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Home My WebLink AboutPermit Building 1999-09-08CITY SPRIilGFIELD 225 North Fifth Street Springfield, OR 914'77 LocaEion of Proposed Work: 2273 33RD ST Assessors tutap #: 1702L943 Lot: 2l Block: RESTDENTIAI, PERMIT APPLICATION CITY OF SPR }IGFIELD I... COMMUNITY SERVICES DIVTSION BUILDTNC SAFETY Page 1 ilob Number: 991-004 725 -3759 725 -37 69 Office: Inspection Line: Tax Lot #: 02100 Subdi-vis ion : AMBLES IDE Owner: GREG LARKIN Address: 4L892 N RIVER DRIVE Describe Work: S.F. RESIDENCE Phone #: 367-1538 city/state/zip: swEET HoME, OREGON 97386 NEW General: Plumbing: Mechanical EIect.rical Arf{oTlgEsT ^JJil$$ffifih,sH0,.,.woff) -rr, ISNOT ContracEor RIVER VALLEY BU MIDWAY PLUMBING 2428 SE THREE LAKES RD MIDWAY PLUMB]NG 2428 SE THREE LAKES RD G & E ELECTRIC PO BOX 1685 ALBANY OR Conat. Contractor # Expires Phone 0072942 04/L2/00 357-1538 ooo4587 O7 /2s/OO 928-7927 o7 /2s/oo 928-7927 EXP'REIFTHEAUTd@B@UNDERTPffEEAi',i 97 Ofi4MENCED ORISABANDONED QUAD AREA: 3RNC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: G SQ FOOTAGE: 2000 OFFICE USE LAND USE: 1111 ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FG INSUL PATH: P1 To request an inspection, call the 24 hour recording aL 726-3769. A11 inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. --- REQUIRED INSPECTIONS --- FOOTING - After t.renches are excavated. FOITNDATION - After forms are erected but prior to concrete placement. TNDERFLOOR PLITMBING - Prior to insulation or decking. ITNDERFLOOR MECHANICAL - Prior to insul-ation or deckj-ng. ROUGH GAS - after l-ine is installed and capped if not attached Lo an appliance POST AI.ID BEAII - Prior to floor insulati-on or decki-ng. INSULATION - Floor; prior to decking Wa11/Ceiling; Prior to cover WATER LINE - Prior to filling trench. SA.I{ITARY SEWER LINE - Prior to fil-ling trench. STORM SEWER LINE - Prior to filling trench. ITNDERFLOOR DRAfN - Prior to cover or placemenL of concrete. ROUGH PLITMBING - Prior to cover. ROUGH MECHANICAL - Prior to cover. ROUGH ELECTRICAL - Prior to cover. ELECTRICAIJ SERVICE - Must be approved to obtain permanent power. SHEAR WALL NAILING - Before covering sheathj-ng with finish maLeriafs. FRAMING - Prior to cover. INSULATION - Floor; prior to decking wa11/Ceiling; Prior Lo cover DRYWALL - Prior to taping. CITRBCUT - After forms are erected but prior to placement of concrete. SIDEWALK - After excavation i-s complete, forms and sub-base material in p1ace. FOB SPFINGFIELD Job Number: 991004 arr SPruNGFIELT', Page 2 FINAL PLUMBING - When all plumbing work is complete. FINAL MECHA.I'IICAL - When all mechani-cal work is complete. FINAL ELECTRICAL - When al-f electrical work is complete. eAS SERVICE - After line is installed and line has been connected to a minimum of one appliance. Pressure test done at this point. FINAL BUILDING - When all required i-nspections have been approved and Lhe building i-s complete. Lot Faces: W Topography: 2 Solar Approved: Y House Garage Lot Sq. Ft.: 5520 Total Height: 19 Lot Type: INTERIOR SetbacksswE 519 18 LoL Coverage: 35.5 ? Setbk From NPL: 15 N 15 15 Item Main Garage Total Va1ue Building Permit Fee Surcharge/admin TOTAL FEE --- BUILDING PERMIT --- Square Feet x 1500 400 $/Square Feet 69 .64 18.34 (A) Value 1,1,L ,424 . OO 7, 335 .00 118, 750.00 475.75 47.57 523.32 PLTIMBING PERMIT --- Item Residential Bath(s) Plumbing Permit Surcharge/admin TOTAL CHARGE 2 Fee 160.00 160 1,5 00 00 (c)175.00 --- MECHANICAL PERMfT --- Furnace Exhaust Hood Vent Fan Dryer Vent GAS LINE & W/H Mechanical Permit Issuance Surcharge/admin TOTAL PERMIT 3 5.00 4.50 9.00 3.00 5.00 27 10 2 50 00 16 (D)40.25 --- MISCELLANEOUS PERMITS Surcharge/edmin Sidewalk Curb Cut WILLAMALANE SDC CITY SDC TOTAI, MISCELLA}iIEOUS PERMITS 0 50 50 1, 000 2 ,293 00 00 00 00 01 3,41_3.0L(E) rilt {-{? (Excluding Electrical) unless otherwise noEed --- TOTAL AII{OI,NT DUE --- (A, B, C, D, and E combined)4 1_ !;PRINGFIELD Job Number: 991004 ctTv SPTNGFIELq Page 3 --- BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT --- This permit is granted on the express condition that the said construction shalI, in al-f respects, conform to the ordinance adopted by the Cj-ty of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon viol-ation of any provisions of said ordinances. Plan Check Fee: 309.24 Date Paid: Received By: Plans Reviewed By: DON MOORE Date: Building Site Reviewed By: LISA HOPPER o7 /26 / ee oe/07/ee Receipt Number: 3499L --- ADDITIONAI. COMITTENTS --- A & T DEFAULT AMOT'NT USED FOR CREDIT PURPOSES ONLY INDIVIDUAL LOT NOT LISTED PATH 1; SEPARATE ELECTRfCAL PERMIT IS REQUIRED. DRIVEWAY REQUIRED TO BE PAVED 2 STREET TREES REQUIRED By signaEure, I sEate and agree, that I have carefully examined the completed application and do hereby certify that aff i-nformation hereon is true and correct, and I further certify that any and all work performed shal-I be done in accordance with the Ordinances of the City of Sprj-ngfie1d, 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 conLracLors and employees who are in complj-ance with ORS 701.055 will be used on this project. f further agree to ensure that al-I required inspections are requested at the proper time, that each address is readable from the street, that the permit card is focated at the front of the property, and the approved set of plans will remain on the site at ti-mes during construction j-gna Date --- VALIDATION --- Receipt Number Date Paid -A.mount Received Received By: 03 I 1lr fi I tfr,, r, /?/aJ 225 FIFTII STRIiIIT SPRTNGPTELD, OIUGoN 97477 INSPECf,ION REQIIEST .. 726_37 69 0FPfCE: 726-3159 1. LOCATION OII I ALL1TION st.r uhr(;l: rELt) BLBCTRICAL PBRH City Job Number Bach additional 500 sq. ft or portion thereof Each l,ianuf 'd llome or Hodular Dvelling Service or Feeder ITA CATI eb & 2A7? 33A s+A COHPT^BTE TBB SCIEDULE BBLOV Nev Residential-Single or HuIti-Family per dvelling unit, Service fncluded: I tems Cos t Sum looo sq.f t. or less - l $ Bs.oo 85,(nJOB qs'.[o ?o1/@fnl if v $ 15.00 $ 40.00 $ s0.00 $ 60.00 $100.00 $130.00 $300. 00 $ 40.00 2. CONTRACTOR INSTALI-A'I'ION Dlcctrical Contractor t€ Addr:ess ?O BoY rc8 b ORIS PERIOUo 20 ci ry Atbo at y o ol)sqt-qb7-t bZ7 40 of issuance or if vork ls suspended for 180 days. 73 e Supervisor I-i cense Nunrber a?OS Expiration Date /o-/-oo 5qq68 - /5.oO Si ature oI Supervising Electrician Owners Name Add r SS Ci I'lr o n OVNER INSTALLATION The insta]lation is being made on property I own vhiclr is nor intended f or sale , 1ea.se or ren t . Ovncrs Signa trrre: DATE: *: EIPmEFEBiE ers PEHl,tlI terations or WQEEa dsNqm 0 amps or less 1 amps to 400 amps -1 amps to 600 amps _1 amps to 1000 amps60 Constr Contr. Number Expiration Date C. Temporary Services or Feeders Installatlon, Alteration or Relocatiorr 200 amps or less $ AO.Or-t 201 amps to 400 amps - g 55.00 Over 40L to 600 amps _ S BO.ou 0ver 600 anps or 1000 volis see rii}rr a D. Branch Circui ts Nev, A1teratlon or Extenslon Per I'iutc I s 35.00 Over 1000 amps/volts Reconnect 0n1y One Ci rcui t Each Arldi tional Circui t or vi tlr Servi ce or Feeder Permi t .:.--* DoVe $ 2.00 , ",E.''' ['liscellaneous ( Service/ f eecl er Ir() r , -Eagh installation' Punp .ou irrigation $ 40,00' Sign/0utIine Lighting_ $ 40.0U Limi t.ed,.Errergy/Res S 20.00 SIXBTOTAL OF ADOVE-!Z state Surcharge TOTAL 3 hdtl,ttt / 30.trl5 OREGO'U Y RIICEIVED I}Y:/ q3.0 0 are non-transferable and expire is not started vithin 180 days W $\' I I II U JOURNAL OF ATTACHMENT A \BNO. Q4 loo* CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE WORKSHEET NAME OR COMPANY e-t-?. (- L,a,llt( t t ) LOCATION Z-ZA3 33tza 5re6G7 DEVELOPMENT TYPE:1F R BTIILDING SZE Paof 2?,? r rs.f >' lb,< - r4,{ = f't*j7,p/d tG Y 2e- IMPERVIOUS SQ. FT. 2,,, 8q X $0.232 pER SQ. FT 2. SAMTARY EWER-CITY NO. OF PFU'S I Y X 548.27 PER PFU (See Reverse Side) 3. TRANSPORTATION NO OF LJNITS X TRIP RATE X COST PER PM PEAK HOI'R TRIP X l,c:t X 5486.73 PER TRIP X 5486.73 PER TRIP 4. SANITARY SEWER-MWMC A. REIMBTIRSEMENT COST: NO. OF FEU'S X 242,76P8R FEU B. MPROVEMENT COST: NO. OF FEU'S I X 2<, z<-PER FEU MWMC CREDIT IF APPLICABLE (SEE REVERSE) MWMC ADMIMSTRATTVE FEE TOTAL-MWMC SDC SUBTOTAL (ADD ITEMS t,2,3 & 4) 5. ADMINISTRATWE FEES: BASE CHARGE (SUBTOTAL ABOVE) X .05 Ft 1. STORM DRAINAGE 3?T z sal 3ae, sX s 5{+.z5* s ?r- t, Ee s &t, ec; s 2+?.76 S z{, zz> <s - 5,6{> s 10.00 Z7Z, I S zBa.t AW o ,)? ot a-.71 c. o l SDC Coordinator ATTACH'A.WPD -"6 €q TOTAL SDC FIXTURE UNIT CALCULATION TABLE I Number of New Fixtures X Unit Equivarent : Fixrure Units Q.JOTE: For remodels, calculate only ^.iET additional fixtures) FIXTURE TYPE Bathtub......... Drinking Fountain....... Floor Drain... Interceptors For Grease/OiVSolids/Etc. Interceptors For Sand./Auto Wash/Etc.. Laundry Tub/C lotheswasher/tr4op S ink.. Clotheswasher - 3 Or More............ Mobile Home Paik Trap (l Per Trailer). Receptor For RefrigeratorAVater Station/Etc........... Receptor For Commercial Sink4)ishwasher/Etc...... Shorver, Single Stall. Shower, Gang............ S in]<: Bar, Commercial, Residential Kitchen............ Urinal, Stall^Vall..... Wash Basin/Lavatory, Single........... Toilet, Public Installarion. Toilet, Private.......... Miscellaneous: 2 I 2 3 6 2 6 6 I -) 2 I 2 2 I 6 4 -Z z- 6 /Head I z_ NUMBER OF NEW FIXTURES TOTAL FL\TURE LTI.IITS I-NIT EQUIVALENT FIXTURE LTNITS t7 -z_ 2- 2. CREDIT CALCULAT ION TABLE: Based on assessed value.If improvements occurred after amexation date in table, calculatecredits Credit for Parcel or Land Only If Appl Improvement (if after annexation date) icable O,34 (Rate X Assessed Value) x $ /r,ouo =,t, B{ x $_ = (Rate X Assessed Value) CREDITTOTAL :$ -5.8f Year Annexed Rate per $ 1,000 Assessed Value Year Annexed Rate per S 1,000 Assessed Value 1979 or before 1980 r 98l 1982 l 983 t984 r985 r986 t987 1988 $4.47 4.38 4.32 4.20 4.03 3.88 3.68 3.38 3.03 2.62 I 989 1990 1991 1992 l 993 1994 I 995 2.18 1.15 1.35 1.17 1.03 0.86 0.7 t 0.57 0.39 0.18 I 997 l 998 RUNOFF COEFFICIENTS FOR STORM DRAINAGE (For Estimating purposes Only) Residential... Commerical. Industrial...... Governmental. 0.4 0.9 0.5 0.5 FIXUNIT.WPD IMPERVIOUS AREA = TorAL LoT sIzE x RUNOFF coEFFrcrENT I Willamalane Park & Recreation District Job. No. SYSTEM DEVELOPMENT CHARGE WORKSHEET PHONE:NAME: ADDRESS: LOCATION OF PROPOSED BUILDING SITE: Street Address: STATE:ZIP: $ E[- a Plat Na Tax Lot Number: 1. DEVELOPMENT TYPE (Check ype definitions are on the back.) A Single-Family Detached I\ Single Family home appropriate dwelling(s). SDC calculations and dwelling t Manufactured home not in a Park NO. OF UNITS X $1,000 per unit = $\0D.oo B. Single-Family Attached NO. OF UNITS X $924 Per unit C- Multi-Familv Aoartment NO. OF UNITS X $692 per unit $ D. Manufactured Home Paft NO. OF UNITS X $699 Per unit WILLAMALANE SDC 2. SDC CREDIT (if applicable) SDC+ayer must fumish proof of Willamalane Credit approval. See SOC Credit Woksheet. 3. TOTAL WILLAMALANE NET SDC ASSESSED $ \&$ $ $OD (if SDC reduced for Credit) Development City of Spring field ment _r _r Date C'TY OFSPF OPEGO'U D EV ELOP M E NT S ER VI C ES DE PA RT M E NT THIS AGREEMETIT is entered int betveien the Ci ty of Springf ie lrereinaf ter caIled Ci ty , and the Applican t . SI 'GFIEL[) CITY OF SPRINGFIELD COMMLTNfTY SERVICES DIVISIOI'i BUILDING SAFETY AUTHORTZATION TO PROCEED AGREEHENT o this ld, a munl c1 ,, hereinaf ter called lied to the City Community Services Building in cons truction ts fot development day of _, 19- bY and aI corpoiE-if6n -6-I-TFE-S t a t e-6-I 0 r egon, b ermi,4 22s FTFTH Si,q:a SPRINGFIELD, OR 9747} (541) 726-375:l FAX (s41) 726-368:l Springfield, Coun ty VHEREAS, r Division f Oregon. or uit Assessor's Ma pplicant has app ssuance of certa o be located at in the City's Ur improvemen he or ts ai t h p rovt ur s ct on r and Tax Lot number / VI{EREAS, the applicant has asked the City to aut}rorize the Applicant to imme.diately commence development improvements vithout a completed plan revlev or -- subsequent approval as required by the Springfield Building Safety Code .Administrative Code section 303(a) VHEREASr.the Applicant has submitted to the City a completed permit application, 3 (three) sets of construction dravings, specifications, and other data required for the City to complete the necessary plan reviev of the proposed development improvement. VHEREAS, the intendbd development improvement is of a nature that requires no othei reviev approval from other State or local agencies and is exempt from tl-.c criteria established by the Building Safety Division, attached as Exhibit A of this Agreement UHEREAS, the City has not revieved or approved the submitted materials for the development improvement, the City is therefore unable to confirm at this time vhether the permit applicatic: submitted vill- be approved, and whether the iequired construction permits can be issued. VHEREAS, the applicant has requested th[] City to p to proceed vith certain phases of construetion pri City's reviev of the permit application. rovide expedited authorization or to the completion of the I{HEREAST the City's fee for the administrative services rendered in providing eipedited authorization is S150.00. NOU, THEREFORE, in consideration of the foregoing recitals and of the mutual promises contained herein, the City authorizes immediate commencement of the development improvement specified in the permit application subject to the folloving terms and conditions: , Authorization to Proceed Agreement Page 2. 1. City agrees that the Applicant may immediately commence vith the development improvements set forth in the permit application. City's authorization to proceed is conditione.d hovever, upon Applicant's agreement that the project vill be constructed as set forth in the attached submitted dravings and comply vith specifiaII appl cations, except as may be modified by City, and vilI icable lavs and ordinances.cant's innediate coonencement of construction is at cant's ovn r no assurance t ts roved or ts ter 2. City agrees to reviev Applicant's. permit application in the normal reviev process and to thereafter: a) issue Applicant the appropriate construction permits; q 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 naterials inadequate or deficient in any nErnner including.but not Iinited_ to, the applicatlon or the proposed construction do not comply vithall applicable statutes, ordinances or code provislons, Applicant vill expedltlously cure the deflclencies so that the Clty may issue the requiredpermits. Should Appllcant fail to expeditiously correct submitted naterials,or should correction prove impossible, City may in it,s discretion, take anyor all of the .folloving actions: a) stop all further construction of the proin the Springfield Building Safety Code Adm sEcrroN 201 (d) ect in the manner prescribed nistrative Code (BSCAC), j ,1 b) order disconnection of serving utilities in a manner as prescribed in BSCAC, SECTToN 201 (f) c) issue a N0TICE 3j') O1DER for renor.a.l of all such ro::!: in a manner as prescribed in BSCAC, SECTI0N 204. ABATEHEI{T OF UNSAFE, SUBSTANDARD 0R. DANGEROUS BUILDTNGS, STRUCTTRES 0R BUILDING SERVTCE EQUIPHEM. Uponreceipt of such notice, Applicant shall immediately remove. the vork specified in the Notice and Order 4. ApflIicant 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 t or construct cons ruc Authorization to Proceed Agreement Page 3. 5 Applicant agrees that until Applicant's permit application isconstruction vill no by the City s Bui ing tto t pt roceed beyond the point of authorizatiicialcant's Point of Authorizat- 6. Applicant tha a}l work formed under this agreement shalI be approved, on approved ion is accessible-and exposed for purposes and that neither the Buildinginspec Iiable Pertion0fficial nor Ci ty shall be for the expense entailed in the removal orreplacement of any Eaterial nece ssary to allov inspection. 7 - Applicant agrees that any or all'deficiencies identified during thenecessary inspections viIl be prornptly remedied, at Applicant,s sole cortand expense before proceeding vith- any further constrirttion. Applicant alsoagrees that these inspections do not replace the required plan ieviev nor dothey inply any approval of the subnitted materials.' B. Applicant agrees that no vork shall be done on any part of the buildingor structure beyon9 !h" point indicated in each succlsiive inspectionvithout first obtaining the approval of the Building Official. Such approvalshall be given only after an inspection has been male of each suceessirestep in the construction as indicated on the attached Exhibit B. 9. Notvithstanding any other provisions of this Agreenent, this Agreementshall terninate upon lssuance-of a building pernli or thiity (3o)-days-iio,the date of this Agreenent, vhlchever firsl occurs. Appllcairt'uniersiandsthat all vork on the project shall imnedlately cease irithout any notice from !!,9 city if this- Agreement terninates before i buitairrg permit is lssued.This agreement shall terninate ou , 10. Applicant agregs !o defend, indemnify and hold City harmless from anyand all costs (including attorney fees),-Iiability or iam"ges of any kini ornature vhatsoever, for personal injury and.. properiy damage arising -from theApplicant's early commencenent of conitruction'and-the v6rk underiaken orcompleted 11. The terns of this Agreement sha1l extend to and be binding upon theparties he.reto and tireir heirs, successors and assigns L2- rf any suit, action or other proceeding, or an appear therefrom, isinstituted to obtain, establish, Lnforce, or compel iiry right or.obiigationresulting from this Agreenent', the prevailing paity stratt 6e entitled torecover from the adverse party, in addition io-costs and disbursementsr-suchadditionar sums as the courts, both triar and apperrate, hay judgereasonable attorney fees. Authorization to Proceed Agreement Page 4 BEFoRESIGNINGTHISA-GREE}{ENT,PI,EASEREADAND-I,NDERSTANDTHE MEANING oF ,o-"* - panacna.p;;;. lxis acars;;Nr. Ir AFFEcrs YouR rNrEREsrs rnn'trri pnopnnrv'*i, i"-*o-"--"i"i*i^bt rytty"'' rr Pr'AcES you p'RsoNAoii- o, RI.K- fr;' *ri, - ,uurl""'i' iiorel:v Ar RrsK oF FoREcLosuRE '-"i* --Losrs _*, - uxrnNg-11 ,"N'dunn"' -P-:-- *tE cIrY rN ENF.R.TNG *rnJ G*0" o1 _1oil einnsusNr-. ^^x''"j pY"-y rsAr You Do Nor uNDERsTaNo- aNv TEly-1 ^o"* ioroirrg-Y o-r 'riil -AGREEI'IENT ' PLEASE 'EEK ANY I,EGil ;-.UT'IDE-&il,-ioNs YoU MAY DESIRE. CITY citY ofS ingfield APPLICANT Contracto Business Name / rcl 5 4r-v7L By >/ Address Building official Name CC Registration # h<://,5 Or 77,32 Addres s 224/ LNID ,PROPERTY qwNER ( s I r/wE EAVE RE:aD TIrE ABovEaurlloRrzAltroN To PR..EED-AGREE'','ENT' r/wE ufuo'nsraxo wi^r -ir ,"r*r_rr'r'"-'af6 -rnr- ni"'eoioEa!"rtrrEs rtr Pr'AcEs upoN us As ,rrt'io*r/rno-n"oii;dE*s:---'liiJ "6*"u ro BE B.UND BY ALL rERMs o*, "o*"';;;;n; oF rEE AGREE*IENr ' ,$a'X 2a Oz ?Z 377//q a VALIDATION: CITY JOB # RTCNIPI NUMB DATE PAID AMOUNT RECEIVED I o RECEIVED BY D c-o I , ) EXHTBTT A Purpose The purpose of this agreement is to allov'certain development imp occur prior to obtaining plan reviev approval from the Springfiel Services Division rovements tod Communi ty Scope The use of this agreement shall be limited to certain one and tvo-familydvellings not complex in nature as determined by the Building Official 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 that the submitted material is in compliance vith the One and Tvo-Family DvellingSpecialty Code, may be considered eligible for this agreenent. The folloving items include but are not limited to certain conditions of development identified as ineligible for this agreement: a) developnent requiring site approval vhich has not been obtalned; 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 conventionalconstruction. EXHIBIT B Required Inspections To request an inspection, you must call 726-3769. This is a 24 hour recording. AII inspections reguested before 7:00 a.m. will be made the same working day, fnspections reqfuested after 7:OO a.m. will be made the following work day. Tetrporary Electric Site - To be made after excavation, but prior to setting forms Footiag - After trenches are excavated Foundatioa - After forms are erected but prlor to concrete placemeht Uaderfloor Pluobl-ug - Prl-or to fllling trench //- Underfloor Mechauical - Prl-or to insulation or decking l- Post & BeaE - Prlbr to floor lnsulation or decklng l-/ -- L/ lz l-'' L/ t/Uaderfloor fnsulatiou - Prior to decking l-Sanitary sewer - PrLor to flIIing trench Storu sewer - Prl-or to f1111-ng trench 4.Water,Liue - Prlor to filling trench I Ar:idi.ess: F., [ " I{oX eCI41. ili t; I C0F:v"ALi-i$ C i t y r:f F,pr.i ng.f' j ,,,.i 6 IEI F:i f tr, Sl,r"eei; il;,i-;i.nnrc L*irj : i:ii'i;'4li t 5ff:t i 'iEr,-ITIli -Br"ri Iding- 0R Z ip,; 5?3119 Tr.ansaci; :r on rrrtnrhE r. ;lllI i.6rl Augrrst i0r t5g5 lil;13 FrH Received fr.opr; RTVEft UAi-L;.\, iij:.Lti[fiE: torrtr'act,z0ryn : GREG LARi(iH i:i:: 4: 33.iilii4 i-t':. - .r-. i l-, .[ .i Cin iii..,;, ,,',1r i i;.lit..i; - F .r. ;i 11 It i l'i ! - re# .:ir.l " 'ii.l i.$CI"tI J ^d ,1,-, .-...I (,lj , rjt.l !..",+!::j.,' 'i,i* i:, r:,t. :i ;' l; 'i. r; ^, l*ilia1!.i ii 1.'i;7: i i i i'rr,t .rTt i l; Trir;ai: Arrr'i; F:ereiv,+,1 ; I]htrcl; *: 1i:i.t] ihani.l ;!-oiJ, Ilgn l.,i . ): ::-: - : - a': ._t-i .'-'i.. l.:-':-1:a: a :::a : =-:_ : : ;; : - , - . : . _ . . -- _ : - This permit is required for any site activity in the flood plain and everywhere slte atteration consists of fifty (5O) cubic yards of material or more and/or if a drainageway is affected, wlthin City limits and :i', : ll'.i,t1,\',F);.',-!ir-*This SIde To Be Fllled Out by Appllcant ,t U Property Date of Appli cation owner 6wa I ilfi) 'Springfleld, Oregon Phone: Permit Expiration Date: Site Address: Address :state&t-ZipfiIr Journal number applicable Land Use Application Tax7tr uGB Tax Map No Address tr tr M ) Suppl ler: So rce Locatio Project Su RADIG NG, EXCAVATION, Ouantity Supplier nation: tr F|LL, oua E( tr tr tr tr tr ADDITIONAL INFORMATION, DRA]NAGE, POLLUTIO N AND EROSION CONTROL PLAN dan nd REPLANTING PLAN ADDRESS:STATE STATE CITY PHO CITY COMPANY NAM COMPANY NAME: PROJECT SUPERVlSOR: PROJECT SUPERVISOR: ADDRESS: t*qou EMERGENCY PHONE:MOBILE PHONE: z@ STATE: OTL ,ZTP: 41.ffi OFFICE PHONE 7t*\ ExpirationRegistration ADDBESS: Number: ?o gv* CONTRACTOR NAME: PROJECT SUPERVISOR:PHONE Date: , CITY: I understand that l. or my aucce88ore may have future plane for my property which may bc antlc-lprtcd. or qnanticipated-at . this time. I understand that such future dlans may require permits'and developemcnt_apprgvglq !rg.m lhe City of SprlngJleld. I understand that notwithEtanding any approval of this Land and Drainage Aheratlon.Perml! fLpAPl, that 8t the timB ot application of future permlte or alproValb-the City may review and reconslder.all astlonc-whlch I or.my.rucceaeors have uhUertaken Dercuantto thic LDAP. I understand that the City may as a condhion of any futurc approvaL requlre the undoing, chinging, or modification of any actions which I have uhdertakon !a r resuh of the Clty'c approval of this LDAP. F -l M, IJJo- Zo ETF M, tIJ = IJJ U Z EI fv -Io oZ cZ s 8y signature, I state and agree, that I hate carefully examined th.e compleled rpplication and do hereby cortlfy that all iniormation herein is true ahd corr6ct, and I further certify that any and all work performed rhall be done ln accordance with the Ordinances of th6 CiW of Springfield, applicable'City Standard specificationa and Drtwlngr, rnd tho laws of the Stato of Oregon pertaining to the wdrk described herein. I further certify tfrat only contrlctor! and employeec who are ln compliance *ith-ORS 7oi.O56 will be used on this project Et any time during r onc ycarpcrlod followlng thc recelpt by specify, at the Clty'r colc desscrltlon, any addhlonal regtoration the City. The permlttee wlll be notlfled in.wrhing of any work notice to complete the work. Work not completed at the end of will be billed to the permlttee. gqqfi-bwbl\E. fromaro roquested at on ths site 8t all Signature I lurther agree the str6ot, CEulZ =o ul tsa, zo E OEltl 5 oz 5 CI'Fzu, =o ha UJ .E Do Lrl 0c aFz 5f CI'zoo CEot-() .EFzoo ct)z 5(L ul CEfF:) lJ. ul cc:f kz(, a h,,"r!druq?u",t"* + 41 loo(B{1s7 It,'.';.., r.,of Spr'ingfield' and to ! \. tr E tutr DRA1NAGE,EStorm,oDitch,ECulvert,BNatural DateFLOODWAY, FEMA Community Panel No.: FLOOD PLAIN, Zone: WETLANDS, Description FEMA Community Panel No. $20.00 s30.00 s40.00 $40.00 For the first 1O,OOO cubic yards, plus $2O.OO for each additional 10,000 cubic yards or fraction thereof $220.00 For the first 100,001 cubic yards, plus $2O,OO for each additional 10,000 cubic yards or fraction thereof $340 For the first 2OO,O01 cubic yards, plus 96.00 for each additional 10,000 cubid yards or fraction thereof. 930.00 $30.00 For the first 1 00 cubic yards, plus $ 1 4.00 for each additional 1 OO cubic yards or fraction th€r€of, S156.00 For the first 1,000 cubic yards, plus $ 1 2.00 for each additional 1,000 cubic yards or fraction thereof. $264.00 For the first 1O.000 cubic yards, plus $54.00 for each additional 10,000 cubic yards or fraction thgreof $750.00 For th6 first 100,001 cubic yards, plus $30.00 for each additional 10,000 cubic yards or fraction thereof cs 7Ac,4q L ?q1t r^tr Date:_ Date rlro f q" Receipt Noz 3 Lf 7 Received a $3o.@ 100,001 To 200,000 2OO,OO1 CUBIC YARDS OR MORE Date: Grading Permit fee: Received by: Estimated Volume: PLAN CHECK FEES: UP TO 1OO CUBIC YARDS 101 TO l,OOO CUBIC YARDS 1,001 TO 10,000 cuBlc YABDS 10,000 To 100,000 cuBtc YARDS GRADING PERMIT FEES: UP TO lOO CUBIC YARDS 101 TO 1,OOO CUBIC YARDS 1,001 TO 10,000 cuBlc YARDS 1o,ooo To 100,ooo cuBlc YARDS 100,001 To 200,000 Receipt No: Date: Plan Check Fee: 90, EN U( pictllb i 4E- lta'i k-/,/r, () tt tO L7/D^tt, AMBLESIDE MEADOWS SUBD. This property is locatcd in an area ofhcaly claysoils.(cxpansivc clays). A liccrrscd cnginccr sh"rllvcnly tllc stability ofthc soils in thc pr-oposcrlbuilding arca and nrako any rccornmcndalions neccssary to assurs the continucd stability ol,thcsoil. A copy ofthc cnginecr,s rcport shnll besubmittcd to the Building Official prior ro Dcgrnnmg construction of thc structurc. ts EI ts tr 6 -:--?7,14N,'K;fi/, l./zz Maintenance: Building: Date: Engineering Plann Date: Date Date: Date Date Date lssued Maintenance: Required Final lnspections-' Pormit Number Date Date: Planning: Engineering: Building: I FET M IJJo- Zo EIF rv --tIJJFJ I.JJ U Z EI fv--o oZ nZ s Land and Drainage. activity.as outlined in this permit has been completed in accordance with the provrsrons ot thrs permrt. !-And^e!U_Ug.ilpge^qqtlpty ag-o-ultlined in this permit has not been completed in accordancewrtn tn6 provrsrons ot thts permtt. tr Land and Drainage activity was performed prior to application for this permit. Accepted by: _ Date: IU()z o- IU()o 1/6/1998 1 is Side To Be fill By'City lrla z Eo ultlIL azoF6zoo oIrl =lrJ =u, CE crtzo () ]Uo-{, = tr B