOCATION OF PROPOSED BU ING SITE: Street Add Job. No. Manufactured home not in a \X $1,000 per unit = $ =$ =$ $ $ .a$0ru,1 lon tx t0) SYSTEM DEVELOPMENT CHARGE WORKSHEET PHONE: 11(srArE: ML-'t Plat a 1. DEVELOPMENT TYPE ype definitions are on the Develo Tax Lot Number:I (Check appropriate dwelling(s). SDC calculations and dwelling t back.) I A. Single-Family Detachecl II Single Family home NO. OF UNITS NO. OF UNITS WILLAMALANE SDC B. Single-Family Attached NO. OF UNITS X $924 Per unit C. Multi-Family Apartment NO. OF UNITS X $692 Per unit D. Manrrfactured Home Park X $699 Per unit =@ 2. SDC CREDff (it applicable) SDCpayermust fuq[sh proof of Willamatane ireoit-appovit. See Soc creat Wotlcsheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED _ (af sDc for Credit)10lx)& -l Date City of Springfield D L{ $ ff ,FINGFIELc, ELECTRICAL PERHIT APPLICATION Ci ty Job Nunbe, 110 ?Lf COI{PI,ETE FBE SCMDUI-E BELOV Nev Residential-Single or MuIti-PamiIy per dvelling unit. Service Included:Items CostI..EGAL DESCRTPTION JOB DESCRIPTION 5 FrL Permi ts aif vork i re non-transferable and exPire s no t s tar ted vi thin 180 days of issuance or if vork is suspended for Ihe following proiect as submitted has the following ;;;,;;;dloei not require speciric land use approvar L Dr< iil#SI3P*3ffi 33\:"?'!it'1a!-atuea'iure OFPICE: 726-3759 Zoning 225 FIFTB STREET Date 1. LOCATION INSTALLATIONjrltrL 3 A tfi tti\I $ Bs.oo 3 s ls.oo $ 40.00 Sum ?9 {nt 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home- or Modular r NOTo*t{^ts Electri Address caI Contractor a Ci ty pnon" G8.{ - 1L{8Lf i tupervisor License Number Expiration Date constr contr. Number Expiration Date (2 Signature of Supervising Electrician 0vners Name Lo H &* /r-. Address tzJo € t? ci b phone l,("1/-qLtl OIINER INSTALI.ATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. 0vners Signature: oR PER986 amps or ress 201 amps to 400 amPs - 600 amps 180 days. 2. CONTRACTOR INSTALLATION IGE: PERM\I Nolers lterations oca t 10n : 401 amps to 601 amps to Over 1000 am Reconnect 0n 000 amps_ s/voIts v 1 p 1 s s0.00 s 60.00 s100.00 s130.00 s300.00s 40.00 C D Temporary Services or Feeders Installation, Alteration or Relocation 200 amps'"or less $ 40.00 over 4b1 to 600 amps - $ 80.00 0ver 600 amps or lbOO voEs see ngrr "ffi Nev, Alteration or Extension Per Panel onetrCircui t Each\ Additional -Circuit or vith Service or Feeder Permit s 3s.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/Outline Lighting- Limited Energy/Res s 40.00 s 40.00 $ 20.00 s 36.00 DATE: r0 ?, SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative t3 0qt*' Fee l..f-- RECEIVED 5 TOTAL 1'{t.7 A (ul N( in ltlttcr oAk le iicatton Li(l rr ,5 l"t] 5 -CITY OF OFEGO'U I,EGAL DESCRTPTION tZrrz/q q3 OqRo Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Bome. or Hodular.'Dvelling Sertice or Feeder s 8s.00 $ 1s.00 . $ 40.00 Services or Feeders Installation, Al-terations Sum JOB ?4f Permits are non-transferable and expire lf vork is not started vithin 180.days of lssuance or if vork is suspended for 180 days. 2. COfrfXeCtOR INSTALLATION ONLI fV Electrical Contractor 10n: AUTHORZED sBAriPffil Address Citv P ANlrrsn DAY $ s0.00 $ 60.00 $100.00 $130.00 $300.00s 40.00 sampItsto sup ervisor License r Exp iration Da Cons tr r. Number Expi ion Date ture of Supervising Electrician Ovners Address c1 Phone qaLl. fZ FL DATE: RECE c. D. Branch Circuits Nev, ilteration or Extension Per Panel One Circuit Each AdditionalCircuit or vith Service or Feeder Permit $ 3s.oo $ 2.00 Hiscellaneous (Service/feeder not included) Temporary Services or Feeders tnstallaiion, Alteration or Relocation .L 200 amps"or less - / $ 19'99 4o 201 amis to 400 amps 7 $ ::'99 over 4b1 to 600 ambs I $ 80'00 over 600 amps or 1000-v6Tts see nBrr above 0ver Reconnect amps/vo 0nIy OIINER INSTALT,ATION The lnstallation ls belng made on property I ovn vhich is not intended for sale, lease or rent. 0uners Signature: -Each installation Pump or irrigation Sign/OutIine Lighting- Limited EnergY/Res - Lirni ted EnergY/Comm E $ 40.00 $ 40.00 $ 20.00 $ 36.00 ?o*5 SUBTOTAL OF ABOVE '1%State Surcharge 32 Administrative Fee TOTAL 1 z -z.u RECEIVED B o ?1 cgb/ CITY OF OFEGOA' D EV ELOP M ENT S ERVI CES DE PART M E NT SPRtIYLiFIELEl CITY OF SPRINGFIELD COMMUNTTY SERVICES DTVISIOI{ BUILDING SAFETY AUTHORTZATION TO PROCEED AGREEMENT mun c cor iation of the State in construction for develo ,19 ,, hereinafter ca1led s Building pment Springfield, 225 FIFTH STREET SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-368s Coun ty THIS AGREEHENT is entered into this betvrjen the City of Springf ield, a hereinafter called. City, and the Applicant. VHEREAS, the applicant has app Division for issuance of certa improvements to be located at 0regon or vithin the City's Ur D a^y ot z*ua.?9 by and-6f oregon, lied to the City ity ServiceCommun permi ts ovt ur s c cry Assessor's Hap and Tax Lot number VHEREAS, the applicant has asked the City to authorize the Applicant to im.mediately commence development inprovements vithout a completed plan reviev or subsequent approval as required by the Springfield Building Safety Code -Administrative Code section 303(a) IIBEREAS, .the Applicant has subnitted to the City a completed permit appllcation, 3 (three) sets of.construction dravings, specifications, and other data required for the City to complete the necessary plan reviev of the proposed development improvement. VHEREAS, the intendbd development improvement is of a nature that requires no other reviev approval from other State or l-ocal agencies and is exempt from the criteria established by the Building Safety Division, attached as Exhibit A of this Agreement. VHEREAST 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 applicatlc:': submitted vill- be approved, and whether the required construction permits can be issued. , UHEREAS, the Epplicant has requested thi 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. IIH.EREAST the City's fee for the administrative services rendered in providing expedited authorization is S150.00. 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 folloving terms and conditions: Authorization to Proceed Agreement Page 2. 1. City agrees that the Applicant may immediately commence vith the development inprovements set forth in the permit application. City,s authorization to proceed is conditione! hovever, upon Applicant's agreementthat the project vill be constructed as set forth in the attached submitted dravings and specifications, except as may be modified by City, and vill comply vith all applicable lavs and ordin:rnces. Applicant's iunediate coumencement of construction is at icant's o no assur:rnce ts vill-5e or ts 2. City agrees to reviev Applicant's. permit application in the normal reviev process and to thereafter: a) issue Applicant the appropriate construction permits; 9I b) advise Applicant of deficiencies in the proposed construction vhich must be renedied before permits can be issued; or c) advise Applicant of any statutes, ordinances or code provisions vith vhich Applicant must comply vith 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 nanner including-but notIinited to, the application or the proposed construction do not comply vithall applicable statutes, ordinances or code provislons, Applicant viII expeditiously cure the deflciencies so that the City may issue the requiredpernits. Should Appllcant fail to expeditlously correct subnitted naterials, 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 thein the S SECTION pringfield Building Safety Code 201 (d) project in the manner prescribed Adninistrative Code (BSCAC), b) order disconnection of serving utilities in a manner as prescribed in BSCAC, SECTIoN 201 (f) c) issue a NOTICE ij'l OADER for removal of alL such uo::!: in a manner as prescribed in BSCAC, SECTION 204. ABATEHEI{T OF UNSAFE, SUBSTAI{DARD 0R DANGERoUS BUILDfNGS, STRUCTTRES 0R BUILDING SERVICE EQUIPMEM. Upon receipt of such notice, Applicant shall immediately remove the vork specified in the Notice and 0rder 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 improvementsl and b) to restore the site or structure to it's pre-agreement condition and free of all hazards t or construc cons t Authorization to Proceed Agreement Page 3. t agrees that until Applicant,s permit application is a pproved,n viIl no tto 5. Applican constructiol by the City proceedficial.'s Build 0f beyond the point of authorization approved Applican t's Point of Authorization is 6. ApPlilant agrees that all vork performed under this agreenent shal1 beaccessible and exposed for inspection purposes and that ieither the BuilJingOfficial nor city shall be IiaLIe for ihe'expense entailed in the removal orreplacement of any Eateriar necessary to alIbv.inspection. 7. Applicant agrees that_any or all'deficiencies identified during thenecessary inspections vi11 be promptly remedied, at Applicant,s s61e costand expense before.proceeding yith'any further construltion. Applicant alsoagrees that these inspections do not ieplace the required plan'ierriew nor dothey imply any approval of the submittei materials.' 8. Applicant agrees that no vork-shalI be done on any part of the buildingor structure beyon9 !h" point indicated in each succlssive inspectionvithout first obtaining the approval of the Building 0fficial.'Such approvalshall be given only after an inspection has been male of each successivestep in the construction as indiiated on the attached Exhibit B. 9-- Notviths.tanding any other provisions of this Agreenent, this Agreementshall terninate upon lssuance-of-a bulldlng pernii or itiity t:Oi-a"i"-iiorrrthe date of this Agreenent, vhlchever flrsf occurs. Appltcairt -uniersiands that all vork on the project shall imuediately cease i'ithout any notlce fromthe City if this Agreenent terninates before i Uuitatns pernit is issued.This agreenent shall teruinate oD .<&T ?. ,/ i ? n=7- 10. ApplicErnt agregs !o defend, indemnify and hold City harmless from lnyand aII costs (including attorney fees),-Iiability or dar"g"s of any kini ornature vhatsoever, for personal injury and.. properiy damage arising irom theApplicant's early connencetaent of conitruction-and-the v6rk underfaken orcompleted. 11. The terns of this Agreenent shall extend to and be binding upon theparties he.reto and tlieir heirs, successors and assigns L2. rf any suit, action or other proceedingr oE an appear therefrom, isinstituted to obtain, establish, enforce, or compel iiry right or obiigationresulting from this Agreement, the prevailing paity stritf 5e entitled torecover from the adverse party, in laaition Io'cosis and disbursements; suchadditional sums as the courts, both trial and appelrater may judge reasonable attorney fees Authorization to Proceed Agreement Page 4 BEFoRESIGNINGTHISAGRE-EMENT,PI,EASE_READANDUNDERSTA}IDTEE UEANING OF EACII PARJAGRAPT--O; THIS AGREEMEN.r' I1T- AFFECTS YOUR rNrEREsTs rN rEs pRopERTY AII;, iu rq9-ninG--or' perauLr' IT PIJACES YOU PERSONALLY AT RISK AiO, IUg SUBJ;IT PNOBTNTY AT RISK OF FoREcr,osrrRE ron cos,s ^lli - nieiNs_li_ r-Ncunnuo Bf----TEE crrY rN ENF.R.TNG rnj rinr.r! or tur! aCrinnunNr-' --rN-rur EvENr TEAT You Do NOT UNDERSTAND A}rY TERUS ON COUOTTIONS Oi..TUTS AGREE*'ENT' PI'EASE SEEK ANY I,EGJ OR OUTSIDE OPTUTONS YOU !{AY DESIRE' CITY City of SPringfield By: Building official Name Addr /z oE I VALIDATION: CITY JOB # RECEIPT NUMB DATE PAID AMOUNT RECEIVED APPLICANT Contractor Business N Addres 57o CC Registration #la 9r r'N[D DRoPERtrT QwNER(sl 'o PR..EED a.REEMENT' r/rl r/wE EAVE RE:AD TEE ABOVE,-AU'ltEoRrzATroN !I :-n?-Ji-pLAbeS ufuonnsraro nier -rr- expnesi-E;--;ND TEE RE'P.NSIBILITI upoN rrs As rsi-iaNDTr*or"*ii owNins. rlilJlCi-eE ro BE B.LND Bv Ar.,r-, TERMs axp co,iorrroNs oF TEE AGREEIIENT' h ?0ba RECEIVED BY o oo ETHTBTT A Purpose The purpose of this agreement is to allov'certain development improvements to'occur prior to obtaining plan reviev approval from the Springfield CommunityServices Division. Scooe The use of this agreement shal1 be limited to certain one and tvo-familydvellings not complex in nature as determined by the Building 0fficial indminor alterations or modifications to existing commercial and industrialbuildings vhich are of a non-structural'type and do not adversely affect anystructural member of the building or any part of the building having fireresistant 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 DvellingSpecialty Code, may be considered eligible for this agreement. The folloving itens include but are not limited to certain conditions of development identified as ineligible for tiris agreement: a) development requiring site approval vhich has not been obtained; b) nev development located on land vith over six-percent slope; c) Iots having expansive (c1ay) soil; d) development located vithin flood hazard "r"1", , e) development located vithin vetland areas; f) pole buildings or other such type of structure that is not of conventional cons t ruct ion. I To request an inspection, you must call ?26-3769, This is a 24 hour recording. AII inspections reguested before ?:00 a.m. wilt be made the same working day, fnspectlons requested after 7:O0 a.m. will be made the following work day. TeEporary Electric EXHIBIT B Required Iuspectioas site - To be made after excavation, but prior to setting forms Footiag - After trenches are excavated Foundatio[ - After forms are erected but prior to concrete placemdht Underfloor Plunbing - Prtor to fllling trench Uaderfloor Mechaaical - Prior to insulation or decking Post & BeaB - Pribr to floor tnsulation or deckLng Uaderfloor fnsulatiou - Prlor to decking saaitary segrer - Prior to filllng trench stora sewer - Prlor to fllll-ng trench Water Liue - Prlor to filling trench This Side To Be Filled Out by Appticant This permit is required for any site activity ln the flood plain and everywhere slte altoratlon conslsts of fifty (50) cubic yards of material or moro and/or if a drainageway is affectod, within City limits and Phone: ttfl-llll - f,nffiCity - SiteAddres", Lf 4f Aouho/r)*- Jtt) /a./cc./t 4r, a Date of Appli ""rion7 //11q1 Springfield, Oregon It' Property Owner Address : tr ucB rax Map N* l'l-OLt4-*b Journal number applicable Land Use Application tr tr tr Source Looatio Q- ra ,r"/-o .GRADING, Ouantity M Phone Suppl ior EXCAVATION, FILL, OU ProJect Supervls or Degtlnatlon: Suppller Address ffi,,o,o,"n.itvofmaterial,Propertvlinesanddescriptions,Taxmapandr lot number, Sit6 address, Existing contour lines, Pro'posed conlour llnes, Exisling drainale wavs. Prodosed drainaoe wavs, Sionificant trees and foliaqe, Ground cover, Soil tYpes, euifdihgs,'septic systeirs, Sriw-ersiAreas subject to flooding, Utilities, Areas subject to land slides, Proposed site improvements. tr tr tr tr u DBAINAGE,POLLUTION AND EROSION CONTROL PLAN CROSS SECTIONS, SOILS & GEOLOGY PLAN, ADDlTIONAL INFORMATION, REPLANTING PLAN COMPANY NAME: , PHO COMPANY NAME: , PHON CITY STATE STATECITY PROJECT SUPERVISOR ADDRESS: PROJECT SUPERVISOR: ADDRESS: Begistration Numberz , ADDRESS: /EA 6, /A , CITY: , ZIP: a FAx/13- 70/ 7 Expiration Date: MOBILE PHONE R: ,fuarL PHONE EMERGENCY PHONE: OFFICE PHONESTATE: D,Z- CONTRACTOR NAME: PROJECT SUPERVISOI I understand that I. or my Euccossors may have future plans for my property. which may bc antlc-ipated. or t{nantlglpated.at . rhis timo. lunderstand that such futur€ dlans may require permits and developement approvals !rp.m lhe CIIY-ot Spring-fleld. I understand that notwithstanding any abproval of this Land and Drainage Altoratlon Permlt (LDAP), that at the tlmo of aJotication of future permits or a-pproval!'the City may revlew and reconslder all actions whlch I or my succossors have uh'dertaken oersuant io this LDAP, I understand thst th6 City may as a conditlon of any future approval, roqulro the . , undoing, chinging, or modification of any actions which I havo und6rtak6n as a result of the City'r approval of thls LDAP. By signature, I etate and agro6, that I have carefully examined the comple.ted application and. do hereby certify tha.t 8ll iniorfration herein is true a-nd iorrect, and lfurther'certify that any and all work performed shall-be done in accordance *ittr-tl.'s- OiAinances of the City of Sjringfield, applicable'City Standard specificaiions and Drawlngs, and the laws of the Siite oi Oregon pertaining to t'he wdrk discribed'herein. lfuither cortify that onty contractors and employees who are in compliance with ORS 7O1 .055 will be usod on this proiect. The Citv mav insoect the work 6it6 doscribed in this permit at any time during a one yoar perlod following the receipt by ttre Citv of nbtici of compl€tion of the described woik and apecify, at the City'a sole desecratlo.n,.a.ny additlonal rostoration work ri,quired to rsturn ttie site to a standard acceptable to the- City. The permlnee will be notlfied in writing of any work _ reoulred'and will have thirtv (3O) days from the daie of the notice io complete the work. Work not complotsd at tho ond of thi thirty days will be perf6rmed by.tho City and the costs will be billed to the permittee. t fo. lqqq-Dl-Dnq Dafid-: Tlulqq fuilf+i.u-rn4-l s6t ar6that all DateSlgnature address ls readable fromrsquested at the proper tim6, that project the sit€ at all tlm6s during construction, F -rz M, IJJo- Zo -lF M, IJJ = IJJ U Z Etl fv -o oZ ( I cZ 5 !Eluz =o ru o zo EEul5 oz 5 :':t,Fzttt EJIo( t- kolrllr :fatrl TE at-z Ep (rtzoo OEo t TEFzoo ctz 5o- ulE =kzIa #.' qqosb qD1 Permit Expiration Dato: tr*tot 45OD ulvert, O Natural Dato: nity Panel No.: B Ditch, tr on C-. , FEMA commu t] FLOODWAY, FEMA Community Panet No.: s40.00 $40.00 For thd first 10,000 cubic yards, plus $20;00 for each addftional 1 0,000 cubic yards or fraction thoreof $220.00 For the first 100,001 cubic yards, plus $20.00 for each additional 1 0,000 cubic yards or fraction thereof $340 For tho first 200,001 cubic yards, plus $6.0O for each additional 1O,000 cubid yards or fraction thereof. s30.oo $30.00 For tho first ?Q0 cubic yards, plus $ 1 4.00 for each additional 1 00 cubic yards or fraction thoroof. $156.00 For ths tirst 1,O00 cubic yards, plus $ 1 2,00 for each additional 1,000 cubic yards or fraction th€reof. $264.00 For the first 10,000 cubic yards, plus $54.00 for oach additional 1 0,000 cubic yards or fraction thereof $760.00 For the first 100,001 cubic yards, plus S30.00 for each additional 'l 0,000 cubic yards or fraction thereof 9D /-// s2o.oo -/'-?36-- r\ J'r^5 DateVq Receipt ff I Receipt t'to: O 3t fdJ oate: ?- /7- ff Recoived No: D39 ?Ol Date: -) -11'11 100,001 To 200,000 2OO,OO1 CUBIC YARDS OR MORE Estimated Volume: Plan Check Fee: 4;t*). Date: Grading Permit fee: Received PLAN CHECK FEES: UP TO lOO CUBIC YARDS 101 TO 1,OOO CUBIC YARDS 1,001 TO 10,000 cuBrc YABDS 10,000 To 100,000 cuBrc YARDS GRADING PERMIT FEES: UP TO 1OO CUBIC YARDS 101 TO 1,OO0 CUBTC YARDS 1,001 TO 10,OOO CUBTC YARDS 10,000 To loo,ooo cuBtc YARDS 100,001 To 2oo,ooo El-= engineering tr Maintenance: tr Buitdins:Date: Date Date: Date: g Ptann Planning: Englneerlng: Building: Maintenance: Date Daterlssued by Date: Reqtrired Final Insfreetions_. Pormit Number Date Date F EI rv -IJJo- Zo EIF rv -IJJFJ IJJ U Z -tlfvlrr-o cZ nZ s Land and Drainaoe act-iYity,gs outlined in this permit has been completed in accordance withthe provisions ofthis perririt. hfitHf.|}dr?5$!3fo%.r%?tlyllJfsrgyf]i"ed in this permit has not been compteted in accordance tr Land and Drainago activity was performed prior to application for this permit. Accepted by:- Date: u tr 1/6/1998 F*lb( rf.Ht r:L:l-. '-771ZttED (t>NDr7t/yv< . is Side To Be Fil { By City ..- utc, z Ea i lrJluIL ,t: i :.j cD.zot-azoo . i oIU =]U IrlG :i.