HomeMy WebLinkAboutPermit Building 1998-07-07NOTICE:
THls PERMIT st"rALL ExplBE IFTHE nrum(DENrrArJ pERlrrr Appr,rcArroN
AUTHORIZED UNDHB THIS pERMIT lS Nor crrY oF sPRTNeFTELD
..MMEN.ED oft is AtsAND,NED Fd *T;llr:ffi"ffi:rDrvrsroN
ANY 180 elAv pEplgCI,
SPBIiJGFIELD
225 North Fifth Street
Springfield, OR 97477
Location of Proposed Work: 5732 SIEMON DR
Assessors lutap #: :..'1 0234L1,
Lot: 10 Block:
\ct>
Office:
Inspection Line:
Page 1
ilob Number: 980704
125 -3'7 59
126-3169
Tax Lot #:
Subdivision:
04200
LEVI LANDING
aTr oF SPTNGFIEI-D, OnEGON
Owner: SIERRiA BUILDERS
Address: 670 PINE CT.
Describe Work: S/F/RESfDENCE
Phone #: 7448267
Citylstate/zip: CRESWELL oR. 97426
NEW
General:
Plumbing:
Mechanical-
Electrical
ContracEor
SIERRA BUILDERS 0094352
570 PINE CT CRESWELL OR 97425OOOO
BMC MECHANIAL O1O48O5
PO BOX 292 TERREBONNE OR 9775OOOOO
GARIDAY HEATING OO85O4O
PO Box 375 Klickitat WA 985280000
ROSE ELECTRICAL O111O9O
15383 NW WOODED WAY BEAVERTON OR 97
Const.
Contract,or #Expires
06 /2s / ee
o3 /1,3 / eB
ro/1,4/es
01./24/e8
7 44 - 825't
548 - 7510
795-4704
590 -7 7 36
QUAD AREA: 5RNE
OCCY GROUP: R3
HEAT SOURCE: FG
oFFrcE usE --
LAND USE: 1111
CONSTR. TYPE: VN
INSUL PATH: P1
# OF BLDGS:
# OF BDRMS:
SQ FOOTAGE:
1
3
1858
To request, an inspection, cal_l the 24 hour recording at 726-3769.
A11 inspecti-ons 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 ---
FOOTING - After trenches are excavated.
FOITNDATION - After forms are erected but prior to concrete placemenL.
ITNDERFLOOR PLIIMBING - Prior to insulation or decking.
ITNDERFIJOOR MECHAIiIICAL - prior to insul_ation or decking.
WATER tINE - Prior to filling trench.
SA.MTARY SEWER tINE - Prior to filling trench.
STORM SEWER LINE - Prj_or to filling trench.
POST AI\ID BEA!,I - Prior to floor insulation or decking.
rNsuLATroN - Floor; prior to decking wa1l/ceiling; prior to cover
ROUGH PLtIMBfNc - Prior to cover.
RouGIr GAs - after line is installed and capped if not attached to an
appliance
ROUGH MECIIAI{ICAL - Prior to cover -
ROUGH ELECTRfCAL - Prior to cover.
SHEAR WALL NATLTNG - Before covering sheathing with finish materials.
FR.AIIfNG - Prior to cover.
rNsuLATroN - Floor; pri-or to decking waII/ceiling; pri_or to cover
DRYWALL - Prior to taping.
CURBCUT - After forms are erected but prior Lo placement of concrete.
srDEwArJK - After excavation is complete, forms and sub-base material
in p1ace.
FINAL PLITMBING - When all plumbing work is complete.
FfNAL MECHAI{fCAL - When af1 mechanlcal work is complete.
FrNAr- ErJEcrRrcAL - when all electrical work i-s complete.
FINAL GAS - When aLl- gas work is complete.
FrNAL BUTTJDTNG - when all required inspections have been approved andthe building is complete.
Phone
SPRII{GFIELE,
rfob Number : 9807 04
CITY OF ONEGON
Page 2
GAS SERVICE - After l-ine is instal-fed and fine has been connected to a
minimum of one appliance. Pressure test done at this point.
Lot Faces: S
Topography: 2
Solar Approved: Y
House
Garage
Lot Sq. Ft.: 5400
Total- Height: L4.6
Lot T),pe: INTERIOR
Lot Coverage: 35 ?
Setbk From NPL: 18
N
2B
Setbackssw
5
1B
E
5
Item
Main
Garage
Total Value
Bui-Iding Permit Fee
Surcharge/admin
TOTAIJ FEE
--- BUILDTNG PERMIT ---
Square Feet x
L468
400
$/Square Feet
64 .66
1,6 .27
(A)
Val-ue
94 , 921 .00
6, 509 . 00
).o1_ , 429 .00
437.50
35.01
47 2 .5L
--- PLIIMBING PERMTT .--
ftem
Residentj-al Bath (s)
Plumbing Permit
Surcharge/Admin
TOTAL CHARGE
2
Fee
160.00
150.00
1,2 .80
L72 .80(c)
--- MECHANICAL PERMIT ---
Furnace
Exhaust Hood
Vent Fan
Wood Stove/LnserL/Fireplace Unit
Dryer Vent
GAS PIPE
Mechanical Permit
Issuance
Surcharge/Admin
TOTAL PERMIT
3
5.00
3.00
9.00
4.50
3.00
2.OO
27.50
10.00
2 .21,
(D)39.7L
--- MISCELLANEOUS PERMTTS ---
Surcharge/admin
Sidewalk
Curb Cut
CITY SDC
ELECTRICAL PERMIT
WILLAMLANE
TOTAL MISCETI.ATiIEOUS PERMTTS (E)
0.00
19.00
14.80
2 ,388 .36
L57.50
1, 000. 00
3,589.55
(Excluding Electrical)
unless otherwise noted
--- TOTAL AMOT'NT DUE ---
(A, B, C, D, and E combined)4,274,8
SPIIIiI-GFtELD
Job Number: 980704
CITY OF SPilNGFIELT', ONEGON
Page 3
.-- BUILDING VALUE, PLNiI CHECK AI{D BUILDING PERMIT ---
Thi-s permit is granted on the express condition that the said construction
sha1I, in all respects, conform to the Ordj-nance adopted by the City of
Springfield, including the Development Code, regulatlng the construction and
use of buildings, and may be suspended or revoked at any ti-me upon violation
of any provi-s j-ons of saj-d ordinances.
Plan Check Fee: 284.38 Date Paid:
Received By:
Plans Reviewed By: AL WARD Date:
Building Site Reviewed By: BOB BARNHART
06/L2/eB
07/07/ee
Receipt Number: 30298
--- ADDITTONAL COMMENTS
DR]VEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUTRED
By signature, I Etate and agree, that I have carefully examined
the completed application and do hereby certify that al-l- information hereon
is true and correct, and I further certify that any and a1l- work performed
sha11 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 permi-ssion of the
Community Services Division, Building Safety. I further certify that. only
cont.ractors and employees who are in compliance with oRs 701.055 will- be
used on this project.
I further agree to ensure that al-l required inspections are requested at the
proper time, that each address j-s readable from the street, that the permit
card is located at the front of the property, and the approved set of pl-ans
will- remain on the sit.e at all times dur ing constructiontu
Slgnature Date
--- VALIDATION ---
Receipt Number:
Date Paid:
Amount Recei-ved:
Received By:
0?a 67 b
'(z lrr {(4iz
,/r/r)
SPFINGFIELE,
Page l-
ENGINEERING DIVISION DEVELOPMENT PLAN REVIEW
RESIDENTIAL IMPROVED STREET
CITY OF SPilNGFIELT', ONEGON
Developer: SIERRA BUILDERS
Mail Address: 570 PINE CT. CRESWELL OR. 97426
Tax Lot #: L70234LLO4200 Project Address:
Subdivision: LEVI LANDING Lot: 10 Blk:
.fob No
phone #:
5732 SIEMON DR
Eng. Rev. No.:
.: 9BO7O4
7 448267
Book:
Street Gravel Ac
5732 SIEMON DR
Existing Curbcut: N
EXISTING IMPROVEMENTS
Mat Curb Fu11 Imp SW Width Curbsj-de
Y 5 FEET 12:1 FLAIRS
Setback
ENGTNEERING REQUTREMENTS
Additj-ona1 Right of Way:
fmprovement Agreement :
Easements:
N
N
N
SAIiIITARY SEWER
CALL THE UTILITIES NOTIFICATION CENTER BEFORE YOU DIG 1-8OO-332 -2344
Avai-Iabl-e: Y
Size of Line: I
Locatj-on From N,
Make Connection:
Stubbed Out To Property Line: Y Depth: 4-6
In. Tee: 5 In.
S, E, W Property Line: AS SHOWN ON DRAWING OR AS-BUfLT
PER PLUMBING CODE
FT
Availabl-e: Y
Pipe Downspouts And Drains To
Pipe Parking Lot Drainage To:
STORU SEWER
CURRB & GUTTER
N/A
SIDEWAIJK AtiID DRIVEWAY INFORMATION
New Curbcut Appr.: y STANDARD width: 20 Ft Fl_airs: 5
Si-dewal-k Permit: y Width: 5 Ft Length: 50 Ft
Curbcut Permit: Y Width: 32 Ft
FT
ENCROACHUENT A}.ID ASSESSMENT
Encroachment Permit Required: N
Sanitary Sewer fn Lieu Of Assessment: N
SPECIAI. NOTES ATiID REQUIREMENTS
A11 work within the public right of way shal-I be in conformance with the Cityof Springfiel-d standard specifications for construction. A11 existing unused
curbcuts or portions thereof sha1l be restored t.o full- curb height as directedby the City. The owner,/developer is responsible to relocate any utilities andestablish private or public easements when t.he util-ities conflict with the
dewelopment, at their expense.
Reviewed By: DENNIS ERNST Date:06/:-9/98
SEE DR,A'WINGS ON SPECIAL REQUIREMENTS FOR FURTHER IMPORTAI{T INFOR!,IATION
l
appro?frl.
r'^'a.1-
AUIHORIZED U NDEB THIS PERMIT
SPRINGFIELD,
INSPECTION REQTIEST:
OFPICE: 726-3759
1 INSTALLATI t
ON
Permits are non-transferable and expireif vork is not started vithin 1B0 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INST ONLY
Electrical Contractor 4
7
Signature sing t ri cian
?
D
0vners Name
NOTICE:
THIS PEFMITSHALL EXPIRE IFTHE
,n",. fl+48{107
PEHrcD.
OR ,S ABANDONED
r0R Ci ty Job Number 0,
COHPLETE PEE SCBEDTILE BELOV
(*fi,
WORK
IS NOI EI,ECTRICAL PERI{IT APPLIcATION
Nev Residential-Single orMulti-Family per dvelling unit.
Service Included:
Items Cost
SI>RIh{GFIEL.)
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
Services or Feeders
Installation, Alterationsor Relocation:
3
A
8I I
A
85
ao
Sum
s 85.00
s 1s.00
s 40.00
ee rrBtt aEove
\
B
Address 7Z
city k hA z/Yz Phone 6 EL-oq/5
Supe
/
rvisor License Number ./il 9S
Expiration Date o
consrr conrr. Number €'4//3/
C
Expiration Date ?,/Za / /tr
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps''or less I20L amps to 400 amps
-Over 401 to 600 amps
-Over 600 amps or 1000 vorfs
Branch Circui ts
200 amps or less
201 amps to 400 amps
-
401 amps to 600 amps
-
601 amps to 1000 amps-
over 1000 amps/vo1ts
-
Reconnect OnIy
$ s0.00
s 60.00
s100. 00
s130. 00
s300.00s 40.00
$
s
$
s,
s 40.00
S a0;00.
s 20.0d
$ 36.00
g40.00
55.00
80.00
Addr
Ci ty
OVNER TNSTALLATION
The installation is being made onproperty I ovn vhich is not intendedfor sa1e, lease or rent.
0vners Signature:
DATE:
Nev, Alteration or Extension Per Pane1
One Circuit $ 35.00
Each Additional
Circuit or vith Serviceor Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting-
Limi ted Energy/Res
-Limited Energy/Comm
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
a)
DDnrrlmn n A/
5
162.40
JOB No . O,O 7OF
ATTACHMENT A
CITY OF SPRiNGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
NAME OR COMPANY 1,Betc-rtEtLl
LOCATION A7<1tn€aa) Drz
DEVTI-OPMENT TYPE
BUILDiNG SIZE
<.F [2.
CI SIZ 0. Ft
i SIORM DRAI|IAGE
IMPERVI0US S0 FT. ^, <j3 X $0.226 pER SQ. Fr. $ 572,!l.G
2. SANITARY SE:!ER_CIIY
NO OF PFU'S ?_o X $.16.86 PER PFU s Q 37, zt>
(See Reverse Side)
3. TRANSPORTATiON
NO OF UNITS X TRIP RATE X COST PER TRIP
X l,ol x $472 49 $ 477, zl
x $472 49
x $472 49
4 . SAN ITARY SEWER - Mh;MC
Ou'<
N0. 0F fftrs x -72.- P ER FEU + $10 I'II^IMC/AD["1 FEE $ 257, Ze
MI^J['4C CREDIT IF APPLICABLE (SEE REVERSE)$
TOTAL-MI^II*,1C SDC $ 287,7a
SUBTOTAL (ADD iTEMS 1,2,3 & 4) $ 2,274,63sry
BASE CHARGE (SUBIOIAL ABOVE) X .05
X
X
$
$
SDC Coordi nator
Date: 6-n*7&
T0IAL spc $2FJlJo.,
I
I lr\ t lrr.lL \rrt\aI | lLrrrJL.ra I lfvrl\l
(NOTE: For remodels, calculate on' he NET
FIXTUBE TYPE
Bathtub......
Drinking Fountain.
Floor Drain..
lnterceptors For GreaseiOil/Solids; Etc............
lnterceptors For Sand/Auto WashrEtc............
Laundry Tub/Clotheswasher.
Clotheswasher - 3 Or More.
Mobiie 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, Residerrtial Kltchen.....,
Urinal, Stall/Wall...
Wash Basini Lavatory, Single..
Toiiet, Pubiic installation.
Toilet, Private.......
Miscellaneous:
r AI)LE. Number ot New Fixtures X Unit Equivarent = Fixrure Units
additional fixtures)
NUMBER OF UN|T F1;TURE
NEW FIXTURES EOUIVALENT UNITS
z
2_
2-
2
1
2
.)
b
i Head
2
6
o
1
3
2
i,
2
2
1
b
4
-r
I z-
2-
Zd
z
?
TOTAL FIXTURE UNITS
_T
CREDIT CALCULATION TABLE: Based on assessed value lf improvements occurred after annexation date in rable,
calculate ci'edits se arates
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
(Rate X Assessed Value)
XS
(Rate X Assessed Value)
x $_
CREDIT TOTAL =$
Year
Annexed
Rate per $1,000
Assessed Value
Year
Annexed
Rate per S1,COO
Assessed Value
1979 or before
1 980
1 981
1 982
1 983
1 984
1 985
1 986
$ 3.97
3.89
3.83
3.70
3.39
3.20
2.91
1 987
1 988
1 989
1 990
1 991
1 992
1 993
1 994
1 995
1 996
)z.co
2.17
1.73
1.31
o.92
o.74
o.61
0.45
o.31
0.1 7
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Fesrden riai.
Commerical
lndustrial....
Governmental
0.4
0.9
o5
o.5
IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT
Willamalane
Park & Recreation District
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
Job. No.
' SG-r'r'
NAME:
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
ressStreet Add
Plat Name:
1. DEVELOPMENT TYPE (Check
ype definitions are on the back.)
A. Single-Family Detached
-I Single Family home
NO. OF UNITS
B. Single-Family Attached
NO. OF UNITS
C. Multi-Family Apartment
NO. OF UNITS
Tax Lot Number:
dwelling(s). SDC calculations and dwelling t
Manufactured home not in a park
X $1,000 per unit = $tw)p
X $924 per unit
X $692 per unit
$
$
D. Manufactured Home Park
NO. OF UNITS X $699 per unit $
WILLAMALANE SDC
2. SDC CREDff (if applicable) SDOpayer must fumish proof of
Willamalane Credit approval. See SOC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(lf SDC reduced for Credit)
1000 o0$
$
$
v
oo
,1lt lt
Date
City of
pment Se s Department
7tr
PHONE:
00A&tt(w00
I
CITY OF SPR OREGON'
D EV ELOP M ENT S ERVICES DE PARTME NT
SPRTNGFIELO
ono t
225 FIFTH STREET
SPRINGFIELD, OR 974N
(s41) 726-37s3
FAX (s41 ) 726-368s
NOTICE;
THIS AGREEMET{T is entered into thibetveen the City of Springfieg', ahereinaf ter called. City, ind )rOthe Applicant.'
VEEREAS, the aDivision for i
improvements t
Oregon. or vithin the City ,s
Assess6i's Hap and Tax Lot nunber
rHrs pEHMtT sI{ALL EXpTRE ,F Erffiil(ffiy.id;Ilillr#}?rro,
A UTHOR'ZED UNDEH THIS PENilii]Ifrid,Oiiii - iirgii' .
COMMENOED OR IS ABANDONFN .""'-'
ANY IAO OAY PEflODl'^*
s day of
co
, DfY by andtateE oregon,run
rDoraS ,, hereinafter called
c
pplicant has applied to the City Communi ty Services Building
ssuance of certa Lion rmits for devel opment
o be located at Springfield,
et Coun ty
vEEREAS' -the applicant has asked the City to authorize the Applichnt toinnediately commence developmelt inprovements vithout a compiitea plan reviev orsubsequent approvar as required by the springfield Building i"i.iv:coa"-: --
VEEREAST-the Applicant has subnitted to the City a completed perult application,! (three)-sets of 'coirstruct.lon dravings, specificaqioni, and other datl requlredfor the city to conplete the necess"ri if"ii reviev'of the pioposed developmentinprovement.
i
vHPRpAs, the intendbd development improvement is of a nature that requires noother reviev approval from other State or local irgencies and is'"x"rit from thecriteria established by the Building Safety Divislon, attached as gxilibit A of
.this Agreemen t .
VHEREAS' the City has not revieved or approved the submitted materials for thedevelopment inprovement, the city is thliefore unable to confi;;-;;-;hir-iii"vhether-the permit applicatic.-: submitted vill- be approved, and vhether therequired construction permits can be issued.
SH.EREAS' the.applicant has requested th[: city to .provide expedited authorizationto proceed vith_certain phasei of construction prior to the'completion oi theCity's reviev of the permit application.
IItsER{fs,.t1," gity's fee for the administrative services ."nd"rea in providingexpedited iuthorization is 9150.00.
NolJr-THEREFoRE, in consideration of the foregoing recitals and of the mutualpronises contained herein, the City authorizEs immediate commenc€ment of thedevelopment improvement specified in the. permit application subject to thefolloving terms and conditions,
Authorization to Proceed Agreement
Page 2.
1 City agrees that the Applicant may immediate ly commence vi th thedevelopment i mprovements set forth in the permit application.Ci ty, sau thorization to proceed is conditi oned hoveve r, upon Applicant,s agreementthat the pro ject vill be construct ed as set forth in the attached submitteddravings and speci fications , except as may be nodified by City, and villcomplyvith all applicable lavs and ord 1 nances.cant's iurnediateconmencement of coDstnrction is at 1i camt's ovn noassurance
or consttllc
2' City agrees !.o reviev Applicant's. pernit application in the normal revievprocess and to thereafter:
a) issue Applicant the appropriate construction permits; er
b) advise Applicant of deficiencies in the proposed construction vhichmust be renedied before pernits can be issued;'o; -
c) advise Applicant of any statutes, ordinances or code provisions vithvhich Appltcant Eust compiy vith betoie-citv can issue ti,;-;;;;i;: -""
3'. Applicant agrees that if city firg: {Rnlicant,s pernit appllcatlon andsubnitted naterials-inadequate or deficrliri-in any nanner inliuairig.L-ui--notlinlted-tor- the appllcatlon or tt" piopo""i
"or,"ti-uctlon do not conpry vithall agnllcable stitutesl- ordlnances' or' code froviii"""r- atiSe"nt vipexpedltloqsly-ctre the deflclencles so irr.i [n. ciiy rniv--iI"u. the requlredpernlts. Shourd Appllcant fatr to-exteditrouiiv "ori.Ii'"i[irtt"a uaterlals,or should comec-t-ion.prove inpossibre, aiit-r"i rn ii;s ai""r"tro"; a;k;;;ior all of the folloviirg actlons, '' - s^cs
1) stoP all further construction of_the project in the tranner prescribed.1l t!:--springfierd Buirding Safety coae iaministrativ. Coa" tglcAci,sEcTroN 201 (d)
b) order disconnection of serving utilities in a manner as prescribed inBSCAC, SECTToN 201 (f)
c) issue a NoTTCE -l3D o?oER for renoval of all- such ror!: in a panner asprescribed i!-PScAc, sEcrroN 204. ABATEHavT-oF ursiari, -SuisrerqoARD
oRDAficERous BurLDrNcs, srRucrrrREs oR BurtorNc ssR\[cE Eouii#G:"ir;;"""receipt of such notice, Applicant "h;irtirreaiateiv ;;;;;;. the vorkspecified in the Notic" "i.,i 0rder.
4' Appricant agrees, if the issuance of the permit is denied:
a) to remover dt.the Appricant,s sole cost and expense, arr completedconstruction or irnprovements; and
b) to restore the site or structure to it's pre-agreement'"onortion ,nafree of all hazards -- - r' s s6lEsrusrrL
t or constnrct
Authorization to Proceed Agreement
Page 3.
5 Applicant agrees
construction vill no ttothat until Appticant,s permit applicatiori is approved,
beyond the point of authorizati on approvedby the Ciry,s Building 0 Applican t's Point of Authorization is
6. Applicant agrees thaaccessible and exposed0fficial nor City shall
replacement of. any Eate
! "11 vork performed under this agreenent shal1 befgt iTrpsction purposes and that neither the Buildingbe liab1e for the expense entailed in the removal oirial necessary to allov insp-ciion.
7- AppricaTt agT::s rhat-3rI o= arr.deficiencles identlfied during thenecessary inspections v111-be pronptly renedlea, ai ap;ii;t,s sole costand expense before-proceedlng irttht."i ruiit,"i "on"trirltton. appltcani-ii=oasrees that these tnspectroni do not ieprace th;-;;ili;;e-;i.;';;;i;;-nI.-jothey inply any approvir of the subnittei ,.i"ii"r".'
8' Applicant agrees that no vork-shall be done-on any part of the buildlngor structure beyonl !h" polnt indicated ln each succlsiire lnspection e
vithout first "irt"inilg ih;--;p;roval of trre-nutlalng offlctal. such approvalshall-be given only afier an iirspectlon tas ueen nade of each successlvestep ln the construction as indti:ated on the attached Exhibit g.
10.Appall licant agrees to defend, indenni ty hold Ci harnless fron inyandcosts (including attorney fees), liabill ty or danages of any kind ornature vhat soever, for personal inJury danage arislng from theAppllcant's early coulencenent of const the vork undertaken orcompleted
and. property
ruction and
11' The terms of this Agreenent shall extend to and be binding upon theparties he.reto and tireii heirs, successors and assigns
L2- rf any suit, action or other pro-ceedingr or an appeal therefrom, isinstituted to obtain, establish,. enfor;;; ;; iomper any right or.obligationresulting from this Agreement, ih. pr.r.iting-paity stratr Ee entitled torecover from the adveise party, in iaaition io'costs and disbursementsr.suchadditional sums as the "oir.ts-,'both t.i.i-.ni apperlate, may judgereasonable attorney fees.
lssued.
Authorization to Proceed Agreement
Page
BEToRESIGNINGTHISAGREEMENT,PLEASEREADANDUNDERSTANDTEE
MEANINGoFEACEPARAGRAPEoFTHISAGREEMENII.TTAFFECTSYoUR
INTERESTSTNTIIEPRoPERTYAND,INTEEEJENToF.DEFAI,I,T,ITPI,ACES
YouPERSoNALr,YATRIsxaNo'TTTTSUBJECTPRoPERTYATRISKoF
FoREcLosIIRE FoR cosfs A}I, - ExPENsEs INCI,RRED BY :tEE cITy IN
ENFORCING TIIE TERUS OF TEIS AGdEEUENT' IN TEE EVE}IIT TEAT YOU DO
NOT T'NDERSTAND ANY TERI'IS OR CONDITIONS OF TEIS AGREEI'IENE' PI'EASE
SEEK ANY LEGAL OR OUTSIDE OPINIONS YOU I{AY DESIRE'
CITY
City of SPringfield
By:
Building official
I,A}ID,PROPERTY OWNER (E I
TERMS AIID CONDITIONS
Business
Addres
CC Registration #
APPLTCANT
Contr
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u WE EAVE RE:AD l[EE ABOVE AUSEORIZAUON
T'NDERSAAIID WEAT IT EXPRESSES A}ID TEE
UPON US AS ![EE IJA}ID /PRoPERrv OIVIIER6 r/wE AGREE ![O BE BOT'![D
rO PROCEED AGREEMENE
RESPONSIBIIJIIIIES IIT
r/wE
PI,ACES
BY AIJI,
a
AGREEMElflT
Narne
Addre
VALIDATION:
CTTY JOB #
RECEIPT NUMB
DATE PAID 6
AIJIOUNT REC EIVED
bDc /a,ae c-f ozesk Qa/ de.
IU
0
?
RECEIVED BY
o ,00
Purpose
. The purpose of this agreement is to allov'certain development improvements to" occur prior to.obtaining plan reviev approval from the Springfieia C"*rrrityServices Division
Scooe
The use of this agreement shall be limited to certain one and tvo-familydvellings not complex in nature as determined by the Building 0fficial andninor alterations or modifications to existing tommercial ani industrialbuildings-vhich are of a non-structural"type ind do not advers"rv.iie"i.nystructural'uenbgr of the butlding or any iirt of the building having iii"- '
resistant construction.
One and tvo-fanily dvelling plans for structures that are complex in nature thathave been prepared..by an oielon licensed architect or engine"i ."a "s"orp."i"a.by a letter of reviev prepared by said architect or engiieer, stating thlt thesubuitted material is in iompliance vith the one and Tio-Fari1y orefifn!specialty code, nay be considered eligibre for this agreenent.
ErHrBfT A
The folloving iteos include but are not liuited to certain conditlons ofdevelopnent identified as tneligibre for tliis agrebment:
a) developtrent requiring site approvar vhich.has not been obtained;
b) nev deveropment located on land vith over six-percent slope;
c) lots having expansive (c1ay) soil;
d) developnent located vithin flood hazard area.s; .
e) developnent located vithin vetland areas;
f) pole buildings or other such type of structure that is not of conventionalcons truction.
EXHIBIT B
Required Iaspectioas
To reguest an lnspection, you must call 726'-3769. This La a 24 hour recording.
A1!. lnspectlons requested before ?:0O a.m. will be made the same working day,
Inspectlons requested after 7:O0 a.m. wtlI be made the following work day.
teuporary Electric
Slte - To be made after excavatlon, but prlor to settlng forms
Footl.ug - After trenches ard excavated
Fouadatiou - After formg are erected but prtor to concrete placen€ht
Uaderfloo3 tlrrnlrtsg - Prlor to fllIlng trench
Uaderfloor Mechanlcal - Prlor to lnsul-atLon or deckl,ng
Post & Beaar - PrLbr to floor lnsulatlon or decklng
Uaderfloor fasulattoa - Prlor to decklng
SanLtary sewer - Prlor to flIllng trench
Storn sewer - Prlor to flIllng trench
water,Liue - prlor to filllng trench
_4
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L--'-
II.J;J ;llI e
/
apprwal.
225 FIFTH STR-EET
SPRINGFIELD, OREGON
INSPECTION REOUEST:
0FFICE: 726-3759
97
1. LOCATION OF TNSTALI,ATTON
LEGAI DESCRIPTION+
JOB
Add ress
Ci ty Phone
Supervi*sor License Number
Expi:--ation Date
Permits are non-transferable and expireif vork is not started vithin 1BO daysof issuance or if vork i.s suspended tor
180 days.
2. CONTRACTOR INSTALLATTON ONLY
Electrical Contractor
lhe lollowing proieci
zoning, and do€e not rcqulre op€cfro lartd
oanbnrltted hagttle lollowing
SPra .iFIELE,
200 amps or less
201 amps to 400 amps
-
401 amps to 600 amps
-
60L amps to 1000 amps-
Over 1000 amps/vo1ts
-
Reconnect 0n1y
200 amps''or I
201 amps to 4
Over 40L to 6
0ver 600 amps
D. Branch Circui ts
u86
ELECTRICAL PERHIT APPLICATION
COHPLETE FEE SCEEDI]LE BELOV
Nev Residential-Single orMulti-Family per dvelling unit.
Service Included:
I tems Cos t
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereo f
Each Manuf,d Home. or
-
Modular Dvelling
Sertice or Feeder
s 8s.00
s ls.00
$ 40.00
Services or FeedersInstallation, Alterationsor Relocation:
slettd,r. nf4 .-{ ry Job N*b", ?aa)a Y
3
A
Sum
ON
B
$ s0.00
s 60.00
s100.00
s130. 00
$300.00
$ 40.00
Constr Contr. Number
Expi::ation Date
Signature of Supervising ELectrician
ovners Name Srefu4 &arb€S
Add ress b 7o Ptue cf
Ci ty /do4 Y/'txoone
OIINER INSTALLATTON
The instailation is being made onproperty I ovn r,,hich is not intendedfor sa1e, lease or rent.
Temporary Services or FeedersInstallation, Alteration or Relocation
C
33'",r. -"'tr13:33 g
00 amps S BO.O0 =-or 1000-vofTs see I'Bt' aEotE-
Onners Signature, A
zzZzZLZ M*Z
Nev, Alteration or Extension per panel
One Circui t
Each Addi tional
Ci rcui t or vi th Servi. ceor Feeder Permi t
$ 3s.00
s 2.00
E. Misce1laneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utline Lightirg-
Limited Energy/Res
-
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Admini.s trative Fee
TOTAL
4ra>
$ 40.00
$ 40.00
s 20.00
$ 36.00
DATE:
eRECEIVED BY:e
/a':- 32 < : ntzz<;a-) Z2ZZt,u'L-