HomeMy WebLinkAboutPermit Building 1997-07-22CITY OF
SPFINGFIELE'
Zfr,
RESIDEMIIAL PERMIT APPLICATION
CITY OF SPRINGFIELD
COMMT'NITY SERVICES DIVISION
BUILDING SAFETY
Page 1
ilob Number: 970738
225 North Fifth Street
Springfield, OR 97477
Location of Propoeed l{ork: 1040 S 34TH PL
Assessors ttap #: ]-8020624
Lot: Block:
office:
Inspection Line:
726 -3759
726 -3769
Tax Lot. #: O220L
Subdivision:
Owner: ED WAGNON
Address z ]-287 SEQUOIA
Describe Work : IIAIIUFACTURED HOME
Phone #: 741-2799
city/state/zip: SPRTNGFTELD, OREGON 97477
NEW
QUAD AREA: 5RSC
# OF UNITS: 1
CONSTR. TYPE: VN
WATER HEATER: E
-- OFFICE USE --
LAND USE: 1150
ZONING CODE: LDR
# OF BDRMS: 3
RANGE: E
To requeot, an inepection, call the 24 hour recording aE 726-3769
A11 inspections reguested before 7:00 a.m. will be made the same working day,
inspectsions requested after 7:00 a.m. will be made the following work day.
--- REQUTRED TNSPECTTONS ---
SITE - To be made afEer excavation but prior to setting forms.
FooTING - After Lrenches are excavated.
sLAa - To be made after all inslab building service eguipment, conduit
piping, and oEher equipment items are in place but prior to concrete
WATER IJINE - Prior Eo fil-l-ing trench.
STORM SEWER I,INE - Prior Eo filling trench.
LINE TO SEPTIC TAI.IK - Prior to filling trench.
MAI{uF HoME/uoBrLE HoldE SET uP - When all blocking is complete.
I[AI{UF. HOME/!{OBIIJE HOME ELECTRICAIJ - Ialhen blocking, setup, and
plumbing inspections have been approved and home is connected to panel
MAIIUF. HOUE/DTOBILE HOUE PLI,IIBING - After home has been connectsed to
water and sewer.
UA}IUFACTURBD HO![E SERVICE
FINAL SET UP - After all required inspections are approved and porches
skirting, decks, vent,ing, house numbers, euc. have been installed.
Lot Faces: E
Solar Approved: Y
House
N
7
Total Height: 15
Lot Tlpe: INTERIOR
SetbacksswE
5L753
*.$s
Setbk From NPL: 12
Item
Main
Garage
FTG/PERIM FOUNDATION
Total Value
Building Permits Fee
Surcharge/admin
Feet =Val-ue
43,900.00
0.00
4, s00.00
48,400.00
50.50
4.05
TOTAL FEE (A)54 .55
# OF BLDGS: 1
OCCY GROUP: R3
HEAT SOURCE: FE
SQ FOOTAGE: L344
"oN.t$o"
ATTOF
SPFINGFIELC,
Job Nunber: 970738 Page 2
.-- SYSTEMS DEVEI.OPMENT CHARGE (SDC)
(B) 2,L53.191
Systems Development Charge is due on aLI undeveloped properties within the City
limits and the Citys Urban Growth Boundry which are being improved.
--- PLI'MBING PERMIT ---
Item
Water
Storm Sewer
LINE TO SEPTIC
53
53
Plumbing PermiL
Surcharge/aamin
TOTAI, C}IARGE (c)
Fee
40.00
40.00
40.00
120.00
9 .50
L29 .60
--- I{ISCELI,AI{EOUS PERMITS ---
Mobile Home
State Issuance
Surcharge/admin
WILLAI\iIALANE SDC
TOTAI. MISCELLAI{EOUS PERMITS (E)
105.00
20.00
8.40
1,000.00
1,133.40
(Excluding Electrical)
unless ot,herwise noted
--- TOTAI. AMOI'NT DUE ---
(A, B, C, D, and E combined)
.d0rt
3 ,47 0 .71ltzo
\3 \
--- BUII,DING VALUE, PI.AI{ CHECK AI{D BUILDING PERMIT ---
This permit is granted on the express condition that the said const,ruction
shal-L, in all respects, conform to Ehe Ordinance adopted by the City of
Springfield, including the Development Code, regulating t,he construct,ion and
use of buildings, and may be suspended or revoked at any time upon violation
of any provisions of said ordinances.
Received By:
Plans Reviewed By: LfSA HOPPER
Building Sit,e Reviewed By: LISA HOPPER
Date: 06/]-3/97
--- ADDITIONAI, COMMENTS ---
VERIFY SEPTIC TNFORMATION WITH STAN PETRASIK/LAI{E
couNTY pRroR TO TSSUANCE. LFT MSG s/1,5/97-LH
DRIVEWAY REQUIRED TO BE PAVED
2 STREET TREES REQUIRED
By EignaUure, I 6tate and agree, that I have carefully examined
the completed application and do hereby cerEify t,hat all- informat,ion 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 strueture without permission of the
Community Services Division, Building Safety. I further certify that only
contractors and employees who are in compliance wit,h oRs zot-.055 wiII be
used on this project.
CITY OF SPruNGFIEID,
SPR!IllGFIELE,
'Job Number: 970738 Page 3
I furEher agree to ensure that. all reguired inspections are requested at the
proper time, that each address is readable from Lhe street, that the permit
card is l-ocated at the front of Lhe propert,y, and the approved set of plans
wil-l- remaj-n on the site at all times during consLrucLion.
7 z7-77
ture DaEe
--- VAI.IDATION --.
Receipt Number:
Date Paid:
Amount Received:
Received By:
<7Aril"r/ lu L(/<a,nru
\-<,
Page 1
CITY OF SPRTNGFIEI.D SYSTEIIS DE\TELOPUENT EIIARGE
(RESIDEI{TIAI.)
Name or Company: ED WAGNON
Location: 1040 S 34TH PL
Developement Tlpe: R Building Size: 970738
.fob No.: 970738
Lot Size:Sq Ft
1. STORM DRAINAGE
Impervious Sq Ft
2. SA}IITARY SEWER - CITY
Number Of PFUs
(see Page 2)
3. TRAI.ISPORTATION
Number Of Units
Lx
x
X 0.2L6 Per Sq Ft =
X 44.75 Per PFU =
Cost Per Trip
45]- .26
r-8 84
18
Trip Rate
r_.0r-0 x
x
i4ss.77
$406. e4
$80s . s0
$4ss.77
$3e2.42
$0.00
$382.42
$2, 050.54
$r.02 . s3
Transportsation Total
4. SA}IITARY SEWER - UWUC
Number Of PFUs
l_8
5. ADUINISTRATIVE TEES
Base Charge (Subtotal above)
x
x
Per PFU +
20.690 +
MIIMC Admin Fee
10.00
MWMC CREDIT If Applicable
TOTAL - MWMC SDC
(see Page 2)
SIIBTOTAL - (Add Iteare 1, 2, 3 & 4)
x 0.50
TOTAL SDe
Reviewed BY: DENNIS ERNST Date: 05/L9/97
$2,1s3.1t0
Job Number: 970738 Page 2
FIXTURE T'NIT CALEUI.ATTON TABLE
Fixture Tlpe
Bathtub
Drinking Fountain
Floor Drain
Interceptors For crease/Oi1/Solids/etc
Inteceptors For Sand,/Aut,o lalash/Etc
Laundry Tub/Clotheswasher
Clotheswasher - 3 Or More
Receptor For Refrigerator/Water Station/Etc
Receptor for Commercial Sink/Dishwasher/Etc
Shower, Single Sta11
Shower, Gang
Sj-nk, Bar, Commercial, ResidentiaL KitchenUrinal, StalI/Wa11
Wash Basin,/Lavatory, SingleWater Closet, publ_ic InstallationWater Closet, private
Mi.scellaneous
TOTAL FIXTURE UNrTS =
(ff land value is multiplied by 1 then the parc
CREDIT CALCULATION TABLE: Based on assessed valueafter annexation date, "..Jii"year A'nexed: (calculations are by $r_OOO)
Credit Fbr parcel Or Land Only If Applicable:
Improvement (if after annexation date):
ff improvements occuredare calculated separately.
0.00 -
0.00 -
4
0
0
0
0
2
0
0
0
0
0
2
0
2
0
I
0
2
1_
2
3
6
2
6
1
3
2
2
2
1
6
4
2
0
0
0
0
l_
0
0
0
0
0
1
0
2
0
2
0
Number of
New Fi-xture
unit
Equivalent
Fixture
Units
18
0.00
0.00
x
x
CREDTT TOTAL = $o.oo
eI/Iand credit is not accurate.)
0
0
CITY OF
SPFIrlGFIELD
h,
Page 1
ENGINEERING DIVISION DEVELOPUEIIT PIJAN REVIEW
RESIDENTIAI. I'NI}TPROVED STREET
Developer: ED WAGNoN Job No.: 970738
Mail Address: 1287 SEQUOTA SPRINGFIELD, OREGON 97477 Phone #: 74L-2799
Tax Lot #: a80206240220a Project Address: 1040 S 34TH PL
Subdivision: LoL: BIk: Eng. Rev. No.: Book:
EXI STING IMPROVE!{EI{TS
Ac Mat Curb FuI} Imp sw widEh CurbsideSUreet Gravel
L040 s 34TH PL
Existing Curbcut: Y
Comments: IN U.G.B.
N/A
Setback
N/ANONE N
widrh:
N/A
Ft Flairs:FI
ENGINEERING REQUIREITTENTS
Additional RighE of Way:
fmprovement Agreement:
Easements:
SAI.IITARY SEWER
CALL THE IITII.ITIES NOTIFICATION CEMTER BEFORE YOU DIG 1-8OO-332-2344
Location From N, S, E, W ProperEy Line: PRIVATE SEPTIC SYSTEM TO BE BUILT
Comments: NO CONSTRUCTION UNTIL SEPTIC PERMIT IS APPROVED BY CO. SAIIITARIAN
STOR}T SEWER
Available: N
Pipe Downspouts And Draj-ns To: BAR DITCH OR SUMIT DRAINAGE PLAN
Pipe Parking Lot Drainage To: N/A
CommenLs: OWNER TO PROV]DE DRAINAGE PLAN WITH CULVERT REQUIREMENTS
CONTACT MAIMTENA}IEE DIVISION AT 726-376L FOR CULVERT SIZE ATiID DEPTH.
SIDEWALK AT{D DRIVEWAY INFORMATION
New Curbcut Appr.: N
Sidewalk Permit: N
Curbcut Permit: N
Comments: UNIMPROVED STREET
ENEROACHMENT A}ID ASSESSMENT
Encroachment PermiE Required:
Sanitary Sewer In Lieu Of Assessment:
SPECIAL NOTES A}ID REQUIREIIIEIIIS
A11 work within the public right of way shall be in conformance with the City
of Springfield standard specifications for construction. A11 existing unused
curbcuts or portions thereof shall be restored to full curb height as directed
by the City. The owner/developer is responsible to relocate any utilities and
establish private or public easements when the util-ities conflict with the
development, at their expense.
Reviewed By: DENNIS ERNST Date: 05/L9/97
sEE DRAWTNGS ON SPECIAL REQUIREMEMTS FOR FURTHER rI{PORTAIiIT rNFOR!{ATrON
CITY OF OFEGO'V
SPRINGFIELO
D EV E LOP M E NT S E R VI C ES DE PARTM E NT
MANUFACTURED HOME LAND USE AGREEMENT
As required by the City of Springfield Development Code,I agree that
permits, one of the following
Springfield, Oregon, City Job
homes placed at
7-)2'77
Signature Date
aft,225 FIFTH STREET
SPRINGFIELD, OR 97477
(541 ) 726-3753
FAX (541) 726-368e
Number
I
+- Tv^pe I Manufactured Home. A multi-sectional (double wide or wider) unit with an enclosedtloor area of not less than 1,000 square feet, that has a nominal roof pitch of 3 feet in height foreach 12feet in width, that has no bare metal siding or roofing, and that has been certified by the ianufaegrer tohave an exterior thermal envelope meeting performance standards which reduce heat loss to lewlsequivalent to the performance standards required of single family dwellings constructed under tlc StateSpecialty Codes.
U,
Type II Manufactured Home. A unit of not less than 12 feetin width with an enclosed floor areaof not less than 500 square feet, that has a nominal roof pitch of 2 feet in height for each 12 feet in widthand that has no bare metal siding or roofing.
The manufactured home shall be placed on an excavated and back-filled foundation not to exceed 6percent slope within l0 feet of the perimeter enclosure. The perimeter foundation wall surounding thehome shall be constructed of stone, brick or other masonry materials, and with no more thpt24inches ofthe enclosing material exposed above grade.
I further agree to meet all land use and city Code requirements of the above mentioned parcel within 60days of the date of issuance of the manufactured home set up permit. These requir..#, may include, but
are not limited to the items listed below. Specific land use rlquirements regarding yo* p*".i are noted onyour approved set up plans and/or permit and your partition afproval if applicable:
o Street Trees. Paving Drivewayo Minimum 32 square foot storage sfuctureo Completion of partition approvalo Removal of any existing structures as noted on your partition approvalo Signing and recording of any required partition, easement, improvement agreements, etc.o Final lot grading. City Sidewalk and curbcut installation
' Any outside agency approvar as required i.e., Division of State Land approval.
By my signature below, I agree to complete the above mentioned land use requirements.
Contractor Signature Date
Willamalane
Park & Recreation District qmgJob. No.
SYSTEM DEVELOPMENT CHARGE
WORKSHEET
NAME:
ADDRE
PHONE:
SS:STATE:ZIP:
LOCATION OF PROPOSED BUILDING SITE:
Tax Lot Number:0utl
1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t
ype definitions are on the back.)
A. Single-Family Detaehed
Single Family home 4 Manufactured home not in a park
NO. OF UNITS t X $1,000 per unit = $tDao,o0
B. Single-Family Attached
NO. OF UNITS X $924 per unit $
(.
Street Address:
Plat Name:
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) SDO-payer must lurnish proof of
Wllamalane Credit approval. See SDC Credit Worksheet.
3. TOTAL WILLAMALANE NET SDC ASSESSED
(if SDC reduced for Credit)
$
1D00.00$
$
$
{
\D00 ODI
Development rV
City of Springfietd
D partment
Ah,A\
SPFlINGFIELE'
ELECTRICAL PERHIT
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
SerVice or Feeder
s 8s.00
$ 1s.00
s 40.00
B. Services or Feeders
Ins talla t i
or Relocat
not started vith 180
of issuance or if vork is suspended for
180 days.
2.COMRACTOR INSTALI.ATION ONLY
EIec t cal Contractor
Address
Ci ty
Supervisor Lice
Expiration Date
Constr Contr mber
Expi ra t i Da te
of Supervising Elect an
Owners Name
Addre s
ci Phone
STALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
rs Signature:
DATE:
The toilounn
225 FIFTS STREET
SPRTNGFTELD, OREGoN 97477
INSPECTION REQTEST: 726-
OFPICE: 726-3759
L lt 1 Ci ty Job Nu.mber
Adhorized Signaturo COHPTETB FEE SCMDULE BELOV
zoning' u
aPProvar'
TI
1
1
Permi ts areif vork is
ON
t rans fera expire
days
A
Sum
a s s0.00
s 60.00
s100. 00
s130. 00
$300.00s 40.00
U)
200
201.ps_
amps
amps /voI ts
n1y
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAL
ary Services or Feeders
tallation, Alteration or Relocation
F${
E.
ee trBil
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.OO
200 amps"or less $
201 amps to 400 amps
-
$
0ver 401 to 600 amps
-
$
0ver 600 amps or 1000lolfls s
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $
Sign/outline Lightingl-] $
Limited Energy/Res
-
$
Limited Energy/Comm $
40.00
55.00
80.00
aEve
not included)
40.00
40.00
20.00
36.00
5
Phone
e
RECEIVED B
a)
tions
226 F IFTH STR EET
SPR INGFIELD,OREGON 974 77
tPttlNOFttlLD
ENG INEERING DIVISIONoFFICE TELE PHONE (503) 726-3753 ENCROAC
NUMBER:HMENT
INSPECTION LINE SEE INSPECTIONS ON BACK SIDE PERMIT NUMBER I 2 -a '-F=APPLICATION DATE:
LOCATION OF WORK
DATE TSSUED:
APPLICANT
SITE ADDRESS;ONE 4-za1 22-77-1
CITY:STATE:o TAX MAPI
TAX LOT:ZIP ?2 +7 a .O :o €>-
SUBDIVISION:
OWNER:
PHONE:
ZZ-O
ZIP:
PHONE:
ADDBESS:
CITY:
IZ*
ONTBACTOR REGISTBATION NO
PBOJECT SUPEBVISOR:
R PERMITS
tr ENCROACHMENT PERMTT NO:VAUO FOR StxTY (6Ot OAYS FROM OATE OF ISSUANCEQ cur srneer QBoBE O OTHER
Q ousr coNTRoL (TypE oF coNrRoL,
Q corusrnucrroN, sToRAGE, srAGrNG
Q orxen
Q asnnelr DEposlr
DESCRIPTI ON OF PR OJECT:
PERIOD OF USE OR TI ME OF CONSTRUCTION:n pLANs (TWo s ETS) ATTACHED
AREA: LENGTH
JWIDTH:
TYPE OF WORK: CUT:
OTHER:
EXISTING SURFACE MATEBIAL:
BACKFILL MATERIAL TO BE UTILIZED:
SURFACE REPLACEN4TNT MATERIALS
TYPE OF DUST CONTROL TO BE UTILI
NAME OF OTHER UTILITIES IF THIS IS
WARNING DEVICES TO BE UTILIZED:
DESCRIPTION:Advanc6 slgning
WORK SHALL COMPLY W ITH CHA PTER X
INSPECTIONS BEOUIRED:APPLICATION FEE /DEPOS,T
Q $20,00 /
Q__
STATE:
ADDRESS:
EXPIRATION DATE
PHONE
e
n
tr
tr
ffio,oo + $.1 s/Fr-b' '
[ $tO.0O+$.1slFT.
Q $5.00 /
ACCOUNT NOr
tr
n$
$
$
$
$
5c:
WAY, TO 8E
PLACE,
FROM DATE:
TO DATE:
Q $5.00 /
TOTAL OUei' s
TOTAL DUE WITH PERMIT $
DEPTH:
TIME:
TIME:
BORE
TO BE UTILIZED:
ZED
A JOINT PROJECT:
and wotk zonB protoctlon to bo in complianco wlth the Manual on Uniform Tra(flc Control D6vl cas (MUTCD)
ABTICLE 5
D D
D Da Da I
BEVtStoNS 8/2419 5 FORM,Il 6
OF THE CITY coDE. CO NTRACTOR TO COMPL Y WITH MUTCD.
CONTRACTOR:o I
BACKFILL MATERIAL:
PLAN REVIEW COMMENTS / SPEN'^L INSTRUCTIONS:
BE-ST9RATION WORK SHAI-L BE IN CONhgTtMANCE WITH EXISTING CITY CODES ANt iiOIvIpUIarucE WITH CURRENTSTANDARD SPECIFICATIONS, EXCEPT AS NOTED BELOW.
001 Eackfill with il" mlnus rock.
002 Compact every 18" looso dopth,
003 Roqulres compaction with I sts0l rolll€r,
004 A.C. to match ths groator of exlsting dspth or 4",
005 All cuts soalod lor final lnspoction.
006 Temporary pstch msy be used at the end of the day.
001 Slgnlng and Zono'protection to comply with MUTCD
008 Cut concrots only on scoro linos o( cold loints.009 Sldowalks and drivoways mln. 3,000ps1,
010 Curblng mln 3,500ps1 / No patchwork less than 3'.
011 Moet min. roquiromonts on curb cuts, Spfd, codo.
012 Restore planted arees, Spfd, code 206.3.05
01 3 Spoc. to Bore / Jack / No A.C. cuts,
014 Mechanlcalcompacting required.
016 No patchwork allowsd,
01 6 Loteral cuts to hsvo control donsity fill.
017 Cuts to bo polymerlzed crack soaled for final inspection,
018 Minlnum 2* crushed rock X" mlnus.
Comments
/11 o
020
021
d))
023r
024
025
026
o27
naa
029
030
031
032
033
343
Minumum 4' clsoranco at any point, swing-away.
Concrote minlmum 4l depth, 3,OOOpsi.
Trench to be'T" cut,
Needs Stato / iounty permit,
No abovs ground onclosings in sidewalk or handicap ramps,
Diamond cut A,C./Concrets valu6 boxes to grade,
Fresh Oil slgns / Graded.
Comply with Americans with DisBbilities Act.
Concrete slabs, 7Zhrs. curing time, 4500psi.
Concrete slabs roquire joint seal matsrial,
Drivoway requires dowels every 18'.
Submit traffic control plan prlor to 6xcavation.
Notily Trof fic Division bofore excavatipn.
Cors drill main line, inssrt too. 2% min. grade.
Must comply with ths provlsions of ORS 757.541 ro 757.571
6" Circular hols/H2O-Vac.
rH E LANE ulLr+f#d^ffitHbifirthN G couN ctl,s"ONE CALL NUMBER" 1-800.332.2344
48 HOURS BEFORE DIGGING
IONS:INS
CURB CUT AND SIDEWALK INSPECTIONS CALL 726.3769 (RECOBDER) STATE YOUR DESIGINATED CITY JOBNUMBER/PERMIT NUMBER,.J9B ADDRESS, TYPE OF INSPECTION REOUESTED, AND WHEN YOU WILL BE READY FORINSPECTION, CONTRACTOR'S OR OWNER'S NAME AND PHONE NUMBER. REOUESTS RECEIVED BEFORE Z:OO A VI. WILL BEMADE THE SAME DAY, REOUESTS AFTER 7:00 A.M. WILL BE MADE THE NEXT WOnkrr.tO DAY. tNSpECfrOruS ABE TO BECALLED IN AFTER EXCAVATIONS ARE MADE AND FORM WORK IS IN PLACE BUT PRIOR TO POURING COruCAETE.!
SANITARY SEWER, STORM SEWEB, ENCROACHMENT PEBMIT AND OTHER INSPECTIONS CALL CITY MAINTENANCE AT726.3761.tr
SIGNATURE:
py s!grlature, I state and.agree( that I have garefully examined the comp.leted application and.do hereby certify that all informationherern rs true and correct, and tfurthor certify that'anv and ail work peiformeOihait-UtiOonJi[i'C6biO6nct *ltn'ik-Oidin;;;;iti tne
Sl.'Y.fl#f i[pJifi11rt?tillT3ll,fil)1,i.','tHr'itjni8J,#"**;g,,tfy.t';;st1Jlfi'tlx]mbY*,ri".gptd,%tbTt[Yts i:.,]%r,T',["projoct.
Ifn':''rTrxr*ns:'#n'vstr;r*"i.:*?'j$fl:;fJ;;,:::h$,{t}1#,fttfii,ffii,ry}*,lrfli,r?,r.r}:,#Htr,ll|j,dhtll*"
roturn the site'to a standard acceotable io th
d_qys (30) from the dato of tfre nofiCe tb CoinCity and the costs will bo billed rotlie'peimiitee,
lfurthor aoree to ensure that all required insoections aro requestod ?!!h9 pr_o-eer.time, that project address is readable from the street,and the aplroved set of plans *itiiemiin oiittil';ii;;i"alt iimi# d"ulns consrructron,
Signature Date
g?BECEIVED BY:
DATE PAID:
€ <c)'/4rAMOUNT RECEIVED:
RECEIPT NO:
VALIDATION:
I eenrr,ttr lssUED By:
-7 ')
f rraarrureNANCE :
DATE:
DEPOSIT RETURNED:DATE:
INSPECTION:
INSPECTION:
DATE:
DATE:
. WORK IN PROGBESS DATE:
AT TIME OF COMPLETION:
ELEVENTH MONTH:
DATE:
DATE:
DATE:
DATE:
DATE:
ffirvc r r.r eERr N c REVI EWED By:
f rnnnrtc REVIEWED By:
--
I
FOR SIDEW,ALK AND CURB CUT PERMITS PL,+CE A COPY (COMPLETED) IN PERMIT DRAWER.
L.ra
Qn'l ,;
J\f
qrar C,f( i,)
\t
^?a"Y
rr f- 3* d^r
r-*r- rrlP
f se's $: s
LJ?*. _ ,-c'(;;{:r? 1- k
lir$i .$$ 65 n;: s
lsFgff $-*$* fo -,t f.g : ,. *,j ful c,* ^ts *.5F*Y .'St'*-'# "5*S', gt') I ,F' ;; *' ,$ s'qi-Of4'HO *: tt, ". *.
il s6$ .t *& *.,z"yE,r f fr j,
,,'' ') g
o$q
,t-.
E
4r(?,
L(F,oq3 0)
H(J
!.,\ry.l' .. -'1a#{E .o:'s._ '\f ':: d -r'Yarc:,- .c ,i,dru f
$'
975?,?,2,3
IMPROVEMENT AGREEMENT
3D 31rn
(In Lieu of Immediate Constnrction of Public Improvement; includes Waver of Right to Remonstrate)
IN the recited, the City of Springfield, hereinafter referred to as
City, and hereinafter referred to as Applicants, do covenant and
agree with respect to the real property described below as follows:
I ' Applicant(s) warrants and represents to the City of Springfield that it is the owner of the property
more particularly described and set forth in Paragraph 7 below and, as owner, has the authority to enier
'
into this Improvement Agreement with the City of Springfield.
2. Applicant(s) desires Development Approval from the City with respect to the following
Development Application
i. The development will cause both an immediate and long-term demand on the various public
facilities of City and Lane County including the specific public impror"rrnts necessitated by the
development as set forth in paragraph 6. ZggEALJ6.04rgZS0lREC
4. This Improvement Agreement is an alternative to imposing a conditi""
"ffiH'#l'97s01PFUNDdevelopment approval that the Applicant make immediate construction of any publicimprovement that
the development necessitates. The objective is to promote efliciency, coordination, and spread costs byproviding an opportunity for a district wide improvement mechanism where construction occurs in a
coordinated project with the participation of adjacent and other properties in *re area" instead of
requiring immediate improvement in conjunction with each devlloiment application. There is no
guarantee, however, that such a coordinated project will be possible ana Ui bity reserves the right to
require construction of the improvements in the future at city discretion.
: (a) Applicant and City agree that Applicant will pay the cost of the fotlowing public facilityimprovements described'in Paragraph 6 in accor&nce with respective oost assumption poticy establishedby City at the time the City determines to undertake and comptete such public improvements.
(b) Applicant and city acknowledge and agree that the cost of such improvements and theportt:.n thereof to be paid by Applicant are presently unknown and may be greater that the costs thatwould be apportioned if the improvements were constructed immediarcly oiUy appticant now or later.
(c ) Applicant -acknowledges that the timing of the construction of such improvements iswith in the sole and exclusive direction of the City.
6. (a) STREET IMPROVEMENTS along the frontage of 3 lrn Ptacetoinclude: ( )surfacepaving; ( )storm sewers; ( ) sanitary sewers;( )curbs; ( )gutters;( ) planter strips; ( ) street hees; ( )streetlights; (X )sidewalks.
(b) TRAFFIC SIGNALS at the intersection of
(c ) OTHER IMPROVEMENTS
Applicant acknowledges that the list of marked improvements reflect those that would currently berequired under the appropriate City codes and ordinances. Applicant acknowledges that it understands
that the improvements made will be those required to bring the street to full urban standards for the thencurrent functional classification of the street as those standards exist at the time the improvements aremade and may, therefore, differ from the tist of improvements checked herein.
7, LEGAL DESCNPTION:
The Southerly 61.00 feet of Lot 3, Block 2, of GARDEN VILLA, as platted and recorded inBook 45, Page 17, Plat Records of Lane county, oregon, in Lane county, oregon.
AKA Jasner l8 02 06 24 02201
Property Address Tax LotNo.
RETURN TO
CITY OF SPRINGFIELD. PUBLIC WORKS DEPT. - 225 FIFTH STREET . SPRINGFIELD. OR. .97477
10.00
10.00
9?5,?,2?,3
8.
:.t,..,.'t 'i i
This agreement is enforceable by the state of oregon, Lane county or city.
9, APPLICANT AGREES TO SIGN ANY AND ALL WAIVERS, PETITIONS, CONSENTS ANDALL OTHER DOCUMENTS NECESSARY TO OBTAIN THE ABOVE LISTED IMPROVEMENTSUNDER ANY IMPRotpueNr Acr oR pRocEEDTNG oF THE srATE oF oREGoN, LANEcouNTY, oR CITY aNp ro wAIvE ALL RIGHT To REMoNsTRATE AGAINsT sucHIMPRoVEMENTS. Applicant does not waive any right to protest the amount or manner of spreadingthe assessment thereo{, if the same shall appear tothe Applicant to bear inequitability or unfair upon saidproperty of Applicant. Applicant's acceptance of the non-.emonstrance condition is in consideration forthe City's waiver of he requirement for the immediate construction of the puuri. irnprovements that thedevelopment necessitates. This improvement agreement waives the property owner',s right to file awritten remonstration. It does not waive a property owner's right to comment on the proposed district orany related matters orally or in writing.
l0' City agrees that Applicant's execution and performance of the terms of the Agreement wil bedeemed to be in compliance with City's policy pertainingto improvement requirements, and if Applicantcomplies in every respectwith all other appticaLle laws if the s'tate of oregon, L*" county, and city,Applicant shall be entitled to Developmtni Approrul, subject to the terms a-nd conditions of approval setforth therein.
I l ' It is the intention of the parties hereto that the covenants herein contained shall run with the landherein described' and shatl be,binding upon the heirs, executors, assigns, administrators, and successorsof the parties hereto, and shall be conitrued to be a benefit ana a uurien'upon trr" piop"rtv hereindescribed. This Agreement sha[ be recorded in the Lane counf Deed Records.
WHEREFORE, the parties have set their hand this Z Z day of 1997.
By By
Applicant
STATE OF OREGON
County of Lane
)
)
)
ss.
On this nZ^to day of .lJl,.y ,lgg7, there personally appeared beforeme the above named applicant(s)
EDtD^Rg Y, DaoiiJ-and signed the above document.
Notary Public for
My Commission Expires lpn,t'4 Zcno
By
City of Springfield
Dan E. Brown - Director of public Works
STATE OF OREGON )
)
)
ss.
County of Lane
On this 4rt day of A oeT ,1997, there personally appeared before
Springfield and signed the above
me Dan E. Brown , the Director
document.
or Public Works, for the City of
Notary Public for Oregon
My Commission Expire s Antt 2q zoo o
RETURN TO:
CITY OF SPRINGFIELD . PUBLIC WORKS DEPT. .225 FIFTH STREET - SPRTNGFIELD . OR. . 97477
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