HomeMy WebLinkAboutPermit Building 1998-04-09ATT OF SPruNGFIELD,
EP;IITCFIELE,
,h,
RESIDENTIAT PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMI'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
'Job Nrurber: 980224
225 North Fifth Street
Springfleld, OR 97477
LocaEion of Proposed Work: 1480 WALNUT RD
Assessors tutap #: 17033423
Lot: 25 Block:
office:
Inspection Line:
726 -37 59
726 -31 59
Tax Lot #:
Subdi-vision:
01000
RIVERTRAILS
Ol^rner: LNiINY EITFRING
Address: 665 EAST 36TH AVENUE
Describe Work: S.F. RESIDENCE
Phone #: 585-0890
ci-rylstate/zip: EUGENE, OREGON 974O5
NEW
General:
Plumbing:
Mechanical
El-ectricaf
QUAD AREA: 1RNW
# OF UNITS: 1
CONSTR. TYPE: VN
SECONDARY HEAT: FP
INSUL PATH: P1
Contractor
OWNER
PRECISION PLUMB 0103897
MARSHALLS OO2579O
4110 OLYMPTC ST SPRINGFIELD OR 9747
Const.
ContracEor #
35
SHALT
OR\S
AY PER\OD'
ot/oe/e8
L2/23/e8
324-236l-
ANTONE
2751.4 SNYDER RD ,.]UNCTI
747 -7 445
$ORn
\SN66e -4444
FOB
OFFICE US
LAND USE
ZONING
#oF BDRMflNY41
WATER HEATER: E
SQ FOOTAGE: 4048
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
RANGE: E
To requests an inspecEion, call t.he 24 hour recording at 726-3769.
A11 inspectj-ons requested before
inspections requested after 7:00
a.m. will be made the same working day,
will be made the following work day.
7:00
a.m.
--- REQUTRED TNSPECTIONS ---
TEMPOR.ARY POWER
FOOTING - After trenches are excavated.
FOTNDATION - After forms are erected but prior to concrete placement
POST AND BEA.I{ - Prior to fl-oor insulation or decking.
ITNDERFLOOR MECHAI{ICAL - Prior to insulation or decking.
ITNDERFLOOR PLITIIBING - Prior to insulation or decking.
STORM SEVIER LINE - Prior to filling trench.
SANITARY SEWER tINE - Prior to filling trench.
WATER LINE - Prior to filLing trench.
INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover
ROUGH MECHANICAL - Prior Lo cover.
ROUGH PLI,}TBING - Prior Io cover.
ROUGH ELECTRICAI, - Prior to cover.
ELECTRICAL SERVICE - Must be approved to obtain permanent power.
FRAMING - Prior to cover.
SHEAR WALL NAfIJING - Before covering sheathing with finish materials
INSULATION - Fl-oor,. prior to decking Wall/Ceiling; prior Lo cover
DRYWALL - Pri-or to taping.
CURBCUT - After forms are erected but. prior to pJ_acement of concrete
SfDEWAIJK - After excavation is complete, forms and sub-base material
in p1ace.
Expires Phone
SPFTNGFIELD
Job Number: 980224
ATT OF SPruIVGFTEI.O,
Page 2
FINAL PLITMBfNG - When all plumbing work is complete.
FINAT MECHANICAL - When all mechanical work is complete.
FINAL ELECTRICAL - When al-f electrj-caI work is complete.
FINAL BUILDING - When all required inspections have been approwed and
the building is complete.
Lot Faces: S
Setbk From NPL: 33
House
Garage
Lot Sq. Ft.: 7303
Solar Approved: Y
Total- Height: 28
Lot Type: CORNER
N
10
Setbacks
SW
10
18
E
l4
Item
Main
Garage
Total Value
Building Permit Fee
Surcharge/admin
TOTAL FEE
--- BUILDING PERMIT ---
Square Feet x
27 80
970
$/Square Feet
64.66
L6 .27
(A)
Value
L79,755.0O
L5 ,782 . OO
195,537.00
649 . OO
5t .92
7 00 .92
PLI'MBING PERMTT ---
Item
Resident.ial Bath (s)
Plumbing Permit
Surcharge/admin
TOTAT CHARGE
3
Fee
1,92 .50
L92
15
50
4L
(c)207.91
--- MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
Wood Stove / TnserL /Fireplace Unit
Dryer Vent
Mechanical Permit
Issuance
Surcharge/admin
TOTAL PERMIT
5
6
4
15
15
3
00
50
00
00
43.50
10.00
3 .49
(D)55.99
--- MISCELLAIiIEOUS PERMITS
Surcharge/admin
Sidewalk
Curb Cut
SPLFD S/D/C'S
Wf LLAIVI,\LANE S /D / C' S
ELECTRICAL PERMIT
TOTAL MISCEI,I,ANEOUS PERMITS
0.00
34 .90
15.40
2 ,899 .20
1,000.00
199.80
(E)4,L49.30
(Excluding Electsrical)
unless otherwise noted
--- TOTAI. A.ITOT'NT DUE ---
(A, B, C, D, and E combined)5,1L5. L2
gPFtNGF!ELD
Job Number: 980224
ATTOF
Page 3
BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT
This permit is granted on the express condj-tion that the said construction
sha11, in all respects, conform to the Ordinance adopted by the City of
Spri-ngfie1d, including the DevefopmenL Code, regulating the construction and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Plan Check Fee: 418.93 Date
Received By: DAVE PUENT
Plans Reviewed By: BOB BARNHART
Buildi-ng Sit.e Reviewed By: LfSA HOPPER
Paj-d: 02 /23 / 98
Date: 03/3L/98
Receipt Number: 28884
DRIVEWAY REQUIRED TO BE
6 STREET TREES REQUIRED
--- ADDITTONAL COMMENTS
PAVED
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all information hereon
is true and correct, and I further certify that any and atl 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 descri-bed herein,
and that NO OCCUPANCY will be made of any structure without permission of the
Community Services Division, Building Safety. I further certify that onlycontractors and employees who are in compliance with ORS 701.055 will be
used on thi-s project.
I further agree Lo ensure that all required inspections are requested at theproper time, that each address is readable from t.he street, t.hat the permit
card is located at the front of the property, and the approved set of plans
will remain on the site at fl times during construction
ure te
Receipt Number:
Date Paid:
Amount Received:
Received By:
--- VALTDATION
3c1
4-n-" t
/2-
CITY OF OFEGO'V
SPRIiIGFIELC'
The following proiectas submitted haszoning, and does specific
r
the followlng
tand use ELECIRICAL PBRHIT225 FIFTE STREET approval
SPRTNGFTELJ, oREGoN 974
72
n law requl re$ you tc
n
n Center rule
Pergsbsstre
t85
r for the Oreg on Utility Notif ication
2
INSPECTION REQUBST_:orrrcg, 726-3759Date
Authorized Sionature1. LOCATION OP INSTALLATTON
Ci ty Job Nunber
3.FEE SCEEDI'LE BBLOS
A. Nev Residential-Single or
MuIti-Family per dwelling unit.
Service Included:Items Cost
B. Services or Feeders
Installation, Alterations
or Relocation:
D.
Sum
Peif
1000 sq.ft. or less $ 85.00
Each additlonal 500
sq. ft or portion
thereof 't $ 15.00'1'
Each Manuf'd Home- or T
Modular Dvelling
Service or Feeder . $ 40.00ofi
180
Address
<7?e5
City r?rt 6t?rr7/t,' Phone 7n +ao Q
Supe rvisor License Number DtgeC{-
Expiration Date /o-
constr contr. Nunbet ,too?G /t
Expiration Date G -@A
S ture of sing Electrician
rs Name Fr< c
Address /?7o /fa C'/'k u+
Ci ry )ff/r arC;, a 4 oa .Phone 7y /: f72c1
OIINER INSTALT,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0vners Signature:
DATE:
c.
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/Out1ine Lighting-
Limi ted EnergY/Res //
Limited EnergY/Comm
20.oo
SUBTOTAL OF ABOVE
5% State Surcharge
3Z Administrative Fee
TOTAL
61)
200 amps or less
201 amps to 400 amps
-
401 amps to 600 amps _
601 amps to 1000 amps-
Over 1000 amps/volts
Reconnect Only
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 fbOO voTTs see uBu a666
Branch Circui ts . .-
Nev, Alteration or Extension Per Pane1
00
00
00
00
00
00
100
130
300
40
S
s
s
$
$
$
50.
60.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5q
RECEIVED :l'ue
/qr
Electrical Contrac rc, (ar,*Z C*r,rr,
7
////rc
IJGAL DESCKTPTION
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
I^/ORKSHEET
NAME OR COMPANY LaxuY Et / M(g
LOCATION I 4 ?,o 1,)a L Nd7
DEVELOPI'4ENi TYPT
BUILDING SIZE OI SIZ Ft
1. SIORM DRAI|IAGI
IMPERVIOUS SO Fr 3. e+q x $0.225 PER SQ. tT. S 2Z+,a7
2. SANITARY SEIER-CITY
NC. OF PFU'S L{x 5.i6.86 PER PFU s )t t7l ,5p
(See Reverse Side)
3. IRANSPORI-ATiCN
NO OF UNITS X IRIP RATE X COST PER TRIP
X l,o x $472.49 L+77,21
x _ x $472.49
X x $472.49 $
4 . SAN iTARY SEiiECi-MbJMC
oot5
N0. 0F FftrT / X z77,z6PER FEU + $10 l\4Wl4C/ADl'1 tEE $ ^87,-
Mt^ll',lc CREDIT IF APPLICABLE (SEI REVERSE)$
TOTAL-MI^JMC SDC $
SUBTOTAL (ADD ITEMS 1,2.3 & 4)s27 at ,
5. ADt"liNISTRATIVT FEES
BASE CHARGE (SUBIOIAL ABOVE) X .05 s 138, o6
q
SDC Coordi nator
Date:7-t
TOrAL SDC $ z, E ?? , zo
1:
,qZ
FIA I Uf{tr UlVl t UALUULA I lUlV I At Ltr: Number of New Fixtures X Unat Equivatent = Fixture Units
(NOTE: Forlemodeli, calculate onl' \e NET additional fixtures)
FrxruRE rypE ilH'X?ilro.frr, - eoU,VI..*r I,',X,}:*'
4-z-Bathtub......
Drinking Fountain.....
Floor Drain..................
lnrerceptors For Grease/Oil/So1idsiEtc.................
lnterceptors For Sand/Auto Wash1Etc..................
Laundry Tub/Clotheswasher......
Clotheswasher - 3 Or More....
Mobile Home Park Trap (1 Per Trailer).
Receptor For Refrigerator/Water Station/Etc........
Receptor For Commercial Sink,'Dishwasher/Etc..
Shower, Single Sta11..........
Shower, Gan9.........
Sink: Bar, Commercial. Residerrtial Kitchen...........
Urinal, Stall/Wall...
Wash BasiniLavatory, Single...
Toiiet, Pubiic lnstallation.
2
aI
2
3
6
2
6
6
I
3
2
i iHead
2
2
'l
6
4
L
-a
Toiler, Private..............3 l2-
Miscellaneous
TOTAL F|XTURE UNITS z_{
CREDIT CALCULATION TABLE: Based on assessed value. lf improvements occurred after annexation date in rable,
calculate credits s rate s
x $_
(Rate X Assessed Value)
XS
(Rate X Assessed Value)
s
v
Credit for Parcel or Land Only lf Applicable
lmprovement (if after annexation date)
CREDIT TOTAL
Year
Annexed
Rate per $1,COO
Assessed Value
Year
Annexed
Rate per $1,OOO
Assessed Value
1 987
1 988
1 989
1 990
1 991
1992
1 993
1 994
1 995
1 996
s2.56
2.17
1.73
1.31
o.92
o.74
o.61
0.45
o.31
o.1 7
1 979 or before
1 980
1 981
1 982
1 983
1 984
1 985
1 986
$3.97
3.89
3.83
3.70
4trtr
3.39
3.20
2.91
RUNOFF COEFFICIENTS FOR STORM DRAINAGE
(For Estimating Purposes Only)
Fesioeniiai...:..
Commerical.....
lndustrial.......
Governmental
0.4
o.9
o5
o.5
IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT
'z-
Job. No.q
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:PHONE:
ADDRESS:
LOCATION OF PROPOSED BUILDING SITE:
Street Address:
Plat Name:Tax Lot Number:
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
Willamalane
Park & Recreation District
A. Single-Family Detached
--l- Single Family home
NO. OF UNITS X $1,000 per unit = $0
B. Single-Family Attached
NO. OF UNITS X $924 per unit = $
C. Multi-Family Apartment
NO. OF UNITS X $692 per unit
D. Manufactured Home Park
NO. OF UNITS X $699 per unit
WILLAMALANE SDC
2. SDC CREDIT (if applicable) SDC-payer must fumish proof of
Wllamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
)-+
\
Manufactured home not i
$
$
^ffib
@
$
$
$
d
N)
(if SDC reduced for I
-!L-r E,ADai6-pment
SpringCity of fie
Department
srArE: 9f1- -,r'
I
CITY OF OREGO'V
!iPF. -rIELCI
€..,.i..', rl.
$.llOt f6i4rrrrr r,,,,,.rs t{{lU ;$e
L
ZZ5 F,,,,E STREET Aurhorued
SPRTNGFTEU), OREGON 97477
INSPECTION REQIIEST: 726-3769
OFPICE: 726-3759
Signature
1 ALLATI
ON o
s are non-transferable and expire
if vo rk is not started vithin 180 daYs
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALI,ATION ONLY
Electrical Contractor
Address
Ci ty Phone
EIACTRICAL PERHIT
Job Nu.nber
COHPT,BTE PEE SCEEDTILE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
3
A
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home- or
Modular Dvelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
C
200 amps or less
201 amps to 400 amps
-40L amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0n1y
Temporary Services or Feeders
Installation, Alteration or Relocation
Supervisor License Number 'r S
Expiration Date / A* ?
Constr Contr. Number^/-/,f tr C-
Exp iration DatealO -77
Signa ure of Supervising Electrician
0vn s Name
Address
-l- $ Bs.oo
$ 1s.00
$ 40.00
SumK
1,05
200 amps"or less
201 amps to 400 amps _0ver 401 to 600 amps
over 600 amps or fbOO voTis
s s0.00
s 60.00
s100.00
$130.00
$300.00
s 40.00
40.00
55.00
80.00
$
$
$
s ee trBil aEF
-- -v
onNER rilsrar.mrroN
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
Ci fi(tUl\Q-'pnon" [a8
DATE:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
f
-Each installation
Pump or irrigation
Sign/Out1ine Lighting
Limited Energy/Res
-Limited Energy/Comm
s 40.00
s 40.00
$ 20.00
$ 36.00
\ BS.*SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTALRECEIVED
5
APPIJCATIONqRMII
L
CITY OF SPRINGFIELD, OREGON
D EVELOP MENT S ERVIC ES DE PARTMENT 225 FIFTH STREET
SPRINGFIELD, OR 97477
(s41) 726-s7ss
FAX (s41) 726-368s
\\LL+
, tAg by and
tate-6-f oregon,
THfS AGREEMENT is entered into this
eId a
SPFlINGFIELD
CTTY OF SPRINGFTELD
COHMT'NITY SERVTCES DTVISION
BUILDING SAFETY
AUTHORTZATTON TO PROCEED AGREEMENT
yof
rat ono ebetveen the City of Springfihereinafter called. City, indthe Applicant.
IJHEREAS, the applicant has aDivision for issuance of cer
pplied to the Ci ty Community Services Buildi ng
inp rovements to be located at
tain c t ction ts for de velopmen t
0regon or vithin the City,s Ur
Springfield,
Ass essor's Hap and Tax Lot number
c ona County
VIIEREAS the applicant has asked the Ci ty to authori ze the Applicant to,
,, hereinafter called
vide expedited authorizationto the completion of the
immediately comnence de velopmen t improvenents vithou t a completed plan reviev orsubsequentapprov'aI as required by the Springfield Building Safe ty code. Adninis trat 1Ve Code section 303(a)
Y.E9RPAST-the Applicant has submitted to the city a completed permit application,3 (three) sets of 'coirstruction dravings,_;;.;iii""qi"il,-iii ltr,., data requlredf::_ll:_:itv to complete the neces"ari ir"iirievrew-;i ih";roios"a deveropment].mprovement.
development improvement is of a nature that requires nofrom other state or locaI agencies and is "xempt from theby the Building safety Division, attached as nxiribit A of
SHEREAS, the intendbd
other reviev approvalcriteria establishedthis Agreement.
IIHEREAS, the city has not revieved or approved the submitted materials for thedevelopment improvement, the city is thiiefore unable to confirm at this timevhether-the permit appricatic:: slbritt.a "iii-be apfio".a,-"ra whether the5equired construction permits can be issued.
IIH.EREAS, the.applicant has requested tht: city to .proto proceed vith-certain phases of constrr.ii6n priotCity's reviev of the permit application.
IJHIREAS, the city's fee for the administrative services rendered in providingexpedited authorization is S150.00.
No\J,.THEREFORE, in consideration of the foregoing recitals and of the mutual-promises contained hereinr the city authorizEi immediate commencement of thedevelopment improvement speeifie; i"-;;;-;;ilt apprication subject to thefolloving terms and condiiiorr.,
,
Authorization to proceed Agreement
Page 2.
1 City agrees that the A pplicant may immediately commence vith thedevelopment i mprovements set forth in the permit a pplication. City's
au thorizat ion to proceed is conditioned hovever , upon Applicant's agreementthat the proj ect viII be constructed as set fo rth in the attached submitteddravings and specifications , except as may be modified by City, and viIIcomply vith all applicable Iavs and ordinances.connencenent of construction is at cantts noassurancet or constnrct on ts vil1TE rovedortsterssu
2. City agrees to reviev Applicant's. permit application in the normal revievprocess and to thereafter:
a) issue Applicant the appropriate construction pernits; g
b) advise Applicant of deficiencies in the proposed construction vhichmust be renedied before permits can be issuid;'or
c).advise-{nnlicant of any statutes, ordinances or code provisions vithvhich Applicant nust comply vith beiore City can issue tir"-p"iriil
3.. Applicant agrees that if City finds Applicant,s pernit applicatlon andsubmitted naterials_inadequate 6r deficfiirt in any Eanner including.Uut notlluited- to' the applicatlon or the proposed construction do not coiilt "iihall applicable statutes, ordlnances or code provislons, appfr."r,i-;ili ---'
expedltlogllv_cure the deflclencles so that the ctty niy i;il" the i-turredperuLts- Should Appllcant fall to expedltlously "orl".i'"uurrtt.a:naidiiais,or should correc-t_1on-prove lnpossibll, ctty uay ln itts ais"i"tlon, taie anyor all of the folloving actions:
a) stop all further construction of the project in the manner prescribed.
il_!!g springfield Building Safety code idninistrative code (gicac),
sEcTroN 201 (d)
b) order disconnection of serving utilities in a'manner as prescribed inBSCAC, SECTToN 201 (f)
c) issue a NOTfCE .lj') OADER for renoval of alL such r.o::!: in a manner asprescribed in BSCAC, sECTroN 204. ABATEHEIST OF LiNSAFE, SUBSTATIDARD OR
DAI{GEROUS BUILDfNGS, STRUCTURES OR BUILDfNG SERT,,"ICE EQUIPUEM. 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:
a) to remover 3t-the Applicant's sole cost and expense, aII completedconstruction or improvementsl and
b) to restore the site or structure to it's pre-agreement condition andfree of all hazards
construc
Authorization to proceed Agreement
Page 3.
5. Applicant agrees that until Applican t's permit applicatiori is a pproved,construction vi1l not to proceed beyond the point of authorization approvedby the City,s Bui 0ffi ial.Ap cant'-s Point of Authorization ts
6. Applicant agree that a1I performed und eraccessible and expo for ction purposes andinspe
Iiabl0fficial nor Ci ty shall be e for the expensereplacement of any material ne cessary to allov ins
this agreement shall bethat neither the Building
entailed in the removal or
Pection.
7' Applicant agre:s that_any or all'deficiencies identified during thenecessary inspections vi11 be promptly renedied, at apfiicani,s sole cosrand expense before.proceeding yith:any il;ih;; construltion. Appricant arsoagrees that these inspectioni do not ieplace the ;;q;i;;d-fr""'I"ui;;-";;-;"they inply any approvar of the submitt"i r"t"riars.
8' Applicant agrees that no vork-shall be done. on any part of the buildingor structure beyonl !h" point indicated in each "u""l"iire inspectionvithout first obtaining the approval of tr,e-guirdi"g-oiii"i"i. such approvalshall.be given only after an inspection tas been made of each successivestep in the construction as indiiated on ttr. "ii""tr.J g*hibii g.
9' Notvithstandinq *y other provisions-of this Agreenent, this Agreenentsharl terninate upon issuance of. a buiiaing-peinii-;;-ihii.i--tso)-e;t;-i;o,the. date of thls Agreene{rt, vhichev.= iii"i 6."ur". appii-#t understandsthat all vork on the project shall rrneaiai"iy ""*" i'ithout any notlce fronthe citv if this- agreinent teruinate" ili;;;-i uriiar"e-i"riii is tssued.This agreement shall terainate ou ,
10' Applicant agregs-!o defend, indennify_anq hold City harmless from inyand arr costs (incrudins attorney fees),'ri"uiiiit;;-e;;;;; of any kini ornature vhatsoever, for personal inJury'and.. p.ope.iy aamage"aiising iro, it"-Applicant's early connencenent of lonitruction'and-the v6rk undertaken orcompleted
11' The terms of this Agreement sha1l 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,- Lnforce, Ir compel lirv rigtri or.obiigationresulting from this Agreement, the pr"r"iling paity strltt 5e entitled torecover from the adverse party' in iaaition io-costs and disbursements,.suchadditional sums as the courts, both trial and-appeil_ate, *ry-juag.reasonable attorney fees.
Authorization to Proceed Agreement
Page 4
BEFoRE SIGNING TIIIS AGREEMENT, PI,EASE READ AND UNDERSTAND THE
UEANINc OF EA.II PARAGRAPn oF THIS eenesieNr' IT AFFECTS yOUR
TNTERE'E' rN TIIE pRopERTy ANt, rN THE PveNr oF. DErAur'T' IT Pr'AcES
YOU PERSONAI,I,Y Af RISK ANO. ITTS SUBJE;T PROPERTY AT RISK OF
FORECLOST'RE rOR COS1TS A}6
_
EXPENSES- TNCUNNSO BY TEE CITY IN
ENF.R.ING THE TERus o,. TEI; AGd,EEMENT. IN TEE EVENT TEAT YOU DO
NoT I,NDERSTAND ANY TERMS oR coNDITIoNs or TEIS AGREEUENT, PI,EASE
SEEKA}IYLEGALoRoUTSIDEoPINIoNsYoUI'IAYDESIRE.
CITY
city of SPringfield
APPLICANT
Contracto
By Business
ilding official
CC Registration #
LAND/PROPERTY OWNER (S I
r/IYE EevE RE:AD ![EE ABOVE AI':TEORIZAtrION rO PROCEED AGREEI(ENI .tlltg
UNDERSTAIID TEE RESPOIISIBIITMIES I:t Pf,,ACES
I /wE AGREE TO BE BOLIID BY AI,I,
UPON US AS
TERMS AIID OF TEE
Name
Addres
VALIDATION:
CITY JOB #
RECEIPT NUMB
DATE PAID
A}4OUNT RECEIV
I
E
I
0
oc)
RECEIVED BY
ED
Address
OWNERS a
ErHrBrT A
Purpose
. The purpose of this agreement is to alrov'certain development ioccur prior to obtaining plan reviev approval from the SpringfiServices Division
mprovements toeld Communi ty
Scooe
The use of this agreement shall be limited to certain one and tvo-familydvellings not conplex in nature as deternined by the Building official andminor alterations or nodifications to existing tommercial and industrialbuildings_vhich are of a non-structural"type Ind do not adversely affect anystructural nenber of the building or any part of the building having fireresistant construction.
one and tvo-family dvelllng plans for structures that are complex in nature thathave been prepared-by an oiegon licensed architect or engineei and accompanied.by a letter of reviev prepared by said architect or engiieer, stating thit thesubnitted material is in compliance vith the One and tio-ramily oveliingspeciarty code, nay be considered eligible for this agreenent.
The folloving iteas lnclude but are not llnited to certain conditlons ofdevelopnent identified as tneligibre for tirii agreenent:
a) developnent requiring site approval vhlch has not been obtalned;
b) ner development rocated on land vith over six-percent slope;
c) lots having expansive (clay) soil;
d) developnent 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.
a
EXHIBIT B
Required laspectioo,s
To request an lnspection, you must call 726-3769. this is a 24 hour recording.
All inspectlong requested before 7:OO a.m. will be made the same working day,
fnspectlons requested after 7:OO a.m. trill be made the following work day.
feuporary Electric
site - To be made after excavatlon, but prlor to settlng forms
Footiugr - After trenches ara ex.avated
Foundatioa - After forms are erected but prior to concrete placemeht
Uaderfloor PlunbLug - Prlor to fIIllng trench
Underftoor tlecbaal.cal - Prlor to lnsulation or decking
Post & Bean - Prlbr to floor lnsulatlon or decklng
Uaderfloor fusulation - Prior to deckl-ng
Sanitary sewer - Prtor to fl1llng trench
Storu Seerer - Prlor to fllllng trench
Water:Line - Prior to filling trench
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