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Home My WebLink AboutPermit Building 1999-08-24CITY OF SPFIltlGFIELE' RESIDENTIAL PERMIT APPLICATION CITY OF SPRINGFIELD COMMI'NITY SERVICES DIVISION BUILDING SAFETY Page 1 ilob Number: 990943 225 North Fifth Street Springfield, OR 97477 Location of Proposed lilork: 1883 1-7TH ST 1885 Assessors Map #: a7032524 Lot: Block: Office: Inspection Line: 726 - 37 59 7 26 -37 69 Tax Lot #: 05500 Subdivision: Owner: GREENRIDGE CONSTRUCT Address:. 627 COUNTRY CLUB ROAD Phone #: 554-4270 city/state/zip: EUGENE, OREGON 97401 Describe Work: DUPLEX NEW General-: Plumbing: Mechanical: Electrical: ConEractor GREENRIDGE CONS 01.05349 1911 LAKE ISLE DR EUGENE OR 974O1OO CARTE PLUMBING O1.2I387 PO BOX 42044 EUGENE OR 974040000 GREENRIDGE CONS 0106349 1911 LAKE TSLE DR EUGENE OR 974O1OO REYNOLDS ELECTR 001,7252 21.75 W 2ND AVE EUGENE OR 974O2OOOO Const. Contractor #Expiree oe/03/ee 03/24/oo oe/03/ee 02/oB/oL Phone 484-0535 607 -6945 484 - 0635 343 -7297 QUAD AREA: 2RNW # OF UNrTS: 2 CONSTR. TYPE: VN WATER HEATER: E SQ FOOTAGE: 2544 OFFICE USE - - LAND USE: 1120 ZONING CODE: MDR # OF BDRMS: 6 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: WH INSUL PATH: P1 To request an inspection, call the 24 hour recording at 726-3769 A11 inspections requested before 7:00 a.m. will- be made the same worklng day, inspections requested after 7:00 a.m. will be made the following work day. --- REQUTRED TNSPECTTONS *-- FOOTING - After trenches are excavated. FOTNDATION - After forms are erected but prior to concrete placement. TNDERFLOOR PIITMBING - Prior Lo insul-ation or decking. ITNDERFIJOOR MECHAIiIICAIJ - Prior to insul-ation or decking. POST AND BEAII - Prior to floor insulatlon or decking. INSULATION - Ffoor; prior to decking Wal-1/Ceiling; Prior to cover WATER LINE - Prior to filling trench. SANITARY SEWER tINE - Prior to fill-ing trench. STORM SEWER LINE - Prj-or to fifling trench. ITNDERFLOOR DRilIN - Prior to cover or placement of concrete. ROUGH PLI,MBING _ Prior To cover. ROUGH MECHAI{ICAL - Prior to cover. ROUGH ELECTRICAL - Pri-or to cover. ELECTRICAL SERVICE - Must be approved to obtain permanent power. SHEAR IIALL NAILING - Before covering sheathing with finish materials. FRN{ING - Prior Lo cover. INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover DRYWALL - Prior to taping. CURBCUT - After forms are erected but prior to placement of concrete. SIDEWALK - After excavation is compleLe, forms and sub-base material- in p1ace. sPiIINGFIELD Job Number: 990943 CITY OF Page 2 FINAL PLTMBING - When all plumbing work is compleLe. FINAL MECHAI{ICAL - When all- mechanical work is complete. FINAL ELECTRICAL - When all electrical work is complete. FINAL BUILDING - When all reguired inspections have been approved and the building is complete. Lot Faces: W Topography: 2 Solar Approved: Y House Garage Lot Sq. Ft.: 5969 Total Xeight: 23.5 Lot Type: INTERIOR Setbacks SWE L2 L2 t2 Lot Coverage: 28.4 % Setbk From NPL: 41 N 20 Item Main Garage BALCONY Total Val-ue Buildi-ng PermiL Fee Surcharge/admin TOTAL FEE --- BUILDING PERMIT --- Square Feee x 20l.6 s28 159 $/Sguare Feet 69 .64 18.34 15 (A) Value 140, 394 . 00 9 ,684 . OO 2,385.00 1_52 ,463 .00 7b,.o + /aFz ss2.25 4f=3 .s5,.) -4e{-i-{5 Lo7/o --- PLI'MBING PERMIT --- Item Residential BaLh (s) Plumbing Permi-t. Surcharge/admin TOTAL CHARGE 4 Fee 320.00 ^zP+ ?.60 320.00154a 32r a*ffit 352?0(c) --- MECHANICAL PERMIT --- Exhaust Hood Vent Fan Dryer Vent Mechanlcaf Permit Issuance Surcharge/admin TOTAL PERMIT 6 4.50 18.00 5.00 z?"+ ,36 28.sO 10.00 (D) .2#. ztr6 *4H?1/,t, --- MISCELIJANEOUS PERMITS --- Surcharge/admin PLAN REVIEW ADJUST. WILLAMALANE SDC CITY SDC TEMP POWER TOTAL MISCELLANEOUS PERMITS (E) 0.00 2 .92 1, 848.00 3,649 .L8 44 .00 5 ,544 .L0 (Excluding Electrical ) unlees otherwise noted --- TOTAL AMOI'NT DUE --- (a, B, C, D, and E combined)+-,-2ffi? 6 5(4,? / SPFINGF!ELD Job Number: 990943 CITY OF SPruNGFIEI^D, Page 3 --- BUII,DING VALUE, PITAN CHECK AND BUILDING PERMIT --- Plan Check Fee: 355.04 Date Pai-d: Received By: Plans Reviewed By: DON MOORE Date: Building Site Reviewed By: LISA HOPPER o7/L2/ee 08 /23 / ee Receipt Number: 34808 --- ADDITIONAI, COMMENTS --- PATH 1; SEPARATE ELECTRICAL PERMTT IS REQUIRED. DRIVEWAY REQUIRED TO BE PAVED 2 STREET TREES REQU]RED By signaEure, I sEaEe and agree, that I have carefully examined the completed application and do hereby certify that al-1 information hereon is true and correct, and f further certify that any and all- work performed shall be done in accordance wiLh the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herei-n, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Di-vision, Building Safety. I further certify that only contractors and employees who are 1n 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 readable from the street, that the permit card is l-ocated at the front of the property, and the approved set of plans wilf the site at all times during construction S j-gna Date --- VALIDATION --- Receipt Number Date Paid Amount Received Received By w%35)dt ?l This permit is granted on the express condition that the said construction sha11, in all respects, conform to Lhe Ordinance adopted by the City of Spri-ngfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provj-sions of said ordinances. o2/LL/98 Lo:22 @50," -26 3689 SPFD DEV. SER. the lollowing tand us6 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Hone. or Hodular,'Dve11ing Sertice or Feeder Seryi.ces or Feeders Ins tallation, Alterations or Relocation: 200 amps or less 201'anps to 400 amps -401 amps to 609 anps - 60tr anps to 1000 anps 0ver 1000 amps/volts Reconnect Only @ oot a+ SPFINGFIELE, EI,ECTRTCAL PEBI{IT APPIJCATTONZoning A Signature 1 JOB Pernits are non-transferableif sork is not started uithin of lssuance or if vork is suspe 180 days. pd 2. COI{TRACTOR TI.ISTAIT^ATIOII OITLI Electrical Contractor Address Jtf S l,D Ci ty I tupervisof License Number Explration Date Constr Contr. Nunber \ Expiration Date Signature of Blectrician Nane Address cir 225 YTYTE STREEf, SPBINGEIEIJT, oREcON INSPBCIrON REOTIBST: O??TCEz 726-3759 OP ty Job Xr-A", %O?4? . PEE SCEBDUIA pBtolr A. Nev nesidential-Sing1e or llulti-Family per dvelling unit. Service Included:Items Cost Sum 2 $ 8s.00 /7a.t z $ 15.00 PA $ 40.00 expire days ed for .8. e_ c Temporary Services or FeedersInstallation, Alteration or Relocation affii D, Branch Circuits Nev, Alteration or Extension Per Panel. One Circuit $ 35.00 Each Additional Circuit or vith Serviceor Feeder Permit _ $ 2.00 E. Hiscellaneous (Service/feeder not included)The installation is being property I ovn rrhiih is no for sale, lease or rent. Omers Signature: nade ont intended 200 arups'G less $ 40.00 201 aups to 400 aaps T S 55.00 over 401 to 600 auos - S 80.00 over 600 anps or rt)OO.Td[.ts see ,B' SUBTOTAL OF ABOI/EpZ state Surcharge-32 Adrainistrative Fee TOTAL $ s0.00 s 60.00 $100.@ s130.00 s300.00s 40.00 'i?=ffi -Each installation Pump or lrrlgation Sign/0u tline Ligh t iog- Limited Energy/Res Limited Energy/Conor - s 40.00 $ 40.00 $ 20.00 s 36.00 DATE: RECEI1TED CITY OFSPB,INGFIELD, OREGON 222-e4 I,EGAL DESCRIPIIOII,,^ =a ^4 df , ,rron.:4ta:W) OVNER I -q-c C 5. C'TY OFSPR OFEGO'U 225 FIFTB SIT,EET SPRINGFTEID, oREGoN 97477 INSPECTION REQITEST: 726-3769 OFFICE: 726-3759 1. LOCATION 5Frttna(iF th,l-:J I ELECTRICAL PBRHIT APPLICATION City Job Number 3. COUPT,ETB FBE SCffiDT'LE BELOS A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: r / gei OF INST/t 74 ALI.,ATIONST IJGAL DESCRTPTION2 6 JOB DESCRIPTION Permits e.re non-transferable and expire tf vork is not started vithin f80.days of issuance or if sork is suspended for 180 days. 2. COIITRACTOR INSTALI,ATION ONLI Electrical Contractor Address Ci ty Phone Supervisor License Number Expiration Date constr contr. Number Exoiration Date Signature of Supervising Electrician 0sners uane 6ZZ4frl4zC C)ztT, Address cl Yhone ff{-y'u7o OIINER INSTALT,ATION The lnstallation is being made on property I ovn vhich is not intended for sale, lease or rent. I tems Cos t s 8s.001000 sq.ft. or less Each additional 500 sq. ft or portion thereof Bach Manuf'd Bone- or Modular.'Dvelling Sertice or Feeder $ 1s.00 $ 40.00 Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps - 401 arnps to 600 amPs - 601 amfs to 1000 amps- Over 1000 amPs/volts - Reconnect OnIY TemporarY Services or Feeders fnstallaiion, Alteration or Relocation Sum .B $ s $ s $ $ 00 00 00 00 00 00 50 60 100 130 300 40 $40$ss $80 c 200 amps''or less 201 anps to 400 over 401 to 600 0ver 600 amps or SUBTOTAL OF ABOVE "lgoState Surcharge 3Z Administrative Fee TOTAL (-' amDs amDs 1000 volt s see (Bn aEove .00 .00 .00 *L D Branch Circuits New, Alteration or Extension Per Panel 0rie Circui t Each AdditionalCircuit or vith Service or Feeder Permit s 3s.00 $ 2.00 E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/OutIine Lighting- Limited EnergY/Res - Limited EnergY/Comm $ 40.00 $ 40.00 $ 20.00 s 36.00Omers DATE: 5 RECEIVED B u Y 4t,.oo' 2-,?? I ,to-#t"- JoURNAL o- 'oB No. 47o q 4s ATTACHMENT A CITY OF SPRINGFTELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY: Aauu*P.DG€ Co -<rN LOCATION DEVELOPMENT BTIILDING SZE (cr LOT SIZE SQ. Ft. Peof D/u ?tY38'< - z,f vzt, ( -- Z, tz6 " fl 1. STORM DRAINAGE stg 4ro22<U -_ a,-{€ IMPERVIOUS SQ. FT. z, j o7 X $0.232 PER SQ. FT. 2. SANiTARY SEWER-CITY NO. OF PFU'S 3 Z X $48.27 PER PFU (See Reverse Side) 3. TRANSPORTATION NO OF TINITS X TRIP RATE X COST PER PM PEAK HOTIR TRIP X t, o t X 5486.73 PER TRIP S ss+, z+ S /, <44,e+ S 4ql.E7 $ 4qt,{tr s 4 8{,rz- S 44,tr^ 4. SANITARY SEWER-MWMC A. REIMBi.IRSEMENT COST: NO. OF FEU'S Z_ X ^ -z ,.76 PER FEU B. IMPROVEMENT COST: NO. OF FEU'S "- X zz.o{PERFEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMINISTRATTVE FEE 5. ADMINISTRATTVE FEES: BASE CHARGE (St BTOTAL ABOVE) X .0s <$ - lu-,zt> $ 10.00 TOTAL-MWMC SDC +3 SUBToTAL (ADD ITEMS r,2,3 & 4) S 3/ 4 r,4l I X t.o(X 5486.73 PER TRIP p{ SDC Coordinator ATTACH'A.WPD Date: 7*t4*Q? TOTAL SDC s 3/cP.lF : t883,/88f /7nt 9z FIXTURE UNIT CALCULATION TABLE I Number of New Fi{tures X Unir Equivarent : Fixrure Units(NOTE: For remodels, calculate only th,^Ef additional fixtures) FIXTURE TYPE NUMBER OF NEW FIXTURES 1- TOTAL FIXTURE TINITS UNIT EQUIVALENT FIXTURE IINITS zp 5a' Bathrub........... Drinking Fountain.2 I 2 J 6 2 6 6 I 3 2 I 2 2 I 6 4 Floor Drain.. Interceptors For Grease/OiVSolids/Etc Interceptors For Sand/Auto Wash/Etc. Laundry Tub/C lotheswasher/lv1op S ink.................... Clotheswasher - 3 Or More............ Mobile Home Pa-rk Trap (l Per Trailer).. Receptor For Refrigerator/Water Station/Etc......,.... Receptor For Commercial S inVDishwasherEtc...... Shorver, Single Stall. Shower. Gang.. Sink: Bar, Comn:ercial, Residential Kitchen.......... - Urinal, Stall^Vall.......... Wash Basin/Lavatory, Single. Toilet, Public Installation. Toilet, Private.......... Miscellaneous: 4 /Head L t- --v- 4 CREDIT CALCULATION TABLE Based on assessed value. If improvements occurred after annexation date in table, calculatecredits Credit for Parcel or Land Only If Applicable 4 ,42 X $ ?s,zr = /ZG.2R (Rate X Assessed Value) Improvement (if after annexation date)x $_ (Rate X Assessed Value) CREDITTOTAL -$ /2G.18 Year Annexed Rate per S 1,000 Assessed Value Year Annexed Rate per $ 1,000 Assessed Value 14*z9.orlgfore 1 980 198 I 1982 r 983 1984 l 985 1986 t987 I 988 s4.47 4.38 4.32 4.20 4.03 3.88 3.68 3.38 3.03 2.62 1989 1990 t 99l 1992 I 993 1994 I 995 t996 1997 l 998 2.18 t.7 5 1.35 t.17 1.03 0.86 0.71 0.57 0.39 0.r8 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating purposes Only) Residential.., Commerical. 0.4 0.9 0.5 0.5 FIXUNIT.WPD IMPERVIOUS AREA : TOTAL LOT SIZE X RUNOFF COEFFICIENT Willamalane Park & Recreation District SYSTEM DEVELOPMENT CHARGE R EET PHONE: Job- No. STATE:ztP t NAME: ADDRESS: LOCATION OF PROPOSED BUI NG SITE: Street Address: Plat Name: {h 1. DEVELOPMENT TYPE (Check appropriate dwelting(s). SDC calcrulations and dwelling t ype definitions are on the back.) A. Single-Family Detached Single Family home Manufactured home not in a Park NO. OF UNITS X $1,000 Per unit = $ B. Single-Family Attached O NO. OF UNITS X $924 per unit = $ C. Multi-Family Aoartment NO. OF UNITS X $692 Per unit = $ D. Manrrfactured Home Park X $699 Per unit =$ $ 2. SDC CREDTT (ir appticaOte) SDC+ayer must furnish proof of Wllamalane ireOit-approral. See SOC CreAt Wortcsheet. $ 3. TOTAL WILLAMALANE NET SDC ASSESSED 00 NO. OF UNITS WILLAMALANE SDC (if SDC reduced for Tax Lot Number: @ $ a Developme City of Springfield D epartm ent Date AA-, C'TY OF OREGOA' D EV ELOP M ENT S E R VI C ES DE PARTM E NT THIS AGREEHENT is entered into betvden the City of Springfiel hereinafter called. City, and the Applicant. Division for issuance of certa improvements to be located at 0regon or vithin the City's Ur SPR ,FIELO CTTY OF SPRINGFTELD COHMI.'NTTY SERVICES DTVISIOI{ BUILDING SAFETY AUTHORIZATION TO PROCEED AGREEMENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (s4t ) 726-s753 FAX (541 ) 726-3689 thi s A6^v or JuLr/'19 ?7H";:t,C a1 or iion6F-iFe Statea I c tru an vt n Pe mi ts f t ,, hereinafter ca11ed d Pm ent pringfield, Coun ty S IIHEREAS, the applicant has applied ro the City Community Services Building ur Assessor's Hap and Tax Lot number VHEREAS, the applicant has asked the City to authorize the Applicant to imruediately commence development improvements vithout a completed plan reviev or subsequent approval as required by the Springfield Building Safety CodeAdministrative Code section 303(a) YHEREAST 'the Applicant has submitted to the City a cornpleted permit appllcation,3 (three) sets of'construction dravings, specificationi, and other daii requiredfor the City to complete the necessary plan reviev of the proposed development improvement. VHEREAST the intendbd development improvement is of a nature that requires noother reviev approval from other State or local agencies and is exempt from thecriteria established by the Building Safety Division, attached as Exhibit A ofthis Agreement. WHEREAST the City has not revieved or approved the submitted materials for the development improvement, the City is therefore unable to confirm at this timevhether the permit applicatlc: submitted vill- be approved, and vhether the Iequired construction permits can be issued. IIHEREAS, the Epplicant has requested th6 City to provide expedited authorizationto proeeed vith certain phases of construction prior to the completion of theCity's reviev of the permit application. IIHEREAS, the City's fee for the administrative services rendered in providing expedited iruthorization is S150.00. NO\J,.THEREF0RE, 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 thefolloving terms and conditions: Authorization to Proceed Agreement Page 2. 1- C_ity agrees that the Applicant may immediately commence vith thedevelopment improvements set forth in the permit apprication. city,sauthorization to proceed is conditioned hovever, upon Applicant,s agreementthat the project viII be constructed as set forth- in tirl attached iubmitteddravings and specifications, except as may be modified by city, and vill comply vith all applicable lavs and ordinances. Applicant,s ionediate conmencement of construction is at 1 cant's ovn rlsk. ThE Clty des no assur:rnce ts vilt -bE or ter 2. City agrees to reviev Applicant's. permit applicagion in the normal reviev process and to thereafter: a) issue Applicant the appropriate consrruction permits; 9I b) advise Applicant of deficiencies in the proposed construction vhich must be remedied before permits can be issued; or c) advise Applicant of any statutes, ordinances or code provisions vith 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 manner including.but not Iimited_ to, the application or the proposed construction do not comply vithall applicable statutes, ordinances or code provisions, Applicant vi}l expeditiously cure the deflciencies so that the City may issue the requiredpermits. Should Applicant fail to expeditiously correct submltted materials,or should correction prove impossible, City may in it's discretion, take anyor aII of the folloving actions: a) stop all further construction of the project in the manner prescribedin the Springfield Building Safety Code Administrative Code (BSCAC), sEcTroN 201 (d) b) order disconnection of serving utilities in a manner as prescribed in BSCAC, SECTToN 201 (f) c) issue a NOTICE ]j') OP.DER for renoval of all such ro::!: in a manner as prescribed in BSCAC, SEC-TION 204. ABATEHEI{T OF UNSAFE, SUBSTAI.IDARD 0R DAI{GEROUS BUILDfNGS, STRUCTTFGS 0R BUILDING SERVICE EQUIPHEM. Uponreceipt of such notice, Applicant shall immediately remove the vorkspecified 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 andfree of all hazards or construct construc Authorization to Proceed Agreement Page 3. 5 Applicant agree construction vi11 not toby the Ci s 1d 9. Notviths.tandi ng any other upon lssuanceshall terninate the. date of thls Agreenen the proj s that until Applicant,s permit a lication is approved,PPf0fPrfi 'oceed beyond the point ot's Point of Authorization is authorization approved 6. Applicant agrees that aII vork peraccessible and exposed for inspectionOfficial nor City shall be liable forreplacement of any Eaterial necessary purposes and that neither the Building the expense entailed in the removal orto allou inspection. 7 - Applicant agrees that any or aII'deficiencies identified during thenecessary inspections vi11 be promptly renedied, at Applicant,s s61. .o"tapd expense before proceeding vith-any further constri,ttion. Applicant alsoagrees that these inspections do not replace the required plan'reviev nor dothey imply any approval of the submittei materials. 8. Applicant agrees that no vork shaIl be done on any part of the buildingor structure beyon9 !h" point indicated in each suc.Lssire inspectionvithout first obtaining the approval of the Building 0fficial.'Such approvalshall be given only after an inspection has been made of each successivestep in the construction as indicated on the attached Exhibit n. under this agreement shall be provisions of thls Agreenent, this Agreementof a bui ldlng pernlt or thirty (30) days fromt, vhichever flrst occurs.Appllean r vlthout t understandsthat all vork on ect ihall lnnedlately cease any notice fromthe City if this Agreenent terninates be re a building pernit is lssued.This agreement shall terEinate ou 10.- Applicant agregs !o defend, indemnify and hold City harmless from anyand all costs (including attorney fees), Iiability or iar"g"s of any kini ornature vhatsoever, for personal injury and.. properiy damage-arising irom theApplicant's early commencement of ionltruction'and-the v6rk underfaken orcompleted. 11. The terms of this Agreenent shall extend to and be binding upon theparties he.reto and tiieir heirs, successors and assigns L2- rf any suit, action or other proceedingr oE an appeal therefrom, isinstituted to obtain, establish, Lnforce, 6r compel iiry right or obiigationresulting from this Agreement, the prevailing paity sniff 6e entitled torecover from the adverse party, in addition io-cosis and disbursements, suchadditional sums as the courts, both triar and apperrater mdy judgereasonable attorney fees. Authorization to Proceed Agreement Page 4 BEFoRE SIGNING THIS AGREEMENT, PI,EASE_ READ AND UNDERSTAND TIIE MEANING OF EACH PARAGRAP;--OT THIS AENTiIANNT' IT-AFFECTS YOUR rNrEREsTs rN THE pRopERTy -AN;, iN rus_ev-e-NT oT.DEFAULT' rr PLACES YOU PERSONAI,LY AT RISK iNO' TIIE SUSJTET PROPERTY AT RISK OF FORECLOST'RE rON - COSTS A"" - BiPBNS-BS ,-NCUNREP BY _ TIIE CITY IN ENF.R.TNG run riru'rs oF ruii AGd'EE!'tENr-' --rN rnr EVENT TEAT YoU Do NoTUNDERSTANDANYTERMSoncoNoTTIoNsoTTuTsAGREEI{ENT,PLEASE SEEK ANY LEGAi ON OUTSIDE OPTNTONS YOU MAY DESIRE' CITY city ofS ingfield By Building official Name Address VALIDATION: CITY JOB RECEIPT NUMB DATE PAID A}IOUNT RECEIVED Business N ame Address CC Registration # APPLICANT Contracto ar ,'AIID/PRoPERT, QwNER(sl 'o PR..EED AGREEME,*T' r/!E r/IrE EAVE RE:AD TEE ABOVE.-AUTBORIZA'IIroN :I :ES IT PT.,ACES uirDnnsrA*D wrat --rt E*PRE€;-#--iND TEE RE'P.NSIBILItrI upoN us As rri r,axp/pRorER;;lnrsiRs. r/w;laREE :ro BE BoUND BY Ar.,r' TERMS AXP CONOTTiOI S OF TEE AGREEUENtr' 7 RECEIVBD BY & ) ErHr311 6 Purpose The purPose of this agreement is to allov'certain development improvementsoccur prior to obtaining plan reviev approval from the Springfield CommunitServices Division. Scope The use of this agreement shall be limited to certain one and tvo-familydvellings not complex in nature as determined by the Building.0fficial and minor 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 engineei and accompanied.by a letter of reviev prepared by said architect or engineer, stating thit the subruitted material is in compliance vith the One and Tvo-Family DwellingSpecialty Code, may be considered eligible for this agreement. The folloving items include but are not limited to certain conditions of development identified as ineligible for tiris agreement: a) developnent requiring site approval vhich has not been obtained; b) nev development located on land vith over six-percent slope; c) lots having expansive (cIay) 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 conventional cons truc tion. to v I To request an inspection, you must call 726-3769. This is a 24 hour recording. All inspectj-ons reguested before ?:OO a.m. will be made the sarne working day, Inspections requested after 7:O0 a.m. wlll be made the following work day. EXHIBIT B Required Iaspectious Site - To be made after excavation, but prior to setting forms _1 Footiug - After trenches are excavated -1 Foundatioa - After forms are erected but prior to concrete placemeht )Z uaderfloor Ptuobing - PrJ-or to filling trench _1 Uaderfloor Mechauical - Prior to insulation or decking -d Post & Beaur - Prlbr to floor insulation or deckJ-ng )Z Uuderfloor lusulation - Prlor to decking _l/ sanitary sesrer - prior to fllling trench Stora sewer - Prlor to flIllng trench l/. Water,Line - PrLor to filling trench