HomeMy WebLinkAboutPermit Building 2000-04-28SPRINGFIELD
Job# 00-00s69-01
RES!DENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page 1 of4
THANS*:01-00011?5
DATE:APR 2E TOOO
AHI RE[D:2 $ 4504.46
[HAi'tEt:
IASHIER:059
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 3421 VIRGINIA AVE Spr
AssessorsMap#: 17023134
Lot: Block: Addition:
Job Number: 00-00569-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot #: 03600
Subdivision:
ctrY oF SPRfiNGFfiEL4 OREGON
Owner: RON LINVILLE
Address: 1080 2BTH STREET
Scope Of Work: Single Family Residence
Phone Number:
City/State/Zip:
New
Registration #
IELD, OR
541-726-1014
|ELD, OR 97477
$126,644
DateContractor Type
GeneralContr
Electrical Contr
Mechanical Contr
Plumbing Contr
Contractor
RON LINVILLE
lOBO 28TH STREET, S
97477
RON LINVILLE
lOBO 2BTH STREET, S PRINGF
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Phone
541-726-1014
541-726-1014
541-726-1014
541-726-1014
97477
RON LINVILLE
lOBO 28TH STREET
97477
RON LINVILLE
INGF
1O8O 28TH STREET, SPRINGFIELD, OR
97477
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
3RSC
1
(VN) Wood Frame
Electric
Office Use
-
Land Use: Single Family Dwelling
Zoning Code: LDR
Bedrooms: 4
Range: Electric
# Of Buildings: 1
Occupancy Group: Dwelling
Heat Source: Heat Pump
Sq. Footage: 1650
To request an inspection callthe 24hour recording at726-3769. All inspections requested before 7:00a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the followingworking day.
Verify Ground Rod
Footing
Foundation
Hold Downs !nstalled
Required lnspections
-lnstallground rod atfooting, and callfor inspection in conjuction with footing and/orfoundation i-After trenches are excavated.
-After forms are erected but prior to concrete placement.
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Job# 00-00569-01
Required lnspections
Electrical
Temporary Power -Approval required prior to SUB energizing pole.
Page 2 of 4
Street lmprovement:
Curb Cut?f
San Sewer Depth (Ft):
Storm Sewer Available?
Special Req.:
Security Required:
Bond Begin DateTime:
Specia! lnstructions:
Other Utilities:
Project Supervisor:
Fully lmproved
lmprovement Agr.?
6-4
00/00/00 00:00 AM
Sidewalk Type:
Additional ROW?
Size Of Line (in):
Downspouts/Drains:
Enchroachment Permit:
San Sewer Tee (in):
Bond End DateTime:
Curbside - 5'
B
To Curb and Gutter
6
00/00/00 00:00 AM
Types Of Warning Devices Reqd.
Zoning: LDR Overlay District:
FloodPlain? [ Wettands? ! # of Street Trees: z
Journa! numbers
1: 2: 3:
Comments2 paved 9xlB off-street parking spaces are required
Planner: AlWard
Urban Growth Boundary?
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA: n/a
Land Use: Single Family Dwelling
Pave Driveway?
Additional Requirements:
tr Glenwood Area? I] Required Attachments:
Source Locn:
Material:
Flood Plain FEMA: nla
Construction Types(VN) Wood Frame
Occupancy Groups: Dwelling
# Of Buildings: 1
# Of Bedrooms: 4
Handicap Access? !
Area (Sq.
Main: 1650 Accessory640
Accessory Structure
# Of Stories: 1 Height (feet): 20
Current Units: proposed Units:1
Census Code: New SF - detached
Total2290
Fee Paid On Receipt#Value/Quantity Fee Amount
Plan Check
Residential Plan Check
Total Plan Check
04t14t2000 0001242 126,644 $320.94
$320.94
Building Permit
State Surcharge For Building permit
Building Administrative Fee
Total Building
04t2812000
04t28t2000
04t28t2000
1 395
1 395
1 395
126,644 $493.75
$34.56
$14.81
$543.12
Electrical
1
Wiring Footage 1,000 Sq Ft or Less 04t28t2000 1395 $85.00
Job# 00-00569-01 Page 3 of 4
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical
Wiring Footage Each Add'l 500 Sq Ft
Temporary: 200 Amps or Less
State Surcharge For Electrical Permit
State Surcharge For Electrical Permit
Electric Administrative Fee
Electric Administrative Fee
Total Electrical
04128t2000
0411412000
0411412000
0412812000
04t1412000
0412812000
1 395
0001242
0001242
1 395
0001242
1 395
3
1
$45.00
$40.00
$2.80
$9.1 o
$1.20
$3.e0
$187.00
Minimum Plumbing Permit Fee
Two Bathrooms
State Surcharge For Plumbing Permit
Plumbing Administrative Fee
Total Plumbing
Plumbing
0412812000
0412812000
0412812000
0412812000
1 395
1 395
1 395
1 395
1
$.00
$160.00
$11.20
$4.80
$176.00
Hood and Exhaust
Minimum Mechanical Permit
Mechanical Administrative Fee
Less than 100,000 BTU
Vent Fan to One Duct
Dryer Vent
Mechanical lssuance
State Surcharge For Mechanical Permit
Total Mechanical
Mechanical
0412812000
0412812000
04t28t2000
0412812000
0412812000
04t28t2000
04t28t2000
04t28t2000
1 395
1 395
1 395
1 395
1 395
1 395
1 395
1 395
1 $4.50
$.00
$.68
$6.00
$9.00
$3.00
$10.00
$1.58
$34.76
1
3
1
Public Works
0412812000 1395 1New Curbcut
Total Public Works
$60.00
$60.00
Residentlal- Single Family - Storm
Sanitary Sewer
Residential Transportation
Residential Sanitary MWMC
Residential lmprovement MWMC
MWMC Administrative Fee
SDC Administrative Fee
Total System Development
System Development
0412812000
0412812000
04t2812000
04t28t2000
04t28t2000
04t28t2000
0412812000
1 395
1 395
1 395
1 395
1 395
1 395
1 395
3,410
1B
1
1
1
1
$791.00
$868.86
$491.60
$242.76
$22.05
$10.00
$121.31
$2,547.58
S.F. Residence - Willamalane
TotalWillamalane SDC
Willamalane SDC
04t28t2000 1395 1 $1,000.00
$1,000.00
Grand Total
Plan Check Type
lnitial Review-Res
Engineering-Res
Planning-Res
Structural-Res
$4,869.40
Checked By
Lisa Hopper
Steve Templin
AlWard
Wendy Stanley
Date Completed
04t18t2000
04t19t2000
04t20t2000
04t27t2000
Job# 00-00569-01 Page 4 of 4
By signature, I state and agree, that I have carefully examined the completed application and do
hereby certify that all information hereon is true and correct, and I further certify that any and allwork
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made
of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors and employees who are in compliance with ORS 701.055 will be used on
this project.
I further agree to ensure that all required inspections are requested at the proper time, that each
address is from the street, that the permit card is located at the front of the pro perty, and the
the all times during construction
Date
/1r-oa
I
l' spntncFrEl.D
Job# 00-00569-02
RESIDENTIAL PERMIT
City Of Springfield
Gommunity Services Division
Building Safety
Page 1 of2
TRANS$:01-0001332
DATE:APR ?4 2OOO
Ai',tT RECD:Z $ 150.00
IHANGE:
CASHIER:05?
Job Number: 00-00569-02
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 3421 VIRGINIA AVE Spr
AssessorsMap#: 17023134
Lot: Block: Addition:
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 03600
Subdivision:
ctTY oF SPRINGFfiELq OREGON
Owner: RON LINVILLE
Address: 1O8O 2BTH STREET
Scope Of Work: Single Family Residence
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Phone Number:
City/State/Zip:
New
541-726-1014
SPRINGFIELD, OR 97477
Value: $0
This is a copy with a new Sequence Number- INSERT INSPECTIONS UNDER 01 SEQUENCE
NI.JIVIBER
Office Use
-
Land Use:# Of Buildings:
Occupancy Group: Dwelling
Heat Source:
Sq. Footage:
et
To request
a.m. will be
working day
Construction
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access?
callthe 24
working
All inspections requested before 7:00
after 7:00 a.m. will be made the following
Accessory Structure
# Of Stories: Height (feet):
Current Units: Proposed Units:
Gensus Code: New SF - detached
cefite
rame
Area (Sq. Feet)
Main:Accessory:Total:
Fee VriCfildO On Receipt# Vatue/Quantity Fee Amount
QuickStart H&b$
Total Perm
pgfil2at2000 1332 1 $150.00
$150.00
Grand Total
ANY 18OD AY $150.00
bv
ORIS
lHiS
Job# 00-00569-02 Page 2 of 2
By signature, I state and agree, that I have carefully examined the completed application and do
hereby certify that all information hereon is true and correct, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made
of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors and employees who are in compliance with ORS 701.055 will be used on
this project.
I further agree to ensure that all required inspections are requested at the proper time, that each
address from the street, that the permit card is located at the front of the property, and the
a of remain I times during construction
Date
/H/qa
t
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:*
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Address:V
Ptar Nam., {\lfw ax Lot Number:
1. DEVELOPMENT TYPE (Check appropri
STATE:
ate dwelling(s). SDC calculations and
Willamalane
Park & Recreation District on.t\ou4 Dt
np, QH11
Job. No.
PHONE:
+
7
t
ype definitions are on the back.)
A. Single-Family Detaehed
\ Single Family home Manufactured ho
(if SDC reduced for Credit)$
ment
men
$
ot in a park
(0oo -d)NO. OF UNITS X $1,000 per unit =
B. Single-Family Attached
NO. OF UNITS X $924 per unlt = $
C. Multi-Family Apartment
NO. OF UNITS X $692 per unlt = $
D. Manufac.tured Home Park
NO. OF UNITS X $699 per unlt = $
WILLA,MALANE SDC $
2. SDC CREDTT ([ appticabte] SDCaayor must fumlsh proof of
Willamalane Credit approvat. See SOC Credit Wotkshoot. $
3. TOTAL WILLAMALANE NET SDC ASSESSED
t000.oo
tl
l0 0D,o()
City of Spri ngfield
Department Date
0
ORF,GONCITY OF SPR
225 FIFTE STREET
SPRINGFIELD ,OREGON 9747
INSPECTION REQIIEST. 726-376
OBFICE: 726-3759
1 ON
SPRINGFIELO
ELEGTRTCAL PBRUIT APPLICATION
Ci ty Job Nurnber
3. COHPI,RIE FEE SCMDULE BELOS
ch additional 500
sq. ft or portion
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
I
L000 sq.ft. or less I S 85.00JOB
Permi ts re no ans fer
if vork is not arted vi thin
of issuance or if vork is suspended for
180 days.
CONTRACTOR INSTALI..ATION ONLY
Elec cal Contractor
Address
Ci ty
Supervisor Licen ber
Expiration Date
Constr Contr
iratio
Temporary Services or Feeders
Installation, Alteration or Relocation
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
20L amps to 400 amps
-401- amps to 600 amPs
-
601 amps to 1000 amPS-
0ver 1000 amPs/volts
-
Reconnect 0n1Y
200 amps''or less I
201 amps to 400 amPs
-
BO-7oITs see ttB, a Sove-
Nev, Alteration or Extension Per Panel
gne Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
thereof
Each Hanuf'd Home- or
Hodular Dvelling
Service or Feeder
Over 401 to 600 amps
0ver 600. amps or 1000
Branch Circuits
SUBTOTAL OF ABOVE
7% State Surcharge
32 Administrative Fee
TOTAL
3 $ 1s.00
Sum%
45and expire
180 days
an
B
C
E
s s0.00
s 60.00
s100.00
$130.00
s300.00
$ 40.00
s
$
$
40.
55.
00
00
00
@Exp
Signa
Owners
Add s
D
e-
Ph"," \qlp\D*C
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0rners Signature:
DATE:
Miscellaneous ( Service/ feeder
-Each installation
Pump or irrigation
-
$
Signzoutline Lighting--l S
t imi ted Energy/Res
-
$
not included)
40.00
40.00
20.00
36.00
d)
of Supervising Electr
Da te
Number
RBCETVED
5
RECEITI ff
a
BI:
ATTACHMENT A
SYSTEMS DEVELOPMENT CHARGE WORKSHEETITY
JOURNAL OR JOB NUMBER
NAME OR COMPANY:
LOCATION:
TAX LOT NUMBER
DEVELOPMENT TYPE:
DWELLING UNITS
3421 VIRGINIA
00-00569-01
LINVILLE
t7 -02-31-34-PO3600 MP547 LOT'B'
SINGLE FAMILY RESIDENCE
BUILDING SIZE: 2290 LOT SIZE:
I. STORM DRAINAGE
IMPERVIOUS SQ. FT.3409.50 x $0.232 PER SQ. FT $791.00
2. SANITARY SEWER-CITY
NUMBER OF PFU's
(SEE REVERSE SIDE)
x $48.27 PER PFUl8 s868.86
3. TRANSPORTATION
NUMBER OF TRIPS X TRIP RATE X COST PER PM PEAK HOUR TRIP
I x l.0l x $486.73 PER TRIP
x x M86.73 PER TRIP
s491.60
$0.00
TOTAL TRANSPORTATION SDC $491.60
4. SANITARY SEWER - MWMC
A. REIMBURSEMENT COST:
NUMBER OF FEU's I
B.IMPROVEMENT COST:
NUMBER OF FEU's I
MWMC CREDIT IF APPLICABLE (SEE REVERSE)
MWMC ADMTNISTRATIVE FEE
x $242.76 PER FEU
x $22.05 PER FEU
TOTAL MWMC SDC
s242.16
$22.05
$0.00
$10.00
s214.81
$SUBTOTAL (ADD ITEMS 1,2,3, &4)
5. ADMINISTRATIVE FEES:
BASE CHARGE (SUBTOTAL ABOVE)x 0.05 $ l2l.31
9lapTu,+l;"t-041t912000 $2,547.58
SDC COORDINATOR DATE
TOTAL SDC CHARGES
PLUMBING FIXTURE UNIT (PFU) CALCULATION TABLE
NUMBER OF NEW FIXTURES x UNIT EQUTVALENT = PLUMBING FIXTURE UNITS
fNOrr: rOn ngUOnel,S.C
PLUMBING
FIXTURES UNIT FIXTURE
FIXTURE TYPE NEW OLD ALENT UNITS
BATHTUB
DRINKING FOTINTAIN
FLOOR DRAIN
INTERCEPTORS FOR GREASE/OIL/SOLIDS/ETC.
INTERCEPTORS FOR SAND/AUTO WASH/ETC.
LAUNDRY TUB/CLOTHESWASHERA4OP SINK
CLOTHESWASHER - 3 OR MORE
MOBILE HOME PARK TRAP (I PER TRAILER)
RECEPTOR FOR REFRIGERATOR/WATER STATION/ETC.
RECEPTOR FOR COMMERCIAL SINK/ DISHWASHER/ETC.
SHOWER, SINGLE STALL
SHOWER, GANG (NUMBER OF HEADS)
SINK: BAR, COMMERCIAL, RESIDENTIAL KITCHEN
URINAL, STALL/WALL
WASH BASIN/LAVATORY, SINGLE OR DOUBLE
TOILET, PUBLIC INSTALLATION
TOILET, PRIVATE INSTALLATION
MISCELLANEOUS:
0
0
0
TOTAL PLUMBTNG FIXTURE LTNITS:18
CREDIT CALCULATION TABLE: BASED ON ASSESSED VALUE
IF IMPROVEMENTS OCCURRED AFTER ANNEXATION DATE IN TABLE, CALCULATE CREDITS SEPARATEL
2
I
2
3
6
2
6
6
I
J
2
I
2
2
I
6
4
0
0
0
0
2
0
0
0
0
0
0
2
0
2
0
8
YEAR
ANNEXED
RATE PER $I,OOO
ASSESSED VALUE
YEAR
ANNEXED
RATE PER $I,OOO
ASSESSED VALUE
$4.47
$ 4.38
$4.32
$ 4.20
$ 4.03
$ 3.88
$ 3.68
$ 3.38
$ 3.03
s2.62
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
$ 2.18
$ l.7s
$ 1.35
$ l.17
$ 1.03
$ 0.86
$ 0.71
$ 0.57
$ 0.39
$ 0.18
1979 or before
1980
l98l
1982
1983
1984
1985
1986
1987
1988
CREDIT FOR PARCEL OR LAND ONLY IF APPLICABLE-
IMPROVEMENT (IF AFTER ANNEXATION DATE)
$0.00
$0.00
$0.00
x
x
CREDIT TOTAL
42
1
I
2
CITY OF SPR'NGFIELD, OREGON'
SPR!NGFIELC'
D EV E LOP MENT S ER VIC ES DE PARTM E NT
CTTY OF SPRINGFTELD
COMMI.JNTTY SERVICES DTVISIOI'I
BUILDING SAFETY
AUTHORTZATION TO PROCEED AGREEMENT
THIS AGREEHENT is entered into this 2 day
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-s7ss
FAX (541) 726-s68e
fuc?betveen the City of Springfhereinafter calIed. City, anthe Applicant.
I
of
rpo ono e tate-oI
by and
0regon,
,, hereinafter called
ervices Building
developmen t
Springfield,
e County
t
VHEREAS, the applicant has apDivision for issuance of cert
to the City Community Splied
improvements to be l-ocated at
ion permi or
0regon or vithin the City,s UrAssessor's Hap and Tax Lot number
VHEREAS, -the applicant has asked the City to authorize the Applicant roimroediately commence development- improvements vithout " "orpi"ted plan reviev orsubsequent approval as required_by the springfield Building's"iuiv'coJ"-- --
.Administrative Code section 303(a)
IEIRPAST-'the Applicant has submitted to the City a completed permit application,] (threel sets of'construction dravings, specifications, and other daia requiredfor the city to conplete the necessar! plan reviev or it,.-pioposed development
I
improvement.
vHEREAS, the intended development improvement is of a nature that requires noother reviev approval from other state or local agenciei .nJ i" u*",npt from thecriteria established by the Building Safety Divisfon, "it."i,"a as Exhibit A of
VHEREAS, the city has not revieved or approved the submitted materiars for thedevelopment improvement, the city is thllefoie unable to confirm at this timevhether
- the permit appricatic.-: submitted vilL be approv.a, -"ra vhether therequired construction permits can be issued.
UHEREAS, the.Epprican! h": requested ttrlr city to provide expedited authorizationto proceed vith-certain phases of constructi6n prior to th;'compretion of theCity's reviev of the permit application. ---- - r'rL L\
SH.EREAS,.the gity's fee for the administrative services rendered in,providingexpedited authorization is S15O.OO.
NO\J'.THEREFoRE, in consideration of the foregoing recitars and of the mutualpromises contained herein, the city authorizEs immediate commencement of thedevelopment improvemenr specified in rh; il;;it application subject to thefolloving terms and conditions:
ona rea;c
,a
Authorization to Proceed Agreement
Page 2.
1 City agrees that the A pplicant may immediately commence vith the
development improvemen ts set forth in the permit application. City'sauthorization to pro ceed is conditioned hovever, upon Applicant,s agreementthat the project vi1 I be constructed as set forth in the attached submitteddravings and s
comply vi th aI
peI applicable lavs and ordinances. Applicant,s inrnediate
cifieations, except as may be modified by City, and vill
commencenent of construction is at Ii cant's ovn risk. The Ci ffies no
assurErnce t t or construc on ts aorrequconstrucpetsssu
2- City agrees to reviev Applicant's. permit application in the normal revievprocess and to thereafter:
a) issue Appricant the appropriate construction permits; er
b) advise Applicant of deficiencies in the proposed construction vhichmust be renedied before permits can be issuld; or
c).advise_Applicant of any statutes, ordinances or code provisions vithvhich Applicant must comply vith before City can issue tire permit.
3..Applicant agrees that if City finds Applicant,s permit application andsubmitted naterials_inadequate or deficiiirt in any roanner iirttuaing.but notIinited- to' the application or the proposed const;uction do not coilily vithall applicable statutes, ordinances or code provislons, Applicant vifiexpeditiously_cure the deficlencies so that the City nay iisue the requiredpernits- Should Applicant fail to expeditlously coriect- subnitted naterials,or should correc_tion,prove iupossiblL, City may in itrs discretion, take anyor all of the .folloving actions:
a) stop all further construction of the project in the manner prescribed
il !!. Springfield Building Safety code Administrative Code (BicAc),
sEcTroN 201 (d)
b) order disconnection of serving utilities in a manner as prescribed inBSCAC, SECTIoN 201 (f)
c) issue a NOTfCE ii') O?.DEB, for removal of alL such vcrll. in a nanner as
PTCSCTibCd iN BSCAC, SECTION 204. ABATEHENT OF UNSAFE, SUBSTAI.IDARD OR
DAI{GEROUS BUILDTNGS' SIRUCTTRES OR BUTLDING SERVTCE EQUIPMENT. Uponreceipt of such notice, Applicant shall immediately remove the vorkspecified in the Notice and Order
4- Appricant agrees, if the issuance of the permit is denied: r
a) to remove, ?t.the Appricant's sore cost and expense, ar1 completedconstruction or improvements; and
b) to restore the site or structure to it's pre-agreement condition andfree of all hazards
t
Authorization to Proceed Agreement
Page 3.
5. Applicant agr
construction vi1
by the City,s Bu
ees
1n
1
that until Applicant,s permit application is approved,ot to proceed beyond the point of authorization approveding 0fficiaI. Applicant,s point of Authorization ii
6. Applicant agrees thaaccessible and exposed0fficial nor City shall
replacement of any nate
7' Applicant agrees that_any or all'deficiencies identified during thenecessary inspections vi11.Le prorptly remedied, at Applic"nii" sole costand expense before.proceeding iith:an! il;ih;; construttion. Appricant a1-soagrees that these inspectioni do not ieplace the required p:.."'i"ni;;-r;;-;"they impry any approvlr of the submitted maieii.t=.
B' Applicant agrees that no vork shalI be done on "rry'part of the buildingor structure beyon9 !h" point indicated in each succlsii,ve inspectionvithout first oLtaining if," "pproval of tt,"-guifaing official. such approvalshall.be given only afie..n it"pection has been made of each successivestep in the construction as indicated on it"-"it""r,ed Exhibit B.
10' Applicant agregs-!o defend, indemnify_?nl lrold City harmless from anyand arr costs (incrudins attorney rees),'ri"uiiiay;; e;;;;; of any kind ornature vhatsoever, for personal injury'inJ frop"rty damage arising ?ro, ir,"-Applicant's early comnencenent of ionltruction "na the vork undertaken orcompleted
11' The terms of this Agreenent shalI extend to and be binding upon theparties hereto and ti,eii heirs, successors and assigns. -'
L2- rf any suit, action or other proceeding, or an appear therefrom, isinstituted to obtain, estabrish,. lnfoi;;; ;; Iompet any right or obligationresulting from this Agreement, t!" pi.".iriig-p"rty shall be entitled torecover from the adverse party, in iaaition io'costs and disbursements, such::i:ii:ilil :i1:.::r'?:"::i'ts'' uottr i;i;i-"ni-"pp"11aa;; ;;t-i;4;;
! "11 vork performed under this agreement sha1l befor inspection purposes and that neither the Buildingbe liabIe for the expense entailed in the removal oirial necessary to a1lov inspection.
\
Authorization to Proceed Agreement
Page 4
BEFORE S IGNING TIIIS AGREEMENT'PI,EASE READ AND UNDERSTAND TUE
MEANING OF EACH PARAGRAPE OF TIII S AGREEI.TENT.IT AFFECTS YOUR
I}[fERESTS IN THE PROPERTY AND, IN TEE EVENT OF.DEFAI,LT, TT PI,ACES
YOU PERSONALL Y AT RISK AND TIIE SUBJEC1T PROPERTY AT RISK OF
FORECI,OSURE F OR COSTS AND EXPENS ES INCURRED BY TIIE CITY IN
ENFORCING trIIE TERMS OF TEIS AGREEMENT.IN TIIE EVENT TEAT YOU DO
NOT I'NDERSTAND ANY TERI.{S OR CONDITIONS OF TIIIS AGREEUENT'PI,EASE
SEEK ANY LEGAL OR OUTS IDE OPINIONS YOU
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/CITY h,€1*-
City of SPringfield
Business NBy
Building official Addre
CC Registration #
I,AND/PROPERTY OWNER (SI
rl WE EAVE RE:AD AIIE ABOVE AUTEORIZA ,TION TO PROCEED AGREEMENT.r/wE
T'NDERSTAND WEAT IT EXPRESSES A}ID TEE RESPONSIBI LITIES llt PITACES
UPON US AS TEE I,NID/OWNERS AGREE TO BE BOI'ND BY AI,I'
TERMS A}ID
Name
Address
VALIDATION:
CITY JOB
RECEIPT NUMB
THE
t<
I
DATE PAID
AI-IOLNT RECEIVED
RECEIVED B
(
UAY DESIRE.
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ErHrBfT A
Purpose
The Purpose of this agreement is to allov'certain development improvements tooccur prior to obtaining plan reviev approval from the Springfield CommunityServices Division.
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The u:
dvell
minor
bui ld
s truc
resis
se of this agreement sharl be limited to certain one and tvo-familyings not complex in nature as determined by the Building 0fficial indalterations or modifications to existing commercial and industrialings vhich are of a non-structural"type and do not adversely affect anytural member of the building or any part of the building having firetant construction.
One and tvo-family dvelling plans for structures that are complex in nature thathave been prepared by an Oregon licensed architect or engipeei and accompanied.by a letter of reviev prepared by said architect or engineLr, stating th;t thesubmitted material is in compliance vith the One and tvo-family Dvellingspeciarty code, may be considered eligibre for this agreement.
The folloving itens include but are not liruited to certain conditions ofdevelopment identified as ineligible for this agreenent:
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 vithin flood hazard areas;
e) development located vithin vetland areas;
f) pole buildings or other such type of structure that is not of conventionalconstruction.
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EXHIBlT B
Required Iaspections
To request an inspection, you must call 725-3759. This is a 24 hour recording.
AII inspectlonE requested before ?:OO a.m. will be made the same working day,
fnspections reguested after 7:00 a.m. will be made the following work day.
JZ TeEporary Electric
Site - To be made after excavation, but prior to setting forms
Footiog - After trenches are exgavated
Foundation - After forms are erected but prior to concrete placemeht
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Uaderfloor Plunbl-ug - Prlor to fllIing trench
Uaderfloor Mechaal.cal - Prior to lnsulation or deckS.ng
Post & Bean - Prlbr to floor lnsulation or deckJ-ng
Underfloor fnsulatiou - PrLor to decking
Sauitary Sewer - Prior to filting trench
Stora sewer - Prior to filling trench
Water Line - Prior to filling trench
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